Tag Archives: mental illness

The Alienated Stranger.

Obsessive Compulsion is a marauding demon.

The Interweb consolidates. “Many investigators have contributed to the hypothesis that OCD involves dysfunction in a neuronal loop running from the orbital frontal cortex to the cingulate gyrus, striatum (cuadate nucleus and putamen), globus pallidus, thalamus and back to the frontal cortex.” You’ll get this search result at the top of Google.

Happy looping!

There’s more. “Research suggests that OCD involves problems in communication between the front part of the brain and deeper structures of the brain. These brain structures use a neurotransmitter (basically, a chemical messenger) called serotonin.” Yep. That old, familiar, feel good goodie, wrecked by one nasty migraine med, Imitrex, taken for far too many years unawares.

Serotonin reuptake inhibitors are being prescribed, to treat OCD. But, Imitrex is a triptan, which interacts with serotonin (probably causing the OCD, long term.) You got it. Ya cain’t mix duh meds.

Even more currently (2011, these things move slowly) “Recent evidence suggests that the ubiquitous excitatory neurotransmitter glutamate is dysregulated in OCD, and that this dysregulation may contribute to the pathophysiology of the disorder.” Glutamate > Gluten. Sure enough. Gluten intolerance > drug dysregulated neurotransmission > OCD.

Anyhoo…….

So, my hapless grieving partner, alone at home – weeks after his mother’s death – making dinner and drowning his sorrows ends his convo with me on the Messenger phone App. Only, he thinks he can just hang up a Phone call, and leaves the Messenger line open.

For the next twenty odd minutes I listen in, picking up kitchen utensil sound effects and an increasingly persistent, if garbled, female voice continuously talking with no audible response from another vocal source. This could be the TV, but the demon thinks it hears his name spoken. Then, his voice, clearer, making a declarative vulgarity into a complete sentence, and I am captured. Captured, by the devil in the details.

By the time he finally discovers his phone status, our satan in the eaves has created the whole scenario: he’s having another female over for tacos, she’s on her phone until he proclaims the Italian classic: “Let’s eat!”, and they plan their intimate hours directly following dinner. My hollering to Hang Up The Phone! finally draws her attention, he asks What are you doing?, silence ensues, he frets This Is Bad and the phoneline cuts out, me with my conclusion in tablet stone.

But, the demon is tenacious. (They all are; categorically doomed, they persist in the pathetic hope that hanging on will somehow alter their fate. ) My mind now in its full control, the hell’s minion’s story must play out; I must pummel him with decision based texts, including the announcement that all his things will be in a bag at an undisclosed location, and ending with a prophetic Bible verse from the Book of Proverbs about dogs, vomit, and fools.

The clincher: way beyond the normal pale, OCD sends its victims into the realm of the stranger. I contact Suspect #1, a woman with whom my partner has history and who has recently surfaced on his birthday to call him Babe and post a telling salutation. She and I are not acquainted. Devils don’t care who’s been introduced.

I tell her she can have him. I pass judgment on her character. I condemn her to the rubble.

By the time the demon scuttles off, content to have ravaged all reality, she – neither suspect, nor person of interest, according to him – has blocked me. And, given her higher than my level of social intelligence, already gathering her covy of girlfriends to further condemn me to the pit of the Hades by which I have already been entertained.

OCD is a killer. All demons are. They don’t care how many Friends you have on Facebook, or see out, or hoard in, or keep in your pandemic bubble. By the time you’ve been wreaked with the havoc, you’ll lose friends you’ve never even met.

Get thee behind me, Lucifer. You may be son of the morning, but that sky is as red as a sailor’s warning. I’m staying out front, on my wire, scoping you out. My life, and the diminishing few humans who remain in my real and/or imagined realm, depend on such vigilance.

Selah.

Obsess on that.

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Copyright 12/16/22 Ruth Ann Scanzillo. All rights those of the author, the afflicted, whose name appears above this line. No copying, in whole or part including translation, permitted. Sharing only by blog link, exclusively and directly; no RSS, either. Thank you for hanging on.

littlebarefeetblog.com

Naming Mental Illness: It’s A Mind Game.

My beautiful pictureIn the wake of multiple lives lost at the hands of another, lone gunman, we as a society pause yet again to face the truly disturbing: sick minds are a threat to us all.
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And, the bigger problem looms. Our care and oversight with regard to detecting, diagnosing and treating the mentally ill is, to this degree, still woefully incomplete.
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To begin with, I believe we use the term “mentally ill” far too loosely, and imprecisely; consequently, a “cry wolf” mentality seeps into the public consciousness. We misappropriate the term, applying it whenever we think we don’t particularly like or understand someone, and miss the truly deadly potential in those who really are unwell.
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Let’s take a step back, and lay out some facts.
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MentalHealth.gov, the official website on the topic, states:
  • One in five American adults experience a mental health issue;
  • One in 10 young people experience a period of major depression;
  • One in 25 Americans live with a serious mental illness, such as schizophrenia, bipolar disorder, or major depression.
Yet,
“Half of all mental health disorders show first signs before a person turns 14 years old, and three quarters of mental health disorders begin before age 24.
Unfortunately, less than 20% of children and adolescents with diagnosable mental health problems receive the treatment they need.”
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Given the above indisputable data, over 80% of those who are really ill get no treatment in their earliest years, when containment and rehabilitation is possible.
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Meantime, we go about our days interacting with all manner of personalities. Somebody demonstrates a trait not common to our own notions of good protocol, rubbing us the wrong way. Perhaps louder, or more vociferously than we might, such an one misbehaves in public. One of us says to another: “She’s mental.”
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Let’s not mistake acute passion, expressed in the presence of others, for imbalance.
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Fact:
“The vast majority of people with mental health problems are no more likely to be violent than anyone else. Most people with mental illness are not violent and only 3%–5% of violent acts can be attributed to individuals living with a serious mental illness.”
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How many of these lone gunmen were ever described by anyone who knew them as out acting? Rather, categorically, up until the moment of their psychotic break, each behaved in a manner decidedly well beneath the radar of public condemnation.
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Even as we move forward to improve our detection and diagnosis of the mentally ill, let’s check our reactions toward each other at the door. Become more wary of the unusually silent, among our young and old; watch eye movement; document the absence of response, rather than each outburst otherwise easily recognized; and, communicate all observations to the appropriate resource as soon as they have been made.
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But, withhold public declaration. Defaming the innocent is almost as deadly to our collective relationship as is missing one capable of suddenly taking yet another life.
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© 6/7/19 Ruth Ann Scanzillo. Originally published at Medium.com
littlebarefeetblog.com

Ebb and Flow.

[formerly titled “Mentality.”]

PhotoOfSouls

For many years, the shroud of mental illness draped our family.

Our father’s mother had been committed, by her brutal husband, to a Massachusetts sanitarium circa 1914. A Sicilian immigrant, she spoke no English and could not defend herself. And, she was pregnant.

Yes.

Dad was born there.

Because sanitariums in those days were not equipped to house young mothers, let alone those deemed unfit, she was not permitted to raise her third child. Along with his sister Dad was first sent to a foster home, where he was regularly beaten over the back of the head with the buckle end of a strap belt, and then to a state institution.

Marvelously, being of sound constitution, he survived – drifting, riding the freight cars, playing his harmonica and bones for loose change and, then, joining the Army – to meet his future wife, on a steam train bound for New York. Years later, as grateful husband and father, he would give God all the credit.

But, our unknown grandmother wasn’t the only figure in the shadowbox.

Mum’s father was a scholar of the Old Testament, a crane builder, and a brooder. We’d never know what mood we’d find, entrenched on the recliner in the corner by the radio. Sometimes a wide, toothless grin, a wisecrack or a belly laugh. Other times, a deep, distant scowl, and scrap envelopes, scattered near the Bible or the stack of National Geographics, emblazoned repeatedly with the bold signature of his name in broad, flat, penknife-sharpened pencil.

Mum inherited a bit of that mercury. She had two faces, so distinct that, had anyone met the one, the other would be unrecognizable.

I learned early on that observing human behavior was not only fascinating, but prudent. I became all too aware that, by watching others, information would come to me continuously, most of it in very great need of being sorted out.

What we called our family was a cinematic display, its camera’s filter missing, of the most transparent aspects of humanity. Beyond dysfunctionality, each member was its cautious and dreaded subject. We never knew when the ball would drop; we only knew that it would.

And, as if to deny the reality, explosive events were often followed by years of avoidance. Being English, Mum’s side of the family called this “holding a grudge.” I remember a Christmas so volatile, so reverberant with screaming and weeping, that the cozy kitchen and grand oak table in the diningroom could hardly contain the scene. That would be the last year, truly, that the whole family would ever convene again. And, I was only eleven years old.

With the stigma of mental illness weighing heavily on the conscience of our society, I now guardedly approach what moves me to disclose. There is a very great need amongst us to identify, primarily because, most of the time, victims cannot do so themselves. Even as physicians are ultimately required to confirm diseases of the body, those who bear up under afflictions of the mind are in even greater need of being found. There are none more lost among us.

The following is a list of traits, hallmarks if you will, that suggest the presence of mental disease. Some are easily recognized, but others may not be. Included are short references to loved ones, by example.

1.) Reaction to Stress.

Those with mental conditions have weaker coping mechanisms than their healthier counterparts. What merely annoys most will sometimes derail the other.  The mentally ill person has a far longer list of stress inducers than the rest of us and, most importantly, is often ready to react to each of them with apparently little power of restraint. My mother spent much of my adolescence alternately sobbing or shrieking; only in the late evening, well after midnight when the house was quiet, would she find solace  – seated alone, at her sewing machine.

2.) Sensory Load.

While some extreme mental states produce catatonia, or an apparent absence of reaction, those with mental disease can often be more easily stimulated, and more ready to respond to stimuli. To them, the world is a maelstrom of desirable and undesirable feelings, and these can often collide over a single incident; sorting through the pleasure and the pain which simultaneously ensues is a task, and may often confound normal counterparts experiencing the same event. Our grandfather would open a family gathering with joyful and exuberant laughter, but a disagreement at the dinner table could send him into a rage that dispersed the family in all directions – to say nothing of the effect on our collective digestion.

3.) Lucidity.

So much is said about the character of a good citizen in various social environments that the trait of honesty, or veracity, seems almost mundane. But, to one who is afflicted, even the best intentions can go awry. Mental disease can cause one to both speak and write things that cannot later be defended; sometimes the language itself is ambiguous, or the content vague, the tone unmistakably that of either anger, bitterness, or undying devotion. One can set out to be the most upstanding and compassionate towards others, but be left with chaff in the wake of a verbal outburst which, long since forgotten, cannot even be recognized or acknowledged. I can recall lengthy, if earnest, handwritten letters from my mother, so convoluted that I hardly had the emotional energy to read them – and, repeated denials:  “I didn’t say that!”

4.) Immediate Gratification.

Everybody likes to get answers to important questions, or receive something nourishing. But, those with mental disease depend on a degree of satisfaction in closure which others find demanding. Furthermore, they become inordinately convinced of the reality of their needs, and wear these convictions as blinders. The unknowns which populate normal, daily landscape can be sources of fixation to one who is burdened, and obtaining what, to others, can easily wait becomes a mission. Dad, especially in his later years, was the most popular member of his neighborhood when it came to solving household problems which, to the rest of the world, were incidental; repeatedly dialing the man up the street, because he couldn’t get the wrapper off of the slice of American cheese, was the story nobody could forget.

Like all syndromes of the human frame, such burdens can have a range of expression. At moments of intense duress or demand, an otherwise healthy person might exhibit traits which could be attributed to one who has a form of disease. This likelihood is intensified if one has been closely exposed to the illness and its manifestations. But, those who are marked by such affliction will fight, on a daily basis, a chronic, inner battle.

There are likely other points which can be made about illnesses of the mind. But, for now, maybe making a mental note to save these in a secure corner of awareness for future reference would be wise. And, most of all, having a quiet conversation with self might help remind us all that we each occupy bodies which are random in their assignment. Only our souls matter, in the end.

Best that we all move through life with a mentality of acceptance, linking our virtual arms with determined commitment to bearing with each other. We are all both strong, and weak, in every way, and it is the convergence of these that both encourages and sustains the ebb and flow of life.

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© Ruth Ann Scanzillo

9/25/15  All rights those of the author, whose name appears above this line. Sharing by permission to ReBlog, exclusively. Thank you.

littlebarefeetblog.com