Multicultural Mental Health Facts #MHM

Multicultural Mental Health Facts 1. Mental Health Facts MULTICULTURAL Prevalence of Adult Mental Illness by Race 16.3% 19.3% 18.6% 13.9% 28.3% Hispanic adults living with a mental health condition. White adults living with a mental health condition. Black adults living with a mental health condition. Asian adults living with a mental health condition. AI/AN* adults living with a mental health condition. www.nami.org Follow Us! facebook.com/NAMI twitter.com/NAMIcommunicate Ways to Get Help Talk with your doctor Visit NAMI.org Learn more about mental illness Connect with other individuals and families LGBTQ Community Use of Mental Health Services among Adults (2008-2012) Fact: Mental health affects everyone regardless of culture, race, ethnicity, gender or sexual orientation. 1 in every 5 adults in America experience a mental illness. Nearly 1 in 25 (10 million) adults in America live with a serious mental illness. One-half of all chronic mental illness begins by the age of 14; three-quarters by the age of 24. 11.3% 21.5% 6.6% 10.3% 16.3% 15.1% 4.4% 5.3% 5.5% 9.2% Hispanic White Black Asian AI/AN* Male Female *American Indian/Alaska Native Critical Issues Faced by Multicultural Communities Less access to treatment Less likely to receive treatment Poorer quality of care Higher levels of stigma Culturally insensitive health care system Racism, bias, homophobia or discrimination in treatment settings Language barriers Lower rates of health insurance *American Indian/Alaska Native LGBTQ individuals are 2 or more times more likely as straight individuals to have a mental health condition. 11% of transgender individuals reported being denied care by mental health clinics due to bias or discrimination. Lesbian, gay, bisexual, transgender and questioning (LGBTQ) youth are 2 to 3 times more likely to attempt suicide than straight youth. 2X 2-3X 11% 1 This document cites statistics provided by the National Institute of Mental Health. www.nimh.nih.gov, the Substance Abuse and Mental Health Services Administration, New Evidence Regarding Racial and Ethnic Disparities in Mental Health and Injustice at every Turn: A Report of the National Transgender Discrimination Survey.

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Diagnosing Bipolar II #DavidLeite #NotesOnABanana

Creator of the James Beard Award-Winning Website "Leite's Culinaria," David Leite, "Notes on a Banana: A Memoir of Food, Love, and Manic Depression"

“Diagnosis: Mental Lite!” — Chapter 33 of David Leite’s self-deprecating Notes on a Banana: A Memoir of Food, Love, and Manic Depression — reminded me of the two decades it took before I was diagnosed bipolar type 2.

For twenty-five years Leite was treated (unsuccessfully) for depression and anxiety. Like Leite, I was an overachiever who cyclically crashed. From eighteen to thirty-nine, I was diagnosed dysthymic (chronically depressed).  Finally as a mother of a toddler, I recognized my euphoric callings from God as symptoms of hypomania and called for help.

After seeing numerous psychiatrists since he was fourteen, Leite sought and got an accurate diagnosis of bipolar II from Neil De Senna, who at the time was a Columbia University Medical Center professor of psychiatry.

Here I excerpt as bullet points the questions Dr. De Senna asked that led to Leite’s diagnosis. Buy the book to read his life story and answers to these questions — you won’t regret it.

  • Did I ever have rapid, repetitive thinking?
  • Did I ever talk fast, sometimes so fast people couldn’t understand me?
  • Had I ever been so irritable, I shouted at people or started fights or became violent?
  • Had I ever had a decreased need for sleep? If I slept just a few hours, did I feel great?
  • Did I ever engage in risky behavior that endangered my life?
  • Had I felt unusually self-confident in myself and my abilities? Did I ever experience grandiosity?
  • Had I ever had morose, violent thoughts?
  • Had I ever contemplated suicide? Had I ever attempted it?
  • Had I ever lost interest in things because nothing gave me pleasure?
  • Were there times when I was very interested in being with people, and other times when I wanted to be alone?
  • Did I have crying jags, anxiety and panic, trouble falling asleep or staying asleep, bad feelings about myself?

Now I quote without editing, De Senna’s description of bipolar I and bipolar II:

He explained that there are two types of bipolar disorder. Bipolar I is the more severe form, what Kay Redfield Jamison, the author of An Unquiet Mind, has. In it, the manias are screechingly amped up and oftentimes dangerous. They’re emblazoned with inflated self-esteem and billowing grandiosity, a marked decrease in sleep, a pressing need to talk, sometimes with odd features such as “clanging,” where speech loses meaning and follows a pattern of rhymes or sounds. Someone suffering from full-blown mania can be grossly distracted; battle racing, looping thoughts; and engage in potentially dangerous and deadly activities, such as unchecked buying sprees, risky or anonymous sex, foolish business dealings, and reckless driving. All the while, psychosis—a disconnection from reality—can be skulking in the background, just waiting for a pause, an opening. These manias can disrupt a person’s life to such a degree that jobs are lost, relationships implode, families disintegrate. Hospitalizations usually follow.

“What you have, bipolar II,” he continued, “is a milder form of the illness.” While the depressions can be just as deep and disabling, disabling, he said, what makes the difference is the quality, degree, and length of the high times. With bipolar II, a person suffers from hypomania. Elevated, expansive moods that are seductively attractive to the sufferer and the people around him, hypomanias are a watercolor version of bright-neon manias. Through it all, life isn’t disrupted to the same degree, and there’s never a psychotic break. Hospitalizations aren’t common.

“It can be very, very difficult to diagnosis hypomania,” Neil said. “Especially in type-A people who are normally goal-oriented, high energy, and creative. Their personalities can mask the illness at times.”

By quoting from David Leite’s memoir, published by HarperCollins, I do not intend to avoid copyright law. My hope is to educate, and as an added bonus to Leite and HarperCollins, to promote a great memoir of a creative soul living with manic depression.

Thank You, Treatment Team

Photos of my treatment team: Alex Michelson, MD; Brynne Lum, LMFT; My Family (son and husband)

Assuming that my therapist, Brynne Lum, LMFT, was not available (she’s very popular), I called my psychiatrist to see if he was available. He was! Yay!

Alex Michelson, MD saw me, listened to me, and reassured me that it sounds like I’m exhausted, which is understandable considering all that I’ve done in the last year and a half.

Brynne happened to be there when I visited, and I learned that she had a cancellation next week. Double yay! Now I don’t have to wait until the end of the month to see her.

Dr. Michelson reminded me that group therapy was always available for me to rejoin.

Anyway, before I got through to my team, I decided to take a couple of days off. Not exactly on a nature retreat. Just staying in a local hotel overlooking our local toll road (which is LOUD). Not as nice as I had hoped…

Maybe I’ll check out tomorrow and find somewhere quieter for my second night “away.”