Loose Screws Mental Health News

An antipsychotic inhalation powder has been approved by the FDA for the treatment of agitation in adults with schizophrenia or bipolar I disorder. While loxapine (brand name: Adasuve) by Alexza Pharmaceuticals acts rapidly, the side effects include “bronchospasm and increased mortality in elderly patients with dementia-related psychosis,” according to Medscape. In case you don’t know, bronchospasm can lead to acute respiratory problems in people with lung disease, asthma, or COPD (chronic obstructive pulmonary disease).

Plans are for the drug to only be accessible through a medical facility with the ability to treat bronchospasms.

In related and somewhat interesting news, the Medscape article also notes that 3.2 million people in the U.S. are being treated for schizophrenia or bipolar I. “Of these, approximately 90% will develop agitation during the course of their illness.”

That’s an incredibly high number of people who develop agitation. Just sayin’.


According to an article in U.S. News & World Report, patients in a study dealing with depression seemed to have high levels of C-reactive protein (CRP), a marker for increased risk of heart and inflammatory disease. The lead researcher notes that “people with increased CRP have a two- to threefold risk of depression.” It is not clear whether CRP causes depression or is simply a sign of it. Increased levels of CRP tend to be seen in obese patients and those with chronic diseases.

“More than 21 million Americans suffer from depression, a leading cause of disability, according to Mental Health America.”

Note: the 2011 estimate of those residing in the U.S. stands at more than 311 million.


Depression is increasing among Japan’s public school teachers.

“A report by the Ministry of Education, Sports, Culture, Science and Technology shows that in 2011, around 5,200 public school teachers had to go on sick leave due to various mental illnesses, including severe depression.”

The Japan Daily Press article also notes:

“The study also highlights the fact that the main reason for the increasing depression is a school environment that puts too much workload and pressure on the teachers that they cannot have a healthy work-life balance anymore, much less deal with students, their guardians and the paper work that comes with all of these. (emphasis mine)

I recently finished a book by actor Tony Danza called I’d Like to Apologize to Every Teacher I Ever Had in which he chronicles his yearlong stint in Philadelphia’s inner city public school system. He echoes some of these sentiments as well. After trying to teach his students, he notes that it is difficult not to get involved in their personal lives as well. In the Epilogue, Danza writes:

“…I can only do so much. Where does teaching stop, and start? Where should it? I don’t really know. To engage my students, I found that I had to become engaged in their lives, their problems, and their futures. That connection was what made the job the most rewarding. Yet it was also the intensity of that involvement that, by the end of the year, had made the job of teaching so much tougher than I’d ever expected.”

It seems that Japan’s public school teachers are no different from American public school teachers.


Although 38 states require mental health background checks, only a quarter of states actually report their statistics to the federal NICS (National Instant Criminal Background Check System).


And surprise, according to a recent study, pot could lead to psychosis in teens or teens who smoke pot can later develop psychosis. I find it interesting that teens were actually evaluated after smoking pot.

Loose Screws Mental Health News

According to an article in USA Today, researchers have found that siblings who argue could have negative effects on their mental health.

Researchers report that conflicts about personal space and property, such as borrowing items without asking and hanging around when older siblings have friends over, are associated with increased anxiety and lower self-esteem in teens a year later. And fights over issues of fairness and equality, such as whose turn it is to do chores, are associated with later depression in teens.

I’d like to tell these siblings to get over it, but I don’t have any siblings of my own to relate my experience to.


PBS’s Frontline reports that most soldiers who commit suicide have never seen combat or even been deployed. According to the Defense Department, the Army has the sharpest rate of suicides of all the military branches. About 53 percent of military personnel who took their lives in 2011 had no history of deployment to active combat zones such as Iraq or Afghanistan. Even more troubling is that 85 percent of those who committed suicide may have been deployed but not involved in direct combat. Even though the military has invested $50 million to study mental health and suicide, a stigma of getting help still remains. It seems as though military personnel would rather take their own lives than seek help.


An antidepressant called GLYX-13, currently under study, appears to work within hours and last for up to a week. The lead researcher reports little to no side effects on the drug, which is injected intravenously. The drug is in phase 2, which means that its effectiveness and safety are still being tested. I have my doubts about an intravenous drug. If doctors are not currently testing patients’ serotonin levels, how would they be able to prescribe an intravenous antidepressant?


Depression has passed asthma as the top disability among North American (U.S. and Canadian) teens.

Asthma had been the largest contributor to YLDs (years lived with disabilities) for youths in that age range in the US and Canada in 1990, but the study published in The Lancet on Thursday led by researchers at the Institute of Health Metrics and Evaluation (IHME) at the University of Washington, Seattle showed that in this group depression surpassed asthma to claim the number one spot in 2010.

Back in the 1990s, depression was not widely regarded or evaluated among teens. It was still “suck it up” and “pull yourself up by your bootstraps.” My depression was viewed as laziness or “senioritis” among my teachers. I had no sympathy and very little leeway. Now, mental health is being taken more seriously for teens, and I think that’s a good thing.


See you if you can keep an elder person in mind during this holiday season. Senior depression is always on the rise during the holiday season due to problems with health, loneliness, or finances.

Anxiety. Depression. Suicidal Thoughts.

Anxiety. Depression. Suicidal thoughts. They are all rolled up in one.

I am anxious about a lot of things these days. From something as mundane as sitting here typing on the computer to driving to cold calling a prospective client (which may never pan out because I’m too anxious to call right now). My anxiety has been debilitating in the past where I didn’t want to leave my home, and I fear it’s getting to the point of debilitation again on some days.

My anxiety depresses me. It keeps me from doing things that no one would think twice about. But here I sit, a prisoner in my own body, freaking out about nearly everything. To escape this, combined with my severe lethargy, I crawl into bed and sleep, hoping that when I wake up, things will be better. But they usually are not.

Please don’t get me wrong. I have a life many people would envy: a loving husband, a supportive family, and a steady job. I am thankful for the good things in my life. But this attitude of thankfulness and gratefulness doesn’t take away the depression inside of me.

I do not want to go back to the hospital. If I fear anything worse than death, it may be going back to a psych hospital. I have passing suicidal thoughts about hanging myself, but I haven’t been able to act upon it. I can’t determine whether I am a harm to myself in which case I would need to go to the hospital. The point of the hospital (for me) is to get me away from things that would cause immediate harm to myself. But I can’t be locked up in a hospital forever. (I guess I could in a state institution but that would be a nightmare.)

Somehow, existing in this jumbled mix is me. Somewhere inside, I am bubbly, wonderfully wacky, and beautifully strange. The depression and anxiety fuzz all of that. I am only some of what I used to be. I go to sleep, hoping for some kind of reprieve from this dark cloud that hangs over me.

Don Cornelius Died . . . So What?

Image from washingtonpost.com

On February 1, 2012, Los Angeles police declared “Soul Train” legend Don Cornelius dead of an apparent self-inflicted gunshot wound. As my Facebook feed filled up with R.I.P. Don Cornelius, I thought to myself, We’re not addressing the larger issue here: how he died.

It got me thinking about suicide rates among the black community. Suicide is something largely not spoken of among black people. No one likes to discuss suicide after someone’s self-inflicted death, but I think it’s important to address the issue. A study released in 2006 showed that each year 70,000 black people try to kill themselves and about 1.4 million or 4 percent attempt suicide at least once in their lives. From an article in the Associated Press:

While depression is strongly tied to suicidal behavior in whites, anxiety disorders were more common than depression in blacks who attempted suicide in the study. That is an important racial difference that could alert doctors to black patients who might be contemplating suicide, said [Dr. Alvin Poussaint, a Harvard University psychiatry professor and race relations specialist].

According to an article that appeared in the Journal of Black Psychology:

Historically, suicidal behaviors among African Americans received scant attention because of the belief that very few African Americans completed suicide; it was also assumed that they did not experience depression. Blacks were historically viewed as a psychologically unsophisticated race that were naturally high spirited and unburdened with a sense of responsibility.

Suicide rates among black men are growing. A 2007 statistic from the National Institute of Mental Health shows that of every 100,000 people ages 65 and older, 14.3 percent of them are likely to kill themselves. Mr. Cornelius was 75.

There’s no indication that Mr. Cornelius let anything on to family or friends. In a Washington Post article, Rev. Jesse Jackson noted that Mr. Cornelius did not seem upset when they spoke a few days prior to Mr. Cornelius’s death. Police say that Mr. Cornelius left no suicide note and are investigating his mental state. They have ruled out a homicide.

A quick snapshot toward the end of Mr. Cornelius’s life shows that he had serious health issues and may have endured a bitter divorce with his second wife. This information doesn’t provide definitive proof that Mr. Cornelius was contemplating suicide, however, it may give us a peek at what may have contributed to his suicide.

Significant health issues are often overlooked in regard to a person’s mental state. Sometimes, a person won’t let on how much pain he or she may be in even though the pain may be unbearable. Mr. Cornelius may have been very lonely and in a lot of physical pain. Those two factors combined may have led him to take his life. But I am speculating—no one knows that for sure.

People will wonder how this unfortunate act could have been prevented. Unfortunately, it couldn’t. Mr. Cornelius did not tell anyone that he was depressed (as far as the media and police know), suffering, or contemplating taking his life. Generally, people most determined to take their own lives will not speak of it to anyone.

But there is a lesson to be learned here. We can encourage people of all races to speak to someone when life gets to be overwhelming and too burdensome. We don’t need anyone else who is blessed with gifts and talents to commit suicide because he or she feels as though no one will listen and no one cares. 1-800-273-8255 or 1-800-SUICIDE are good resources with people who will listen and genuinely care. May we all learn from Mr. Cornelius’s lesson and get help when we truly need it.

Anxiety

I’ve experienced anxiety for the past two days unlike anything I’ve experienced before. I’m afraid to do anything significant which includes leaving my home. I’m afraid to drive, travel, and interact with people other than my husband and impersonal Internet communication. I’ve cried every day and every night since Sunday. As part of anxiety issues, I’m battling depression as well. I’m simply paralyzed by fear and afraid to venture beyond my home. I’m somewhat paranoid about being watched as well. And no, I’m not on medication.

I don’t know what to do. Anyone have any advice to offer?

Celebrity Sensitivity: Catherine Zeta-Jones & Demi Lovato

Image from people.com

Catherine Zeta-Jones has bravely put her face on the cover People magazine—and on the face of bipolar disorder. And in a less publicized interview, 18-year-old Demi Lovato of teen Disney fame admitted last month to People that she too also suffers from bipolar disorder.

“This is a disorder that affects millions of people and I am one of them,” the [Zeta-Jones], 41, tells PEOPLE in an exclusive statement in this week’s cover story. “If my revelation of having bipolar II has encouraged one person to seek help, then it is worth it. There is no need to suffer silently and there is no shame in seeking help.”

Last month, Lovato said:

“I never found out until I went into treatment that I was bipolar. Looking back it makes sense,” she says of her diagnosis. “There were times when I was so manic, I was writing seven songs in one night and I’d be up until 5:30 in the morning.”

I’ve said before that I’m not a fan of mental illness fads, but bipolar disorder has such a stigma attached to it that celebrities who seriously suffer from the disorder have a chance to put a face on and say “There’s no shame in getting help.” And while psychotropic drugs certainly aren’t a cure-all in conjunction with talk and behavioral therapy, bipolar disorder can be managed—not just for these celebs but also for anyone who suffers from the disorder.

Celebrity Sensitivity: Catherine Zeta-Jones

Image from people.com

Of all the celebrities I would have pegged with some kind of mental health disorder, Ms. Zeta-Jones would have never made the list. After supporting her husband Michael Douglas through his cancer treatment, she remained quiet about herself only outspoken on issues pertaining to how upbeat and positive the couple was on Douglas’s treatment.

But clearly, being a bedrock for her husband has taken its toll on her. Last week, she checked into a mental health facility seeking treatment for her bipolar II disorder. Bipolar II is characterized by frequent depressive episodes rather than a constant swing of manic-depressive ones. While only Ms. Zeta-Jones knows what’s been going on inside her mind and her heart, I can only imagine that she’s been suffering with some depression for a while but quietly put it aside as her husband struggled to become healthy again.

In the past, I’ve used the Celebrity Sensitivity feature of this blog to mock celebrities who seem to be diagnosed with nearly any mental illness fad that goes around (normally, depression), but this time my heart goes out to Ms. Zeta-Jones who decided to seek treatment for herself instead of putting on a face like everything’s okay and toughing it out.

My Dark Passenger: The Suicide Side

Image from zazzle.com

Although I’m not a fan of the Dexter books or TV series, I’ve been introduced to both by way of my husband who enjoys both forms of Dexter media.

The other day I flipped through Jeff Lindsay’s latest, Dexter Is Delicious, and read a little bit about the part of Dexter that he calls his “Dark Passenger,” the voice inside of him that compels him to kill. (But he justifies this by killing murderers. An interesting twist on the anti-hero.)

I ruminated on this as I’ve been dealing with a lot of suicidal thoughts lately. And really, there’s nothing wrong in my life that would cause these suicidal thoughts to arise. It’s just something in me gone haywire. It’s like a part of me that’s not really a part of me that I can kind of talk back to. It sounds otherworldly and crazy.

It is.

So I’ve taken to calling the suicidal voice (unlike Dexter’s homicidal one) in my head the “Dark Passenger.” My husband kind of likes this too as it identifies something that’s not really me although it’s a part of me.

The Dark Passenger is pretty random these days. Even if I have a slight mood crash, he’ll—because my sinister voice is clearly not a seductive she, maybe androgynous—tell me that life is not worth living and to go kill myself.

Me: What?
Dark Passenger: Go kill yourself. Life isn’t worth living anyway. You’re a total failure and you know you can’t do anything right.
Me: Um, why are you bugging me? I’m not even depressed right now.
Dark Passenger: [silence]

Yeah, that’s pretty much how our conversations go. It probably sounds a bit schizophrenic or something but that’s basically my stupid battle to stay alive. You can probably imagine how terrible our conversations are when I am depressed.

My Dark Passenger’s a bit starved, you see, because I haven’t tried to kill myself in a while and he’s getting antsy. I was last hospitalized for a suicide attempt in 2006 and even though I’ve had a few half-hearted attempts since or serious thoughts about an attempt, I haven’t had a serious attempt that has required me to be locked away for a good bit of time. I still get freaked out about my near-sexual assault encounter and that’s done a good job of keeping me in check for now.

So the Dark Passenger tries to get me whenever he thinks he’s got an opening:

No one signed up for your class. You’re a loser. Go kill yourself.

She never called you back. See? No one likes you. Go kill yourself.

You can’t get pregnant or do anything right. You’re not cut out to be a mother. In fact, you weren’t meant to be one because you need to go kill yourself.

And on and on and on. It’s easy to tell him to shut up when I’m not deeply depressed. Not so much otherwise.

Maybe there’s something to that “Get behind me, Satan” stuff after all. D. Martyn Lloyd-Jones, a famous British preacher, once suggested in his book Spiritual Depression to “talk back” to one’s negative voices. While it doesn’t work in the most severe of cases for me, it works. . . for the most part.

The psychology behind sabotaging a mildly successful blog

There’s no other way to say it: I choked.

Depression Introspection, originally hosted on Typepad, was a mildly successful blog within its niche community. I updated the blog regularly and within a year, watched my stats rocket and was named one of PsychCentral’s Top 10 Depression blogs. I enjoyed researching and learning information then providing analysis for the world to see. I wasn’t the first (or second or third) mental health blog but I was part of the early game.

After claiming the #1 spot for PsychCentral’s Top 10 blogs of 2007, I freaked. I averaged 5,000 page views a day. For a nobody like me, I found that nothing to sneeze at.

Then the pressure was on. The pressure came from no one but myself.

I regularly received emails asking for advice or comments on older posts. But the pressure to keep and satisfy an audience became overwhelming. It was all self-created. I wanted to compete. And when the competition loomed large and appeared daunting, I cracked and walked away from it altogether. Updating the blog was no longer fun, I hated doing research, learning about mental health became a chore.

From 2006-2008, my entire life surrounded my mental health and learning about it. Within 2 years, I grew and changed. I no longer wanted to write about mental health on a daily basis. Nor did I want to put so much time and effort into generating content that earned me very little money. But I have a bit of a historian in me: I can sit back and appreciate the hard work I put into this blog. In an effort to preserve the content, I spent a good bit of time and energy into moving this blog from Typepad to WordPress. Even without updating this site new information, my old posts (especially on Lamictal) still get regular hits and comments. Simply that amazes me and makes me realize how valuable some of the information is within this blog.

With the exception of the Quotes of the Day, which are scheduled to update through March 2010, this blog is basically defunct. It’s up as a resource for people to browse through and glean some kind of knowledge on various psychotropics (however outdated the information may be). There is always the possibility I could update regularly again but I doubt it. Like I mentioned previously, I’ve grown beyond simply mental health writing and update a personal blog titled This Journey is My Own where I blog about various topics from introspection to politics to religion (mainly Christianity) to race relations/identity. I run quite the gamut than what I used to write here. And I purposely do not mix the content because I serve two different audiences with each.

So there you have it. I’ve since learned that I’d rather never succeed than watch myself hopelessly fail. Not that I was failing with my blog. Far from it—I was succeeding, succeeding beyond anything I could have ever imagined. And when I saw that I had to work to maintain that success (after having achieved it so effortlessly and carelessly), I choked, sputtered, and stalled.

And walked away.

I know a lot of people were sad to see the regular updates disappear. I fell off the blog scene and keep up with people mostly through Twitter. But I did what I had to do for me. To maintain my sanity. The joy and the love for writing the blog were gone. Once those things go, it’s time to end it, which is what I did.

My other blog has a regular audience of about maybe 5-10 people max. And that’s okay. Any more “success” and I think I’d choke.  Besides, I’m really just trying to write for “an audience of one” now.

So if you’re new to the site and visiting, feel free to take a look around, there’s some good information to be found. If you’ve been a regular reader, thanks for your loyalty in showing me that I’ve got what it takes to be mildly successful.

God bless,
Kass