Saturday, August 30, 2014

Whirlwind Life

I’m so sorry I’ve been away. My life has been such a whirlwind.

This new job has been kicking my ass.  In the best way possible, my you. I love it! But I work really long hours. It’s so fulfilling to have a job that is challenging and that does something that I believe in. And not too mention, sends me all kinds of crazy places. Plus everyone I work with is amazing.

And then there’s my personal life. Everything is so hectic.

I have to move. Again. No bad reasons or anything, it’s just how things worked out. And it’ll be the first time I’m getting a place on my own. I’m actually really worried about it. I’m going to miss Monroe, and I’m really worried about separating our cats. The kitten is 2 years old now but she’s grown up with my cat. She’s never not had him. I actually had a nightmare about that. I woke up crying. I want to keep her. In the same night I had two other nightmares just about moving. Moving is so stressful. I am so compulsive about it too. I researched every possible available option. Cost per month vs. utilities vs. square footage vs. amenities vs. proximity to where I want to be vs. whether undesirable people can get in…. I am actually really happy about the place I found.  Therapist is sort of dismissing my fear of living alone though and that troubles me a bit. On the one hand I’m sure I’ll be fine, b/c I always deal with what I’m handed, but it doesn’t ease my anxiety. I felt like she was dismissing that a little. I don’t like being alone. I don’t need someone to pay attention to me all the time, but just having someone around, having someone in the next room, knowing their presence is there… it’s comforting. I don’t like to be alone.

Bat and I are still wonderful. He took a new job and his hours are ridiculous which is a little distressing for me but I’m doing okay. He clearly adores me. We did have our first “fight”, which was not really a fight at all, but a pretty reasoned discussion. I was so scared to have it though.  He has this hobby that I fully support and I love that he has something that he loves. But lately when I’ve been over he’s only been doing that and I’ve sat there doing nothing until I’ve fallen asleep. He’s talked to me while he’s done it, but it’s not something we can do together and I feel kind of neglected. Especially when I look forward so much to seeing him all week and then as soon as we get to his place all he does is tinker with his stuff and I sit there doing nothing. I was so hesitant to say anything to him about it though b/c he has so little free time and I really do want him to keep at his hobby, but if he want me there, then I would really like to be doing something together, otherwise I’m just kind of feeling ignored. I finally talked to him about it thought. I thought about what I wanted to say for a couple days so it wouldn’t just be an angry emotional word vomit. Shockingly he understood.

Beyond that, my Sister and my best friend (xRoommate) are getting married; in September and October respectively. I am their Maid of Honor. In both weddings. Which means planning two bridal showers, two bachelor/bachelorette parties, constantly working on decorations, baking (I’m doing all of the baking), figuring out brides maid dresses, travel out of state… plus Bat is coming with me to my sister’s wedding. So that should be interesting... meeting my entire family for the first time.  

My schedule has/will been: Boston, Figure out how to move, Move, Go to the UK for work, Touch Down/switch planes/Go to the Midwest for Sisters Bridal Shower/Bachelorette Party, (two weeks later) Sister’s wedding, (next weekend) xRoommate Bridal Shower, (two weeks later) Bachelorette Party, (next weekend), xRoommate Wedding. 

And I’m planning all of the Bridal Shower/Party stuff along with all of my moving and all of my usual work stuff.

I talked to my parents the other night just to catch up. My mother is going in for heart surgery this week. She’s been having random racing heartbeats and palpitations for no reason at all causing dizziness and fainting. She’s very active and eats a healthy diet. She is thin, not overweight at all. She’s a nurse so she’s health conscious and medically aware. This is was a huge shocker for me. Heart problems run in my family. Usually they’re attributed to extremely poor diets and smoking though. That’s 90% of the reason I’ve been vegetarian for the last 22 years. So this is really freaking me out. I’m really worried about her. Apparently the surgery is pretty routine, nothing she should be too concerned about, but it’s still freaking heart surgery. Ugh.

And the most ridiculous thing of all? I missed my period this month. I started a new birth control pill that my doctor recommended. I take it exactly as prescribed. I’m extremely regular. And then I wa

s late. Very late. As it turns out… one of most common side effects of this pill is not having your period.
  I scoured the internet and forums to find that thousands of women had the same scare. I still took a pregnancy test, and it came back negative, but holy crap was that stressful.  I feel like I’m going to have to do that every month now if I end up never having a period (which might happen).

Update: So….. Bat and I talked last night and he wants to move in together. Things have been going really well. Our work schedules have been extremely hectic though (especially since he’s a chef and works crazy hours) so we haven’t gotten to spend the time we did at the beginning of our relationship. He told me he missed that and living together would give us the chance to see each other even with our crazy schedules. It would take care of my not wanting to live alone too. 

I had a quick heart palpitation  as soon as he brought it up (not because of him)… as soon as Evil-Ex and I moved in together (the only other partner I’ve lived with) his entire personality changed. He went from charming and fun, to mood, manipulative, and avoidant. He started cheating on me, “needing his space”, he turned into a completely different person… he couldn’t maintain the mask. I talked to xRoommate about it. So funny, she hated Evil-Ex from minute one. All of my friends and my sister said the same thing. I wish any of them had said anything. Bat is nothing like that though. He’s very steady. We’ve spent so much time together already I feel like I have a handle on who he is and I don’t foresee him changing suddenly. He’s not anyone else. He’s him. Plus he wants to move in to spend more time with me. Not just use me for my money or as his “meal ticket” as one of Evil-Exes friends used to refer to me as.

It’s a big step though. It definitely makes me happy that he wants to be closer to me. I love the idea and I want to do it. 

I’m extremely overwhelmed but I feel like all I can do is take it one day at a time and prepare as best I can so I’m not panicking. It’s a lot. Fortunately a glass or two of wine helps. ::head desk:: 

Life is ridiculous sometimes. 

Friday, July 25, 2014

New Job

Hi Everyone,

I know I keep being sporadic with my posts. I got a new job! I’m making robots now! My contract ended at my old job so I had to spend a lot of time and stressed out energy searching and interviewing for a new job. So goes the life of a contract engineer. Fortunately this is a permanent position so I won’t have to worry about that anymore. I’m really excited about this job. It’s been one of the neatest places I’ve ever worked and my projects are pretty damn rad. The hours are a little longer though and the commute is 2-3 times longer than my last job so I have even less time than usual. But hey, it’s a stimulating, fast paced job, and I have an income again! Yay!

It’s so stressful having to find a new job. Then even more stressful wondering if you’ll actually be able to do the new job. However I feel like I’m more than qualified for this now that I’ve been there for a couple weeks.

And I have to say. This is by far my favorite job ever. I have never felt so productive so fast. So included. Previously, I’ve always had an EXTREME disconnect between my actually personality and my work personality. Like I was actually two different people. At this job I actually feel like I can fit in a bit more. The people there are younger, more inclusive, kind of quirky. It’s a very neat atmosphere. I’ve never experienced anything like it. It honestly feels really good.

It’s a bit overwhelming too. The shear amount of information I’m taking in is mind boggling. I’m already working on some crazy projects. It’s pretty exciting.

However I get up at 6 in the morning and often I don’t get home until well after 6 in the evening. Fortunately the days go fast there because I love what I do but I have to figure out how to manage my time so I can write more.  I am really trying to figure my time out. Work, exercise, new boyfriend (who wow, is that going well), and I really want to write more for this blog. It’s important to me. These last couple weeks have just been such a whirlwind.

I’ll get there. In the mean time I’ll be releasing robots and writing as often as I can.



Sunday, July 20, 2014

Harm Reduction Guide to Coming Off Psychiatric Drugs: Part 4

Harm Reduction Guide to Coming Off Psychiatric Drugs: Part 4

Written by Will Hall
Published by The Icarus Project and Freedom Center

How Withdrawal Affects Your Brain and Body

In addition to placebo, all psychiatric drugs work by causing organic brain changes. This is why going off leads to withdrawal: your brain gets used to having the drug, and has a hard time adjusting when the drug is removed. It takes time to bring the activity of receptors and chemicals back to the original state before the drug was introduced. While doctors sometimes use confusing terms like “dependence,” “rebound,” and “discontinuation syndrome” (and there may not be dosage tolerance), the psychiatric drug action that causes withdrawal symptoms is basically the same as addiction. Tapering off slowly is usually best: it allows your brain and mind time to get accustomed to being without the drugs. Going off fast does not usually allow enough time to adjust, and you may experience worse withdrawal symptoms.

Important: the signs of psychiatric drug withdrawal can sometimes look exactly like the “mental illness” symptoms that medications were prescribed for in the first place.

When someone goes off a psychiatric drug they might have anxiety, mania, panic, depression and other painful effects. They can become “psychotic” or have other symptoms from the psychiatric drug withdrawal itself, not because of a “disorder” or condition. This may be the same, or even worse, than what got called psychosis or mental disorder before the drug was taken. Typically people are then told this shows their illness has come back, and that they therefore need the drug. However, it may be the withdrawal effect from the drug that is causing these symptoms.

This is why weaning off slowly is very important. And pay attention to how you feel each day over an extended period. Eventually withdrawal symptoms subside.

These withdrawal symptoms do not necessarily prove you need a psychiatric drug any more than headaches after you stop drinking coffee prove you need caffeine, or delirium after stopping alcohol shows you need to drink alcohol. It just means your brain has become dependent on the drug, and has difficulty adjusting to a lower dosage off it. Psychiatric drugs are not like insulin for a diabetic: they are a tool or coping mechanism.

However, when you have been on psych drugs for years, it can sometimes take years to reduce or go off them, or you may have long term physical or psychological dependency. Sometimes people on these drugs develop ongoing withdrawal symptoms, chemical brain injury, and damage. This may not be permanent, but sometimes people live the rest of their lives with these brain changes. Scientists used to believe that the brain couldn’t grow new cells or heal itself, but today this is known to be untrue. Everyone can heal: new research into “neurogenesis” and “neuroplasticity” means the brain is always growing and changing. Friendships and love, along with good lifestyle, nutrition, and positive outlook, will help nurture your brain and body to recover.

You may find that the goal of going off completely is not right for you at this time. You may feel better staying on your medication, and decide instead to just reduce or continue at the same dosage, and focus on new ways to improve your life. Follow your own needs without judgment or blame: get support for your decisions in the face of any feelings of shame or powerlessness.

            Remember, any decision you make is okay.

Why Do People Want to Stop Using Psychiatric Drugs?

People are often told that no matter what the side effects, psychiatric drugs are always better than suffering from “untreated” mental disorders. Some doctors claim mental disorders have a “kindling” effect, that early medication is best, or that madness is toxic and medications are “neuroprotective.” These theories remain unproven -- though ongoing crisis and a life out of control can certainly be cumulative stresses. Doctors spread fears unfairly: while medications are key in helping many people, many others have found ways to recover without psychiatric drugs. Many report their lives are better without them. Everyone is different, but sometimes people do deal with “psychotic” states successfully without medication. Diverse, non-western cultures often respond to and understand these experiences differently, even seeing them as positive and spiritual. It remains a personal decision how to relate to madness.

This is definitely a very individual choice. I would say pay close attention to how you felt before and after the medication and make a decision based on that. A lot of people feel ashamed by the fact that they are taking medication at all, even though it does help, and just don’t want to have to say they are taking any. Personally I would work on confronting the feelings of shame and recognizing that these are valid feelings, but not constructive. If something helps than it is okay for you. However if it isn’t actually doing you any good, than it is certainly time to look at an alternative route.

It’s not an either-or choice between taking psychiatric drugs or doing nothing. There are many alternatives you can try. In fact, some problems that are called symptoms of “mental disorders” might turn out to be caused by the drugs people are taking.

Saturday, June 21, 2014

Harm Reduction Guide to Coming Off Psychiatric Drugs: Part 3

Harm Reduction Guide to Coming Off Psychiatric Drugs: Part 3
Written by Will Hall
Published by The Icarus Project and Freedom Center

Do Psychiatric Drugs Correct Your Chemistry Or Treat Illness?

People are told that mental disorders mean brain chemistry is “abnormal,” that illness is caused by genetic “predispositions,” and that psychiatric drugs are needed to interrupt a disease process and correct imbalances. However, this is not how medications work, and brain disease theories have not been proven by studies to be true. Believing these claims can reinforce a sense of being a helpless victim of biology, and leave people feeling there are no options other than medications.

Despite decades of costly research, no chemical imbalances, genetic predispositions, or brain abnormalities have ever been found to consistently cause a bipolar, depression, or schizophrenia diagnosis. The media report “promising” research that “needs further study,” but nothing conclusive has resulted. Even the fine print of drug company ads now typically says that conditions are “believed to be caused by” chemical imbalances, rather than making definitive statements.

Physical tests, such as brain scan or blood draw, aren’t used for diagnosis like bipolar, schizophrenia, or depression, and can’t reveal that your brain is abnormal. (Altered states with clear physical causes, such as, for example, concussion, dementia or alcohol delirium, are instead called “organic psychosis”). A baseline has never even been established for what constitutes a “psychologically normal” brain for all people. Three people with the same diagnosis might have very different brain chemistry, and someone with similar brain chemistry might have no diagnosis at all. While many people face physical problems like vitamin deficiency that a doctor or holistic practitioner can address, this might help emotional problems – or it might not --. Medicine has not discovered the biology of mental illness the same way as tuberculosis, Down Syndrome, or diabetes. Emotional distress and madness remain open to interpretation.

“Normal”. What is normal? I don’t think anyone is contesting that we’re trying to be normal. Normal is not a thing. We’re simply trying to find a better quality of life than what we’ve been living. That is why we resort to medication. 

What about genetics? Mental diagnoses can seem to “run in families,” but so do child abuse and poverty. Because of shared environment, expectations, and intergenerational trauma, family history can mean many things other than inescapable heredity. Studies claim 15that twins tend have a slightly higher chance of the same diagnosis, but this research is often flawed and results exaggerated. Parents know that children have different temperaments even at birth, but prenatal experience has an influence. Individual traits like sensitivity and creativity only become madness after very complicated social factors, such as trauma and oppression, have played a role. Even sequencing the human genome has not revealed any keys to mental illness, and the idea of genetic “predisposition” remains speculative and unproven.

My grandmother and my sister were/are both bipolar. The environments in which they grew up could not have been any more different. To say that it may strictly be an environmental cause, is too much of a stretch for me. I’m much more inclined to say that there may be a genetic link somewhere in there. 

In fact, the more neuroscience discovers about genes, behavior, and the brain, the more complicated the picture becomes. “Epigenetics” shows that instead of a “genetic blueprint,” the environment interacts to turn genes on and off. Using genetic science to oversimplify the diversity of human behavior is a throwback to the discredited concepts of social Darwinism and eugenics. It portrays some people as destined to be inferior, defective, and less than fully human.

This should be clear. That everything about us is a combination of not only our biology but also our environment. How we were raised, the things in our environment have a massive effect on our brains right down to the neuron level. This is probably why no two brain scans will ever look the same for two people with the same mental health issues; they’ve come about their problems through different environmental triggers and different parts of their brains have been effected.

Every feeling and thought exists somehow in the brain as an expression of biology, but society, mind, and learning intervene to make any causal relationship impossible to establish. Stress, for example, is associated with brain chemistry, but one person can thrive under stressful circumstances that are debilitating to another. The new science of “Neuroplasticity” shows the brain is constantly growing and that learning can itself change the brain: for example, psychotherapy can reorganize brain structure, and researchers found the brain regions associated with memorizing maps were enlarged in NYC cab drivers. If learning can affect the brain in such a profound way, then we are not as limited by biology as was once believed.

This is certainly true. Even being off my medication for only 6 weeks, with a lot of learned therapeutic techniques I am much more self-aware now. Even when I could feel my mood slipping, it was nowhere near as extreme, but when it wasn’t great, I had the tools I needed to keep it under control and express myself constructively and handle it appropriately. That’s not to say I would like to be off my medication forever, but I did notice that it was possible and there was a noticeable difference between this time and before I started taking my meds.

Without clear answers from science, psychiatric diagnosis is ultimately not a statement of fact but a doctor’s subjective opinion of a patient. The doctor inevitably relies on their own bias, assumptions, fears, and preconceptions. Doctors often disagree with each other, people sometimes have many different diagnoses over time, and discrimination based on class, race, and gender is common.

Hmm. Okay, for me this sounds like it’s only the doctors telling a person that there is something wrong with them and we, as individuals, never go to doctors seeking help in the first place. I sought out my doctor because I had been in extreme distress for over a decade and nothing I was doing on my own was working. I didn’t need a doctor to tell me that there was something wrong with me. I already felt that. I went to the doctor because I needed help feeling better. I didn’t only see a doctor though, I also saw my therapist. Doctors aren’t out to get you, they’re there to help you if you go to them for help.

Who’s to Blame? Yourself? Your Biology? Neither?

If biology and brain chemistry aren’t to “blame” for anxiety, voices, suicidal feelings, mania, or other distress, does that mean the blame is on you? Is it either your brain’s fault or your fault?
A psychiatric diagnosis can be a huge relief if the only other option is blaming yourself as lazy, weak, or faking it. When you feel powerless and people haven’t been taking your pain seriously, a doctor saying you have a mental disorder can be validating. Choosing to reduce or come off medication might seem like the wrong message, as if your suffering is not that bad and you don’t really need help. And not being able to come off can also feel shameful, like you should just try harder and it’s all up to you.

A psychiatric diagnosis is often just a starting point to help with treatment that may change over time as your doctor becomes more familiar with you. You can’t treat someone who is bipolar as if they are schizophrenic. It’s the wrong treatment. However, I do agree that it can often be validating.

This is unfair, either-or thinking that leaves people helpless and trapped in the mental health system. Pharmaceutical advertising preys on this dilemma: if pain is really serious, it needs medication, if not, you’re on your own. Empowerment means thinking beyond a narrow view, and embracing broader ways of looking at things.

Everyone needs support sometime: each of us has parts of our lives where we feel powerless. We all need to learn how to balance personal responsibility with asking for help. You don’t have to blame your brain to give yourself some compassion.

And if people ask, it’s your decision what to say or not say, such as “I’m a trauma survivor,” “I go though extreme states,” or “I’m different than most people, and I’m still figuring it out” -- or saying nothing at all. Connecting with others who share your experiences, such as peer support groups or the internet, can be crucial as you explore who you are.

Your suffering is real, whether you decide to take medications or not. Feeling powerless and needing help doesn’t mean you are a broken person or that you’re a passive victim of biology. Explanations like trauma, sensitivity, or spirituality are as valid as any. You still deserve help even if you don’t believe your brain is abnormal and even if you think outside the language of “psychiatric illness” and “mental disorders.”

How Do Psychiatric Drugs Affect The Brain?

Like any mind altering substance, psychiatric drugs are psychoactive and alter mind and behavior by affecting brain chemistry. Their usefulness, and risks, come from changing the brain/body and altering consciousness, including expectation and placebo.

Current medical theory is that most psychiatric drugs change the levels of chemicals called neurotransmitters (anti-convulsants, anti-epileptics, and “mood stabilizers” such as lithium appear to work by changing blood flow and electrical activity in the brain in general). Neurotransmitters are linked with mood and mental functioning, and all the cells of the nervous system, including brain cells, use neurotransmitters to communicate with each other. When neurotransmitter levels change, “receptor” cells, which receive and regulate neurotransmitters, become more sensitive, and can grow or shrink to adjust.

SSRI anti-depressants (“selective serotonin re-uptake inhibitors”) for example are said to raise the level of the neurotransmitter serotonin in the brain and reduce the number of brain serotonin receptors. Anti-psychotic medications like Haldol lower the level of dopamine and increase the number of dopamine receptors in the brain. This action on neurotransmitters and receptors is the same as for any psychoactive drug. Alcohol affects neurotransmitters including dopamine and serotonin, and cocaine changes the levels of both dopamine and serotonin, as well as noradrenaline, and alters receptors.

While these chemical changes in your body take place, your consciousness works to interpret and respond n your own way, Alcohol might relax you or make you nervous; anti-depressants energize some people or make others less sensitive. Because of the placebo effect and expectations, everyone is different. Your experience of medication may not be the same as other people, and will ultimately be uniquely your own. Trust yourself.

True. This is why that list of potential side effects is so ridiculously long; every person’s body and brain are different and may react differently. This is why you should have regular and frequent follow ups with your doctor. Doctors don’t prescribe drugs all willy nilly. Even for mental health issues. Yes, there is a certain amount of guess work when it comes to finding the right ones that work for you best without unacceptable side effects; because everyone’s body does react differently, but it’s not quite the crapshoot it sounds like.

And not for nothing, it can be the same way with physical medical drugs too. I have drug allergies. I’m allergic to penicillin and macrolide drugs which makes giving me antibiotics a real bitch. However it took me having a few really bad reactions to those medications before we figured that out. If I get sick I also get the most ridiculously expensive antibiotics which I prefer to simply avoid. With the exception of my love of wine, I eat very clean, I exercise constantly, and I live a preventative and healthy life style. I’m very rarely sick. Of course you can’t always avoid getting sick, but you can certainly take steps to keep your immune system strong and those things help.

My point is, it’s not just mental health drugs that are hit and miss. People react poorly to all drugs. Or they can react fantastically. Penicillin is lifesaving to billions of people and it damn near kills me. Some people hate the idea of antidepressants. I’ll happily stay on my SNRI because it improves my quality of life.

It’s important to have all of the facts, which is what this guide is helping us do, so that we can make informed decisions about what is best for us individually. It’s also good to know that there can be alternatives though b/c one size does not always fit all.

Stay Tuned.

Thursday, June 19, 2014

Harm Reduction Guide to Coming Off Psychiatric Drugs: Part 2

Harm Reduction Guide to Coming Off Psychiatric Drugs: Part 2
Written by Will Hall
Published by The Icarus Project and Freedom Center

Looking Critically at “Mental Disorders” and Psychiatry

Doctors put people on psychiatric medications for experiences labeled “mental disorders:” extreme emotional distress, overwhelming suffering, wild mood swings, unusual beliefs, disruptive behaviors, and mysterious states of madness. Currently millions of people world-wide, including infants and elders, take psychiatric drugs when they are diagnosed with bipolar disorder, schizophrenia, psychosis, depression, anxiety, attention deficit, obsessive-compulsive, or post-traumatic stress. The numbers are climbing every day.

For many people, psychiatric drugs are very useful. Putting the brakes on a life out of control, being able to function at work, school, and in relationships, getting to sleep, and keeping a lid on emotional extremes can all feel lifesaving. The sense of relief is sometimes dramatic and the medications can stir very powerful emotions, and even feelings of salvation. At the same time, the help psychiatric drugs offer many people can leave little room to see more to the picture: others can experience these drugs as negative, harmful, and even life-threatening. As a result, it is rare in society to find a clear understanding of how and why these drugs work, or an honest discuss of risks, alternatives, and how to come off them if people want to.

For me, I have this feeling of relief. I also now the feeling of feeling trapped and and of drugs being harmful and life-threatening when they’re the wrong drugs. Sometimes you don’t have many alternatives though so you can’t find better ones and then you’re stuck living a partial existence; not fully yourself, but not quite as tragic.

Many doctors and TV ads tell people that psychiatric medication is necessary for a biological illness, just like insulin for diabetes. They promote the idea that the drugs correct chemical imbalances and treat brain abnormalities. The truth is different however. “Biology” and “chemical imbalances” have become simplistic sound-bites to persuade people to put their faith in doctors and quick fixes. These words arein fact much more complicated and unclear. Biological factors (such as nutrition, rest, and food allergies) affect everything we experience: biological “cause” or “basis” plants the belief that medication is the key to solving our problems. To say something has a biological cause, basis, or underpinning can give a message that the solution must always be a medical one and that “treatment” has to include psychiatric drugs. Once people have a diagnosis and start taking medication, it is easy to think of medication as physically necessary for survival.

Okay, here’s a problem. While I do feel like drugs can often be helpful because I do actually believe there may be a chemical imbalance or a synapsis misfire in some cases (like mine where I am Major Depressive). I do NOT however, believe it should ever be a “quck fix” or a stand alone fix. Medication should always be combined with therapy. For people with BPD, it’s often an issue of Nature and Nurture. There may be a biological component, but it’s often majorly an environmental one as well. To overcome those issues and the maladaptive coping mechanisms we’ve learned to adapt to those things we need therapy and support to deal and heal from them.

Not only is there is no solid science behind viewing mental disorders as simple malfunctions of biology “corrected” by drugs, but many people with even the most severe diagnosis of schizophrenia or bipolar go on to recover completely without medication. The experiences that get labeled mental disorders are not “incurable” or always “lifelong:” they are more mysterious and unpredictable. For some people psychiatric drugs are helpful tools that change consciousness in useful ways, but they are not medically necessary treatments for illness. Once you acknowledge this, more options become thinkable. And the potential risks of psychiatric drugs come under greater scrutiny, because they are very serious -- including chronic illness, mental impairment, dependency, worse psychiatric symptoms, and even risk of early death.

Now this I will agree with. It is perfectly reasonable to expect that drugs are not the solution and that you can heal without them. Mental Disorders are often a product of maladaptive coping mechanisms that can be unlearned, or at least, recognized, and a better option of coping can be chosen.

In discussing “risks” and “dangers,” it is important to understand that all life involves risk: each of us makes decisions every day to take acceptable risks, such as driving a car, working in a stressful job, or drinking alcohol. It may not be possible to predict exactly how the risks will affect us, or to avoid the risks entirely, but it is important to know as much as we can about what the risks are. Looking at the risks of drug treatment also means looking at the risks of emotional distress/ “psychosis” itself, and making the best decision for you. Maybe psychiatric drugs are the best option given your circumstances and situation, or maybe you want to try to reduce or come off. This guide is not intended to persuade you one way or the other, but to help educate you about your options if you decide to explore going off psychiatric drugs.

How Difficult Is Coming Off Psychiatric Drugs?

In working with hundreds of people over many years, we have found there is no way to predict how the coming off process will go. There is really no way to know in advance who can and who cannot do well without psychiatric drugs, who can do well with fewer drugs or lower doses, or how hard it will be. We’ve seen people withdraw successfully after more than 20 years, people who decide to continue to take them after being on for just a year or less, and people who struggle with long term withdrawal.

Because coming off is potentially possible for anyone, the only way to really know is to try slowly and carefully, and see how it goes, remaining open to staying on. Everyone should have the opportunity to explore this. The study by MIND, the leading mental health charity in the UK, confirms our experience. MIND found that “Length of time on the drug emerged as the factor that most clearly influenced success in coming off. Four out of five people (81%) who were on their drug for less than six months succeeded in coming off. In contrast, less than half (44%) of people who were on their drug for more than five years succeeded. (Just over half of people who were on their drug for between six months and five years succeeded.)” Facing these unknowns means remaining flexible and learning as you go: coming off completely may, or may not, be right for you, but everyone can become more empowered.

I’ll be honest. I was very opposed to the idea of psych meds my entire life. I finally “gave in” about 3 years ago. After being forced off of them a month and a half ago, even after weaning down, and knowing a lot of coping techniques, I know my life and mental state is much more pleasant on them. I don’t necessarily need them for my BPD (through therapy I’ve learned how to cope effectively and communicate through those issues) but I do for my anxiety and depression. You know what? I am perfectly fine with that.  

I hadn’t even figured out the right medication to go on after 6 months, let alone the right combination. If I had tried to come off before then? I would have gotten nowhere. Being on antidepressants for less than 6 months when I’ve been depressed since I was 12… would also do next to nothing for me. It’s really all about knowing what is best for you individually.  Don’t let these statistics sway you from trying or staying on medication.

How Do Psychiatric Drugs Work?

Most people begin taking psychiatric medications because they are “distressed and distressing.” They are either experiencing overwhelming states of emotional distress, or someone else is distressed with their behavior and sends them to a doctor – or some combination of both. There are many labels for these states, like anxiety, depression, compulsiveness, mania, psychosis, voices, and paranoia, and labels change over time. Doctors tell people that their emotional distress is due to a mental disorder which has a biochemical basis, that their distress is dangerous and must be stopped (such as fears of suicide or claims of deteriorating illness), and that medication with psychiatric drugs is a necessary treatment.

I feel like this is slightly outdated and a little inflammatory. Often that distress can be dangerous… to that particular person themselves and their quality of life and in order to live a

happy and healthy life they would like those things to stop… And sometimes drugs are PART of the solution, but drugs should never be the ONLY solution. Drugs can’t change the things in your environment that are going wrong. Drugs can’t help you rethink situations and learn to cope better. Drugs can’t kick out the negative influences in your life.

Psychiatric medications act on the brain to alter mood and consciousness like any other psychoactive substance. Because many medications can blunt or control the symptoms of emotional distress – by either tranquilizing a person, speeding them up, numbing sensitivity, or getting them to sleep – they can take the edge off extreme states. They help some people feel more capable of living their lives. It is important to realize, however, that psychiatric drugs do not change the underlying causes of emotional distress. They are best understood as tools or coping mechanisms that sometimes alleviate symptoms and pave the way for change – but with significant risks for anyone who takes them.

True. Which is why they should always be combined with a self-awareness improving form of exploration. 

Tuesday, June 17, 2014

Harm Reduction Guide to Coming Off Psychiatric Drugs

I thought I would talk about coming off Psych meds. (I’m back on mine now! But man that was not fun and I wish I had this information before.) I found a really handy guide. This guide is mostly written from a voluntary point of view, for people that want to come off drugs or want alternative options, but the information is helpful to know if you don’t really have much of a choice either so that you can prepare yourself. Sometimes psychiatric drugs are necessary and it will be a lifelong process. Sometimes they’re a temporary measure. Either way is perfectly fine. All that means is there is an imbalance of chemicals or a misfiring synapses happening. It happens. I’ll probably be on my antidepressants for the rest of my life. They make me feel happier and healthier than I’ve ever felt in my life. If that means taking a tiny pill or two a day, I’ll do that gladly. However for other people this might not be the case or wanted, but they don’t know it. The information I’ll be sharing here is very interesting. However there’s simply a ton of information here so I’ll do this in a long series. If you’d like to read it at your own speed you can find it here: The Icarus Project. I won’t post all of it but I will post a lot of it. So here we go: 

Harm Reduction Guide to Coming Off Psychiatric Drugs
Written by Will Hall
Published by The Icarus Project and Freedom Center

Author’s Note

This is a guide I wish I had when I was taking psychiatric drugs. Prozac helped me for a while, then made me manic and suicidal. I was sick for days after coming off Zoloft, with counselors telling me I was faking it. Nurses who drew blood samples for my lithium levels never explained it was to check for drug toxicity, and I was told the Navane and other anti-psychotics I took to calm my wild mental states were necessary because of faulty brain chemistry.

I used many different psychiatric drugs over several years, but the medical professionals who prescribed them never made me feel empowered or informed. They didn’t explain how the drugs work, honestly discuss the risks involved, offer alternatives, or help me withdraw when I wanted to stop taking them. Information I needed was missing, incomplete, or inaccurate. When I finally began to learn ways to get better without medication, it wasn’t because of the mental health system, it was despite it.

Part of me didn’t really want to be on psychiatric drugs, but another part of me desperately needed help. My suffering was very serious – multiple suicide attempts, hearing persecutory voices, extreme mistrust, mizarre experiences, hiding alone in my apartment, unable to take care of myself, Therapy hadn’t worked, and no one offered me other options. I was under pressure to see my problems as “biologically based” and “needing” medication, instead of looking at medication as one option among many. For a time medication seemed like my only way out. It took years tolearn that the answers, and my hope for getting better, were really within myself.

When I finally left the hospitals, residential facilities, and homeless shelters I lived in for nearly a year, I began to do my own investigating. I started judging my options more carefully, based not on misinformed authorities telling me what to do, but on my own research and learning. That process led me to co-found Freedom Center, a support community in Western Massachusetts that brings together people asking similar questions.

Through the Freedom Center I discovered that I was denied a basic medical right: informed consent, having accurate information about my diagnosis and medication. I learned that mistreatment like I went through is often business as usual in the mental health profession. I came across research ignored by  {professionals}, which confirmed my experience: most professionals are uninformed about coming off drugs, and even frequently stand in patients’ way, sometimes ending up harming them.

This guide brings together the best information we’ve come across and the most important lessons we’ve learned at the Freedom Center and the Icarus Project. It’s not perfect, and I invite you to contribute your experiences and research for future editions, but it’s a guide that I hope can be helpful.

Introduction: We live a world that, when it comes to drugs, is quite crazy.

One the one hand there is the War on Drugs, which keeps some drugs illegal, overflows our prisons, and hasn’t ended drug use. Then there are the acceptable drugs like alcohol and tobacco, advertised everywhere with promises of happiness and success while causing widespread addiction, disease, and death. Legal prescription drugs such as stimulants, pain killers, and anti-anxiety pills are just as addictive and risky as street highs, with a doctor’s seal of approval. And then there are neuroleptics, lithium, and anti convulsant drugs, which have very risky adverse effects but help manage and dampen consciousness when people feel out of control, so we call them “anti-psychotics” and “mood-stabilizers”.

With drugs in the picture, lives are often at stake, whether from addiction, adverse drug effects, or the risks that go along with emotional crisis and madness. Combined with the confusing messages from society about drugs, the result is a lot of fear. Drugs become angels or demons. We need to stay on them at all costs, or get off them at all costs. We look only at the risks, or we’re too frightened to look at the risks at all. There is no compromise: it’s black and white, all or nothing.

That, right there, should be a red flag. As Borderlines, we know this kind of thinking is dysfunctional.

It’s easy to fall into absolutist thinking when it comes to psychiatric drugs. Pro-drug advocates focus on the hrisks of psychosis and extreme emotional states, while anti-drug advocates focus on the risks of taking drugs. But it is the belief of this guide, and the philosophy of our pro-treatment choice work at the Freedome Center and the Icarus Project, that either-or thinking around drugs is a big part of the problem.

Harm Reduction For Mental Health

Absolutist approaches to drug and sex education teach abstinence, “just say no,” and one way for everyone. They work for some people, but not most, and if you don’t follow the model you can end up being judged, not helped.

“Harm reduction” is different: pragmatic, not dogmatic. Harm reduction is an international movement in community health education that recognizes there is no single solution for each person, no universal standard of “success” or “failure.” Getting rid of the problem is not necessarily the only way. Instead, harm reduction accepts where people are at and educates them to make informed choices and calculated trade-offs that reduce risk and increase wellness. People need information, options, resources and support so they can move towards healthier living – at their own pace and on their own terms.

Applying harm reduction philosophy to mental health is a new but growing approach. It means not always trying to eliminate “symptoms” or discontinue all medications. It recognizes that people are already taking psychiatric drugs, already trying to come off them, and already living with symptoms -- and that in this complicated reality people need true help, not judgment. It encourages balancing the different risks involved: the harm from extreme states, as well as the harm from treatments such as adverse drug effects, disempowering labels, and traumatic hospitalization.

Making harm reduction decisions means looking honestly at all sides of the equation: how drugs might help a life that feels out of control, how risky those same drugs might be, and the role of options and alternatives. Any decisions become a process of experimentation and learning, including learning from your own mistakes and changing your goals along the way. Harm reduction accepts all this, believing that the essence of any healthy life is the capacity to be empowered.

Everyone’s Experience Is Difference

There is no formula for coming off psychiatric drugs. What there is, and what this guide presents, is some common experience, basic research and important information that can potentially make the process less difficult. Many people successfully com off psychiatric drugs, with or without guidance, while others find it very hard. Many continue on psychiatric drugs because the benefits are greater than the drawbacks. But many people end up staying on psychiatric drugs without ever exploring options, just because they don’t know any other way.

When we’ve relied only on doctors, television, and mainstream sources, it might seem impossible to imagine dealing with our emotional extremes without psychiatric drugs. Maybe we’ve never heard of anyone going through what we go through without medications. Maybe a prescription was the beginning of people taking our need for help seriously, and medications feel like the only way to recognize that our problems are severe and out of {our} control. And when everyone around us has come to view medication as essential to our survival, considering a new path can feel too risky to even try.

Many of us get help from psychiatric drugs, but might not understand how they really work or what the other options are. Some of us never found medications useful, or medications even made our problems worse, and we are ready to try living without them. Sometimes people are torn between the risks of staying on and the risks of going off, or we take multiple drugs and suspect we don’t need all of them. Others may want to off but it’s not the right time, or may have tried in the past, experienced a return of frightening symptoms, and decided to go back on for now.

            All of this will be discussed in upcoming posts!

Our paths to healing are unique. Some of us don’t need to make any life changes, letting time and patience make changes for us. Others may need to make big shifts in nutrition, work, family life, or relationships; we may need to focus more on self-care, expression, art, and creativity; adopt other approaches like peer support, therapy, herbalism, acupuncture, or homeopathy; or find new life interests like going to school or connecting with nature. We may discover that the first step is getting restful sleep; we may need structure to help get us motivated; or to stop taking any recreational drugs or alcohol. Our priorities might be to find a home or a new job; we may need to establish stronger support networks of trusted friends; or it may be important to speak up with greater honesty and vulnerability about what we are going through.

Okay, well I don’t know that I support herbalism, acupuncture, and homeopathy, but if you believe in it and it works for you, more power to you. Everything else is sounds advice and things I’ve touched on before. Taking control of our lives, living clean, kicking out negative influences that spiral us down, and eliminating harmful substances; all very good advice.

The process might feel mysterious and arbitrary, and an attitude of acceptance and patience is vital. Learning means trial and error.

Don’t be afraid to make mistakes. As long as you learn from something, it’s not a mistake.  The only way to learn if something works for you is to try it. If it doesn’t work, you can always stop and go back to something you’re familiar with.  Life is not an absolute. You get to continue trying things until you figure out what works best for you.

Because each of us is unique, it is as if we are navigating through a labyrinth, getting lost and finding out way again, making our own map as we go. 

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