Mental Illness

Day 953

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Discrimination at all levels

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All anaesthetic drugs work in mysterious ways. They mainly work on the brain. One of them is Ketamine. I have used it many times as an anaesthetic and to treat resistant pain. It’s relatively safe even in hands with limited experience. It’s used in all age groups. It’s known to cause ‘Dissociative’ anaesthesia and pain relief. It works through blocking NMDA (Glutamate N-methyl D-aspartate) receptors. Unfortunately, it is known to cause tolerance and dependence. It is also used recreationally.

Recent studies have shown that Ketamine has a significant beneficial effect on patients with treatment-resistant Major Depressive Disorder(MDD). The improvement is often seen within 4 hours of administration. This is the subject of many recent research papers but much more needs to be done.

It is estimated that about 3% of the UK population, nearly 2 million people suffer from depression. A small proportion of them, about 158,000 have depression that resists treatment. Currently, only 101 people are able to access ketamine in Oxford. About 40% showed sustained improvement after taking it.

It is potentially life-changing treatment for those suicidally depressed. Michael Bloomfield from UCL says “Unfortunately, medical research spending for mental illnesses is extremely low compared to other medical conditions. Clearly this needs to change if we are to improve treatments in the future.”

 

 

 

Day 913

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Till date I wonder what it must have been like for Saagar, to be diagnosed with Bipolar Disorder and to be on Psychiatric medications. I have read books, watched documentaries and films to gain an understanding of it and I think I have an idea but maybe I have absolutely no clue.

Watching a clip of Paul Dalio, a young man living with Bipolar disorder and a film director brought clarity in 2 and a half minutes.

“When you get diagnosed, you go from experiencing what you’re certain is divine illumination. After sometime in it, you’re thrown into a hospital, you’re pumped full of drugs, you come down 60 pounds overweight, completely disoriented and they tell you, ”No, there was nothing divine. Nothing illuminating. You have just triggered a lifelong genetic illness which will swing you from psychotic highs to suicidal lows and you’ll probably fall into the 1 in 4 statistic unless you take the medication which makes you feel no emotion. If you imagine missing feeling sad, it’s the only thing worse than pain.”
So, it’s very hard for people to comprehend.

After a lifetime of building your identity, your place within humanity, you’re suddenly told that you are a defect of humanity. And to know that you’re not going to be the person you used to be and that you’ll at best be able to get by is … is life shattering. And the only labels you have to choose from are some kind of a disorder, Manic-depressive or Bipolar. So you scrape through every clinical book  trying to look for answers. That’s exactly what I did. Peeling through these books which were these diagnostic, medical texts where I felt like I was under a microscope and someone in a lab coat was judging me.”

Paul Dalio came across a book by Kay Redfield Jamison who is a world authority on Bipolar Disorder by way of having the illness and being a Professor in Psychiatry. The book is called “Touched with Fire”. He went on to write and direct a film by the same name.

Ref:
Paul Dalio:
https://www.youtube.com/watch?v=jUnkt7M-GCM
https://www.youtube.com/watch?v=jr7vi4wLJI8
Film Trailer:

Day 909

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Most life assurance providers exclude suicide within first year of the policy.

A benefit scheme run by Utility Warehouse is called Bill Protector. It’s for Utility Warehouse customers, and basically between £2-9 per month added onto your premium. This gives cover for your bills should you lose your income due to illness, injury or redundancy. There is also an accidental death cover.

The illness cover excludes mental health. The basis of this is because it’s ‘hard to prove’. The attitude of the underwriters seems to be that people could go to their GP and simply say ‘I’m depressed’ when they’re not and be signed off work. This is in part due to an industry-wide attempt to combat insurance ‘fraud’.

It is interesting that mental health was covered until July 2016 and then they decided to write it out.

What annoys me most is that this is sold to customers as cover for bills in the event of illness, and then when they call to make a claim, they’re essentially told that their mental health difficulties don’t qualify as an illness – it’s the same old issue of perceptions and attitudes towards mental health. I think if there are going to be any restrictions like this, it should be made abundantly clear.

We as a society treat mental and physical health just the same. Don’t we?

Ref:

Utility Warehouse: www.utilitywarehouse.co.uk
Bill Protector:  https://www.utilitywarehouse.co.uk/services/billprotector
Key Facts: https://s3-eu-west-1.amazonaws.com/pdf.utilitywarehouse.co.uk/Bill%20Protector_KeyFacts_1July2016.pdf

 

Day 886

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Ministry-of-Justice1-678x381

“More people are being detained by police under the Mental Health Act as Psychiatric services struggle to cope” says Jacqui Wise in the cover story of the British Medical Journal of 18th March 2017.

Statistics tell us that deaths in custody are up by 21%.
Self-inflicted deaths are up by 13%.
In the female estate, the number has doubled from 4 to 8 in this 12 month period.
Self-harm incidents up by 26%.
Individuals self-harming up 23%
Assaults up by 34%.
Assaults on staff up 43%.
Natural cause deaths up 17%, explained by the ageing population.
5 apparent homicides, down from 7 in the same period of the previous year

Could there be a co-relation between the facts stated in the first and the second paragraph?

“The police to an extent have always been used as an emergency mental health service” says Michael Brown, a police inspector. He adds that police receive little formal training in managing patients with mental health problems. “A highly agitated person may be experiencing Serotonin Syndrome due to the mismanagement of their antidepressant medications. The signs are subtle and most police officers won’t be able to pick up on that. We need to have a proper debate about the role of the police in this area.”

Ref:

Safety in Custody Statistics 2016: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/562897/safety-in-custody-bulletin.pdf#page=6
Blog about Mental health and the Criminal Justice system:
https://mentalhealthcop.wordpress.com/
Serotonin Syndrome:
https://patient.info/doctor/serotonin-syndrome

Day 885

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Megan Clark is 19. She came out of anonymity to speak in support of the statement made by the judge on her rape case. Judge Lindsey Kushner, while sentencing the rapist, advised young women that they risk rape if they get drunk. It is well known that drinking seriously impairs judgement. Drunk young women make themselves very vulnerable. They are less likely to be able to defend themselves, remember the events correctly or be believed.

The judge’s statement was interpreted by some as ‘victim-blaming’.

I think it’s common sense. I have great admiration for this young girl for coming forward and speaking from her experience. It must have taken courage.
In no way does it absolve the attackers of  what they did.
It’s about taking care of ourselves. The lessons are there if we are willing to learn. It’s much better to learn from other people’s mistakes.

In an ideal world no one would steal, rape or cheat. In the real world they do. That is why we lock our doors, install burglar alarms and have heavily protected bank accounts.
Freedom comes with responsibility.

There is mountains of evidence to say that there is a significant increase in mental illness in women who have been physically or sexually assaulted in childhood and adult life. The harmful effects of abuse can continue to contribute to psychiatric illness for many years.

Ref:

http://www.telegraph.co.uk/news/2017/03/28/rape-victim-says-judge-warned-women-drinking-heavily-right/
http://www.sciencedirect.com/science/article/pii/S0140673688916005