Category Archives: mental illness

Crazy Eyes, Evil Eyes

The massacre in San Bernardino is really weighing on me.

Right after it happened, I wrote a post in which I suggested that mental illness could have been a factor, just as it is in many other cases.  Why do we assume that white guys are deranged, but Muslims are evil?  In this case, there was an additional question mark for me about possible post-partum depression, since the wife had given birth six months earlier.

But then we learned that both of the shooters in San Bernardino had been radicalized and had been planning some kind of attack for years.  I’ve spent more time than is probably healthy staring at photos of Syed Rizwan Farook and Tashfeen Malik.

They don’t look like these guys:

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They don’t look crazy.  They look dead.  Cold.

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What kind of woman leaves her six-month-old infant behind, knowing she’ll never see her again—knowing her baby will be removed from the family, that her life will be tainted by a legacy of death?

What kind of son leaves his mother behind, knowing she’ll be interrogated by law enforcement?  Maybe the mother was involved, too.  In which case, what kind of son would leave his mother to face life in prison?  But these are silly questions.  This couple murdered 14 people and injured many more.  Why would they care about an old woman and a baby?

If they weren’t mentally ill, were they evil?  And what does that mean?  We can sometimes catch mental illness early and intervene.  But how would we spot evil?  Who would we call to report it?

There have been so many mass shootings in the U.S.  Until now I have reacted the same as anyone else—shaking my head, feeling bad for the victims, wondering when we will finally enact some reasonable gun reforms.  Then I’m over it.  Until now.

Where I work, at the Center for Victims of Torture, many of our clients come to us after suffering unimaginable torture during ethnic or religious conflicts in their home countries.  There is always the possibility that someone from the enemy side could enter the U.S. and come looking for them, just when they thought they were safe.  If someone would shoot up a center for developmentally disabled people, like the one in San Bernardino, why wouldn’t they shoot up a torture rehabilitation center?  There have been so many mass shootings, but this was the first one I could really imagine myself being involved in.  I imagine myself hiding in a bathroom stall or coat closet.  Of course I always—miraculously—am one of the survivors.

A father whose six-year old daughter was killed in the Newtown shooting was interviewed on public radio last week.   He and his wife are both scientists and they have started a research foundation to look into the connections between mental illness and violence.

The father said, “We have to recognize that, of course, all of our behavior comes from our brain. So just like any organ can be healthy or unhealthy, when there’s risk factors that lead to malfunction of certain circuits or regions of the brain, that’ll lead to bad behavior.  And yes, it is preventable. It’s a matter of chemistry and not character.”

I hope he’s right.  I hope someday we’ll discover that evil is a biochemical imbalance that can be fixed with a pill.  Maybe some day we’ll routinely test kids’ DNA and put them on medication if they’ve got the gene that could turn them into the next mass shooter.

A Crazy Idea?

I woke up in the dark at 5:40 am and wished I still believed in God.  Fourteen people dead at a center for developmentally disabled people in California.  I wished there was a higher power to whom I could appeal for help.  Help for us all.  For a moment, I thought I could feel something, then … nah … wishful thinking.

It’s up to us, people.  What “it” involves is a matter of dispute.

Someone asked on Facebook, “will this turn out to be a mentally-ill person?  Someone with extreme ideology?  A workplace grudge?”

There’s still a lot unknown, but it looks like it could be all three.  And I’m curious to learn if post-partum depression played a role in this latest incident, where a young mother dropped off her baby then went on a shooting rampage which she knew would result in her death or life in prison.

Here’s the liberal argument I hear: “Why do we label the white attackers mentally ill but the Muslim ones terrorists?”  I think what is really being expressed, by the conservative “side”, is that white attackers are deranged while Muslims are evil.

I’d like to flip that around and suggest that instead of considering every horrendous act an act of murder terrorism, we consider it an act of mental illness.  Hear me out.

I’m not a mental health clinician, but I have worked at two mental health clinics, where I have observed that mentally ill people often have religious fixations.  They think they are Jesus, they hallucinate angels, they hear demons telling them to do bad things.

A number of members of my family have suffered from Bipolar Disorder.  One was convinced that the Catholic Church had a conspiracy that had something to do with the numbers on the clock.

Anne, haven’t you noticed?  The numbers on the clock—there are 12 of them!  It’s so obvious that the Catholic Church is behind it.”

“Behind what?” I would ask.

He could never explain to my satisfaction what the numbers on the clock had to do with the Pope and the Catholic Church, but I would hear him out, hoping he wouldn’t call his parents next and burden them with his ranting.

If mentally ill people can have wacko Catholic theories, why wouldn’t they have wacko Muslim theories?

I was in the Middle East for work in February.  We were in Bethlehem on a long lunch break between meetings.  My two Palestinian colleagues and I were smoking shishas while my colleague from Minnesota gagged.

I had arrived in Amman the day ISIS released a video of them burning to death the Jordanian pilot they had captured.  The streets were packed with people waving the Jordanian flag and shouting.  They were angry, and I didn’t blame them.  I wish Americans got angry about wrong doing and demonstrated more often.

Omar turned to me.  “Tell us, what do you think about ISIS—these people who do such things?  We really want to know what Americans think.”

I had been thinking about this a lot.  “I think there’s an element of mental illness involved.  Who is it that most often gets schizophrenia and other serious mental illnesses?  Young men.  Who is it that is almost always behind violence?  I’m sorry, but it’s men.  And then you get them in a group—call it group think or herd mentality or whatever—and fire them up with ideological rhetoric, and put an AK47 in their hands…”

My Minnesota colleague disagreed.  She asserted that poverty and hopelessness were to blame.

Of course those are factors.  But I’ve been poor and hopeless, and I’ve never even shoplifted.  Millions of people around the world are desperately poor and they don’t kill people.  Many members of ISIS and Al Queda are not poor—they’ve got engineering degrees and come from middle class families.

If we do assume that mental illness is behind sadistic killings by ISIS or mass shootings in California and Connecticut, this does not mean the murderers are not responsible for their actions.  It does mean we can have hope, at least in the US, because there are effective means to identify and manage mental illness.

Happy New Life

ANNE

I am tempted to rebut each of Vince’s “clarifications” in his last post. But one of my favorite self-help slogans is: “How important is it?”

I’m glad to leave 2014 behind and hopeful that 2015 will better, or at least not worse.

I spent Christmas Eve in an emergency room with my poor sister, who has stage four colon cancer. She was feeling pressure in her chest. Apparently chemo can cause blood clots. They administered nitro by pill and patch, did an EKG to rule out a heart attack, and killed her pain with Dilaudid, which is seven times stronger than morphine.

Her worst fear is that she will die alone in the hospital. I stayed until they admitted her and she fell asleep, about seven hours later.

Three years ago, I hit bottom. I had lived with depression for as long as I could remember, but then….  I had to have a tooth pulled—boy, will that make you feel old! Then during a Christmas Day blizzard my car was towed and I spent four hours waiting in line outside at the impound lot to pay $300 to get it back. I then drove to Fountain to visit Vince. The trailer he shared with Seth was full of guns, beer cans, and smoke. I figured what the heck, if you can’t beat ‘em, join ‘em, so after he assured me that none of the guns was loaded, we posed for photos that became my holiday cards to my friends in the UK, where they had a good laugh over us gun-crazy Americans.

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Due to the blizzard I spent the night in Seth’s 5-year-old daughter’s bedroom; she was at her mom’s. Here’s a tip for parents who smoke: Keeping your kid’s door closed doesn’t keep smoke out. I couldn’t open the window and after tossing and turning until 5am I slipped out and drove home. On the way I started itching. Great—now I had bedbugs!

I contemplated suicide. I leaned my forehead against the screen of my 20th floor window. I had turned 50 the year before. Thinking about being depressed every day for another 30-40 years wasn’t real appealing.

Here are the things I had tried to manage depression and anxiety:

Meditation

Medication

Prayer (including begging, pleading, and bargaining)

Acting normal

Abstaining from drinking

Cutting down on coffee

Self-help books

Alanon

Exercise

Getting outside every day

Appreciating beauty, be it fine art, nature, music, babies, or kittens

Gratitude lists

Avoiding negative people / avoiding unnaturally happy people

Running away to other countries

Denial

Journaling

Telling myself, “At least I’m not a refugee / amputee / blind / fill-in-the-blank.”

Psychotherapy

Retail therapy

Sleeping, drinking, and movie binges

Reaching out to friends, even when that was the last thing I wanted to do

I thought that jumping out of my window would be exhilarating, until I hit the ground. I had some leftover pain killers from the dentist, and my prescription for Restless Legs. I googled an overdose of the two and learned that they wouldn’t kill me, but that I would likely need a liver transplant. I decided to keep living.

That spring, I visited Vince again and this time, made a reservation at a B&B.  On the free-book-shelf there, I picked up a tattered copy of, “Feeling Good: the New Mood Therapy”, by David Burns, MD. I read it and did what it told me to do, and I stopped being depressed. For good.

The book was about Cognitive Therapy. I had been instructed to use it at least twice in the past, but I’d been too stressed out to do it. Basically, you write down your negative thoughts and then argue with them rationally until you’ve de-fanged them. Writing it down is important; if you try to do it in your head you’ll end up down a rabbit hole.

So was a lifetime of depression cured overnight by one book? No. I think it was all the other things I had tried over the years—the good things, anyway—and then I added this on top of them and together they all added up to a breakthrough.

I still feel sad sometimes–there’s plenty to feel sad about–but I’m not depressed and I’m committed to living.

Sorry for the long post but, if you’re struggling, I want to encourage you to keep an open mind, keep plugging away, and keep trying new things.

PS: I didn’t have bedbugs after all.  I think I was just itchy from the smoke and dry air.  Living with addiction can turn you into a drama addict.