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Mental Illness (& Health): What We
     Need To Know & Do To Cope
                 Christian Stronghold Church
                       Men’s Breakfast
                         April 9, 2011
                       Craig A. DeLarge


April 09, 2011          CSHC Men's Breakfast   1
Today’s Topics
• Mental Illness (MI):
     – What is it?
     – What causes it?
     – How is it treated?

• My Mental Health Story

• What We Can Do for Ourselves, Our
  Families & Communities re: MI

April 09, 2011        CSHC Men's Breakfast   2
My Goal Today
• Educate your Mind against Fear & Stigma

• Inspire your Heart to Compassion

• Animate your Will to Action




April 09, 2011     CSHC Men's Breakfast   3
Disclaimer
• I am NOT a doctor or therapist

• I am NOT professionally trained

• I am experientially trained

• I am on a journey & I am here to share
  what I have acquired

April 09, 2011    CSHC Men's Breakfast   4
Our Fear & Stigma
                  Will Not Save Us


   Job 3:25 - For the thing which I greatly
   feared is come upon me, and that which I
   was afraid of is come unto me.




April 09, 2011       CSHC Men's Breakfast   5
Life’s Trouble Equips for Comfort


   II Corinthians 1:4 - Who comforteth us
   in all our tribulation, that we may be able
   to comfort them which are in any
   trouble, by the comfort wherewith we
   ourselves are comforted of God.



April 09, 2011     CSHC Men's Breakfast   6
What is Mental Illness?
• abnormal patterns of
  thinking, emotion or
  behavior

• associated with distress
  & a lack of functioning,
  that can vary greatly

• can manifest:
   – as acute or chronic
   – with stable or fluid
     symptoms
April 09, 2011          CSHC Men's Breakfast   7
What is Mental Illness?
• onset is common in
  adolescence and early
  adulthood

• lack of awareness of
  illness & refusal of care
  common




April 09, 2011          CSHC Men's Breakfast   8
What are the Mental Illnesses?
• Depression

• Panic & Anxiety

• Bipolar Disorder

• Obsessive -
  Compulsive Disorder

• Schizophrenia

• Click link below to see definitions at:
   http://www.delicious.com/cadelarge/nami_mental_illnesses
April 09, 2011            CSHC Men's Breakfast                9
Mental Illness Depicted In Bible
    Nahum 2:10 - She is emptied! Yes, she is
    desolate and waste! Hearts are melting and
    knees knocking! Also anguish is in the whole
    body. And all their faces are grown pale!

    Jonah 2:5-7 - The waters closed in over me
    to take my life; the deep surrounded me;
    weeds were wrapped about my head at the
    roots of the mountains. I went down to the
    land whose bars closed upon me forever.
April 09, 2011     CSHC Men's Breakfast   10
What Causes Mental Illnesses?
• Genetic Heritage


• Traumatic Stress

• Brain chemistry &
  structure

• Usually combinations of
  all the above


April 09, 2011        CSHC Men's Breakfast   11
What are Effects of Mental Illness?
• Individual
     – inability to function,
       even if willing
     – incarceration
     – alienation/transience

• Familial
     –   systemic sickness;
     –   caregivers role
     –   coping with stigma
     –   grieving
     –   dealing with torturous
         mental health system
April 09, 2011           CSHC Men's Breakfast   12
Effects & Opps Among A-As
    • Poverty, foster status (45%), homelessness (40%) &
      incarceration (50%), violent exposure increase odds
      of MI


    • A-As:
          – less likely to get accurate diagnosis thus need for
            more competence in dealing with SYSTEM

          – underrepresented as treaters thus need for more A-
            As to train as Psychs & SWs

          – have cultural bias against MH system resulting in
            lower access to care thus greater need for education
www.nami.org
    April 09, 2011                       CSHC Men's Breakfast                13
(http://www.surgeongeneral.gov/library/mentalhealth/cre/execsummary-2.html
Effect & Opps Among A-As
   • A-As:
         – prone to seeking support in community vs system
           thus community needs mental health competence

         – metabolize meds more slowly while getting higher
           doses resulting in worst side effects & lower
           compliance thus need to better understand treatment
           regimens
         – Click link to see NAMI African American Fact Sheet


www.nami.org
   April 09, 2011                       CSHC Men's Breakfast                  14
(http://www.surgeongeneral.gov/library/mentalhealth/cre/execsummary-2.html)
Typical, but Unproductive,
            Responses to Mental Illness
• Denial/Stigma

• Shame/Guilt

• Anger/Bitterness

• Isolation/Despair

• Succumbing to MI
  under “caregiver
  stress”
April 09, 2011        CSHC Men's Breakfast   15
How is Mental Illness Treated?
• Psychotherapy

• Medication

• Diet/Exercise/Rest

• Time/Care



April 09, 2011    CSHC Men's Breakfast   16
Recovery & Functionality
              are Possible!!!




April 09, 2011    CSHC Men's Breakfast   17
My Story: MI Effect on Me
• Anger & deep sense of grief & sadness as
  father over lost opportunities

• Guilt over my role as cause of son’s MI as well
  as enforcer of care & accountability

• In denial & confused regarding balance
  between care & accountability


April 09, 2011      CSHC Men's Breakfast   18
My Story: My Coping & Recovery
• Education, on own, & in community

• Seeking community with like afflicted –
  National Alliance on Mental Illness (NAMI)

• Care & comforting of self, wife, son, siblings &
  extended family, community

• Patient, persistent practice & engagement to
  build resilience

April 09, 2011     CSHC Men's Breakfast     19
God Knows How To Restore



   Joel 2:25 - And I will restore to you the
   years that the locust hath eaten




April 09, 2011     CSHC Men's Breakfast   20
What Can We Do!




April 09, 2011       CSHC Men's Breakfast   21
What We Can Do for Ourselves?
• Avoid denial when getting feedback about your
  own abnormal patterns

• Engage in continuous counseling: self (BC-1),
  community & one-on-one

• Commit to preventative self-care of mind,
  emotions, body, diet, sleep & relationships

• When ill, submit to treatment (if you can)

April 09, 2011     CSHC Men's Breakfast     22
What We Can Do for Our Families?
• Patiently persist towards recovery

• Get educated (though perplexing)

• Balance accountability with care

• Cultivate a “community of like-
  afflicted”

April 09, 2011   CSHC Men's Breakfast   23
What We Can Do for Our
                 Communities?
• Be models of mental health & resilience

• Stand against stigma & shame

• Be compassionate - “Good Samaritans”

• Learn available resource & the SYSTEM

April 09, 2011      CSHC Men's Breakfast   24
Very Key Point!
• Mental Illness is no one’s fault and not a
  character flaw

• Mental Illness is a journey we must travel
  together with care & accountability

• Energy better invested in work towards
  recovery than in blame & anger
April 09, 2011      CSHC Men's Breakfast   25
Key Resources I Suggest
                   (click links below)

• National Alliance on Mental Illness (NAMI)
     – Family to Family Education Program
     – NAMI Resource & Forensics Guide
     – NAMI PA Main Line Forums

• Bebe Moore Campbell National Minority
  Health Awareness Month (July)



April 09, 2011     CSHC Men's Breakfast     26
Photo Credits
•   shadow boy: http://1.bp.blogspot.com/_NR48UcL2XMI/SSRPG7ODnyI/
    AAAAAAAAAyw/PqU6BQnemcU/s400/mentalillness.jpg
•   man holding head: http://l.thumbs.canstockphoto.com/canstock1156116.jpg
•   tearing lady (black & white): http://newsone.com/files/2010/01/
    sad_black_woman.JPG
•   girl with head on: lap:http://api.ning.com/files/
    8Uel2jMyfVVRmCy2uTU64GmzA3NShrBCH*QLyh7hpVXDSqDn7-7HMRGpMQw6Cr
    6j5M-TbVrHvaP-*bWOkdwrs1Y0l7HHH-Og/up_2727.jpg?crop=1%3A1
•   boy with head in hands: http://www.uwhealth.org/files/uwhealth/images/img3/
    img_depression_150.jpg
•   woman in yellow tank: http://www.blackhealthzone.com/wp-content/uploads/
    2011/02/depression.jpg
•   brain & stethescope: http://imrehealthiq.com/wp-content/uploads/2010/06/
    iStock_000002667412Small.jpg
•   woman in black kerchief: http://www.race-talk.org/wp-content/uploads/
    2009/12/105641_behind-the-scenes-precious-150x150.jpg



April 09, 2011                   CSHC Men's Breakfast                     27
Photo Credits
•   boy in chair: http://www.blackballot.com/weekly_report/images/
    022110_Manic_Depression_African_American.jpg
•   child in cell: http://www.google.com/imgres?imgurl=http://cdp.edu.au/cdp/sites/
    default/files/slideshow/03_LISS.jpg&imgrefurl=http://www.cdp.edu.au/cdp/
    photojournalist/juvenile-detention-steve-
    liss&usg=__KxPd9VKA_EMzqIx6UZFcwyq5D9c=&h=400&w=600&sz=59&hl=en&star
    t=171&sig2=WwaPlw9Bk4_tPyweekpVCQ&zoom=1&tbnid=ZX9930vgN3hlOM:&tbnh
    =90&tbnw=135&ei=2KqfTdzhGbGz0QHe0uSXBQ&prev=/images%3Fq%3Dmental
    %2Billness%2Bafrican%2Bamericans%26start%3D160%26hl%3Den%26sa%3DN
    %26gbv%3D2%26tbm%3Disch&itbs=1
•   hands reaching for man: http://2.bp.blogspot.com/_BPyXil2_m7c/TPG57oduVfI/
    AAAAAAAAAGw/X_YOXcrjvuA/s1600/schizophrenic%25252520-
    %25252520joem.jpg
•   bottle of pills: http://helpwithintervention.com/wp-content/uploads/2009/05/pills.jpg




April 09, 2011                    CSHC Men's Breakfast                         28

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CSHC Mental Illness (Health) Talk

  • 1. Mental Illness (& Health): What We Need To Know & Do To Cope Christian Stronghold Church Men’s Breakfast April 9, 2011 Craig A. DeLarge April 09, 2011 CSHC Men's Breakfast 1
  • 2. Today’s Topics • Mental Illness (MI): – What is it? – What causes it? – How is it treated? • My Mental Health Story • What We Can Do for Ourselves, Our Families & Communities re: MI April 09, 2011 CSHC Men's Breakfast 2
  • 3. My Goal Today • Educate your Mind against Fear & Stigma • Inspire your Heart to Compassion • Animate your Will to Action April 09, 2011 CSHC Men's Breakfast 3
  • 4. Disclaimer • I am NOT a doctor or therapist • I am NOT professionally trained • I am experientially trained • I am on a journey & I am here to share what I have acquired April 09, 2011 CSHC Men's Breakfast 4
  • 5. Our Fear & Stigma Will Not Save Us Job 3:25 - For the thing which I greatly feared is come upon me, and that which I was afraid of is come unto me. April 09, 2011 CSHC Men's Breakfast 5
  • 6. Life’s Trouble Equips for Comfort II Corinthians 1:4 - Who comforteth us in all our tribulation, that we may be able to comfort them which are in any trouble, by the comfort wherewith we ourselves are comforted of God. April 09, 2011 CSHC Men's Breakfast 6
  • 7. What is Mental Illness? • abnormal patterns of thinking, emotion or behavior • associated with distress & a lack of functioning, that can vary greatly • can manifest: – as acute or chronic – with stable or fluid symptoms April 09, 2011 CSHC Men's Breakfast 7
  • 8. What is Mental Illness? • onset is common in adolescence and early adulthood • lack of awareness of illness & refusal of care common April 09, 2011 CSHC Men's Breakfast 8
  • 9. What are the Mental Illnesses? • Depression • Panic & Anxiety • Bipolar Disorder • Obsessive - Compulsive Disorder • Schizophrenia • Click link below to see definitions at: http://www.delicious.com/cadelarge/nami_mental_illnesses April 09, 2011 CSHC Men's Breakfast 9
  • 10. Mental Illness Depicted In Bible Nahum 2:10 - She is emptied! Yes, she is desolate and waste! Hearts are melting and knees knocking! Also anguish is in the whole body. And all their faces are grown pale! Jonah 2:5-7 - The waters closed in over me to take my life; the deep surrounded me; weeds were wrapped about my head at the roots of the mountains. I went down to the land whose bars closed upon me forever. April 09, 2011 CSHC Men's Breakfast 10
  • 11. What Causes Mental Illnesses? • Genetic Heritage • Traumatic Stress • Brain chemistry & structure • Usually combinations of all the above April 09, 2011 CSHC Men's Breakfast 11
  • 12. What are Effects of Mental Illness? • Individual – inability to function, even if willing – incarceration – alienation/transience • Familial – systemic sickness; – caregivers role – coping with stigma – grieving – dealing with torturous mental health system April 09, 2011 CSHC Men's Breakfast 12
  • 13. Effects & Opps Among A-As • Poverty, foster status (45%), homelessness (40%) & incarceration (50%), violent exposure increase odds of MI • A-As: – less likely to get accurate diagnosis thus need for more competence in dealing with SYSTEM – underrepresented as treaters thus need for more A- As to train as Psychs & SWs – have cultural bias against MH system resulting in lower access to care thus greater need for education www.nami.org April 09, 2011 CSHC Men's Breakfast 13 (http://www.surgeongeneral.gov/library/mentalhealth/cre/execsummary-2.html
  • 14. Effect & Opps Among A-As • A-As: – prone to seeking support in community vs system thus community needs mental health competence – metabolize meds more slowly while getting higher doses resulting in worst side effects & lower compliance thus need to better understand treatment regimens – Click link to see NAMI African American Fact Sheet www.nami.org April 09, 2011 CSHC Men's Breakfast 14 (http://www.surgeongeneral.gov/library/mentalhealth/cre/execsummary-2.html)
  • 15. Typical, but Unproductive, Responses to Mental Illness • Denial/Stigma • Shame/Guilt • Anger/Bitterness • Isolation/Despair • Succumbing to MI under “caregiver stress” April 09, 2011 CSHC Men's Breakfast 15
  • 16. How is Mental Illness Treated? • Psychotherapy • Medication • Diet/Exercise/Rest • Time/Care April 09, 2011 CSHC Men's Breakfast 16
  • 17. Recovery & Functionality are Possible!!! April 09, 2011 CSHC Men's Breakfast 17
  • 18. My Story: MI Effect on Me • Anger & deep sense of grief & sadness as father over lost opportunities • Guilt over my role as cause of son’s MI as well as enforcer of care & accountability • In denial & confused regarding balance between care & accountability April 09, 2011 CSHC Men's Breakfast 18
  • 19. My Story: My Coping & Recovery • Education, on own, & in community • Seeking community with like afflicted – National Alliance on Mental Illness (NAMI) • Care & comforting of self, wife, son, siblings & extended family, community • Patient, persistent practice & engagement to build resilience April 09, 2011 CSHC Men's Breakfast 19
  • 20. God Knows How To Restore Joel 2:25 - And I will restore to you the years that the locust hath eaten April 09, 2011 CSHC Men's Breakfast 20
  • 21. What Can We Do! April 09, 2011 CSHC Men's Breakfast 21
  • 22. What We Can Do for Ourselves? • Avoid denial when getting feedback about your own abnormal patterns • Engage in continuous counseling: self (BC-1), community & one-on-one • Commit to preventative self-care of mind, emotions, body, diet, sleep & relationships • When ill, submit to treatment (if you can) April 09, 2011 CSHC Men's Breakfast 22
  • 23. What We Can Do for Our Families? • Patiently persist towards recovery • Get educated (though perplexing) • Balance accountability with care • Cultivate a “community of like- afflicted” April 09, 2011 CSHC Men's Breakfast 23
  • 24. What We Can Do for Our Communities? • Be models of mental health & resilience • Stand against stigma & shame • Be compassionate - “Good Samaritans” • Learn available resource & the SYSTEM April 09, 2011 CSHC Men's Breakfast 24
  • 25. Very Key Point! • Mental Illness is no one’s fault and not a character flaw • Mental Illness is a journey we must travel together with care & accountability • Energy better invested in work towards recovery than in blame & anger April 09, 2011 CSHC Men's Breakfast 25
  • 26. Key Resources I Suggest (click links below) • National Alliance on Mental Illness (NAMI) – Family to Family Education Program – NAMI Resource & Forensics Guide – NAMI PA Main Line Forums • Bebe Moore Campbell National Minority Health Awareness Month (July) April 09, 2011 CSHC Men's Breakfast 26
  • 27. Photo Credits • shadow boy: http://1.bp.blogspot.com/_NR48UcL2XMI/SSRPG7ODnyI/ AAAAAAAAAyw/PqU6BQnemcU/s400/mentalillness.jpg • man holding head: http://l.thumbs.canstockphoto.com/canstock1156116.jpg • tearing lady (black & white): http://newsone.com/files/2010/01/ sad_black_woman.JPG • girl with head on: lap:http://api.ning.com/files/ 8Uel2jMyfVVRmCy2uTU64GmzA3NShrBCH*QLyh7hpVXDSqDn7-7HMRGpMQw6Cr 6j5M-TbVrHvaP-*bWOkdwrs1Y0l7HHH-Og/up_2727.jpg?crop=1%3A1 • boy with head in hands: http://www.uwhealth.org/files/uwhealth/images/img3/ img_depression_150.jpg • woman in yellow tank: http://www.blackhealthzone.com/wp-content/uploads/ 2011/02/depression.jpg • brain & stethescope: http://imrehealthiq.com/wp-content/uploads/2010/06/ iStock_000002667412Small.jpg • woman in black kerchief: http://www.race-talk.org/wp-content/uploads/ 2009/12/105641_behind-the-scenes-precious-150x150.jpg April 09, 2011 CSHC Men's Breakfast 27
  • 28. Photo Credits • boy in chair: http://www.blackballot.com/weekly_report/images/ 022110_Manic_Depression_African_American.jpg • child in cell: http://www.google.com/imgres?imgurl=http://cdp.edu.au/cdp/sites/ default/files/slideshow/03_LISS.jpg&imgrefurl=http://www.cdp.edu.au/cdp/ photojournalist/juvenile-detention-steve- liss&usg=__KxPd9VKA_EMzqIx6UZFcwyq5D9c=&h=400&w=600&sz=59&hl=en&star t=171&sig2=WwaPlw9Bk4_tPyweekpVCQ&zoom=1&tbnid=ZX9930vgN3hlOM:&tbnh =90&tbnw=135&ei=2KqfTdzhGbGz0QHe0uSXBQ&prev=/images%3Fq%3Dmental %2Billness%2Bafrican%2Bamericans%26start%3D160%26hl%3Den%26sa%3DN %26gbv%3D2%26tbm%3Disch&itbs=1 • hands reaching for man: http://2.bp.blogspot.com/_BPyXil2_m7c/TPG57oduVfI/ AAAAAAAAAGw/X_YOXcrjvuA/s1600/schizophrenic%25252520- %25252520joem.jpg • bottle of pills: http://helpwithintervention.com/wp-content/uploads/2009/05/pills.jpg April 09, 2011 CSHC Men's Breakfast 28

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