Mental health treatment - we have to do better

[CrimsonJazz]

Ron DeSantis breaks with Ronald Reagan on mental health institutions

'We deinstitutionalized some 30 or 40 years ago. You know, I'm not sure that that was the right thing to do.'

floridapolitics.com

In Iowa’s Winneshiek County at a Never Back Down tour stop, Ron DeSantis criticized a policy imposed by former President Ronald Reagan.

Asked about gun rights during a Q&A session, DeSantis pivoted to questioning Reagan’s decision in the 1980s to close mental hospitals, which preceded an uptick in the homeless population.

“If you look at what happens at a police station when people are coming into the criminal justice system, there’s a huge percentage of these people that have mental health issues and it’s not even, like, a big shooting that gets all the headlines, just regular crimes. So many people, we used to have more of an institutional process where people would be institutionalized, who couldn’t function in society,” DeSantis said.

“We deinstitutionalized some 30 or 40 years ago. You know, I’m not sure that that was the right thing to do,” DeSantis added. “I see all these homeless in Los Angeles and San Francisco and some of these other liberal cities, they’re doing drugs or doing all this, but their mental health is ultimately the root of this. It’s behavior, it’s not that there’s not enough jobs or anything like that.”

Stops just short of advocating bringing back MH institutions....

 

[crimsonaudio]

A vast majority of the homeless people we come across in while serving in Memphis have pretty obvious mental health issues that are largely unaddressed.

The resources exist so that we could help many of these people - we just seem to lack the will to do it.

 

[NationalTitles18]

Ron DeSantis breaks with Ronald Reagan on mental health institutions

'We deinstitutionalized some 30 or 40 years ago. You know, I'm not sure that that was the right thing to do.'

floridapolitics.com

Stops just short of advocating bringing back MH institutions....

Reagan had no choice in the matter. And there’s much more to the story.

 

[NationalTitles18]

https://www.cnn.com/2023/08/04/health/fda-approves-first-postpartum-depression-pill-in-the-us/index.html

Both brexanolone and zuranolone are versions of a naturally occurring substance in the body called allopregnanolone, a neuroactive steroid that is a metabolite of the hormone progesterone. Levels of allopregnanolone can rise dramatically during pregnancy and then abruptly drop after childbirth, potentially contributing to postpartum depression.

So restoring allopregnanolone with medications structurally similar to it, like brexanolone or zuranolone, can help provide some relief to people with postpartum depression. Both drugs work in a similar way; they are just administered differently.

“After years of dedicated research and collaboration with other scientists around the country, women living with postpartum and perinatal depression have a new, at-home, easy-to-use treatment option that has the potential to alleviate their symptoms,” Dr. Kristina Deligiannidis, a professor at the Institute of Behavioral Science at the Feinstein Institutes for Medical Research in New York, who has been the principal investigator on national multi-site clinical trials that led to zuranolone’s approval, said in a news release.

Postpartum depression “is often underdiagnosed and undertreated. With the FDA’s decision today, we may be able to reverse this and help many more women in need,” Deligiannidis said.

 

[crimsonaudio]

Mental health and drug abuse go hand-in-hand.

What Does “Rat Park” Teach Us About Addiction? | Psychiatric Times

How many of us, during clinical encounters with patients, focus on their families, their social communities, their sources of human contact and support?

www.psychiatrictimes.com

 

[Go Bama]

Mental health and drug abuse go hand-in-hand.

What Does “Rat Park” Teach Us About Addiction? | Psychiatric Times

How many of us, during clinical encounters with patients, focus on their families, their social communities, their sources of human contact and support?

www.psychiatrictimes.com

You danged hippie.

Seriously, a very powerful article. Thanks for sharing.

 

[crimbru]

US surgeons are killing themselves at an alarming rate. One decided to speak out

The grueling profession has long kept silent about mental distress. After losing a friend and quietly grappling with illness, Carrie Cunningham found a new way to save lives

us.yahoo.com

 

[Padreruf]

I am trying to help a close family dealing with an 18 year old with Borderline Personality Disorder. I've heard of this for years, but never dealt with it this close. Any thoughts, experiences, recommendations would be appreciated. Drug abuse and other crisis behaviors are involved...

 

[JDCrimson]

Its a mess dealing with someone with BPD. You better have a good coping strategy or a good exit strategy. Its really hard to describe the behavior. The best way i know to describe it is the 2 encounters i had with people who had it - they are tormented, extremely manipulative of others, and harmful to themselves. I don't know how you effectively help someone struggling with BPD. I pray for you...

I am trying to help a close family dealing with an 18 year old with Borderline Personality Disorder. I've heard of this for years, but never dealt with it this close. Any thoughts, experiences, recommendations would be appreciated. Drug abuse and other crisis behaviors are involved...

 

[crimsonaudio]

I am trying to help a close family dealing with an 18 year old with Borderline Personality Disorder. I've heard of this for years, but never dealt with it this close. Any thoughts, experiences, recommendations would be appreciated. Drug abuse and other crisis behaviors are involved...

The 18 year old in question needs comprehensive health care, but unfortunately it's almost impossible to force them to accept treatment once they're adults. They have to want it, and part of the problem with BPD is their brokenness often leads them to make decisions that burn bridges with those who are willing to do the hard work to help them. We dealt with this with one of the children we fostered - most every professional we spoke, interacted, or worked with basically said "unless they genuinely want to be better, (and they rarely do), you just have to try to mitigate the wake of their disastrous decisions."

Prayers are definitely needed and lifted.

 

[Padreruf]

Everything that has been said by JDCrimson and Crimson Audio is right on target. This person has spiraled downhill over the last 2 years and nothing...counseling, etc., has worked. Thanks for the prayers...

 

[JDCrimson]

You really need to dig in and find out if this person was molested at a young age. There is a high corelation with BPD and molestation.

Everything that has been said by JDCrimson and Crimson Audio is right on target. This person has spiraled downhill over the last 2 years and nothing...counseling, etc., has worked. Thanks for the prayers...

 

[NationalTitles18]

My advice: Get an expert on board. Personality disorders are difficult to treat (impossible if help is not wanted).

And perhaps more importantly:

Set boundaries and enforce them.

People with these disorders are highly manipulative.

If you don't actively guard against it they will manipulate you in ways big and small.

Enforced boundaries can stop or mitigate the damage they can cause.

And always have backup very close by, if not in the same room then at least close enough to walk to the other side of the door. You might even have them interrupt on occasion just to prove to an outsider that in your mind they could come in at any time and see what was going on. This is to protect you legally and protect your reputation. Never agree to meet them without another very nearby.

 

[Padreruf]

You really need to dig in and find out if this person was molested at a young age. There is a high corelation with BPD and molestation.

I am advising the parents...they are moving her to a facility that deals specifically with this issue. What has transpired over the last 2 years...and now in the last 3 days...lI cannot believe the downfall of this person...

 

[CrimsonJazz]

I am advising the parents...they are moving her to a facility that deals specifically with this issue. What has transpired over the last 2 years...and now in the last 3 days...lI cannot believe the downfall of this person...

I'm just seeing this thread since it awakened yesterday. I'm sorry you're having to go through this. I do hope the facility is more geared toward psychotherapy and less towards medications as traditional antidepressants, mood stabilizers and anti-psychotic medications are generally ineffective for BPD. Some psychiatrists will still try them, but in my experience, this is usually a hail-Mary attempt to find something that works when all other treatments have failed.

I remember taking on a client with severe BPD about six or seven years ago. Pretty much everyone in the facility treated him like sweating dynamite because his outbursts were explosive. We were trained on restraint techniques for people like him, but none of us wanted to see if it really worked, so we pretty much held him at arms' length. Once it was determined that drugs were responsible for the sudden uptick in his BPD, we had at least a better idea of how to treat him. There is a good possibility that something like that is happening here. BPD can be exacerbated by certain substances being introduced into the patient's system.

 

[Padreruf]

I'm just seeing this thread since it awakened yesterday. I'm sorry you're having to go through this. I do hope the facility is more geared toward psychotherapy and less towards medications as traditional antidepressants, mood stabilizers and anti-psychotic medications are generally ineffective for BPD. Some psychiatrists will still try them, but in my experience, this is usually a hail-Mary attempt to find something that works when all other treatments have failed.

I remember taking on a client with severe BPD about six or seven years ago. Pretty much everyone in the facility treated him like sweating dynamite because his outbursts were explosive. We were trained on restraint techniques for people like him, but none of us wanted to see if it really worked, so we pretty much held him at arms' length. Once it was determined that drugs were responsible for the sudden uptick in his BPD, we had at least a better idea of how to treat him. There is a good possibility that something like that is happening here. BPD can be exacerbated by certain substances being introduced into the patient's system.

This is a facility that only deals with BPD patients...and yes, just about everything you can imagine is involved here.

 

[Bazza]

This is news story is making the rounds today......but not much conversation about the metal health aspects.

I get it......a lot of excitement surrounding the event itself.

I don't know enough to go any further with my comments other than to say that maybe we should have more discussion about the man's mental health issues.

Maybe we'll know more going forward...who knows........

My 2 cents.

A defendant attacked Judge Mary Kay Holthus in Clark County, Nevada. The court says Judge Holthus experienced some minor injuries and a marshal was taken to a local hospital. The court said they are reviewing security protocols after the incident. CNN reached out to Deobra Redden’s attorney for a statement but did not immediately hear back.

 

[Bodhisattva]

Dang! The dude may have a post-prison career as a jobber in professional wrestling. Pretty impressive getting horizontal while going over the desk (top rope). And he took his beating like a champ. Definitely a candidate for future squash matches.

 

[Bazza]

Dang! The dude may have a post-prison career as a jobber in professional wrestling. Pretty impressive getting horizontal while going over the desk (top rope). And he took his beating like a champ. Definitely a candidate for future squash matches.

Yeah.....the thought went through my head.......I wonder if he has any relatives who played D-line for Michigan last Monday......

 

[NationalTitles18]

This is news story is making the rounds today......but not much conversation about the metal health aspects.

I get it......a lot of excitement surrounding the event itself.

I don't know enough to go any further with my comments other than to say that maybe we should have more discussion about the man's mental health issues.

Maybe we'll know more going forward...who knows........

My 2 cents.

A defendant attacked Judge Mary Kay Holthus in Clark County, Nevada. The court says Judge Holthus experienced some minor injuries and a marshal was taken to a local hospital. The court said they are reviewing security protocols after the incident. CNN reached out to Deobra Redden’s attorney for a statement but did not immediately hear back.

His issue is he's a violent a-hole.