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Melody Moezzi

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Enough With Insane Mental Health Cuts

Posted: 01/13/2011 3:27 pm

At 14, I joined my high school speech and debate team. Ever since, I've been hooked on public speaking. Put me in front of a bunch of strangers, the more the better, and I thrive. I don't need to imagine people in their underwear. All I need is my voice and occasionally, a microphone.

So, you can imagine how bizarre it was for me when I recently found myself feeling nervous in front of an audience of only a few dozen people. I'd been invited to speak at an alumni event, which would have been fine were it for high school, college, law school or even kindergarten. But it wasn't. It was for Skyland Trail, a psychiatric day treatment program I'd attended two years earlier, after being hospitalized for my first acute manic episode.

Most of the lectures I give at universities are about one of two topics you're never supposed to bring up in polite conversation: politics or religion -- and quite frequently, both. Talking about such issues has never made me the least bit uncomfortable. But talking about my psychotic break was terrifying.

My mouth got dry. My palms grew sweaty. My heart pounded. Still, I managed to share my story -- granted, in a much less self-assured tone than usual. Talking religion and politics is cake compared to rehashing my mania, depression and psychosis. For one, no matter how heated things get, I never break down in tears discussing Islamophobia or foreign policy. But there, I lost it. Twice, I had to take a long pause.

Still, the audience of patients, staff, family members and other alumni was warm and encouraging -- some even said "it's okay" when I had to stop. These people knew where I was coming from; they were willing to wait for me to pull myself together, and they encouraged me to move on.

That is precisely what community-based mental health facilities are meant to do. To recognize where those of us with mental illnesses are coming from, to give us the time and space we need to get well, and to encourage us to meet our potential -- which incidentally, can often exceed that of so-called "normal" people.

But these aren't the kinds of facilities people want in their backyards -- that is, until they need them. Assumptions about the mentally ill abound: that we're violent, that we can't be trusted around children, that we can't be trusted full stop. The truth is, though, that we are more likely to be victims of violent crime than we are to be violent criminals, and with proper treatment, many of us can and do lead fruitful and productive lives.

Yet today, that kind of treatment is becoming less and less available. Arizona alone has made $65 million in behavioral health cuts in the past two years, affecting roughly 28,000 state residents -- which may well have included the young man charged with the recent shooting of Congresswoman Gabrielle Giffords and over a dozen others at a Tucson Safeway supermarket. And although this man is by no means representative and his story feeds all kinds of false stereotypes about the mentally ill, I still can't help but hope that this tragedy will spark a necessary debate and benefit those of us who genuinely need access to mental health care and are by and large not criminals.

As mental health programs and facilities across the country lose funding, people like me, who desperately need them, are left with few options. Due to such cuts, patients end up having access to only acute facilities and mental hospitals, which are much more expensive and traumatizing than the community-based programs that are most vulnerable to budget cuts today. The counselors at these programs do more than throw drugs at us and send us home. They teach us vital skills to function, contribute and thrive in society.

Without them, I could easily be sitting on a back ward somewhere eating Jell-O and complaining about missing puzzle pieces. Without them -- and I say this with no exaggeration -- I could just as easily be dead. Without them, society risks losing countless caring and competent mothers, fathers, sisters, brothers and children. De-funding community-based mental health programs and providers is simply not a risk that we can afford to take.

 

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At 14, I joined my high school speech and debate team. Ever since, I've been hooked on public speaking. Put me in front of a bunch of strangers, the more the better, and I thrive. I don't need to imag...
At 14, I joined my high school speech and debate team. Ever since, I've been hooked on public speaking. Put me in front of a bunch of strangers, the more the better, and I thrive. I don't need to imag...
 
 
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03:15 PM on 01/18/2011
The problem with "mental health" is that in it's present state it relies on mind-altering drugs. We're the most drugged up nation on the planet and we aren't getting any better by drugging up anyone and everyone.
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Carl Caroli
I just don't understand people
09:54 AM on 01/18/2011
Rich people don't like wasting their money on other peoples problems, especially the poor. So they scream about taxes and threaten to vote for the other guy. We've become a "your on your own" nation, propelled by the self interest of the affluent.
12:50 AM on 01/18/2011
Sadly, I have little hope that anyone will truly get the message. Maybe it's because I feel one of my "down" cycles coming on (I have rapid-cycling bipolar II, among other things), but I am incredibly cynical when it comes to making the general public understand the plight of the mentally ill. Has it gotten slightly better in recent years? Yes, in part because, thanks to better diagnostic procedures, more people are diagnosed with mental illnesses such as depression and anxiety, so more people know someone or are themselves dealing with a mental illness.

And yet, I still struggle to get any help, or to make people understand that I am disabled even though I am just shy of 23 years old and often seem perfectly fine. I certainly can't convinced social security of it, and I can't convince anyone to employ me after messing up at my last job thanks to my illness. I also had to quit college, once again, thanks to my illness, which makes finding work all the more difficult.

I will always struggle with this illness, and it is a daily struggle to come to terms with the fact that my future is not going to be what I'd imagined. As of right now, I can't depend on anybody outside of my family and friends to help me to shape a new one.
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smoovejef
Karma is my God
09:28 PM on 01/17/2011
Wonderful testimony. After 17 years of working on psychiatric units, I tend to get my gander up when I hear phrases like, "Oh, that guy/girl is crazy/loco/has a screw loose", etc. So many with treatable mental illnesses, fearful (rightfully so) of the stigma & ridicule, don't seek treatment; others self medicate with street drugs & alcohol. I have seen people come to the hospital complaining of hearing voices telling them to kill themselves, then later admitting that they weren't, but needed help & knew if they didn't appear imminently suicidal, they wouldn't get the time of day.
Communities in a budget crunch look for areas to cut, and unfortunately, mental health is almost always the first item on the chopping block. The conversation never happens about the need for these crucial services until a person becomes so detached from reality that they do something dangerous. In all these years of working with people with mental illnesses, I have yet to run into anyone who asked to be schizophrenic, bipolar, severely depressed or addicted. We have the capacity to help those suffering with these debilitating conditions; what we must ultimately find is the compassion to do so, because sticking our heads in the sand won't solve anything. How we treat those less able will define us as a nation, and as human beings.
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snapshot1940
"We have met the enemy and he is us"
12:18 PM on 01/16/2011
Arizona Governor, Jan Brewer, sent her buget proposal to the AZ legislatur­e calling for huge cuts in spending, mostly in education and health care for Arizonans currently on AHCCCs, Arizona's version of Medicade. She also sent a letter to officials in the Federal Government requesting exemption from Federal requiremen­ts to provide Medicade. Under her buget proposal, approximat­ely 280,000 adults would be cut off from aid, including 7 to 8,000 in need of mental health aid such as counseling and medication­s. These are not the mildly or even moderately disturbed but those seriously afflicted to the extent medication is all that keeps them from committing acts similiar to those of Jared Loughner. Also included in the proposal is the ban on transplant­s that may well result in the deaths of 98 Arizonans now in need of such transplant­s.
BY INSTITUTIN­G THESE CUTS, SHE WILL BE ABLE TO ALLOW LARGE BUSINESSES TO KEEP THE SUBSTANTIA­L TAX BREAKS THEY WERE GRANTED EARLIER!
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Willow712
democratic socialst
11:24 PM on 01/15/2011
Thank you for telling your story. If everyone would start talking about their experiences, maybe people would realize that its everywhere. There are a lot of people that have a biological problem causing mental illness. My second husband, a very wonderful man, in a manic episode robbed our bank with a .357 back in the 80s. found innocent due to disease or defect (Thank God for having previous symptoms and treatment), he was placed on medical probation in New York State for five years. He was in a Forensic unit at gowanda Psych hospital for a couple of months. And people working there would tell me, "I'm surprised. for being a bank robber, he is a very nice man." "Yes, he isn't a bad guy, he's a sick man." In the whole world, the average for psychosis is 3%. Except the Istrian Peninsula of Croatia, where it is 10% (due to intermarrying, I suspect). guess where my ex was from?

Since Jared Loughner shot up the Safeway entrance, I have been telling this story over and over again online. We need to announce it to the world, that there are chemical illnesses that cause mental illnesses. If you can get those chemicals straightened out, that psychotic person returns to being the same wonderful person you knew before. Its not a weakness, its no one's fault. Its a chemical problem.
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Melody Moezzi
UN Global Expert, Author, Speaker, Activist
09:35 AM on 01/16/2011
Amen! Thank you for sharing this story Willow--I know that it must be exceptionally hard, but as you note yourself, it is SO important. God bless you and please keep at it :)
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Melody Moezzi
UN Global Expert, Author, Speaker, Activist
05:25 PM on 01/14/2011
Thank you Dr. Salerno! I really appreciate your comments.

And I appreciate your comments as well organicconnect, though I completely disagree. This would be much harder for you to say if you had a mental illness. These are not made-up illnesses--I didn't start having delusions and hallucinations b/c I wanted to. I started having them because I have a disease (which I am having great success treating with medication and therapy incidentally). It's just that this disease is in my brain--and for some reason, people think that makes it less real. I can assure you that this makes it all the MORE real--once you've had a vivid hallucination or concocted serious delusions without the aid of any substances, then come back to me and tell me that funding mental health is unnecessary.

Mental illnesses account for several of the top causes of disability in the US--if we could better fund mental health programs, then fewer people would have to be on disability and in the long run, funding mental health will SAVE money. I'm sure of it!

And there ARE wonderful medications and psychiatrists and psychologists that SAVE LIVES every day. I am living proof of this--but I have health insurance and enough money to pay for my medications--and I have a network of support. Please just thank God that you do not have a mental illness and try and have a little more compassion for those of us who do.
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organicconnect
04:03 PM on 01/14/2011
Sorry, but there has to be an end to throwing money down a hole. Yes, there is mental illness. yes, it is a problem. However, psychiatry has proven conclusively that it cannot solve these problems and indeed, as a practice, has made them far worse. To solve the vexing problems in life first starts with confronting them and recognizing that what is being done is not working. Too many lives have been destroyed. Too many crimes and abuses have been perpetrated. Too many addictions have been CAUSED by psychiatry's total lack of understanding of the human mind and the nature of life. Cutting funding to a failing practice opens up funding to developing real, workable solutions.
05:43 PM on 01/14/2011
By your way of thinking why don't we cut back on cancer treatments since it normally comes back 2 or times. Let's save money by being done with it the first time. (I think not)

By the way it costs more money to incarcerate people than it does to treat mental illness.

it's people like you who drive the poor medical treatment of people wiith mental illness. You can't help anyone you have contempt.for.

And what are you if you would deny anyone medical treatment?
01:54 AM on 01/15/2011
I think OrganicConnect is calling for more psychotherapy and less pill-peddling. For me, psychiatry did nothing but fan the flames of an already out-of-control addiction. I'm a much saner, happier person with psychiatry out of my life.
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Dr. John Salerno
03:04 PM on 01/14/2011
you are so right. to leave the people who need help out in the cold means needless suffering for the mentally ill, their families and their societies. + the huge growth in the prison industry can be largely attributed to the fact that there's no place else to put seriously mentally ill people. just wait until they commit a crime then lock em up. totally horrible.
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Willow712
democratic socialst
11:30 PM on 01/15/2011
New York State, back in the '80s, actually sentenced my then husband "innocent due to disease or defect." He was placed in a Forensic unit at Gowanda Psych hospital, Gowanda, NY, for a couple of months until stabilized, then allowed to come home on medical probation for 5 years. That's the first time I'd heard of a state doing this.

I firmly believe that if our country actually had a decent health care for everyone, and mental health was considered a medical problem, and people were able to get care, there would be a lot less people in prisons. I used to work in a prison for in Colorado, and almost all of them had committed their offenses while on drugs or alcohol, self medicating their depression or psychosis. You should see the % of these guys on psych meds in prison.
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Melody Moezzi
UN Global Expert, Author, Speaker, Activist
10:37 AM on 01/14/2011
Thanks for the kind words SitandStay! This is the first time someone has referred to my "esteemed background" after reading an article about my being a psych patient. I love it :). Skyland is a fantastic place, and we're so lucky to have it here in Atlanta. They have both a day program and a residential program. While I only took part in the latter, I've visited the residential facility on many occasions, and it's beautiful. I've also had friends stay there as well who've had very positive experiences.
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SitandStay
Lorenzo&BushH8ter
08:44 AM on 01/14/2011
Thank you for a very eyeopening and informative article. Also, the great resource of Skyland Trail. I've already visited their website.
I met you at a function at the Carter Center. I didn't know of your esteemed background!