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obsessive-compulsive disorder

Mental Illnesses on Movies

Movie attractions about mental illnesses

Recently I wrote about the premiere of a new movie, Mania Days, which stars Katie Holmes and is based on the life of the author who has Bipolar disorder.  One of our Facebook friends asked where it could be seen.

Well, the answer, in short, is “not yet”.  It is an independent film and caught my eye because it premiered in Austin TX, near where Old Fox MovietoneI live. Unfortunately, no matter how good it is, it won’t be released on the “big screen” until the writer/director/producer has an offer from a large movie production company – for a lot of money.

He may get one of those offers at upcoming independent film festivals, and the prospects look good as the film has received positive reviews.  It is likely that no matter how good the film is, we won’t see it in theaters for several months, if not longer. (It will probably be available on DVD though)

Sorry if it was a big tease.  In any case, it got me thinking that there are some well-known and available movies that you can see.  Maybe you have seen them, but you probably haven’t seen all or even most of them.

The good news is that since mental disorders tend to produce notable or even outrageous and shocking behaviors, they do make good subjects for movies.  This list is only a few of the movies that I have seen – and in many of them, there is no clear “diagnosis” for the characters but the symptoms are there.

Borderline Personality Disorder

Most of the films that feature characters that may have borderline personality disorder focus on murderous women.  Certainly BPD doesn’t only affect females but it does make good movie fodder.

•    Fatal Attraction
•    Single White Female
•    Casino
•    The Cable Guy
•    Margot at the Wedding
•    The Crush

Anxiety Disorders –

Anxiety disorders are harder to see in a movie as a single issue as they often occur with other disorders – as they do in real life.

•    Ordinary People
•    Parenthood

Social Anxiety Disorder

Can result in avoiding being in public, speech disorders and fears of other social situations.

•    The Kings Speech

Obsessive Compulsive Disorder

OCD is a real problem, but many people don’t realize how debilitating it can be.  In addition, it is also an anxiety disorder but doesn’t show as well on the screen.

•    The Aviator
•    As good as it gets

Post-Traumatic Stress Disorder

PTSD often follows a “war” event – but can follow other traumatic events. In most cases, these events are “acute” but in some cases they are chronic, occurring over a period of many years.

•    Prince of Tides
•    Forrest Gump
•    Born on the Fourth of July
•    First Blood
•    Sudden Impact
•    Reign Over Me
•    The Hunger Games: Catching Fire

Autism

There is really only one good example that I know of – and it is a classic.  That said, it is not an exact example as Autism is a “spectrum disorder” that ranges from high-functioning to non-functioning.

•    Rain Man
•    The Boy Who Could Fly

Bipolar Disorder

There are actually a lot of movies that can be seen showing bipolar disorder though. Rarely do they discuss the actual diagnosis but here are a few good ones.

•    Mad Love
•    Blind Date
•    Michael Clayton
•    Manic
•    Of Two Minds

Clinical depression

In most cases, clinical depression doesn’t look good on a screen.  Unless the character has some other event going on, watching someone not do anything doesn’t attract movie attention.  In these cases, there were other things going on in the movie that made them interesting.

•    The Fire Within
•    Leaving Las Vegas
•    Rushmore

Silver Linings PlaybookAnd the winner for “Most Psychiatric Disorders Featured in One Movie” goes to:

•    Silver Linings Playbook
•    Girl Interrupted

Both movies show a number of intertwining psychiatric disorders including anxiety, depression, borderline personality disorder, bipolar disorder, and eating disorder, are great films and two you really shouldn’t miss.

Most of these movies should be available on DVD.

Melissa Lind

List of films featuring mental disorders

Kids and Mental Disorders – ADHD

Children and mental disorders – when is too soon for diagnosis?

I spend a decent chunk of my time cruising chat boards and reading journals, news, social media posts and such about mental disorders.  My own “specialties” are Bipolar Disorder, Adult ADHD, Autism Spectrum DisorderBorderline Personality Disorder, Anxiety Disorder, Depression, Abuse Disorders, OCD… nevermind – I really “specialize” in them all, because I know most Attention Deficit Hyperactivity Disorderof these disorders within my social circle, and I know them on a professional level.

Anyway, I was on a Facebook page the other day for ADHD. (attention deficit hyperactivity disorder)  A woman posted a question about how to manage a kid with ADHD who wakes up and wreaks havoc within the house while everyone is trying to get ready for school and work.  Naturally he was disagreeable, confrontational, oppositional, had “meltdowns” – and it was all exhausting.  (pretty typical behavior for a truly ADHD kid)  A therapist once told me that the ADHD brain doesn’t “wake up” right away and cause all this trouble partly because their brain is not actually engaged yet.  The mom was asking for advice.

Comments on the page gave some really good answers. Some of them are common. Like plan your morning before you go to bed (get out clothes, get backpack ready, make lunch), let the kid make some choices – blah blah blah, stuff we have all heard.

Others were less common, but possibly better advice. Advices like; give the kid an extra 30 minutes to “wake up” in silence, give the child an incentive to get dressed NOW – like playing Minecraft after he is dressed.  I handle mine with the “don’t talk to him yet” option – waiting about 20-30 minutes before making him get busy.  His siblings aren’t allowed to bug him during this time either.  He can wrap himself in a blanket, stare at the wall or whatever – just don’t go back to sleep.

One lady suggested that the kid should be woken to take his meds an hour before he has to be out of bed. Then let him go back to sleep so that his medicines are working by the time he actually gets up.  I found that last piece of advice to be very helpful. My husband with adult ADHD takes his meds about 4 am and gets up at 6, ready to go rather than rude, obnoxious and unhelpful.

Mental Disorders - ADHDWhat troubled me was a comment from a woman who didn’t actually give advice, but chimed in to complain about how hard her four-year-old was to manage.  She said that he had been diagnosed with ADHD and was on meds, but also said that he had bipolar disorder, and still was a screaming banshee in the morning.  This gives me pause for concern.

I certainly can’t do anything about this particular kid, and I don’t really know the exact circumstances but I find the dual diagnosis with bipolar disorder very troubling for a four-year-old child.  Certainly, kids can exhibit ADHD symptoms at 4, and some will benefit from treatment.  But the medications weren’t working, and I am not so sure about the bipolar disorder.

Traditionally, until a few years ago, no one was willing to consider bipolar disorder as a pediatric concern.  Still today, though bipolar disorder obviously exists in childhood – most of the major issues don’t come out until adolescence.

The Diagnostic and Statistical Manual of Mental Disorders does not recognize the bipolar disorder in children under the age of 13

The National Institutes of Mental Health does acknowledge that bipolar disorder in children MAY exist but also warns that many children are misdiagnosed when the main problem is ADHDNIMH recommends that these children be labeled with Mood Dysregulation Syndrome until such time as a diagnosis can be relied upon.

The main problem in diagnosing young children with any mental disorder is that symptoms in children are vastly different from those in adults.  To complicate matters, symptoms of various Cerebrum Lobesdisorders in children are similar to one another.

Symptoms such as irritability, excessive mood swings, meltdowns, oppositional behavior, trouble in school, social inadequacies, explosive behavior, frequent frustration, and hyperactivity, etc. can point to a number of disorders.  Frankly the child may be ADHD, Bipolar, Depressed, Autism Spectrum… or even have food intolerance.

Because of our family history (not just mine), I watch my children very carefully.  I do analyze everything that happens, and I know that all of them probably have a disorder of one type or another.  Two may have ADHD, one is likely bipolar and one has Asperger’s or mild ASD.  I have sought treatment for some issues – but with others, I hesitate to run to a physician – likely a pediatrician who just doesn’t really know.

Our understanding of mental disorders is still evolving

I was personally diagnosed with the wrong disorder for over 15 years – and I was an adult.  How damaging would it have been if I had been labeled with a disorder that I did not have when I was only four years old?
The particular woman I described with the dual diagnosis child was beside herself.  Despite the fact that the four-year-old was receiving medical treatment for both disorders – it wasn’t working.  To me, this means that the treatment was with the wrong meds and for the wrong disorder(s).  In addition, her management skills weren’t the best.

As I said, I know that my children are likely to have disorders of their own but I don’t want to treat them for just any disorder.  I will want them to be treated for the right disease.  My advice to this parent, or any parent whose child had been put on medication that wasn’t working would be to seek a second opinion.

I am more emphatic about that advice if the doctor was willing to “add” a diagnosis to provide more medication; she should definitely seek another opinion.  Preferably the opinion of a pediatric Ritalin - ADHD Medicinepsychiatrist – or even a pediatric behavioral neurologist.  These specialists are few and far between, but it isn’t worth doing anything, but suffering through all the misery because the treatment isn’t working.

Medications are beneficial in the treatment of some types of mental disorders, but they do “change the brain”.  That is how they work – changing the brain can be harmful if you are changing it in the “wrong” directions.  Just seems like common sense.

Melissa Lind

Psychiatric Disorders and Geniuses

A lot of people like to think of themselves as geniuses.  Probably even more people with psychiatric disorders like to think of themselves as geniuses.

MichelangoWho can blame us – with examples such as Albert Einstein, Edgar Allen Poe, Beethoven, Michaelangelo, Charles Dickens, Ernest Hemingway, Winston Churchill, Charles Darwin, Isaac Newton… just to name a few.

As all of these stellar personalities are now deceased and most died before the advent of modern psychiatry, we can only surmise their disturbance – their genius however is clear.

Aristoteles, a Greek philosopher, once said, “There is no genius without having a touch of madness.”

Today, most who are diagnosed with a mental disorder– be it bipolar disorder, schizophrenia, borderline personality disorder, obsessive compulsive disorder, or even major depression, would be classified in previous times as “mad”.

A recent article in Psychiatric Times, by an actual physician – Nicholas Pediaditakis – attempts to link the occurrence of major mental disorders and geniusFreud called the difference in “temperament” of genius from that of “normal” people – “narcissistic neurosis”.

The basic theory as proposed by the author of the article says that people with certain mental disordersbipolar disorder, schizophrenia, and OCD in particular – ‘tend to “think” the world rather than “feel” it.’  He goes on to say that many are dysphoric and tend towards feeling a void and aloneness within themselves which can often lead to substance abuse and suicide – all too true.  His conclusion is that these illnesses cause an absence of adherence to social norms, not because you want to, but because you have to – but that it frees up parts of the brain for creative processes.

In addition, many artists, actors, comedians, writers acknowledge that much of their creativity comes from painpsychic pain not physical pain that is often experienced by those with mental disorders. This doesn’t seem to translate to genius in science, math, or other concrete areas, but the idea of a mind that has free space to concentrate on specialty areas does fit.

While I, personally, find offense in part of his statement (the part about wanting to think rather than feel) – I also find it true.  I, and those I know, would rather “think” rather than “feel”, but often we feel too much and cannot stop.

Aside from my bristling at the implication that mental illness is a choice – I find it amusing that science may be able to prove that there is a “mad genius” in me – someday.

Melissa Lind

A genius with a psychiatric disorder.

Bipolar Disorder and Adolescents

Symptoms of bipolar disorder in children and adolescents may look like other disorders

Traditionally bipolar disorder has been thought to first show in early adulthood – and more often in females.  Bipolar disorder was considered to be quite rare as few as 20 years ago, to be more exact. The first emergence came in the early 20s, mainly in females. But, our knowledge about bipolar disorder has grown rapidly in the last 20 years.

Instead of the single manic-depressive diagnosis – which included diagnostic criteria of both depressive periods, alternating with manic periods – described as “euphoria”?

Those who did not have clearly rhythmic, alternating periods of a “happy” and frantic manic phase with a classic depression period were mishandled, misdiagnosed, mistreated, or dismissed.

Bipolar ChildrenIn addition, it wasn’t really known that bipolar disorder could start in adolescence or even childhood, or that there are different types of bipolar disorder.  Today, it still isn’t “officially” recognized in the “psychiatric bible” – the Diagnostic Statistical Manual of Mental Disorders (DSM), but at least more practitioners do know that it exists.

Today, we don’t exactly know what causes bipolar disorder (only that there is a genetic link of some kind, and often some past trauma). But, we can at least identify adolescent and childhood bipolar illness.  We also recognize a variety of different types of bipolar disorder (Such as mixed manic episodes, rapid cyclers, people without a depressive phase, hypomania, dysphoria rather than euphoria and cyclothymia). We also have a “catch-all” type – Bipolar NOS or “not-otherwise-specified”.

Adolescent or childhood bipolar disorder is official known as: “early onset bipolar disorder”.  In fact, childhood bipolar disorder can be more serious than a similar disease in adults and may have slightly different symptoms.

Symptoms of bipolar illness in children can often be more severe, and the cycling period may be more frequent.  Children also have more mixed episodes.  Children also have slightly different symptoms – so even the depression phase of the cycle may not be obvious.

Pediatric patients (children and adolescents) with bipolar disorder may have:

Bipolar Disorder in Children•    Abrupt mood swings
•    Periods of hyperactivity followed by lethargy
•    Intense temper tantrums
•    Frustration
•    Defiant behavior
•    Chronic irritability

These symptoms have to appear in more than one setting (school and home) and cause “distress”.

The problem is that many of these symptoms may look like other disorders.  They might be disorders such as ADHD, childhood depression, anxiety disorder, obsessive compulsive disorder, conduct disorder, premenstrual syndrome, oppositional defiant disorder and others. The danger might come from a misdiagnosis and improper treatment.

Bipolar disorder is treated with anti-manic agents (lithium), anti-convulsants (Depakote, lamotrigine) or atypical antipsychotics (Abilify, Risperdal).  In many cases, anti-depressant won’t be needed.  Treatment for other disorders like ADHD or depression may make bipolar disorder worse. Childhood bipolar disorder is something that desperately needs treatment as the distress caused to the patient, and the family can predispose the youngster to

•    Drug or alcohol abuse
•    Stealing
•    Involvement with law enforcement
•    Poor social integration
•    Poor academic performance
•    Suicidal tendencies
•    Premature sexual behavior

The Balanced Mind has a good self-check list of symptoms that can help a parent or a teen decide if bipolar disorder might be an issue.  Self-testing is not always accurate and should be discussed with a doctor, (preferably with test results in hand).  Not all doctors accept pediatric bipolar disorder. Parents may have to seek advice from more than one mental health professional and be aware that insurance may not cover the illness.

Melissa Lind

Childhood Sexual Abuse and Mental Health

Mental Health and Childhood Sexual Abuse – Don’t Carry the Secret

Recently I saw something on Facebook that was very sad.  It was a video of a 50 plus year old man named Scott – also called “Spider,” who told the story of his life through written cards, in a fashion similar to Ben Breedlove’s “This is my story” about his heart condition. In the video, this tough looking man, confessed the trauma of his own sexual abuse and the damage it had done to him over the years – drug abuse, divorce, culminating in an arrest for beating his child’s sexual predator with a bat.

The story was naturally sad but is all too common.  In fact, statistics shows that 1 in 6 boys will be sexually molested by the age of 18 and worse for girls with 1 in 3.  The other sad fact is that many, many children who are sexually abused don’t tell anyone.  Either they are threatened or ashamed – or both.  They carry the secret for much of their lives.

Trauma, abuse, neglect – biology didn’t account for its infliction on children.  As children, our brains develop best in a loving,
supportive environment with plenty of nutritional food and quality exercise so that our bodies become the best they can be.  Childhood Trauma - Mental HhealthAround the world we see the damage that poor nutrition, neglect and physical abuse can do to children.  What is not so obvious is the damage wreaked by sexual abuse – it is a hidden traumaSexual abuse is hidden by the child, hidden from the adults, hidden from other children, and sometimes even hidden by the child’s memory.

Secrets are always dark.  Carrying secrets can ruin a relationship or ruin a career.  Carrying secrets imposes a burden of stress on your body – your heart doesn’t work as well, your adrenal system gets burned out, your sleep is affected.  Carrying a secret like that can change a child’s brain.

Studies have shown that abuse or childhood trauma actually causes physical changes to the developing brain.  It can make the child unable to grow to what they would have been.

So what does this have to do with mental health?

The effects of childhood trauma are hard to predict.  Mental health is hard to identify – particularly the cause.  In some cases, we can easily point to the parents and say “Mom and Grandma have clinical depression; it is no surprise that the daughter has depression.”  Schizophrenia has been shown to be driven by over 100 genes and a child with one schizophrenic person has a 13 percent chance of developing the disorder.  Some people are “born” alcoholics in that they are missing an enzyme that allows them to process alcohol properly and will nearly always become addicted if they drink.

In other cases – we can’t identify the cause.  You have some cases of mental disorders that develop in people with perfect childhoods.  You have people with horrible experiences who are remarkably healthy – rare, but true.  In many cases though, someone with a history of child abuse will develop some mental disorder – but the type is very hard to predict.

In “Spider’s” case, he became a drug addict, had an anger problem and felt that he had to prove he could “conquer” women (his own words), leading to the destruction of his family.  Likely he suffered from depression, anxiety disorder, and possibly Mental Health - Child AbusePost-Traumatic Stress Disorder.  Telling the “secret”, not carrying the weight may, just may have kept him from his self-destructive behavior.  Unfortunately, it may not have stopped his daughter from being a victim, but it might have allowed him better tools than a bat to deal with her problem.

In severe cases, extreme trauma can actually cause the personality to “split,” in “Dissociative Identity Disorder” (DID), which was previously called “Multiple Personality Disorder” (MPD).

(Photo-source: http://blogs.ocweekly.com/navelgazing/2014/08/scott_spider_spideralamode_facebook_molest.php)

Sexual abuse has another problem – that children are often disbelieved which worsens the trauma.  Unlike physical abuse, unlike neglect, unlike starvation – there are no “obvious” signs.  There are signs, but you have to know what they are.  Children who have been sexually abused do exhibit signs:

•    changes in behavior or personality type – a normally outgoing child becomes withdrawn, a normally gregarious child becomes angry and sullen
•    bed wetting and nightmares (oddly the bed-wetting may be punished)
•    refusal to go to school, church, sports or club activities or to a certain friend’s house
•    sudden clinginess or a sudden desire to be left alone

Too often, adults don’t ask.  Too often, children don’t tell.  Sadly, sometimes adults won’t listen.  If you know of a child that has
sudden behavioral changes – ask.  If you are an adult, believe.  If you are a victim, tell.  Even at a late date, telling can change your life and resolve some of your “issues.” I think in the end, “Spider’s” main message was “tell your kids to tell.”

What does this have to do with mental health?

Sexual abuse can contribute to:

PTSD, Depression, Bipolar Disorder, Anxiety Disorder, Intermittent Explosive Disorder, Obsessive Compulsive Disorder, Bulimia, Anorexia, Drug Addiction, Alcoholism, Attachment Disorder… and many more.

History of Child Abuse – Free PDF

Melissa Lind

Zoloft for a Treatment of Depression

Is it safe to use Zoloft for a treatment of depression?

Zoloft is a common antidepressant that doctors prescribe for the treatment of depression and depression symptoms. Zoloft is a very gentle antidepressant but has a powerful effect as well.

Depression and ZoloftZoloft can start working in as little as a week, although it could take up to three weeks to feel the symptoms of depression easing. Zoloft is safe to take for an extended period; however, one should never stop taking Zoloft “cold turkey.”

It isn’t addictive, in the truest sense of the word, but Zoloft is an SSRI, which means that it is forcing a change in the brain chemistry. Because of this, your doctor will most likely “wean” your body off of Zoloft slowly by reducing the dosages, and allowing your brain to do more of the work without help from the medication.

Zoloft is not just prescribed for the treatment of depression. Research has also found that it is a suitable medication for the treatment of panic disorders, post-traumatic stress disorder, obsessive-compulsive disorder, and social anxiety disorder.

There are side effects associated with the use of Zoloft. These include impotence and/or changes in sex drive and libido, upset stomach, drowsiness, anxiety, irritability, urination problems, appetite changes, headaches, constipation or diarrhea, blurred vision, nightmares, insomnia, hair loss, dry mouth, sweating, muscle spasms, slowed speech, irregular heartbeat, and tremors.

Symtoms of DepressionBefore taking Zoloft, your doctor needs to know if you have a history of mania, suicidal thoughts, high blood pressure, kidney disease, liver disease, heart disease, seizures, enlarged prostate, urination problems, thyroid problems, or glaucoma.

Despite the potential side effects, most people don’t have any trouble with Zoloft, and it is one of the most-prescribed drugs for the treatment of depression. It is also considered one of the safest drugs for depression treatment. If you suffer from depression, you should definitely discuss Zoloft with your physician.

Zoloft for depression treatment despite potential side effects