Showing posts with label autism. Show all posts
Showing posts with label autism. Show all posts

Wednesday, 1 April 2015

Mental health myths: Intelligence

Sometimes, I take the opportunity to discuss mental health myths and the truths behind them. There is so much misinformation out there and we all need to do our part to help others see the truth about mental illness. This time, I’m talking about intelligence.

Myth: People with mental illnesses are less intelligent.

Fact: Mental illnesses, learning disorders and intellectual disabilities are not the same thing.

   
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While psychologists diagnose mental illnesses, learning disabilities and intellectual disabilities, they are not the same thing. What we commonly refer to as “mental illness” generally means the emotional disorders, with symptoms such as depression, anxiety, psychosis and so on. These are what I talk about most of the time on this blog. They don’t, however, have anything to do with how intelligent you are.

Learning disorders are when you have a problem with your cognition that leaves you on unequal footing with your peers when it comes to your capacity to learn. These include, for instance, dyslexia, math disability and, depending on who you ask, ADHD. These are caused by the way your brain processes information. But they still aren’t a measure of how intelligent you are, just the way you learn and what you struggle with.


Intellectual disabilities are about intelligence. While the actual diagnostic criteria are a little more complicated, they are generally considered to be associated with an IQ of 70 or lower. Since the average IQ is 100 (more or less), this puts someone with an intellectual disability at a serious disadvantage. For comparison, above average intelligence is generally considered 110 and higher. That means that the difference between average and gifted is smaller than that of average and intellectually disabled. An intellectual disability therefore means that you have very real struggles in your day-to-day functioning. 

So how do they all relate? 

• Mental illness is not correlated with IQ.
• You can have a learning disorder without having an intellectual disability.
• Intellectual disabilities and learning disorders can influence each other, but one is not a measure of the other.

Think of the whole “crazy genius” archetype, if nothing else. There have been enough people with extraordinary intelligence and a mental illness for that idea to even exist. Anecdotally, some of the smartest people I’ve met have struggled with some form of mental illness or even a learning disorder. People considered intelligent are just as likely to have a mental illness as those who are less intelligent. 

Intelligence is also not measured perfectly by IQ testing. Artistic aptitude, for instance, is not measured on standardized tests. Neither are your ability to build something with your hands or your social intelligence. The truth is, intelligence comes in many forms. And here another archetype comes into place: the idiot savant. There are people who struggle with overall intelligence, but are geniuses in a specific area. These individuals can have just as much to offer as anyone else, just in a very specific way.

Whether someone has a mental illness, a learning disorder, an intellectual disability or none of these at all, everyone deserves respect. Don’t treat others as if you assume they are “stupid.” Differences in intelligence are a part of human existence, just like race, sexuality, religion, physical illnesses and so on. And remember that emotional disorders have nothing to do with intelligence. They happen to the best of us.



What has your experience been with mental illness and intelligence? Share your stories in the comments.

Monday, 14 April 2014

Books about mental illness and recovery

Books are an invaluable source of information. When it comes to mental health, they can be a great resource in helping you understand what you are going through. Following is a list of some of the top-selling books on various mental illnesses. I have not read all of them and I do not endorse any of them. I am simply going by what the most popular titles in the field are. I recommend reading reviews before purchasing a book, as that will give you a better idea of the content. The list is not comprehensive in any way. I hope you find something useful!

Anxiety
The Anxiety and Phobia Workbook by Edmund J. Bourne, Ph.D.
The 10 Best-Ever Anxiety Management Techniques by Margaret Wehrenberg, Psy.D.
The Mindful Way through Anxiety by Susan M. Orsillo, Ph.D. and Lizabeth Roemer, Ph.D.

Attention deficit hyperactivity disorder (ADHD)
Parenting Children with ADHD by Vincent J. Monastra, Ph.D.
Your Life Can Be Better by Douglas A. Puryear, M.D.
Driven to Distraction by Edward M. Hallowell, M.D. and John J. Ratey, M.D.

Autism spectrum disorders
Autism by Dr. Robert Melillo
The Complete Guide to Asperger’s Syndrome by Tony Attwood, M.A., Ph.D.

Bipolar disorder
The Bipolar Disorder Survival Guide by David J. Miklowitz, Ph.D.
The Bipolar Workbook by Monica Ramirez Basco, Ph.D.
Living with Someone Who’s Living with Bipolar Disorder by Chelsea Lowe and Bruce M. Cohen, M.D., Ph.D.

Depression
The Depression Cure by Stephen S. Ilardi, Ph.D. 
The Mindful Way through Depression by Mark Williams, Ph.D., John Teasdale, Ph.D., Zinder Segal, Ph.D. and Jon Kabat-Zinn, Ph.D.
Feeling Good by David D. Burns, M.D.

Dissociative disorders
Coping with Trauma-Related Dissociation by Suzette Boon, Ph.D., Kathy Steele, M.N., C.S. and Onno van der Hart, Ph.D.
The Dissociative Identity Disorder Sourcebook by Deborah Bray Haddock, M.Ed., M.A., L.P. 
Rebuilding Shattered Lives by James A. Chu, M.D.

Eating disorders
8 Keys to Recovery from an Eating Disorder by Carolyn Costin, M.A., M.Ed., MFT and Gwen Schubert Grabb, MFT
Life Without Ed by Jenni Schaefer
Healing Your Hungry Heart by Joanna Poppink, MFT

Insomnia
Say Good Night to Insomnia by Gregg D. Jacobs, Ph.D.
The Effortless Sleep Method by Sasha Stephens
The Insomnia Workbook by Stephanie A. Silberman, Ph.D., DABSM

Obsessive-compulsive disorder 
The OCD Workbook by Bruce M. Hyman, Ph.D. and Cherry Pedrick, RN
The Mindfulness Workbook for OCD by Jon Hershfield, MFT and Tom Corboy, MFT
Obsessive-Compulsive Disorders by Fred Penzel, Ph.D.

Panic disorders
When Panic Attacks by David D. Burns, M.D.
Panic Attacks Workbook by David Carbonell, Ph.D.
From Panic to Power by Lucinda Bassett

Personality disorders
Understanding Personality Disorders by Duane L. Dobbert, Ph.D.
Difficult Personalities by Helen McGrath, Ph.D. and Hazel Edwards, M.Ed.

Posttraumatic stress disorder
The PTSD Workbook by Mary Beth Williams, Ph.D., LCSW, CTS and Soili Poijula, Ph.D.
When Someone You Love Suffers from Posttraumatic Stress by Claudia Zayfert, Ph.D. and Jason C. DeViva, Ph.D.

Schizophrenia
Surviving Schizophrenia by E. Fuller Torrey, M.D.
The Complete Family Guide to Schizophrenia  by Kim T. Mueser, Ph.D. and Susan Gingerich, MSW

Substance abuse
The Mindfulness Workbook for Addiction by Rebecca E. Williams, Ph.D. and Julie S. Kraft, M.A.
Clean by David Sheff
Beyond Addiction by Jeffrey Foote, Ph.D., Carrie Wilkens, Ph.D. and Nicole Kosanke, Ph.D. with Stephanie Higgs

For loved ones
The Family Guide To Mental Health Care by Lloyd I. Sederer, M.D.
When Someone You Love Has a Mental Illness by Rebecca Woolis, M.F.C.C.
You Need Help! by Mark S. Komrad, M.D.

Memoirs



Share your favorite books on mental illness and recovery in the comments.

Wednesday, 11 December 2013

My take on meds

Feel free to ignore this post if you don't want an opinion piece. I just feel that since I will be talking about medication, it's probably best that I explain my stance to provide some context. 

There's so much good that has come from modern medicine. This includes a wide assortment of medications that help treat and even prevent certain conditions. These include entire categories dedicated to mental health issues. Due to the fact that we don't know enough to not be experimental, new discoveries are made by chance. For instance, anti-seizure medication can be used in the treatment of personality disorders. It's a frontier we have yet to conquer.

I have a great level of respect for those who dedicate their lives to finding ways to improve and extend our lives. Unfortunately, the pharmaceutical industry as a whole is not run by philanthropists who throw money at it. It's a business. This means that they have to make money. The competition can be healthy in terms of innovation, but it has to be financed. This is how Prozac got renamed Sarafem and prescribed for PMS. Once the original use for a drug has been tapped into, it's time to find ways to keep making money off of the same formula. Do you have to take four pills a day? We just made a different one that does the same thing, but you only have to take it once! You think anti-psychotics are reserved for schizophrenia? No, they're also used for autism, dementia and even insomnia.

Honestly, it's a really complex system and I'm not here to preach about it. But since medication is a significant aspect of the mental health industry, I can't ignore it. In order to offer a respectful climate for discussion of something so attached to opinion, this is the perspective I am coming from:

• Medication has the potential to significantly improve and even save lives in the mental health field.

• Some people need medication. They have exhausted all their options and cannot find anything else that is sufficiently effective.

• It is not our job to judge whether or not someone needs medication. Don't think your sister needs lithium? It's the job of her and her doctor to figure that out. Think your friend needs some anti-anxiety pills? It's not your call.

• Side effects are a factor that should be taken into consideration when prescribing medication.

• When it comes to children, teenagers and young adults, special precautions need to be taken and other approaches should be more carefully considered. While the body and mind are still developing, a cost-benefit analysis is definitely warranted.

• Are we overprescribing? Probably. I refuse to believe all my classmates who take Ritalin or Aderall actually have attention deficit hyperactivity disorder (ADHD), a childhood disorder that doesn't spontaneously emerge in college.

• Never encourage or support someone in going off their medication without proper medical supervision. Not only may it be inappropriate in terms of treatment, but not regulating the tapering off of a substance can cause withdrawal symptoms and other serious – possibly permanent – complications.

• There are alternative approaches that can be taken, and that's okay, too.

• Ultimately, it's about getting better. Whatever works (and is relatively healthy) is great!


I understand completely if you disagree. I don't claim to be an expert. I'm just being honest about where I'm coming from so that any biases I have are pre-announced. 

Friday, 10 May 2013

Childhood Disability Rates Rising For The Past 10 Years

A recent study shows a rise among children with disabilities over the past 10 years. The same study also revealed that disabilities relating to physical health conditions have decreased, while disabilities relating to neurodevelopment and mental health have increased dramatically. In addition, the most significant increase has occurred among children from higher-income families.

Lead author Amy J. Houtrow, MD, PhD, MPH, chief, Division of Pediatric Rehabilitation Medicine at Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center and associate professor of physical medicine and rehabilitation and pediatrics at University of Pittsburgh School of Medicine admits that previous studies have already demonstrated that the prevalence of childhood disability is on the rise. "Nearly 6 million kids had a disability in 2009-2010 -- almost 1 million more than in 2001-2002" says Houtrow.

Results were derived from the analysis of data gathered from 102,468 parents of children ages 0-17 years of age that participated in the National Health Interview Survey conducted by the Centers for Disease Control and Prevention in 2001-2002 and survey data from 2009-2010.

The surveys questioned parents on whether their child…

    • had any limitations in play or activity
    • received special education services
    • needed help with personal care
    • had difficulty walking without equipment
    • had difficulty with memory
    • had any other limitation
If parents responded yes to any of the preceding questions, the surveys questioned whether their child's limitations were due to…

    • a vision or hearing problem
    • an asthma or breathing problem
    • a joint, bone or muscle problem
    • an intellectual deficit or mental retardation
    • an emotional or behavioral problem
    • epilepsy
    • a learning disability
    • a speech problem
    • attention-deficit/hyperactivity disorder
    • a birth defect
    • an injury
    • some other developmental problem
Meanwhile, researchers classified conditions into three groups:

    1. Physical
    2. neurodevelopmental/mental health
    3. other
Their research uncovered that “the prevalence of disability increased by 16.3% from 2001-2002 to 2009-2010”. In particular, the neurodevelopmental and mental health-related disabilities increased while those disabilities resulting from physical conditions had decreased over the decade. Remarkably, the increase was most significant among children less than 6 years of age, as their rate of neurodevelopmental disabilities nearly doubled over the decade.

Furthermore, results demonstrated higher rates of disabilities among children living in poverty over the entire period of study without any real increase; however the highest rate of growth was identified among children living in higher income households (i.e. household incomes at or above 300% of the federal poverty level or $66,000 a year for a family of four).

Unfortunately, Dr. Houtrow states: "the survey did not break out autism, but we suspect that some of the increase in neurodevelopmental disabilities is due to the rising incidence or recognition of autism spectrum disorders".

Evidently this study has put a broader perspective on an area in desperate need of research. The study leaves the several unanswered questions. Why are rates of disabilities rising among children? What could these demographics really mean? Could it be that children living in poverty are simply being undiagnosed? Could it be that affluent families are more persistent in obtaining a diagnosis? Could there be other reasons or factors yet to be revealed?

Childhood Disability Rate Jumps 16 Percent Over Past Decade

© www.mentalhealthblog.com

Sunday, 24 February 2013

15 Best Picture winners about mental illness

The entertainment industry has a tremendous power in shaping the public view of mental health topics. With Silver Linings Playbook, a romantic comedy featuring a protagonist with bipolar disorder, up for eight awards at tonight's Academy Awards, attention is currently being focused on the challenges faced by those affected by mental health conditions. 

It is the first movie nominated for all of the "Big Five" awards (Best Picture, Best Director, Best Screenplay, Best Actor and Best Actress) and all four acting awards (add Supporting Actor and Actress). While it is highly unlikely that it will receive all of the awards, Jennifer Lawrence is considered a frontrunner for Best Actress for her portrayal of a young widow facing a her own set of complications following the traumatic death of her husband. After seeing how the film fares tonight, I intend to write a commentary on it in the coming days. It has a lot of interesting implications.

Looking back, however, mental health conditions have definitely had their place in creating award-winning movies. Starting with the early days of the Oscars, here are fifteen films that emphasize a variety of aspects mental health and illness.



All Quiet on the Western Front (1929/30)

Showing World War I from the perspective of the Germans, this film deals with the expectations and realities of war, including the psychological aspects. Well before PTSD was officially defined, elements of it can be gleaned from previous wars, as demonstrated in this production.







Gone with the Wind (1939)

In this epic, the effects of personality disorders on oneself and others can clearly be seen. Critics have noted that heroine Scarlett O'Hara displays characteristics of narcissistic, histrionic, anti-social and borderline personality disorders. In other words, she's the epitome of the cluster B subsection. In addition, leading lady Vivien Leigh, who played O'Hara, struggled with bipolar disorder.







Rebecca (1940)

Hichcock's psychological dramatic noir thriller (thank you, Wikipedia) features characters who certainly have some significant problems. Based on the novel by Daphne du Maurier by the same name, it also handles themes such as grief, manipulation and suicide.







The Lost Weekend (1945)

With its plot centering on a writer's struggle with alcoholism, The Lost Weekend is, according to the Library of Congress, "a landmark social-problem film" with "an uncompromising look at the devastating effects of alcoholism." While the premise might seem like a cliché nowadays, it received significant opposition when it was being produced.






The Best Years of Our Lives (1946)

In the wake of World War II, a new group of veterans had to learn to adjust to civilian life. This movie follows three of them as they struggle to find normalcy. One of them, Homer, lost both hands in the war (which actually hard happened to the actor, Harold Russell). His struggle to deal with a physical handicap that he believes makes him unfit for his fiancée is metaphoric for a lot of the psychological aspects of living through a prolonged trauma like combat. Part of this film's strength is in how it shows the role of social support, both between fellow veterans and those around them.




One Flew over the Cuckoo's Nest (1975)

Because the film takes place in a mental institution, there is a lot of psychological material to draw from. The characters struggle with different conditions, but they also develop a community. The tyrannical Nurse Ratched is a legendary villain and under her reign, the viewer is exposed to a lot of the treatments that have historically (and presently) been used to treat mental illnesses. It's also one of only three movies to win all of the "Big Five" Academy Awards.





Annie Hall (1977) 

Considered one of Woody Allen's greatest and most influential films, Annie Hall follows the anxious and neurotic Alvy Singer as he tries to find out why his relationship with the title character failed. This film is worth noting because while Alvy has what appears to be a clear case of generalized anxiety disorder, he has actually lived a relatively normal life. This helps show that mental illness is not just reserved for those with traumatic histories or psychotic symptoms.






Ordinary People (1980)

An upper-middle class family struggles with the accidental loss of one son and attempted suicide of another. It tackles family dynamics in a stressful environment where each individual handles grief in his own way. Since one person with mental health issues will impact the entire family, this film is important in its portrayal of the struggle for normalcy without clear direction.





Amadeus (1984)

While Amadeus is not very historically accurate, it does tackle the interesting issue of delusional obsession. As contemporary composers, Antonio Salieri cannot overcome his jealousy of Mozart's talent. The film shows how Salieri creates a worldview in which he feels justified in using a vengeful plot to gain some sort of "victory" over both Mozart and God Himself. Obsession is usually portrayed in a romantic context, making this film all the more fascinating.






Rain Man (1988)

After his father's death, the narcissistic Charlie finds out that he has a brother, Raymond, who is more or less inheriting everything from their father. An autistic savant, Raymond lives in a mental institution. The question of why Charlie was not told about his brother points directly at the issue of stigma against mental illness, even within families. 







The Silence of the Lambs (1991)

The only horror film to ever win an Oscar for Best Picture, The Silence of the Lambs is the most recent winner of the "Big Five" awards. It features Hannibal Lecter, who is both a psychiatrist and a cannibalistic serial killer. The epitome of genius and (criminal) insanity combined, this character has been deemed the greatest villain in movie history by the American Film Institute.






Forrest Gump (1994)

In this beloved movie, Tom Hanks plays Forrest Gump, a man with an intellectual developmental disability. The film displays a very positive attitude towards Forrest, giving him his own talents and showing how he contributed to a variety of historically significant events. It tackles both the challenges and joys experienced by the title character, offering a glimpse into how society treats those who are intellectually challenged.






A Beautiful Mind (2001)

Based on the Nobel-prize winning mathematician John Nash, this film tackles the role of schizophrenia in the protagonist's life. It follows the onset of the illness, which commonly manifests in early adulthood, its identification and how it affects Nash personally and professionally. It acknowledges the permanent nature of the condition, showing that he could achieve success while still experiencing symptoms.




The Hurt Locker (2009)

The effects of war are tackled again, this time with the Iraq War. The film, which made Kathryn Bigelow the first female to win Best Director, covers the acute stress experienced in a war zone and how it affects decision making. Instead of having the focus on the posttraumatic symptoms likely experience by the characters after the story's end, the movie gives insight into its development. This is a valuable perspective, considering the current public discussion surrounding PTSD.




The King's Speech (2010)

Not all mental illnesses are defined by mood or disconnect with reality. Stuttering is categorized as a mental health condition and can be comorbid with other disorders. In telling the story of King George VI, The King's Speech shows that not even royalty is immune to these challenges. With the help of a speech therapist, George admirably demonstrates the effort that goes into recovery.





Who do you think will win best picture this year? What awards do you think the cast and crew of Silver Linings Playbook might take home tonight?