Young Stars Bright Futures Cut Short By Suicide

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Lee Thompson

I have been a fan of Lee Thompson since my college days when I would find myself watching The Famous Jett Jackson on the Disney channel despite it being meant for teens between the ages of 12 and 16.  After all, here was an African-American movie star/spy who lived with his father and grandmother and got into various adventurous with his friends, how could I not find that interesting?

Lee also starred in the movie Friday Night Lights and was in Akeelah and The Bee .

Tragically however, Lee, who was currently starring in TNTs police drama Rizzoli & Isles, committed suicide on August 19th. He was just 29 years old.

I personally was shocked by the news of his death because he was a fairly low key actor. I never heard about him getting into trouble with the law, abusing drugs or alcohol or even much about him having any mental or emotional instability. I always assumed he was just doing fine and that is the danger when it comes to suicide.

As I have stated before, I have done a lot of crisis counseling in the aftermath of people who have committed suicide and often the words I hear from family members and friends is that they thought the person was doing just fine and their suicide came as a huge shock.

And this is where some of the stigma that surrounds mental illness comes into play. According to sources, Lee may have been battling depression quietly for a long time. Some are saying that he really changed once he started practicing an African religion called Yoruba, but it’s very likely that in an attempt to ease his depression, he sought refuge in religion and when that failed to lighten his depression, he unfortunately thought his only alternative was death.

Sources say that his mom was worried about him because many of his friends that lived in Los Angeles with him had moved and that he was surrounded mostly by “industry types” and not real friends. If this is true, definitely having a lack of a support system/network increases the chances of someone with suicidal thoughts to actually act on them.

Apparently Lee was close to his mother and sister, but probably out of pride and/or shame (stigma even), never told them about his depression or at least about how bad it really was. Many times men feel weak for feeling depressed and will hold it in and take their lives without anyone knowing how long they had been suffering.

His coworkers on the set of the show Rizzoli & Isles got suspicious when he didn’t show up for work and sent an officer to his house to check on him and that is where he was found dead. Jackson didn’t leave behind a suicide note, but sources say that he took his life with a gun.

This comes right after reality television star Gia Allemand (who was also 29) of Bachelor and Maxim modeling fame committed suicide by hanging herself with a vacuum cleaner cord two hours after her NBA boyfriend Ryan Anderson told her that he didn’t love her any more on August 12th.

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Gia

According to Gia’s father, she had a long history struggling with dealing with rejection when it came to friends and boyfriends.

Honestly I didn’t know much about Gia until this happened. I remember getting ready for work when it came on the morning news show and I paused to listen to the story. It’s troubling to me when anyone who commits suicide, but it’s especially painful when people who are in the spot light commit suicide because that often sends a message to their fans and others that it’s okay to end your life if you think there is no other solution.

There are ALWAYS other solutions.

Unfortunately when you are in the middle of a deep depression or a mental/emotional/psychological break down, it’s easy to imagine that life will never get better, that it will never be as you want it to be and that death is an easy escape.

Suicide is a permanent decision to a temporary problem is a popular saying, but unfortunately suicidal people ususally believe that their problem is indeed permanent even when it’s not.

**If you or someone you know needs help, please call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255)**

Daniel Sommers: A Soldiers Losing Struggle With PTSD And Depression

istock_000011501105small-eda6b80f8b0e6fb04724b38c94926b4e798fe269-s6-c30***Warning… this post may contain language that can be a trigger for depressed and/or suicidal individuals***

Recently I read about and researched the suicide of Daniel Sommers, an Iraq war veteran who was diagnosed with post traumatic stress disorder (PTSD), Gulf War Syndrome, fibromyalgia, and other medical conditions after his service in the armed forces in 2007.

Last month he committed suicide and his suicide letter was posted across the internet by his family, hoping to draw attention to the poor treatment of veterans by the United States Office of Veteran Affairs (VA).

While Daniel Sommers sought treatment through a variety of modalities including music, medication, and traditional therapy, nothing was enough to alleviate the physical and mental pain he felt and ultimately he took his own life.

Before I even started researching for this post, I was already researching the increase in young veterans committing suicide and was preparing to write a post about that, but when I read Daniel Sommers suicide letter, I felt like it gave a chilling insight into the mind of someone struggling with PTSD and depression.

“My body has become nothing but a cage, a source of pain and constant problems. The illness I have has caused me pain that not even the strongest medicines could dull, and there is no cure,”  Daniel wrote in his final letter. Those words echo so much of what I hear when I have worked with people suffering from diseases such as fibromyalgia, lupus and even undiagnosed problems that they are told are all in their head.

“All day, every day a screaming agony in every nerve ending in my body. It is nothing short of torture. My mind is a wasteland, filled with visions of incredible horror, unceasing depression, and crippling anxiety.” 

It’s not often that we get to see the last words and thoughts of someone who feels like the only solution is suicide. Being able to read Daniel’s words and analyze them, not only gives us great insight into the way he was thinking, but it can potentially help us help others who are thinking about ending their lives.

I have a book called Psychotherapy with Suicidal People and it is filled with suicide letters from people who ended their lives,  including some famous individuals. At some points it was one of the most depressing books I have ever read, but the amount of insight these letters give to us trying to help others is invaluable.

While the military and other non-profit support groups have many resources aimed at helping veterans with PTSD, Daniel Sommers family feels like the military failed their son and is failing others who have and are currently serving our country.

In February, the VA released findings from a study that said that 22 veterans commit suicide everyday and that 325 committed suicide last year. Those numbers are astonishing. If we were losing 22 children to shootings everyday, something drastic would be done.

Those numbers tell me that things could be better when it comes to the way we deal with and treat veterans dealing with PTSD and depression and some changes are coming.

In August, President Obama signed an order to increase veterans access to mental health services and the VA hired 1,600 mental health professionals while also adding more telephone and online help for veterans. Help for veterans is better than it’s ever been, but it’s far from perfect and too many people like Daniel Sommers are falling through the cracks.

As much pain as Daniel Sommers was going through, suicide is never the answer and the bad thing about his suicide letter going viral is that others suffering from depression and mental anguish may see this as verification that suicide brings about peace, but suicide is a permanent solution to what are usually temporary problems.

If you would like to read  Daniel Sommers suicide letter just click on the link. I didn’t want to post it because it could serve as a trigger for those already suffering with suicidal ideations. This is definitely a tragedy, but just think, there are 22 tragedies like this occurring everyday with just our veterans alone, not to mention our civilian population where the Center for Disease Control estimates 105 people commit suicide everyday.

One Teens Attempted Suicide

Today I got one of those out of the blue phone calls that I dread. I was out of the office preparing files for an upcoming audit when I got an email from one of the teachers at the school I work at asking me to call her as soon as possible.

There’s always a lot going on at the school, but I assumed she wanted to ask me for advice with dealing with one of her students or to refer a student to me for counseling. I called her and she informed me that one of my students was in the hospital in critical condition after attempting suicide the night before.

I almost cried. I know that’s not the professional way I was supposed to feel, but I am human and have passion for my clients. Sometimes too much, but that feeling felt appropriate. I have never (fingers crossed) had a client actually commit suicide, but I know it’s always a possiblity. I’ve done crisis counseling at enough schools after a teen has committed suicide to know that it happens all too often. As a matter of fact, 3 weeks ago a student at a high school not too far from the one I work at killed herself.

It’s not that this is the first client of mine to attempt suicide, but this is probably the first client of mine to make a serious suicide attempt. I don’t want to underplay any suicide attempt, but I have had many clients who have made superficial lacerations to their wrists or took three ibuprofens in a “suicide attempt”. Most never needed to go to a medical hospital for medical attention.

Sure, I had to have them sent to the psychiatric hospital because they were having suicidal thoughts and any attempt has to be taken seriously, but it never shocked me because I knew that while they were hurting emotionally and psychologically, they didn’t want to die. They wanted help, they wanted people to see and know that they were hurting, but they didn’t really want to die. The fear in that though is that they could accidentally kill themselves.

This situation was different for a number of reasons.

1) I was very close to this client. I had been working with this particular client for almost two years helping him get through depression, grief and anxiety. I actually tried to become more of his mentor than his counselor because that’s what I felt like he needed most as a young man approaching adult hood.
2) A few months ago this particular client came to me and told me that they were seriously thinking about ending their life. I had him admitted to the psychiatric hospital where he was prescribed medication for anxiety and depression. I was surprised and scared that he didn’t come to me this time before he tried to take his life.
3) He had a lot to look forward to. He was graduating after almost not qualifying to graduate. I had just giving him a graduation card saying that I was excited for him about his future.
4) And lastly, I had just saw this client the day before and he was his normal, apathetic self. I saw no warning signs that less than 24 hours later he would take 3 months worth of medication all at once.
5) While all suicidal talk, gestures and attempts have to be taken seriously, from personal experience, the teens that actually kill themselves do so with little real warning. Some may tell all their friends that they love them, or apologize for past wrongs, but from the crisis counseling I’ve done at different schools after a student has committed suicide, there is rarely any apparent warning signs yet in hindsight, grieving students, faculty and parents usually see subtle signs that they missed.

His mother found him in his room, unresponsive and called 911. He was rushed to the hospital where a host of procedures were done to save his life. When I went to the hospital to see him he was still unresponsive, a result of all the medication he had taken, but the doctor was pretty sure he would make a full recovery… physically.

The fear is, when he finally comes to, is he going to be happy that he’s still alive, or disappointed that he failed to end his life?

That’s why I want to be there for him. I stayed with him in the hospital today for as long as I could, but the hospital staff that was in charge of sitting with him around the clock because he is on suicide watch, told me that it would be at least another day or two before they expected him to start coming around.

I don’t feel like I failed as a counselor. That’s one of the first questions I asked myself. I think that the reason it bothers me so much is because he is my client and I feel a sense of responsibility for him, although I know I can’t be responsible for the decisions he makes.

Looking at him laying in the hospital today was depressing. At times he looked dead except for the frequent rapid eye movement visible through his closed lids. I just hope that when he comes to that he realizes that he is alive for a purpose and rejoices in attempting to discover what that purpose is. I’ll definitely be here to help him anyway I can.

Mindy McCready: Addiction, Mental Illness And Suicide

1358256839_mindy-mccready-articleSuicide is such a tragic occurrence in life, something that always surprises me a little, even when it’s expected, such as in the case of Chris Domer.

Even more shocking are the instances when it’s not expected, even if the person has had a troubling past, such as Mindy McCready.

Mindy McCready was a 37 year old country music star who apparently committed suicide this past Sunday afternoon by shooting herself in the head on her front porch. Besides being a country music star, more importantly, McCready was the mother of two boys, including a ten month old infant.

It’s hard to imagine the stress/circumstances that would cause a mother of two to want to take her own life, so I thought it would be a good idea to examine some of the stressors McCready was under.

Recently, her fiance and the father of her ten month old infant, record producer David Wilson died of an apparent suicide. This tragedy in itself could have been enough to push McCready into a suicidal state. Here is the father of her infant child, now dead, someone she had planned to spend the rest of her life with, and now he’s abandoned her.

On top of that, whenever someone close to someone commits suicide (and often they don’t even have to be that close personally), it makes it easier for that person to think about and even commit suicide themselves if they are already in a fragile state. That’s why having a family member who has committed suicide makes a person more at risk for committing suicide and why communities and schools often experience clusters of suicide after someone in that community or school has killed themselves. Perhaps the death of her infant’s baby’s father made it easier for McCready to end her own life.

On top of that traumatic experience, McCready also suffered from addiction and mental illness, both of which increases a persons likelihood of attempting suicide.

McCready had two previous suicide attempts in 2005, including attempting to overdose on drugs and alcohol. She was found unconscious in her hotel room and hospitalized. Then later that September while pregnant with her first son, she attempted suicide again by overdosing on anti-depressants. In 2008 McCready was also treated for an apparent suicide attempt after slashing her wrists. She was hospitalized at least once more after an overdose, or what may have been a bad reaction to some Darvocet apparently given to her by her mother.

Her battle with addiction and mental illness was often public. She appeared on Celebrity Rehab with Dr. Drew Pinsky and on The View. She spoke with Dr. Drew about the stigma she felt from the media and her fans about being in rehab, a topic he discussed on CNN after her suicide:

“Her biggest fear was the stigma of doing so and what people would think if she, God forbid, took care of herself. And this to me is the most distressing part of this story. She is a lovely woman, we have lost her, and it didn’t have to go down like this.”

McCready was also dealing with an ongoing custody battle that was often nasty and very public. Her ex-husband who is her first son’s father, Billy McKnight, wanted primary custody of their son and filed motions in court to have McCready submit to drug and alcohol testing and also undergo a psychological evaluation.

Despite her struggles with addiction, mental illness and an often rocky personal life, McCready still tried to remain positive. On her fan page in January 2012 she wrote:

“I haven’t had a hit in almost a decade. I’ve spent my fortune, tarnished my public view and made myself the brunt of punch line after punch line. I’ve been beaten, sued, robbed, arrested, jailed, and evicted. But I’m still here. With a handful of people that I know and trust, a revived determination, and both middle fingers up in the air, I’m ready. I’ve been here before. I’m a fighter. I’m down, but I’ll never be out.”

Perhaps the death of her infant’s father, a man she called (after his dead), her soulmate and life partner, was the final straw that broke the fighter in her. They both apparently killed themselves by shooting themselves in the head.

It could have been her addiction. After all, she had left treatment for substance abuse early and was reluctant to re-enter treatment due to the stigma she had faced in the media and with fans.

Chances are, it was a combination of everything: addiction, mental illness, dealing with the recent death of her fiance, a custody battle and having an overall bleak outlook on her future.

Suicide is a permanent solution to a usually temporary problem.

It hurts when we lose anyone to suicide and addiction and it’s sad that we have lost yet another bright star. Like Dr. Drew said, it didn’t have to go down like this.

Combating Depression: 10 Tips

depressionistockDepression affects about 17. 5 million Americans and out of those, an estimated 9.2 million will have what is considered major or clinical depression.

What’s the difference between depression and major depression?

Major depression is categorized as:

  1. a depressed mood, most of the day, nearly everyday for at least two weeks. In children, adolescence and some adults, depression may present as irritation or anger.
  2. Marked diminished interest in or pleasure in all, or nearly all activities most of the day, nearly everyday.
  3. Significant weight loss (when not dieting), decrease in appetite, or significant weight gain or appetite nearly everyday.
  4. Insomnia or hypersomnia nearly everyday.
  5. Psychomotor agitation or retardation (i.e. moving extremely slow or faster than normal) nearly everyday.
  6. Fatigue or loss of energy nearly everyday.
  7. Feelings or worthlessness or excessive or inappropriate guilt nearly everyday.
  8. Decreased ability to think or concentrate, or indecisiveness nearly everyday.
  9. Recurrent thoughts  of death, suicidal thoughts with or without a plan or a suicide attempt.

A person doesn’t have to have all of these symptoms to be diagnosed as having major depression, but they have to have the majority of these symptoms for at least two weeks and they can’t be accounted for something else, such as bereavement (i.e., losing someone close to them recently).

Depression has been given a bad name and so many people who feel depressed don’t like to admit to it and may not seek help or even the comfort of a friend when they are feeling depressed. The thing about depression in general is that it is not always a bad thing.As a matter of fact, very often, depression is your minds way of telling you that something in your life is not going the way you want it to go.

Instead of ignoring that feeling or trying to make it go away immediately, it may be a good time to sit with it and evaluate your life and see what is it that is not going the way you want it to go, and if you can change it, then change it, if you can’t, then try to change the way you think about it.

More often then not, this is what depression is and it is possible for a person who is in tune with themselves, to take this self-evaluation, correct the problem(s) and eliminate their symptoms. Other times, a depressed person may need the help of a professional to help them analyze what’s going wrong in their lives and help them learn how to deal with it. And yet, still there are times when medication is needed due to chemical imbalances or if a person gets to the point where they are so depressed that they don’t have the capacity to be introspective.

While most of us have or will experience depression at least once in our lifetimes, major depression can be a very dark and dangerous place. The Center for Disease Control has intentional suicide as the number ten cause of death in the United States last year, killing an estimated 38, 364 people.

10 Tips To Fighting Depression

**First off… if you or someone you know is suicidal, don’t be afraid to call 911 or 1-800-suicide for immediate help**

  • Opposite Actions is a technique from Dialectical Behavior Therapy that basically says, do the opposite of what the depression is telling you to do. If you feel like staying in bed all day, get up and do something. If you feel like blowing off your friends, don’t, call them and force yourself to be out with them.  One of the things about depression is that it is a self-feeding disease. It zaps a persons motivation, makes them want to isolate themselves and stop doing things like going to the gym, all of which end up making the person feel more depressed.
  • Set an alarm that will help you wake up, that will remind you to eat, or to do whatever it is you need to do.
  • Take care of yourself by getting out of your bed, making it, and taking a shower. Letting yourself go is one of the hallmarks of being depressed and will make it easier for you to start avoiding other people.
  • Go outside for at least ten minutes a day. It doesn’t matter where you go, or if you don’t go anywhere. Going outside, getting some fresh air, some sun even, can do natural miracles when battling depression.
  • Exercise. You won’t feel like it, but it will be good for you and will get your blood flowing and your endorphin and dopamine (natural feel good hormones) going.
  • Make a list of activities to do, hopefully some will involve other people.
  • Keep a schedule, that way you can stay on track during the days you don’t feel like doing anything.
  • Make a daily necessity schedule if needed that reminds you when to eat, take  a bath, brush your teeth, etc. Yes, in the middle of severe depression, it’s easy to neglect all these things.
  • Visit people like healthy family and friends. Once again, you will feel like isolating yourself, but having good family and friends around will help pull you out of the fog.
  • Last, but not least, if all self-help fails, do not be afraid to see your doctor or a psychotherapist.  80% of people with major depression who received treatment had significant improvements.

Depression will affect us or someone we know to some degree, and it’s always good to have some idea of what you’re dealing with and how to begin fighting it.

The End Of A Long Week

GETTY_H_030811_SadDepressedYouthTeenI recently just heard about the shooting at Sandy Hook Elementary School and I feel so stuck in a box right now because I am still at the high school I work at and can’t get access to television.

 

Yes I can read it and see pictures on the internet, but it is not the same.

I’ve been busy myself this week with a number of suicidal kids, one suicide attempt and now I am watching a suicidal teenager (yes while writing this) as we wait for a sheriff deputy to come so I can brief them on what’s going on and have them take him to the local psychiatric hospital.

It’s been one of those weeks.

This particular client is hearing voices, has been so for about a year, the same amount of time he has been getting headaches, so I think it’s possible his hearing voices could be medically based.

He’s also states he’s been depressed since he was 8 years old so it’s possible his depression is causing his auditory hallucinations as well.

I don’t know, all I know is that I would like for him to get a full medical evaluation and kept safe from harming himself for the moment, which aren’t things that can be done here so I have to refer him and his family to places where that can be done.

Talking this his family on the phone, they knew that he has been complaining of hearing voices, but never thought enough of it to try to get him help.

Once again, there goes the whole denial of mental illness again.

It’s torturous, almost abusive to deny help to a kid hearing voices that are irritating him, causing him not to be able to concentrate or focus, and causing him to yell out things like “shut up” in the middle of church (talking to the voices).

So on the phone when the family said, “Oh, he’s been hearing voices for awhile”, I stressed to them the immediate importance that he get evaluated if they didn’t want to find him dead over the weekend due to killing himself.

A little shock therapy? Maybe, but I can’t take the chance on this young man killing himself because he is so depressed and can’t take hearing the voices in his head any more. Sure, many people hear voices and aren’t suicidal, but this kid is.

Many times in the school I work at, parents seem to be mis-educated or plain ignorant about mental illness and suicide. They don’t want to talk about it and definitely don’t want to get help about it most of the time, unless it’s going to get them a disability check.

Even then, they will go to the therapist/psychiatrist as needed, get on the medication if needed to fulfill the disability check status, and then either don’t get the prescriptions filled or stop giving it to their kids after the first refill or two.

So many kids I work with have been prescribed medication for depression, anxiety, ADHD, bipolar disorder and even schizophrenia, but haven’t taken medication in almost a year.

Now, I am not a big proponent of psychotropic medication, only referring families for medication evaluations when I think it is absolutely necessary, but these teenagers I am talking about, when not on their medication, are out of control.

These are the kids that are attempting suicide, so depressed that they can’t function, so anxious that they can’t go a whole week without being taking off campus in an ambulance for having a severe panic attack and driving their fellow classmates and teachers crazy with their erratic behavior.

These are the kids that need medication, because no amount of counseling can correct something that is largely chemically based. Yes I can work with them and help them learn to cope better, but if they are so out of it that they can’t take in or practice what I teach them, then counseling won’t work alone.

I guess I should have been prepared for this week and next week. Unfortunately, along with all the blessings of the season, this is also the time of year when we see an increase in student suicidal ideation (thoughts) and child abuse.

My clients, your kids, your students need us to be vigilant and responsive to their signs of distress.

This is not the post I attended on writing today, but maybe I just needed to vent a little. After multiple suicidal kids and just a frantic week of tense, emotionally and mentally unstable clients, I’m looking forward to the weekend.

It’s my time to recharge myself, refill my emotional energy so that I can stay healthy myself, be there for those around me and give it all up again next week.

On Jovan Belcher, Murder-Suicide and Chronic Traumatic Encephalopathy in NFL Players

67-300x210Like a lot of people, I was shocked when I first heard the tragic news that National Football League (NFL) player Jovan Belcher had shot and killed his girlfriend, 22 year old Kasandra Perkins, before killing himself in front of the stadium his team played and practiced at last week.

Shocked at first because here was a guy, 25 years old, in the the prime of his life, making millions of dollars and yet for whatever reason, got to a point where he thought the only way out was to take the life of his 22 year old girlfriend and the mother to his infant child.

I don’t have any intimate details about Jovan Belcher or his relationship with his girlfriend, but I think it’s safe to say that Belcher was not in his right mind when he committed this tragedy and that the biggest victim of this incident is the orphaned child left behind.

I also think it’s safe to say that this was an act of domestic violence, even if the couple had no history of domestic violence, because killing your spouse, even in a fit of rage, is the ultimate act of domestic violence.

In my area, there has been a rash of domestic violence situations that have lead to homicide or murder-suicides lately. Most of these men were mentally/emotionally disturbed individuals.

A lot of times this type of incident comes from the desire to control other people and situations that we cannot control.

Sometimes when someone feels like they have exhausted themselves of every rational choice, they resort to very irrational and in this case, permanent choices that are destructive.

Also, many people who commit suicide often do not plan it, but do so impulsively.This seems to be the case often, especially when it comes to men.

In a fit of anger, irrational thinking, and/or sadness, picking up a gun and pulling the trigger probably wasn’t thought out completely, put an impulsive reaction.

Chronic Traumatic Encephalopathy (CTE) is a degenerative brain disease that is seen in some people who have had multiple concussions or head injuries.

CTE and many similar conditions strike numerous NFL players, boxers, wrestlers, hockey players and soldiers, often leading to poor memory, coordination, depression and impulsive behavior.

Signs of CTE were seen in former NFL player Junior Seau, who shot himself in the chest in 2012. NFL player Dave Duerson, who before committing suicide, sent a text message to his family asking that his brain be donated to the Boston University research center because he felt as if his brain was “sick”.

Other recent NFL suicides include former NFL player Ray Easterling who shot himself in April, and 25 year old NFL player O.J. Murdock who shot himself in July.

Signs of CTE were also seen in an University of Pennsylvania Football player, who abruptly committed suicide in 2010.

Signs of CTE and other degenerative brain conditions are also showing up in Afghan and Iraq war veterans, many of them have committed suicide and other tragic, impulsive acts as well.

I’m not saying that CTE or any other brain condition was the cause of this tragedy, but I think it has to be taken into consideration as well as Belcher’s mental state.

Like in the military, in the NFL and other male professional sports, it’s often not popular to talk about feelings or problems, so men don’t. They hold it in and deal with them in the best way they know how, often ending up in situations where the only way they see out is through destruction of some type (violence, alcohol, drugs, etc.).

Maybe if Belcher had someone he felt he could talk to about what was going on, this wouldn’t have happened, who knows.

I do know that our society discourages men in most cases from talking about how they really feel and that in turn often leads to angry, depressed, damaged, frustrated, and hurt men who sometimes go on to hurt themselves and/or others.

I don’t want to speculate too much on this situation, but I do want us as a society to talk more about men dealing with their feelings and breaking through the stereotypes of manhood and letting men know it’s okay to ask for help.

Six current or former football players have killed themselves in the last two years, four in the last eight months.

Maybe this goes along with the CTE and impulse control theory or with men not talking about their problems theory. In my opinion, in many circumstances it may be a combination of both.

This is disturbing. Even without looking at CTE, this gives us a quick glimpse into the state of men in general when it comes to mental/emotional health.

Inside The Thoughts of a Cutter: A Poem

The other day one of my students who used to cut herself, but hasn’t cut in several months, shared a poem with me she wrote that I thought would be beneficial to share.

I think it gives a quick glimpse into the mind of those who self-injure.

Although she and most of everyone else who was a part of her group I treated for self-injurious behavior have stopped cutting, many of them still fight with the urge to do it when they are faced with certain stressors.

With her permission, I share this poem that has no title.

Depressed and suicidal

Need to escape the misery

Not caring to continue this life

Blood loss has me weary

Scars show my painful past

As the stained blade opens up

Areas of my skin torn and scarred

To be a reminder of a dark past

Mind torn between love and hate

Will I ever be free?

Everyday is a struggle

To be free from this depression

Lost in darkness and misery

Puddles of dried blood stains

From every deep cut that is made

Full of depression and misery

Not worth saving this life of hate.

On Teenage Suicide

Suicide is definitely one of those unpleasant subjects that many people would like to pretend doesn’t exist or at least can’t happen to someone they know and love.

As a matter of fact, one of the most depressing and yet helpful books I’ve ever read was entitled: Psychotherapy with Suicidal People.

On Suicide

Suicide is the second leading cause of death for people between 14 and 25, and about 30,000 people in the United States commit suicide each year.

Since I’ve been working in the mental health field I’ve counseled literally hundreds of people who have either attempted suicide or have thought about suicide seriously enough that they needed hospitalization to keep themselves safe from themselves.

I’ve also assisted in crisis counseling at various schools. It’s extremely depressing to walk into a huge auditorium filled with grieving students and staff after a young person has taken his or her life.

Why Do People Commit Suicide?

This is a question I get asked very often and the answer is simple, yet complex. According the American Foundation for Suicide Prevention, 90% of people who commit suicide had a diagnosable mental illness, but there are other reasons including:

      • Psychological Disorders (i.e., depression, bi-polar disorder, agression, schizophrenia)
      • Bullying
      • Stress
      • Work
      • Money
      • Relationships

For teenagers, bullying seems to be an increasing reason to why teens commit suicide. It’s truly tragic that we live in a society that today is so connected that bullying takes on a whole new life.

Kids are now not only getting bullied at school, but in cyberspace where everyone can see, and yet no one seems to be doing anything.

On December 27th, 2011, Amanda Cummings, a 15 year old, stepped in front of a bus and killed herself after being tormented mercilessly by her bullies. A suicide note was found in her clothes.

I recently starting counseling a teenage girl who’s 20 year old brother hung himself with a dog leash last week. I didn’t know him, but from what she’s said it sounds like he may have had some struggles with depression.

He had gotten into a fight with his girlfriend and told her he was going to kill himself, something he apparently had threatened many times so she didn’t take him seriously. They found him less than an hour later hanging from a tree in the backyard.

And not too long ago here in Orlando, a man killed himself after getting in a fight with his girlfriend, telling her he was going to kill himself, and then drove the wrong way on the interstate killing himself and another motorist in a head on collision.

Other times, there may seem to be no precipitating events.

Two years ago I went to assist in suicide counseling at a high school where a popular and seemingly happy lacrosse player took his own life.

His friends and family were all blaming themselves for not knowing that he felt so sad and alone, but there weren’t many signs as far as I could tell, he seemed to be hiding his emotional pain and struggles very well.

However, in most cases there are signs to look at for.

Suicide Warning Signs Include:

      • withdrawal from friends and family members
      • trouble in romantic relationships
      • difficulty getting along with others
      • changes in the quality of schoolwork or lower grades
      • rebellious behaviors
      • unusual gift-giving or giving away personal possessions
      • appearing bored or distracted
      • writing or drawing pictures about death
      • running away from home
      • changes in eating habits
      • dramatic personality changes
      • changes in appearance (for the worse)
      • sleep disturbances
      • drug or alcohol abuse
      • talk of suicide, even in a joking way
      • having a history of previous suicide attempts

Sometimes the reasons people don’t recognize the signs of suicide is because they are in denial, especially when it comes to those close to them. When dealing with suicide, denying that someone is in need of help can cost them their life.

Suicide Prevention

If you know someone who is thinking about, talking about or you think may be at risk for suicide don’t ignore them. Often times there is a misconception that people who talk about suicide don’t end up killing themselves, but this is untrue.

Many people who end up killing themselves have mentioned suicide to someone directly or in directly, so take them seriously.

If you believe there is an immediate threat call 911, they may need emergency hospitalization. Otherwise they can seek individual and family therapy and there is always the suicide hotline (1-800-SUICIDE).

One Mother’s Experience with Bipolar Disorder and the Importance of Support Groups for Caregivers

The other day I was fortunate to have the opportunity to speak with a former client’s mother about her experiences dealing with her now 19 year old daughter, who was diagnosed with bipolar disorder at the age of 8.

This girl from what I knew of her was extremely unstable, as could be expected from a teenager suffering from bipolar disorder.

Unlike other people suffering from bipolar disorder, teenage girls tend to be even more fickle when you factor in the normal hormones of teenagers as well as social pressures that make even some non-bipolar teens act and feel erratic.

This girl was prone to bouts of depression, mania, impulsivity and explosive anger.

At home her mom had done everything she was supposed to do to support her child including psychotherapy, family therapy and medication, but her daughter was still a hand-full.

When she was in her manic states she tended to have anger directed towards her mother and would at times try to get physical with her and had to be hospitalized several times for suicidal/homicidal ideations.

Her mother tried all she could to pacify her daughter, including painting her room the pretty purple she wanted, only to come home one day and find nearlyevery inch of that wall covered in permanent marker with words directed towards her mother such as “bitch”, “whore” and “I hope you die”.

On top of that she was extremely needy, wanting to be up under her mom 24/7 to the point that she got angry whenever her mom left her and would tear up the house or refuse to go to school.

When she was depressed she would self-mutilate and attempt to kill herself. Her mother would be afraid to leave her alone.

“My biggest fear, even today, is that I will come home and find her dead”, the mother told me.

The biggest thing this mother did that made the most difference was getting educating herself on her daughter’s illness and counseling for herself and joining a support group.

Support groups are invaluable resources that often aren’t utilized enough by those living with or taking care of people with mental illnesses or substance issues.

Through counseling and the support group she learned that she was not alone, that many other parents were on the same roller coaster ride she was on.

She also learned how to change the way she had been dealing with her daughter.

If what you are doing isn’t getting you the results you desire, you have to try something different.

She started accepting that her daughter was going to have good days and bad days, and sometimes within the same day. She also had to understand her role and limitations as the mother of a child with bipolar disorder.

She had to accept that some days she might feel like giving up, or not care when her daughter threatens to hang herself, and that doesn’t make her a bad mother, but it is a sign that she needs to take a break, regroup and seek support herself.

At the end of our reunion I was happy to see that a mother, who just a couple of years ago who was so flustered, angry and exhausted, had turned into a woman not only surviving, but thriving with a daughter suffering from bipolar disorder.

Her and her daughter are doing better, but they are still taking it one day at a time.