When Karla and I were first married we made the choice to be insured by Group Health of Washington. The rates were higher than a regular major medical policy (a little over $200 a month for our whole family) but in exchange for the higher premiums we had no copay, no deductible, and enjoyed the care of the medical staff at our local clinic. Our first two children were delivered under this policy. No additional cost. Katie was hospitalized for asthma. No additional cost. We were well cared for.
Then when we went to seminary we learned about the way insurance works. Though we were insured now by the church's insurance plan, they were quick to inform us that there would be no coverage for our daughter's asthma for 18 months. We were on our own. We managed thanks to the good fortune of her not requiring any subsequent hospitalizations.
For the next twenty five years we were covered under the Church's policy, and in general we were satisfied. As compassionate as the Church is supposed to be, though, insurance is insurance and we eventually came to realize what that meant. During my first bout with depression, I discovered that mental health benefits were not covered like other medical issues. I ended up thousands of dollars in debt, and there wasn't even any hospitalization. The Synod even helped out with thousands of dollars of support during that time. Still, I went into significant debt.
In my last major period of need, two major things had changed because of Obama Care. First of all, mental health benefits were the same as any other claims. And second of all, chemical dependency treatment was also covered. This continued throughout the time of my disability as well.
Then, out of the blue, I was terminated from disability. With that health benefits ended. I was offered the option of continuing my coverage through COBRA. The cost of basic health care would be almost $3,000 per month, pricing way beyond our means. Insurance companies, even the Church's insurance (they are self insured), will do whatever they can legally do to maximize their profits and minimize their expenses.
And now we are at the point that Congress is attempting to repeal and replace Obama Care. What will that mean?
One of the things that is reported about the current legislation that just passed the House, is that though insurance companies will be required to cover pre-existing conditions, they may charge more for them. I fear that will simply open the door for insurance companies to do what they have always tended to do, which is maximize their profits and minimize our benefits. So you have a pre-existing condition? Yes, we will cover it, but your premiums will be so expensive that most of you won't be able to afford it. This amounts to no insurance at all. Its like Portico Benefits offering me COBRA insurance for $3,000 a month, knowing full well I couldn't afford it.
I have been insured my entire life, but life circumstances have resulted in a few changes in insurance carriers. And after 60 years of living I have numerous preexisting conditions. It angers me to no end that insurance companies may now be allowed to do things such as charge older people as much as five times the normal rate for insurance, or likewise, charge high enough premiums to exclude those of us with preexisting conditions from coverage.
I cannot for the life of me understand Republicans in this regard.
I had a colleague and friend who worked in the medical field. She was highly critical of Obama Care. It was such a bad thing. I couldn't believe it. She has a son who has all sorts of medical issues, enough to fill filing cabinets with his charts. He is the very definition of preexisting conditions. Not only did Obama Care allow for him, with all his major medical concerns to remain on his parents policies til he was 26, but it also allowed for him to be insured when he becomes independent, in spite of the preexisting conditions. Is that such a bad thing?
Insurance that actually covers us when we need it may be more expensive than insurance that does not cover us when we are sick. But then why have insurance? If you can only get coverage when you are well, you don't need it.
I personally don't think Obama Care is the best solution. I loved Group Health. Their philosophy was to focus on preventative care, catching things before they got serious, and managing costs in a patient friendly manner. Loved it.
I also look forward to five years from now when we will experience a single payer system, called Medicare. Then the only question will be what kind of supplement we will have.
I personally believe that Medicare for all should be an option. Of course, I also believe that everyone should be able to access appropriate health care. Apparently Republicans don't feel that way. At least they don't vote that way.
Give insurance companies an inch and they will take a mile. That's their nature.
For now, I will simply try to work my way through my anger at the House Republicans and all who support them. And hope that the Senate saves the day.
Saturday, May 6, 2017
Sunday, April 16, 2017
An Easter Faith in a Bipolar World
It was four years ago on Easter that I wrote my letter of resignation from First Lutheran in Sandpoint, ID. It was an exhilarating experience, actually, as I shed the weight of the burden that my ministry there had become. It was as if I had died, and now was made alive.
My life changed course. What I determined was that I would now apply myself wholeheartedly to my next enterprise, Olsons WoodWorks. Optimism overflowed. I had been in business before, back in the 80's in Gig Harbor, WA. Only this time would be different. I would have the courage to make the investments needed to be successful. I immediately set out to purchase a CNC router, at a cost of over $50,000, as well as upgrading some of my other equipment. Furthermore, I invited my son to enter the business with me. Together we'd make a killing.
I had not yet been diagnosed as being bipolar. That would come shortly.
And what I certainly didn't realize was that the resurgence of my activity, and renewal of my spirit was not a 'resurrection' experience, where one who was once in the grip of death, in my case having nearly died, was now made alive. I was simply cycling into a full blown manic phase. Depression set back in in short order, though. First some neighbors complained about the noise being generated by my CNC. And second, the phone didn't ring off the hook with orders.
The depression and lack of work became debilitating. There were days I could do little else than lay on the couch. My productivity in the shop was greatly compromised. The business in the end was a failure, though I was able to create some great pieces. We simply couldn't generate enough income to pay wages, let alone realize a profit. Thankfully, at that time I remained on disability so that we had enough to survive on.
Another Easter dawns this morning. And life has changed.
There was not a resounding clap of thunder, and a wild swing from the depths of depression into a manic high that marked my regaining my life. Rather, having been medicated with Lamictal, my climb out of depression was a long and arduous journey, one day at a time. I had my disability benefits abruptly terminated, and that forced me to seek employment which I found in a cabinet shop. At times the work was shear drudgery. But that discipline, combined with plenty of therapy and medication resulted in the end with achieving a balanced mood, not too high, not too low.
I'm now able to resume my ministry. A highlight for me these last two weeks was being able once again to preach extemporaneously. No notes. No 'safety net'. Just me and the Word, guided by the Spirit. And with it a feeling that "I'm Back!"
Such is my Easter Faith in this Bipolar World. The powers of death have been defeated. Life is victorious. Faith is restored.
Its not just about keeping the manic and depressed cycles at bay, it is that these powers of darkness and death have been overcome by the gift of life.
For this I am deeply grateful.
Christ is Risen, he is risen indeed! Alleluia!
And we whose lives are hidden in Christ in God, are also raised with him. Alleluia. Amen.
My life changed course. What I determined was that I would now apply myself wholeheartedly to my next enterprise, Olsons WoodWorks. Optimism overflowed. I had been in business before, back in the 80's in Gig Harbor, WA. Only this time would be different. I would have the courage to make the investments needed to be successful. I immediately set out to purchase a CNC router, at a cost of over $50,000, as well as upgrading some of my other equipment. Furthermore, I invited my son to enter the business with me. Together we'd make a killing.
I had not yet been diagnosed as being bipolar. That would come shortly.
And what I certainly didn't realize was that the resurgence of my activity, and renewal of my spirit was not a 'resurrection' experience, where one who was once in the grip of death, in my case having nearly died, was now made alive. I was simply cycling into a full blown manic phase. Depression set back in in short order, though. First some neighbors complained about the noise being generated by my CNC. And second, the phone didn't ring off the hook with orders.
The depression and lack of work became debilitating. There were days I could do little else than lay on the couch. My productivity in the shop was greatly compromised. The business in the end was a failure, though I was able to create some great pieces. We simply couldn't generate enough income to pay wages, let alone realize a profit. Thankfully, at that time I remained on disability so that we had enough to survive on.
Another Easter dawns this morning. And life has changed.
There was not a resounding clap of thunder, and a wild swing from the depths of depression into a manic high that marked my regaining my life. Rather, having been medicated with Lamictal, my climb out of depression was a long and arduous journey, one day at a time. I had my disability benefits abruptly terminated, and that forced me to seek employment which I found in a cabinet shop. At times the work was shear drudgery. But that discipline, combined with plenty of therapy and medication resulted in the end with achieving a balanced mood, not too high, not too low.
I'm now able to resume my ministry. A highlight for me these last two weeks was being able once again to preach extemporaneously. No notes. No 'safety net'. Just me and the Word, guided by the Spirit. And with it a feeling that "I'm Back!"
Such is my Easter Faith in this Bipolar World. The powers of death have been defeated. Life is victorious. Faith is restored.
Its not just about keeping the manic and depressed cycles at bay, it is that these powers of darkness and death have been overcome by the gift of life.
For this I am deeply grateful.
Christ is Risen, he is risen indeed! Alleluia!
And we whose lives are hidden in Christ in God, are also raised with him. Alleluia. Amen.
Thursday, March 30, 2017
Being Me, And Only Me
Having gone through as much psychotherapy as I have, I'd like to think that I've established better personal boundaries. I am growing in my understanding about who I am and who I am not. Even more so, I like to believe that I've become much more comfortable just being me, and only me.
Over the years I've spent in ministry I've struggled with being torn between simply being me, and attempting to be that which will please others, specifically my parishioners who often seemed to have some quite explicit expectations about who I should be. For better or for worse, I am who I am and there is little to be gained and much to be lost in trying to be anything else.
Case in point. Throughout much of my career I kept my political inclinations strictly to myself, and with the exception of those who worked at the polling places, no one knew whether I was a registered Democrat or Republican. Living in Idaho, a very Republican part of the country, populated with some very conservative, right wing Republicans, I often felt it was a matter of professional survival to keep my Democratic inclinations under wrap.
And then there was the day that I shared with a trusted parishioner, "Gee, I wonder how they would react if they knew I was a Democrat?" The response was straight forward. "Oh, we've all figured that out long ago."
One encounters some risks with being honest about one's identity. Especially in this highly polarized climate that we live in. "I've never understood how one can be both a Christian and a Democrat, especially a pastor." Actual quote from a parishioner. Part of my mission, I've decided is to challenge such presumptions.
Other areas of my life also have found me drawn to being very open and forthright about who I am. I write this blog about being Bipolar. There is a lot of stigma about being mentally ill, even when one is well treated. And yet if people like me are not open about our struggles how will other people ever come to appreciate that mental illness is not some grave condition that is to be feared. I live a quite normal life now. I'm bipolar but functioning. Its good for people to know that.
Neither am I ashamed to admit I'm a recovering alcoholic. I should have been ashamed, perhaps, when I was drinking like a fish. But, I wasn't. I'll always remember the words of an alcoholic that led an AA Meeting in my congregation in Baker. I was expressing my concern about maintaining their privacy and anonymity as they met, and he responded, "The whole world saw me when I was drunk, why would I care if they see me now that I'm sober."
There is a risk about being honest about who you are. You might experience rejection. But if people never know who you are you will never experience true acceptance either. Perhaps you will be able to create a public image of yourself that is 'acceptable', but to the extent that image is not who you really are, they are not accepting the real you.
And so I've resolved to rise or fall on the basis of who I am, and only who I am. People who have read this blog over the years have a pretty good idea of who I am. Although there is a lot I have not included here just because its not part of the focus of the blog. But of that material that is included, know this, that I've sought to be as honest as I can be.
In the end, we only have one life to live. Given that one shot at life, I believe it is better to live our own life, than pretending to be someone other than who we are. That would be a waste of everything.
Over the years I've spent in ministry I've struggled with being torn between simply being me, and attempting to be that which will please others, specifically my parishioners who often seemed to have some quite explicit expectations about who I should be. For better or for worse, I am who I am and there is little to be gained and much to be lost in trying to be anything else.
Case in point. Throughout much of my career I kept my political inclinations strictly to myself, and with the exception of those who worked at the polling places, no one knew whether I was a registered Democrat or Republican. Living in Idaho, a very Republican part of the country, populated with some very conservative, right wing Republicans, I often felt it was a matter of professional survival to keep my Democratic inclinations under wrap.
And then there was the day that I shared with a trusted parishioner, "Gee, I wonder how they would react if they knew I was a Democrat?" The response was straight forward. "Oh, we've all figured that out long ago."
One encounters some risks with being honest about one's identity. Especially in this highly polarized climate that we live in. "I've never understood how one can be both a Christian and a Democrat, especially a pastor." Actual quote from a parishioner. Part of my mission, I've decided is to challenge such presumptions.
Other areas of my life also have found me drawn to being very open and forthright about who I am. I write this blog about being Bipolar. There is a lot of stigma about being mentally ill, even when one is well treated. And yet if people like me are not open about our struggles how will other people ever come to appreciate that mental illness is not some grave condition that is to be feared. I live a quite normal life now. I'm bipolar but functioning. Its good for people to know that.
Neither am I ashamed to admit I'm a recovering alcoholic. I should have been ashamed, perhaps, when I was drinking like a fish. But, I wasn't. I'll always remember the words of an alcoholic that led an AA Meeting in my congregation in Baker. I was expressing my concern about maintaining their privacy and anonymity as they met, and he responded, "The whole world saw me when I was drunk, why would I care if they see me now that I'm sober."
There is a risk about being honest about who you are. You might experience rejection. But if people never know who you are you will never experience true acceptance either. Perhaps you will be able to create a public image of yourself that is 'acceptable', but to the extent that image is not who you really are, they are not accepting the real you.
And so I've resolved to rise or fall on the basis of who I am, and only who I am. People who have read this blog over the years have a pretty good idea of who I am. Although there is a lot I have not included here just because its not part of the focus of the blog. But of that material that is included, know this, that I've sought to be as honest as I can be.
In the end, we only have one life to live. Given that one shot at life, I believe it is better to live our own life, than pretending to be someone other than who we are. That would be a waste of everything.
Saturday, March 4, 2017
Am I depressed, or is life just depressing. . .?
I am a card carrying liberal Democrat. Given the current state of affairs in our country, that alone is depressing. What's most depressing is not that a Republican is in office, but that the Republican party is so blind to their own. Had Hillary Clinton done any number of the things that have already transpired in the Trump campaign/presidency, there'd be countless congressional investigations underway. How bad will it have to get before Republicans step up to the fore and do what is right. Some are, but they are the minority. Depressing.
I have been delighted to be back in ministry. It feels good. It feels like my life's calling once again. But it is also depressing.
My little congregation is in need of redeveloping. Attrition has taken its toll. I don't know that there is any one thing that needs fixing in order to right the ship. I'm more concerned that we live in an age where making the case for any form of 'organized religion' is a hard sell.
One of my projects has been to use Facebook as a means of outreach into the community. Brief synopses of my sermons and other posts are 'boosted' and distributed to households throughout our service area. Many of those posts reach upwards of 2,000 homes, and there are many who respond with likes, and a few comments. What hasn't happened yet is for anyone, on the basis of those posts, to take the big leap and actually visit worship at Peace Lutheran.
I resolve to faithfully put forth Biblically sound messages. I frequently recall the verses from Isaiah 55:
I have been delighted to be back in ministry. It feels good. It feels like my life's calling once again. But it is also depressing.
My little congregation is in need of redeveloping. Attrition has taken its toll. I don't know that there is any one thing that needs fixing in order to right the ship. I'm more concerned that we live in an age where making the case for any form of 'organized religion' is a hard sell.
One of my projects has been to use Facebook as a means of outreach into the community. Brief synopses of my sermons and other posts are 'boosted' and distributed to households throughout our service area. Many of those posts reach upwards of 2,000 homes, and there are many who respond with likes, and a few comments. What hasn't happened yet is for anyone, on the basis of those posts, to take the big leap and actually visit worship at Peace Lutheran.
I resolve to faithfully put forth Biblically sound messages. I frequently recall the verses from Isaiah 55:
10 For as the rain and the snow come down from heaven,
and do not return there until they have watered the earth,
making it bring forth and sprout,
giving seed to the sower and bread to the eater,
11 so shall my word be that goes out from my mouth;
it shall not return to me empty,
but it shall accomplish that which I purpose,
and succeed in the thing for which I sent it.
My soul and spirit cry out that "it is your Word, God, do something with it in the hearts of the people."
Yet week after week, the regulars show up, and rarely a visitor. We are looking for a few good, folks. Actually, even a few good sinners in need of forgiveness would do.
One of the things I have encountered out there is an anti-Evangelical Lutheran Church in America sentiment. There is a "righteous" indignation out there focused at us and other mainline churches that have decided in recent years that we would no longer condemn gay and lesbian people, but rather welcome them, and yes, even allow for their marriage and ordination.
What is most depressing about this is that there are so many people that are so deeply prejudiced and judgmental about gay and lesbian people. "We welcome gay and lesbian people, but if you are to be in leadership in our church you must conform to a 'biblical lifestyle'". That sounds good, I suppose, but there is not the same demand of others.
Jesus is not recorded in the scriptures as saying one bit about homosexuality, even though it was a very well known aspect of the Greco-Roman world in which he lived. He did, however, have much to say about divorce. Divorce and remarriage are identified by Jesus as being adulterous. And adultery, for the record, made the "Top Ten" of laws, etched in stone by the hand of God. Right in between murder and stealing. If it is not only divorce, but divorce AND remarriage that is adulterous, what would true repentance look like, the type of repentance being demanded of gay and lesbian people prior to their inclusion in the Church?
If you want to be that type of Church, and exclude divorced people along with gay and lesbian people, then at least you'd be consistent. And I'd have a request of you. As you kick the divorced people out of your churches, send them our way. Remember, we are the ones carving out our niche in the world welcoming sinners.
Thankfully, in most Christian circles, grace abounds when it comes to divorced people. What is depressing to me is that this same gracious attitude does not extend to gay and lesbian people. Ah, we can be so righteous in our judgments. Until we look in the mirror.
All this I find rather depressing.
But perhaps it is because it IS depressing, not because I am depressed.
This I think is the balancing act for one who has bipolar disorder and yet still must deal with the world as it is. We have to be vigilant in guarding against plummeting into depression. But at the same time, life naturally has its ups and downs, its ebbs and flows, its highs and lows. Sometimes we are depressed, not because of a major misfire in our brains, or because of a chemical imbalance, but simply because the circumstances that we are dealing with are depressing. And that is alright. Its natural. Its healthy.
Sunday, February 19, 2017
Mental Health and the Presidency
Dear Mister President,
You could make it a little easier here. Life is difficult enough for a person living with a mental disorder. You're not helping.
Let me say first that I'm not in a position to diagnose you, though there are others who are venturing a guess. I've heard of one prominent mental health professional who is convinced you are suffering from "Malignant Narcissism". I had to check that out. Psychology Today had an article which described it as:
"Fromm called such people 'malignant narcissists,' people out of touch with reality, who exhibit more and more extreme behaviors as the pressures of living up to their delusion of perfection mount, and as they inevitably become exposed to scrutiny and criticism. All too often, enraged by challenges to their fantasy of omnipotence, they lead their followers on to acts of violence, against others or even against themselves. In cults, we have the examples of this horrific violence in the Manson Family, Heaven’s Gate, Jim Jones, and many, many others. When it comes to political leaders, the history of the 20th century, the extreme nationalistic narcissism that proclaims the exclusive validity of one nation and the right to deny life and freedom to members of another; the mass murders perpetrated by its dictators—this horrific, tragic history is still being written, and still being perpetrated."
Let me say first, that I would suppose that a certain degree of narcissism is probably an occupational hazard of being President. In order to even function in that job, there has got to be a bit of "He-man" in one's psyche, "I have the power!" I sense that in you over the last few weeks.
What concerns me, based on my own experience of a person with a mental illness, is that there is a fine line between living with a manageable disorder, and slipping into behaviors that are simply bat ass crazy. From what I've seen and heard from you and your supporters I'm particularly concerned about what Fromm describes as "nationalistic narcissism". You see, it begins with a statement like "America First. Only America First." That sounds eerily similar to "Deutchland Uber Alles". When its reported that at one point you said, "we have nukes, why can't we use them?", these concerns skyrocket. (Maybe that's not an accurate report, but that people jumped all over it shows their concern.)
My own experience is that a mentally ill person cannot, while in a active state, have any sense of their own health. We live in a world of an altered reality. Our perceptions appear to us as being valid, while the rest of the world seems crazy. Usually this persists until a point at which we become so dysfunctional that we can no longer defend ourselves and resist the interventions that our loved ones attempt. I once saw a sign in a psychiatrist's office that said "Your assertion that you are sane and the rest the world is crazy may be true, but at least they are functioning."
Personally, were I President, I think that a psychiatrist would have a prominent place in my medical team. (In my manic moods, I actually think about being president. And in a manic phase I am capable of some incredible, really incredible things. The irony is that if I allowed myself to be treated for my mania, I probably wouldn't be able to do all the things I would envision doing if I were President.)
What I find curious, and concerning, is that there are many professions, my own included, that require a full psychological evaluation as a condition of serving. All you have to be is a United State's citizen that is 35 years old. I understand that there are some provisions in our governing documents that allow for the removal of a president if their health, physical or mental, prevents them from functioning. But things have to get pretty bad for that to happen. Some of us wonder if President Reagan was already in the early stages of Alzheimer's disease while he was still president. And how bad would it have to have been for someone to declare him unable to continue serving.
What am I getting at?
I believe that anyone who is President ought to, for the sake of the country, submit themselves to thorough psychiatric evaluations, along with their medical checkups, and be constantly monitoring their emotional and psychological health. When I returned to ministry, after a period of being on disability, I made that commitment.
What would make life easier for all people living with mental illness this: That there might be examples, role models if you will, of people who are committed not only to treating known mental health conditions, but doing everything to insure and maintain a healthy psychological state. I think of all the publicity that living "heart healthy" gets, e.g., many restaurants even mark 'heart healthy' options on their menus, and I wonder why don't we have the same emphasis for mental health.
As far as being the President goes, my concern is this. The pressures of being the leader of the "free world" are such that it could drive even the most sane person into a state of being bat ass crazy. One need only study the history of the world to find many examples of this.
Our country has its checks and balances that are supposed to keep us safe from individuals that are out of control. But they have been compromised. It used to be that congress had to authorize military intervention with a declaration of war. Now, a President can easily get us thoroughly involved in military actions without prior authorization from anyone. The risks are high.
It would be a great comfort to the nation and the world to know, that the President's mental health was a high priority to maintain as a matter of national security.
This is not a partisan issue. Though I am personally a liberal Democrat, I can and have accepted the leadership from moderate and conservative Republicans. I live in Idaho, after all. My desire is not that a President be Democrat or Republican, but that the whole country can be assured that they are well cared for so that they are always functioning from a state of mental health and stability.
I hope that you will commit yourself to this task, and take care of your own health and stability.
You could make it a little easier here. Life is difficult enough for a person living with a mental disorder. You're not helping.
Let me say first that I'm not in a position to diagnose you, though there are others who are venturing a guess. I've heard of one prominent mental health professional who is convinced you are suffering from "Malignant Narcissism". I had to check that out. Psychology Today had an article which described it as:
"Fromm called such people 'malignant narcissists,' people out of touch with reality, who exhibit more and more extreme behaviors as the pressures of living up to their delusion of perfection mount, and as they inevitably become exposed to scrutiny and criticism. All too often, enraged by challenges to their fantasy of omnipotence, they lead their followers on to acts of violence, against others or even against themselves. In cults, we have the examples of this horrific violence in the Manson Family, Heaven’s Gate, Jim Jones, and many, many others. When it comes to political leaders, the history of the 20th century, the extreme nationalistic narcissism that proclaims the exclusive validity of one nation and the right to deny life and freedom to members of another; the mass murders perpetrated by its dictators—this horrific, tragic history is still being written, and still being perpetrated."
Let me say first, that I would suppose that a certain degree of narcissism is probably an occupational hazard of being President. In order to even function in that job, there has got to be a bit of "He-man" in one's psyche, "I have the power!" I sense that in you over the last few weeks.
What concerns me, based on my own experience of a person with a mental illness, is that there is a fine line between living with a manageable disorder, and slipping into behaviors that are simply bat ass crazy. From what I've seen and heard from you and your supporters I'm particularly concerned about what Fromm describes as "nationalistic narcissism". You see, it begins with a statement like "America First. Only America First." That sounds eerily similar to "Deutchland Uber Alles". When its reported that at one point you said, "we have nukes, why can't we use them?", these concerns skyrocket. (Maybe that's not an accurate report, but that people jumped all over it shows their concern.)
My own experience is that a mentally ill person cannot, while in a active state, have any sense of their own health. We live in a world of an altered reality. Our perceptions appear to us as being valid, while the rest of the world seems crazy. Usually this persists until a point at which we become so dysfunctional that we can no longer defend ourselves and resist the interventions that our loved ones attempt. I once saw a sign in a psychiatrist's office that said "Your assertion that you are sane and the rest the world is crazy may be true, but at least they are functioning."
Personally, were I President, I think that a psychiatrist would have a prominent place in my medical team. (In my manic moods, I actually think about being president. And in a manic phase I am capable of some incredible, really incredible things. The irony is that if I allowed myself to be treated for my mania, I probably wouldn't be able to do all the things I would envision doing if I were President.)
What I find curious, and concerning, is that there are many professions, my own included, that require a full psychological evaluation as a condition of serving. All you have to be is a United State's citizen that is 35 years old. I understand that there are some provisions in our governing documents that allow for the removal of a president if their health, physical or mental, prevents them from functioning. But things have to get pretty bad for that to happen. Some of us wonder if President Reagan was already in the early stages of Alzheimer's disease while he was still president. And how bad would it have to have been for someone to declare him unable to continue serving.
What am I getting at?
I believe that anyone who is President ought to, for the sake of the country, submit themselves to thorough psychiatric evaluations, along with their medical checkups, and be constantly monitoring their emotional and psychological health. When I returned to ministry, after a period of being on disability, I made that commitment.
What would make life easier for all people living with mental illness this: That there might be examples, role models if you will, of people who are committed not only to treating known mental health conditions, but doing everything to insure and maintain a healthy psychological state. I think of all the publicity that living "heart healthy" gets, e.g., many restaurants even mark 'heart healthy' options on their menus, and I wonder why don't we have the same emphasis for mental health.
As far as being the President goes, my concern is this. The pressures of being the leader of the "free world" are such that it could drive even the most sane person into a state of being bat ass crazy. One need only study the history of the world to find many examples of this.
Our country has its checks and balances that are supposed to keep us safe from individuals that are out of control. But they have been compromised. It used to be that congress had to authorize military intervention with a declaration of war. Now, a President can easily get us thoroughly involved in military actions without prior authorization from anyone. The risks are high.
It would be a great comfort to the nation and the world to know, that the President's mental health was a high priority to maintain as a matter of national security.
This is not a partisan issue. Though I am personally a liberal Democrat, I can and have accepted the leadership from moderate and conservative Republicans. I live in Idaho, after all. My desire is not that a President be Democrat or Republican, but that the whole country can be assured that they are well cared for so that they are always functioning from a state of mental health and stability.
I hope that you will commit yourself to this task, and take care of your own health and stability.
Saturday, January 21, 2017
Culprit or Cure
Some of them are inexpensive. On the other hand, one of those bottles contains a ninety day supply of Abilify, which in its generic form is somewhere in the neighborhood of $2,000. Rozerem, a sleep medication, is also up there. Thankfully there is insurance.
I struggle with the medications, though I know they are necessary and my life is manageable because of them. The struggle is that the human body doesn't always respond well to this amount of foreign chemicals being introduced to it.
Side effects. The small print at the bottom of the page. Some of those are immediately apparent. Some develop over time.
I'm on an alternative treatment for cholesterol because the statins created so much muscle pain I would have rather died young than lived like that. The new treatment works.
Currently I'm dealing with another series of side effects.
Let's just say that I'm discovering all the ways to 'dysfunction'.
Every time an issue comes up there is the mysterious little debate. Is this a new problem on its own right? Is this being caused by one of the medications you are on? If so, which one? And if you have that all figured out, what are the alternatives? And is there any insurance that the alternative is better, or at least less harmful, than the original?
This last go round, I was sure that the culprit was my antidepressant. When I consulted with my doctor the answer was probably not, but quite likely my blood pressure medication. So I went of the blood pressure medication, and my blood pressure went up 30 points over night.
Then I visited with my psychiatrist who said, "Well, yes, that's quite possible. But did the Dr. tell you that you might have to be off the Toprol XL for over a year before you see any improvement?"
So what that means is that we could go a whole year and not know if the Toprol XL was the problem or not. It is frustrating.
In the meantime, I will likely be put back on a different class of blood pressure medication, and perhaps even a new medication to counteract the side effects of the other medication. Who knows? And with every change of medication there is a concern about how that effects the overall balance with all the other medications.
Better living through chemicals.
Well, sort of-- I'm stable. But there's a price.
Sunday, January 1, 2017
Instability, or perhaps it was just the flu shot.
There are times I wonder why I continue to write this blog as I have been so stable that it seems I have little to say about being bipolar. Of course, perhaps the most important thing I have to say is that with proper management and medication, bipolar people can live their lives with relatively stable moods.
And then there are other times when the instability of my situation comes into play.
Family of origin issues are major triggers for instability. So much so that at times I wish I didn't have a family of origin, except for the fact that without one I would not be. Oh, the dilemma.
The basic situation is straight forward. My father owns a home on Flathead Lake. He is enjoying good health and a long life. He lives now in a senior housing community. He has long term care insurance, but his good health precludes him from using it. He has had an adequate pension, but his long life has resulted in those resources being depleted.
And so it is time to for him to consider selling the place on the lake. Our first choice would be to keep it in the family, and one sibling is considering buying it, but doesn't want to create division in the family. Another sibling is adamantly opposed to its being sold, which ironically may result in it having to be sold outside of the family. And still others have no problem with the sale and use of the proceeds to provide Dad the resources he needs at this time. Complex issues and interpersonal dynamics.
Having been informed of the various issues surrounding the decision (which for the record will in the end be Dad's decision, not ours) I found myself plunging into a depressed state yesterday. All I wanted to do was sleep, but I couldn't. I lost my appetite, and left half of my steak dinner on the plate. I welcomed in the new year by going to bed at 6:30 pm, and waking almost in time to say hello to 2017, 12:15 am.
I write in self defense. Writing has become a means for me to protect myself from these mood swings, to center myself, and reestablish some equilibrium.
And then another thought comes into play. Earlier last week I had my annual physical and with that, a flu shot. Perhaps what I was experiencing health wise was simply a reaction to the flu shot. It's hard to tell.
Coping. If I've learned anything through all the counseling I've participated in it is this: It doesn't matter what happens, what matters is how we respond to what happens. Secondly, we set our boundaries. We do not let others drive our moods. That will at times mean keeping others at arms length, of refusing to engage.
The struggle is how do we balance the need for personal intimacy with others, while limiting the vulnerability that such intimacy entails.
I wish I had the answer to that question. The more engaged I am with others, the more likely that I will experience violent mood swings. But the alternative is to fall into isolation, and with that, depression.
I thank God for our grandchild. Jasper is a constant source of delight. Just watching him grow and develop is good medicine for the soul.
There are times I think that it would be a good idea to sell our home and move closer to my work. (My commute is 40 miles one way to the cabinet shop, an additional 20 miles to the church.) But the cost of moving would be that it would become more difficult to pick up hot fudge Sundaes and go spend a few minutes of delight with Jasper.
Finally, there is the dream world. Dreams have been, uh, shall I say entertaining of late.
This morning I had a dream (inbetween the first 12:15 wake up, and the 2:15 get up). It began with forgetting to bring a printed copy of my sermon to worship. When I arrived at church I discovered that in the process of installing all sorts of hi-tech equipment we had lost internet capability and I was not able to access my "drop box" to print off my sermon there. Over the course of the dream, our little congregation's sanctuary morphed into a multi level mega Church sanctuary. Many people from my past were part of the congregation. But most entertaining of all was that while I was busy trying desparately to down load my sermon (which you can read at wanderingsthroughtheword.com, Year A, The Name of Jesus, Yeshua -- Yes my dream included my actual sermon for today) the service started without me. The opening of the service involved a traveling troupe of transvestite entertainers (they came highly recommended) that were leading the congregation in an activity, a holy 'water wars' type of game (alla Bible Camp) in remembrance of our baptism.
I kid you not. That was the dream.
I now have a vision of how to redevelop my little congregation into a mega Church. . .
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