08
Nov 24

What I Learned About Mental Illness from the Movies

There are plenty of movies out there that deal with the subject of mental illness. Although I sometimes find the prospect of watching such a movie depressing, I think it’s good to get a different take on the subject. Here is a list of some of the movies I have seen and what I learned from them as a caregiver:

Strange Voices is listed first because it is my favorite. Valerie Harper plays a mom whose daughter is struck with schizophrenia while at college. Somehow, without seeming like a documentary, this movie hits all the issues: stigma, isolation, the effects of de-institutionalization, marriage strain, the limitations of health insurance, and our appalling legal system. It is an incredibly realistic portrayal of what a family goes through when schizophrenia affects a child. It is also heartwarming and ends on a note that is both realistic and hopeful. Truly a masterpiece despite its dated quality.

Benny & Joon with Mary Sue Masterson and Johnnie Depp showed me how a caregiver can become dependent upon the illness. In the movie, Benny looks after his sister Joon, who has had schizophrenia for so many years that he can’t let go of his role even after she no long needs him. As a caregiver, I have been cautioned to maintain a life of my own, and now I see why.

A Beautiful Mind with Jennifer Connelly and Russell Crowe showed me how a caregiver who refuses to give up can restore a life. Connelly nurtures her husband back from schizophrenia. He is luckier than most because his distinguished past and an accepting environment keep him safe and stable.

Black Swan provides an unusual take on the caregiver. I found it interesting that my friends who saw the movie regarded the mother of the girl with schizophrenia as being a cruel and manipulative stage mom. As the mother of a girl with schizophrenia, I saw her completely differently. To me, she seemed warped by the demands of the illness, having held the pieces together for so long that she needed everything to go just right lest it all fall apart. Of course, it does, and the performances of both Natalie Portman (the daughter) and Barbara Hershey (the mother) are brilliant.

Proof features Gwyneth Paltrow as a devoted daughter looking after her brilliant father, played by Anthony Hopkins, who has schizophrenia. The daughter deliberately undermines her own brilliance as she endeavors to return her dad to his former state of greatness. It is a reminder that caregivers can lose themselves in helping a beloved relative. If you love Gwyneth Paltrow (and who doesn’t love Gwyneth Paltrow?) you must see this movie.

Silver Linings Playbook depicts a young man struggling with bipolar disorder following a mental break after his wife has an affair. His well-meaning mother decides that he has been in the hospital for too long and brings him home. His father is stunned by this but insists that he only wants to make sure he is all right. However, we soon learn that mom and dad are not all right themselves. Dad has obsessive compulsive disorder and Mom vacillates between playing along with Dad and trying to keep him from doing too much damage. In-between the two is Pat, the son, who is trying to find a way back to his former life despite his parents’ problems.


06
Nov 24

Should we Call the Therapist or the Psychiatrist?

PsychoticEpisode.jpg“Pay attention to your teen’s current appearance and habits, observing posture, hygiene, and level of awareness.”

When your teen’s symptoms spike, it can be difficult to tell whether it is an emotional issue or a medicine issue. Many times I found myself wondering whether to call the therapist or the psychiatrist. Along the way, I found it useful to ask myself a few questions.

Has There Been a Change in my Teen’s Medicine?

Begin by asking yourself whether your teen has missed any doses. This is where a seven-day pill dispenser comes in handy. If your teen is symptomatic, you can easily check to see if any medicine was forgotten. Next, ask yourself whether your teen has been getting their medicine at the same time every day, since regularity is important. Any of these issues are easy to correct at home.

On the other hand, if the doctor has changed your teen’s medicine  or dosage within the past two weeks, suspect the medicine and call the psychiatrist.

Has There Been a Change in my Teen’s Routine?

If your teen has been on summer break for several weeks, the lack of structure may be affecting their mood. Think about your teen’s days and whether there have been significant changes, such as the end of a sports season. Lack of exercise can lower a teen’s mood or make them sleepy. Travel, or even having a guest come stay at the house, can unsettle a teen’s sense of well-being. This is especially the case with bipolar disorder–irregularity is the enemy here. Teens with schizophrenia need some alone time each day, so if your family is vacationing in hotel rooms and your teen does not have a quiet, private place to de-stress, anxiety and other symptoms may become more prominent.

Is My Teen Under New Stress?

Teens will by more symptomatic when experiencing a conflict at school or with a friend. Also, times of transition can bring on stress, including the start of a new school year or semester, exams, or graduation.

Conclusion A: It’s Time to Call the Therapist

If you ask your teen whether there is something the therapist needs to know about, and the answer is yes, call immediately. If your teen won’t talk at all, call the therapist. When you get there, go in for the first few minutes and explain what you’ve observed at home. Let the therapist take it from there.

Conclusion B: It’s Time to Call the Psychiatrist

If you conclude that your teen isn’t experiencing any new stressors or changes, suspect the medicine. Pay attention to your teen’s current appearance and habits, observing posture, hygiene, and level of awareness. Think back to the time before treatment with medicine began. For example, if your teen walked with a slump and seemed confused before treatment and you are seeing this again, call the psychiatrist.

While you’re sorting things out, ask your teen’s opinion about whether this is an issue for the therapist or the psychiatrist. Often, their instincts will provide the correct answer. It’s also a good idea to involve your teen in the decision so they can figure it out on their own in the future.