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Published - Wednesday, May 24, 2006

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Schizophrenia, bipolar disorder: Coping with a crippling mental divide


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Pam Maus has tried to commit suicide many times, mostly by an overdose of pills.

The 41-year-old La Crosse woman has been in and out of state hospitals. She said she has had trouble functioning to the point that she can’t keep a full-time job, and her two children were taken away from her due to her mental illness.
Maus has a form of schizophrenia known as schizoaffective disorder, in which people have symptoms of schizophrenia and a major mood disorder such as depression.

She has experienced hallucinations and delusions along with depression and anger. She said she has flashbacks to her childhood, when she was sexually abused.

Maus said she cut herself with a razor and burned herself with a cigarette many times.

“I haven’t been allowed to feel,” she said. “The burning and cutting helps with the trauma and stress.”

She has been in therapy and on medication for 14 years. Maus now lives in a group home and hopes to transfer next to a foster home before returning to independent living.

“I feel pretty stable now. I’m hopeful I can function and live on my own some day,” she said.

Maus said she often stops by Recovery Avenue, known as RAVE, a drop-in center in La Crosse for people with mental illness.

Dr. George Melnyk, a psychiatrist and chairman of Franciscan Skemp’s psychiatry department, said schizophrenia is a complicated disease that can totally incapacitate a person. “They live in a world in themselves, with delusions and hallucinations,” he said.

Melnyk said schizophrenia and bipolar disorder, though both quite disabling, differ in that people with bipolar disorder can function, he said.

“They have unbelievable energy and are good workers,” he said. “Bipolar is a mood disorder, and one of the most difficult to diagnose and treat.”

Julie McDermid, a mental health specialist with Independent Living Services in La Crosse, was diagnosed with bipolar disorder in 1998. She said she struggled in high school and college with an eating disorder and depression.

McDermid, 37, who was sexually assaulted as a child, said she had a breakdown several years ago.

“I didn’t care for my house anymore, and it was a mess,” McDermid said. “Rodents were all over the place. I was hearing voices, and I thought people were following me. I was also cutting myself with razors.

“I was locking myself in the house,” she said. “I knew something was wrong.”

McDermid said she has been hospitalized about 20 times. She said she found some help with therapy and medication.

“I still have a long way to go, but I made a choice to get out of my pattern of behavior,” McDermid said. “I realize that nothing is going to change unless I make a choice to change.”

McDermid said the La Crosse County chapter of the National Alliance for the Mentally Ill and drop-in centers such as RAVE and Powers in Empowerment can help people with mental illness and their families.

“We’re still working on stigma,” McDermid said. “People don’t realize how mental illness can impact a person and a family. People can be careless about what they do and say.”

Melnyk said bipolar disorder and schizophrenia are treatable with therapy and medication, but it can take years.

He said fewer people with the disorders need hospitalization today and, if hospitalized, the stay often is shorter.

“There is a lot of hope,” Melnyk said. “Today, there also is more acceptance of mental illness, and it’s better understood.”

Schizophrenia

Schizophrenia is a serious disorder that affects how a person thinks, feels and acts. Someone with schizophrenia may have difficulty distinguishing between what is real and what is imaginary; may be unresponsive or withdrawn; and may have difficulty expressing normal emotions.

The cause of schizophrenia still is unclear. Theories include: heredity, an imbalance in the brain’s chemistry, and/or possible viral infections and immune disorders. Scientists recognize the disorder tends to run in families.

Symptoms include delusions, hallucinations, disordered thinking and speech, social withdrawal, extreme apathy, lack of drive or initiative and emotional unresponsiveness. No cure for schizophrenia has been discovered, but it can be controlled with treatment.

Bipolar disorder

Bipolar disorder, also known as manic depression, is an illness involving one or more episodes of serious mania and depression. The illness causes a person’s mood to swing from excessively “high” and/or irritable to sad and hopeless, with periods of a normal mood in between. More than 2 million Americans suffer from bipolar disorder.

Although no cure is known, bipolar disorder is treatable through a combination of medications and psychotherapy.

While a specific genetic link to bipolar disorder has not been found, studies show 80 percent to 90 percent of those who are bipolar have relatives with some form of depression.

Source: National Mental Health Association

Where to get help

Great Rivers 211, a 24-hour crisis line and referral service. Dial 211 or 1-800-362-8255

La Crosse County Crisis Line, (608) 784-HELP (4357)

La Crosse County Resource Center, (608) 785-5700

National Alliance for the Mentally Ill-La Crosse County, (608) 784-7532

Recovery Avenue (RAVE), (608) 785-9615

Partners in Empowerment, (608) 782-6900

Mental Health Coalition of the Greater La Crosse Area, www.mentalhealthlacrosse.org

Terry Rindfleisch can be reached at trindfleisch@lacrossetribune.com or (608) 791-8227.
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 Comments »

Each Person Is Different wrote on May 29, 2006 6:56 PM:

" While the diagnosis maybe similar. Each person is different with how they deal with the disease. Some people can go on in life and deal with all the day activities. While others find it very hard to concentrate or to work. Its not cause they are dead beats and don't want to work. Its because they are unable to. Too much misunderstandings and with media blowing things out of proportion doesn't help. The best thing you can do for a person who has these illness or diseases. Is to understand and be there for a friend. Thats all they really want anyways. Even if they push you away from time to time. "

It's not chemical... wrote on May 27, 2006 1:58 PM:

" Ya know what, Mandy? It's actually NOT chemical; it's biological. Big difference. More information is being discovered all the time that points to ANATOMICAL differences between the brains of people who have such illness and those who do not. So is there a difference between PHYSICAL illness and so-called MENTAL illness? Looks less and less like that all the time. "

TO:Mother of BiPolar teen wrote on May 26, 2006 2:07 PM:

" Look right at the end of the article. You will see a list of agencies that you can call. Good Luck! "

mother of a bipolar teen wrote on May 26, 2006 10:52 AM:

" my daughter is bipolar and she was diagnoised last summer at the age of 13, he goes to counceling but it doesnt seem to help. i as a mother, have tried so hard to help her, even the meds arent working. ita a scaring thing living with a teenager that is so out of control, i dont know what to do next. help!!!! "

Wondering wrote on May 25, 2006 11:06 AM:

" This article did not go far enough. I worked at a Catholic school until I was diagnosed with depression/bipolar disorder. They did not renew my contract while I was undergoing therapy. Real tolerance, eh?! My experience?: Most people who talk tolerance have a real hair-ball in their throat when it comes to the issue of depression/anxiety/bi-polar disorders. "

Mandy wrote on May 25, 2006 4:19 AM:

" ''us poor people'', I should have said. But as usual I think of other people's pain rather than my own. Yes, it is pity, some people have not been given the chance in life like you have mentioned. Bio-psychiatry has taken over to the extent that (here) UK - drugs are given without any other therapy, or there is a long waiting list. So yes, I do pity 'us' that our soul needs are not heard. Before critising, read Rape of the Soul - TY Colbert to understand. "

Gratitude wrote on May 24, 2006 10:45 PM:

" As someone who chronically suffers from these diseases I have enough of a sense of reality to know that those who deny them do untold harm. The hallucinations are rare. The anxiety and depression is not. I can be a good worker if you work me overtime for 30 days, no longer. Please do not call the police over and over when I need to talk. I won't kill myself. I just need to talk. Thanks. "

To: Mandy wrote on May 24, 2006 9:24 PM:

" By your comment "those poor people" you indicate that you are not a sufferer of schizophrenia. It also smacks of condecension. Those with mental illness don't need your pity, they need your acceptance and understanding of their situaions. As someone who has chronic depression and anxiety disorder, I know first-hand that a chemical imbalance is indeed my situation because I have responded well to meds (with therapy to work through emotional pain) and know for a fact that the they have given me a chance at life. An "emotional pain" model is not sufficient - chemical imbalance must be addressed. "

Mandy Lelliott wrote on May 24, 2006 5:33 PM:

" It's such a shame that the initial comments by Dr. George Melnyk, mentions Schizophrenia as a disease, when in fact is no solid evidence of this 'disease' model. People can, and have recovered fully from Schizophrenia, and other mental disorders. All too quick to drug those poor people, who are often where they are because of abuse or severe emotional trauma. How about an 'emotional pain' model, rather than 'chemical imbalance' one? "

about time wrote on May 24, 2006 12:00 PM:

" It is so great that La Crosse is finally recognizing mental health issues in the community! "


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