Showing posts with label depression. Show all posts
Showing posts with label depression. Show all posts

Sunday, August 19, 2012

The Burden of Secrets

I keep secrets so they (the audience) don't have to. I carry a burden of secrets that literally destroys my ability to see the world in a magical way....
- Derek DelGuadio, Magician

At one point in my life, I imagined wanting to become a magician.  Most young boys go through this and successfully emerge at the other end of adolescence with more realistic career goals; me, I'm still thinking some four decades later, that if I could only find enough time to practice....

Magic continues to fascinate me because of the power of its secrets.

This is more than being compelled to know how particular effects are accomplished, but why they work.  Why, for example, can Penn & Teller disclose their methods and yet continue to entertain and amaze?

Famous TV Magic pitchman Marshall Brodien would punctuate his commercials with the line "Magic is easy once you know the secret."  This was a back-handed assurance that even the least-dexterous would be able to impress with his merchandise.  What he should have added is that, in most respects, magic is stupid once you know the secret.

This is not to say that the secrets are stupid because they are not.  Often the method(s) used in a particular effect are based on quite sophisticated concepts.  Once you know the secret, magic can make you feel stupid for having been fooled by what are pretty straightforward methods.  Anyone who has ever learned the "Illusion of the Stolen Nose" or the "Mystery of the Removable Thumb" has some sense of what I mean and what Mr. DelGuadio is talking about.



Since I was not going to be a performer, I chose what I thought would be a compromise career path.  I went to work in the theatre creating illusions of time and place to help the performers tell their stories.  I was not the sorcerer, nor his apprentice, nor even the broom carrying the bucket of water; I was the guy who made the broom.

To be sure, we were not making the Statue of Liberty disappear, or anything like that, but, by the same token, it was surprising to learn what little it takes to deceive the eye so that it takes as solid something that is flimsy, or three-dimensional when it has only two.

As with magic, the early focus of this work is on technique.  What size of brush, or type of sponge, is used to create "realistic" bricks?  What is the best way to make river rocks out of joint compound?  How do you make a root beer float that won't spill during a dance routine?  Each in their own way is a kind of magic trick, a small illusion designed to transport the audience seamlessly into the world of the story.

After I left the theatre, I then spent some time working for attorneys.  As I was to find out, this was not such a radical career change as it might, at first, have appeared.  Success in this field too depends on secret knowledge and mastery of technique.  I don't want to succumb to the conventional wisdom about the legal profession, because, to that time, it was one of the best jobs I had had and it more than prepared me for my next career which was in municipal government.

Here again were the familiar components of secrets, illusion and misdirection.  And here too was a disappointing similarity to the removable thumb and stolen nose tricks.

Also common among these worlds is the concept of secrecy as power, as advantage, as leverage.  Knowing something that others do not is what makes it possible to make things possible like illusion or profit, or public policy.

As I was also to learn, secrets are never free.  There is a price to be paid in acquiring them and there is another for keeping them.  This is the side that I see far too frequently in the work I do now.

To work in mental health is to deal in secrets. 

Almost every day, people come to our offices because they have learned a secret about themselves, or a loved one and they need help figuring out what to do with their secret knowledge.  People who live with mental health conditions exist in the same world as the rest of us.  Whether they are the person who has received the diagnosis, or a family member of that person, they know precisely what society's prejudices are.  They know what you think of them and so they don't want you to know that they're sick.  They know that a diagnosis of a mental health condition is the lens through which the rest of their life will be viewed.  Their diagnosis will be the clause at the end of ever sentence, the discount for every achievement and the rationale for every setback.  "Pencils successfully sharpened by mental patient."  "Applicant with mental illness makes typos on job application."

Is it any wonder that people are reluctant to engage with treatment?  Accepting help means letting go and entrusting your secrets to others.  This can often be a challenge with low-value secrets such as a password, or a romantic crush; can you imagine the stakes where mental health is concerned?  And lingering in the background is the specter of hospitalization, involuntary confinement and forced medication.

Never mind that the standards needed for confinement and medication, not to mention the shortage of psychiatric beds, have made that an increasingly unlikely outcome, this notion is so deeply embedded in the culture that people are often surprised to learn that instead of depression leading inevitably to the straitjacket, it can be successfully treated and could be no more of an inconvenience than are seasonal allergies. 

When people disclose their mental health conditions to us, or more frequently, their personal stories that have helped to shape those conditions, they are relying upon us to keep them.  The very process of help-seeking demands that, in order to access treatment, the consumer has to surrender some, or all, of their burden of secrets.  For most, this is just as difficult as it would be for David Copperfield to disclose how he floated across the Grand Canyon, or walked through the Great Wall of China.

And disclosure is not always a guarantee of relief.  If a consumer, or prospective consumer, discloses information about their racing thoughts, or hallucinations, or plans for suicide, they reveal themselves to prejudice and bias.  Their diagnosis, or diagnoses, become part of their identities, a classification, a membership card in the Separate and No Longer Equal club.

To work in mental health is to understand that secrets are also kept because their exposure, their disclosure, would provide unwelcome advantage to another and reveal a vulnerability.  To work in mental health is to recognize that people build their sense of themselves and their place in the world on a foundation of secrets.  Disclosing these secrets is surrendering power to others.

My boss, Paddy Kutz, has been helping people who live with secrets for four decades.  People often come to her because she is a familiar face in the community and because she is not a doctor or a counselor.  When they recognize that they are up against a problem and don't know what to do, they come to our offices and go into closed-door conference with Paddy to develop a strategy of response.  Can they get the help they need without disclosing their secrets?  Can their family member be "fixed" without it having to come out that they have a "problem?"

She has had lots of these conversations with people in all walks of public and private life.  She always has the Kleenex at the ready as she patiently explains that "secrets keep us sick."  Some of her visitors remain unconvinced and leave the office with their secrets clutched ever-closer to their breast, but many, many more, leave with a brochure and some phone numbers and a strategy for moving ahead.

It is common knowledge even among those who would not be caught dead at a magic show that magicians are sworn never to reveal their secrets.  The assertion is that if the audience knows how the trick is done, their appreciation of the effect and its performer are diminished.  If the public knows what the magician knows then there is no reason to pay to see their performances.  Jobs for magicians will disappear and the art form will die.

This position insulates the role of magician as keeper of special knowledge unavailable to "civilians."  This position places an emphasis on the trick and not on the experience of magic.  With this perspective, we focus on how Copperfield might have made the Statue of Liberty disappear rather than that he did--that we could be convinced that something that monumental in scale could vanish by the wave of his hand.  This position reduces the role of the performer from that of the artist to one of mere expert technician.  This position also relieves the performer of the responsibility of innovation:  if the secrets are protected then they can be endlessly recycled.

Some years ago, there was a manufactured scandal when Fox ran a series of specials featuring the Masked Magician.  In each of these programs, the performer exposed a variety of magic tricks ranging from the close-up effects of the tabletop to mega-illusions seen only on TV.  His stated motive for "breaking the magician's code" was to promote innovation and creativity and to help move the art forward.

What's true is true.  Secrets may create the illusion of power and control, but in their hoarding comes the responsibility of protecting and defending them and this, in time, becomes its own full time job.

I became interested in magic because of the secrets--this is not surprising for someone keenly aware of how powerless they were--but four decades later I remain interested in magic because of the opportunity to tell stories and create wonder.

There is no question that secrets provide, for a time, the illusion of power, but like most things built on an illusion, there is no permanence, no security, only, as DelGuadio says, "burden."



--Graham Campbell
Associate Director

PS - I was prompted to write this because some very significant secrets were disclosed to me.  As a result, I wanted to take action, but because they were disclosed in confidence, I could do nothing that would not betray that confidence.  As a result, I was left with homilies about secrecy and an imperfect analogy to magic.  My intent in ending with Penn & Teller  was to make the point that the secrets only have the power we give to them and, in disclosure, the "magic" is not diminished.

Tuesday, September 15, 2009

What to do When Depression Follows a Heart Attack


by Paddy Kutz, Executive Director, Mental Health America of Licking County


In some cases, the trauma caused by a heart attack may actually trigger a major depression. Recent studies have indicated a high rate of depression among cardiac patients, which may increase their risk for further cardiac events.

Two possible reasons for this are: 1) depressed patients are less likely to stick to treatment and 2) the functional changes brought on by the symptoms of depression itself. Therefore, it is important to pay attention to the “down” mood following a health crisis if it persists for more than several weeks and interferes with normal daily activities.

The “Blues” vs. Major Depression: feelings of depression are normal following a health crisis; however, when these symptoms are prolonged, serious problems can occur. In other words, a major depression is more than a brief or transitory change in mood. It is important to distinguish between normal feelings of sadness (“blues”) and the more serious condition of major depression. In the “blues” state, time heals, the mood lifts, and people continue to function. In contrast, major depression is not a passing mood; however with treatment, most individuals return to full and productive lives.

Know the Symptoms: Individuals experiencing 4 or more of the following symptoms for more than 2 weeks or whose usual functioning has become impaired by such symptoms, should seek an evaluation for depressive illness.
  • Persistent low, anxious or “empty” feelings.
  • Decreased energy, fatigue.
  • Loss of interest or pleasure in usual activities.
  • Sleep disturbances.
  • Appetite and weight changes (either gain or loss).
  • Feelings of hopelessness, pessimism.
  • Thoughts of death or suicide, suicide attempts.
  • Difficulty in concentrating, remembering, making decisions.
  • Chronic aches or persistent bodily symptoms that are not caused by physical disease.
Message of Hope: With treatment, over 80% of individuals with depressive illness can improve and return to daily activities, usually in a matter of weeks. There is a choice of treatments available, including medications, therapy, or a combination of both. If you or someone you know shows signs of depression, it is important to talk with the physician and/or a local mental health professional.

Friends and Family Can Help: The very nature of depression can keep individuals from seeking help. Perhaps the most important way family and friends can help is by encouraging the individual to get appropriate treatment. Because depression destroys self-esteem and confidence, family and friends need to provide support, love and encouragement. In addition, they can help in the following ways:
  1. Maintain as normal a relationship as possible.
  2. Point out, without being critical or disapproving, distorted negative thinking.
  3. Smile and encourage honest effort.
  4. Acknowledge that the person is suffering and in pain.
  5. Offer kind words and pay compliments.
  6. Show that you care, respect, and value the depressed person.
  7. Until the depression lifts, assist the individual in following the cardiac treatment regimen.
Remember there are many places in the community where people with depression can be diagnosed. In fact, Mental Health America of Licking County provides free depression screening that you can take to your doctor or you can screen for depression on-line at www.mhalc.org and click below the Danger sign located in the left hand column.

Mental Health America of Licking County is a member agency of Licking County United Way and the Community Mental Health & Recovery Board. My email is paddykutz@alink.com.

Wednesday, August 5, 2009

Testing 1,2,3

You have probably heard of seasonal affective disorder affecting people as the seasons shift towards fall and winter. Did you know some people experience symptoms of depression in response to the longer, warmer days of spring and summer? This reverse seasonal affective disorder (also known as summer depression) has physical symptoms that are the opposite of the winter version such as poor appetite, insomnia, agitation and anxiety.

You may be surprised to learn about summer depression as everyone seems so happy this time of year. Vacations are in full swing, workloads are often lighter, and kids are spending their days playing outside. Do you feel like you are the only one who is not caught up in the fun?

Whether it is due to the weather change or the expectations of the season many times people feel depressed, anxious, or restless during the summer months. For this reason Mental Health America of Licking County invites you to take a few moments to complete a free, anonymous online mental health screening. The screening can be accessed by visiting www.mentalhealthscreening.org/screening and entering the keyword MHALC. Upon completing the screening you will receive immediate feedback as well as the opportunity to schedule an appointment for further evaluation if necessary.

The staff at Mental Health America of Licking County wants you to enjoy this last month of summer. If you aren’t feeling your best take a screening as the first step to feeling better.

For more information, please contact us at 740-522-1341, or by email.

Friday, April 3, 2009

Spring Is On Its Way!


(Although a little bird told me it’s supposed to snow next week)

One of the first facts that surprised me when I became the Suicide Prevention Coordinator was that the rate of suicide is highest during the months of spring—not winter like I had assumed. So although I am excited for spring because I enjoy the nice weather and the chance to work in my garden, I also think we must be vigilant of the attitudes and behaviors of those around us during the coming months, and keep an eye out for the signs of depression and/or suicide.

We have started up a Survivors After Suicide support group for people who have survived the loss of a loved one due to suicide. Attendance has fluctuated since the first meeting in January. Meetings are held on the third Tuesday of every month at 7:00 pm at Mental Health America of Licking County in the conference room. We welcome friends of survivors to meetings as well. During the meeting, anything that is shared is strictly confidential, and people who attend are welcome to share their stories or experiences, or not say anything at all and just listen. If childcare is a concern, please contact me, Brittany Schumann, at 740-522-1341 and we will see if we can arrange something for you.

Also, we are still collecting photographs with dates, etc. for the Suicide Prevention Quilt until June 1, 2009. You can send the photograph to us by mail and it will be returned to you within two weeks (Attn: Brittany Schumann, 65 Messimer Drive, Newark, OH 43055), or you can send photographs by email to bschumann@mhalc.org. Please feel free to include dates and/or brief quotes/memories with your photograph and we will include them on the quilt! Our hope is that this quilt will provide hope for people with thoughts of suicide that their life is worth living because people do care about them, and the lives of those who have died by suicide will be commemorated.

If you have any questions about depression, suicide, the support group or the quilt, please feel free to contact me!

--Brittany Schumann
Suicide Prevention Coordinator

Monday, October 20, 2008

Three Noses




When I first applied for the position as Suicide Prevention Coordinator, I told several of my close acquaintances. When I got the interview, I told more people about the job. Since my first day on the job, I have told even more people about my job.

Nearly every time I tell someone that I am the Suicide Prevention Coordinator at Mental Health America of Licking County, I am given either strange or sympathetic looks. (Thankfully, I do get the occasional look of admiration, along with the comment that I am doing very tough work.) At first, I understood why people I knew gave me the looks of sympathy or fear. Suicide is one of the last taboos in America. We can freely talk about sex, pedophilia, homosexuality, HIV/AIDS, and abortion. But mention suicide, and people take several steps back, like you’ve just grown a second nose.

This is why I have a job. Since people don’t talk to their friends, parents, children, and so on about suicide, not many people know the truth about it. Unfortunately, this also means that the rate of suicide in America is still alarmingly high. Most of the completed suicides stem from mental illness, most often depression. Depression is a treatable brain disorder (another word for mental illness). Logically, this means that suicide is preventable if depression is caught early enough. Having just attended Gatekeeper training with the Ohio Suicide Prevention Foundation, I would like to impart some of my knowledge about how to prevent suicide to you.


When we encounter stressful or threatening situations in our lives, our brain (three pounds of protoplasm housed in our skulls) helps protect us. With the way the economy and politics are going, more Americans will be facing stressful and threatening situations in their lives. Our brain, or more specifically, our amygdala, releases three different hormones that are related to fight-or-flight. We become equipped to either stand up for ourselves (fight) or escape the danger (flight).



  • Testosterone is what gives us strength in our muscles to either fight or run away.


  • Epinephrine (also known as adrenaline) moves blood flow from body functions that are not necessary for the fight-or-flight response, like digestion, to our muscles and brain.


  • Cortisol soothes the body after fight or flight has taken place. (Ever used hydroCORTISONE cream to make swelling go away?)

There is only one problem. These days, none of us are chased by saber-toothed tigers or giant wooly mammoths; instead, we sit at our desks or on our couches, and when stressful or threatening situations occur, we don’t use up the testosterone, epinephrine or cortisol that are released into our system. As beneficial as these hormones are to our body, too much of them in our system destroy little things in our brains called neurons. Most often, the neurons in the part of our brain that stores short-term memory, mood and emotions, the hippocampus, are affected. The breaking down of the neurons that determine our emotions and moods causes people to become depressed.


Like I mentioned earlier, 90% of people who die by suicide suffer from some form of brain disorder (mental illness), mostly depression. Depression, like other mental illnesses (thanks, Kristen!), is highly treatable with medications and therapy. If we begin to screen everyone for depression, we can catch it, treat it, and prevent suicides.


I do hope that one day, I work myself out of a job, but there is much work to be done until then.


Oh yeah, and exercise as much as you can, and you can help save your neurons from destruction!


--Brittany Schumann

Suicide Prevention Coordinator