College Disability Services: A Tricky Issue

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Should someone born with only two fingers on one of their hands be admitted into a medical school?

   What if someone with a severe stutter wants to work as a broadcast journalist? Should a college allow that person to enroll in its school of mass communication?

These are some of the questions that disability and special needs officials on college campuses routinely face.

I hadn’t thought much about these questions until last week when I was a keynote speaker at the AHEAD in Virginia Conference held at Sweet Briar College in Amherst. AHEAD is an acronym for Association on Higher Education and Disability.  Nancy Beach, one of its members, invited me to speak about my book and experiences with my son, Mike, whose mental disorder first surfaced while he was attending college.

Most AHEAD members are responsible for making certain their colleges comply with federal and state disability, discrimination, and privacy laws. That can be tricky business.

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Chemical Imbalances: Real or Imagined?

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One of the first terms that parents and others hear when someone shows symptoms of having a mental disorder is “chemical imbalance.” It is the catch-all that often is used to explain why someone suddenly shows signs of major depression, bipolar disorder or schizophrenia. I remember being shocked when I used this term in a news article and was later confronted by someone who proudly identified themselves as being “anti-psychiatry.” She told me that there is absolutely no evidence that mental illnesses are real and/or caused by biological problems inside the brain. 

I soon learned that this is an ongoing argument, often a bitter one, waged between different factions in the mental health community. 

So I was happy when I was sent an advance copy of the book: SHRINK RAP: Three Psychiatrist Explain Their Work   written by Dinah Miller, M.D. Annette Hanson, M.D. and Steven Roy Daviss, M.D.. Their book is being published by the Johns Hopkins University Press next month. 

The doctors, who write a popular mental health blog offer their take on “chemical imbalances” and I found their comments helpful.

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Complaints Make A Difference!

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Straitjacket dance criticized

Robert Morris team’s performance called insensitive

By John Keilman Tribune reporter
The Chicago Tribune
 A Chicago dance team that performed in straitjackets last month has drawn criticism from a mental health advocate who said the outfits displayed insensitivity toward people with mental disorders.  

The Robert Morris University competitive dance team wore the costumes, which included wild, frizzy hair and dark eye makeup, at a national contest in Minnesota. Chrisa Hickey, a Barrington mother whose 16-year-old son has schizoaffective disorder, complained to the school after she saw an online photo of the dancers last week.

“It’s accepted as entertainment,” she said. “But if you’ve seen your kid restrained and medicated because he’s having a complete psychotic break, it wouldn’t be entertaining.”

Robert Morris President Michael Viollt said the costumes were inappropriate and will not be worn again. Outfits for the dance team, which until now have not been approved by the school, will go through the same committee that approves the uniforms of sports teams, he said.

He said mental health awareness at Robert Morris is conducted mostly in classes dealing with the subject but added that the university will consider any changes that might help increase sensitivity toward people with the disorders.

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A battle worth fighting!

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When Rose Alberghini, the executive director of NAMI PA York, invited me to speak about barriers to good mental health care, the first obstacle that entered my mind was stigma. The way that the media, especially Hollywood, portrays persons with mental disorders is so crass, cruel and destructive that people are often afraid to acknowledge that they might need help.  

We should not separate the mind from the rest of the body when it comes to illnesses. The heart can get sick and so can the brain. Yet, we insist on viewing mental disorders separate from other physical aliments. Part of the problem, of course, is that we don’t  know the biological underpinnings that cause bipolar disorder and schizophrenia. Until we do, there are bound to be arguments. But what we do know is that persons who suffer from mental disorders are rarely portrayed sympathetically.

We would never make a person with Downs Symdrome the butt of a joke. Yet, persons with mental problems continue to be easy targets.

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The Cuckoo’s Nest Dr. Continues Speaking Out!

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Dr. Dean Brooks has spent his adult life advocating for persons with mental illnesses. And he has not slowed down even though he now is 94 years-old and is living in an assistant living facility not far from the Oregon State Hospital in Salem that he used to oversee.  

He first burst on the national stage when he appeared in the 1975  movie,  One Flew Over The Cuckoo’s Nest, as the hospital’s  chief psychiatrist, Dr. John Spivey, M.D.  It was a clever irony because Dr. Brooks was actually in charge of the hospital at the time of filming. In the movie, he can be seen interviewing Jack Nicholson to determine if he has an actual mental disorder or is faking it.

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Charlie Sheen and Bad Memories

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It’s foolhardy to decide that someone has a mental illness based on how they act on television. Diagnosing a major illness, such as bipolar disorder, is tricky at best and requires a thorough evaluation by a psychiatrist. I don’t know Charlie Sheen, although I am a fan of his television show, so I have no idea if he might be manic or ill.
Having acknowledged that, I must admit that what I saw on ABC Good Morning America and NBC’s Today Show stirred painful memories. When my son was in the initial stages of his first breakdown, his mind was racing with thoughts and grandiosity. He couldn’t spit his words out quick enough. He  believed everyone else had a problem, not him. I saw that same behavior on my television.