Category Archives: depression and mental illness

psychology dailies

a few months ago, some people in switzerland came up with paper.li, a program that organizes links shared on twitter into an easy to read newspaper-style format. newspapers can be created for any twitter user, list or #tag. (there is a fun little wordplay to the name: the “li” at the end, a sort of diminuitive, is a hallmark of switzerdeutsch, the swiss version of german.)

i think this is a neat idea. here are some examples:

the psychology daily
the mental health bloggers daily
and one i put together: the world changers daily

creativity and mental health – a twitter chat

today i had the honour of moderating the weekly mental health and social media chat (“#mhsm”) on twitter. these are always such interesting conversations! our topic today was “creativity and the arts”. here is a slightly abridged transcript:

moritherapy: welcome to the weekly #mhsm chat about #mentalhealth and social media. today’s topic: creativity and the arts #mhsm

moritherapy: Q1 how does “consuming” the arts (listening to music, watching movies, looking at paintings, etc.) help with #mentalhealth? #mhsm

moritherapy: my father, who struggled with addiction and bipolar disorder all his life, always said “there’s nothing more soothing than music” #mhsm

KerisWithaK: Consuming and contributing to the arts is incredibly healing! #mhsm

stephintoronto: A1: Consumption of the arts, movies, theater, ballet, opera… are an escape for me from my #mentalillness #mhsm

ReachOutinUSA: Q1. Music is for most a highly effective means of clearing the mind, taking your emotions to a different place #mhsm

MelissaMashburn: A1 Music that is uplifting to me, helps boost my mood. #mhsm

Kidsider: @moritherapy We’re partially here great topic tonight! Arts are a healthy outlet when coping with the side affects of recovery #mhsm

MelissaMashburn: A1: Certain movies, or TV programs help me focus on other things besides negative things that might be going on. #mhsm

stephintoronto: A1:think that the consumption of arts helps to stimulate my brain outside of its regular zone,which is gr8 for helping #mentalillness #mhsm

PeacefulBaker: #mhsm I love calming music for anxiety. Feels like it regulates my heartbeat somewhat.

MelissaMashburn: A1: I have always enjoyed art, especially painters from the impressionist era. Something about it is very soothing. #mhsm

moritherapy: @stephintoronto interesting – you call it “escape”. sometimes that word has a negative connotation. what do you think? #mhsm

ReachOutinUSA: Art and creativity has the power to heal, center & empower people out of hopelessness. #mhsm

mySahana: Q1: Dancing creates a total body experience instead of being limited to just the head and cerebral processes. #mhsm

MelissaMashburn: I think escape is an accurate word for the feeling that it gives me sometimes. #mhsm

MelissaMashburn: It certainly can replace the stuff in my head for a while, that is escape #mhsm

GermanInAlabama: Does the same for L RT @MelissaMashburn: I think escape is an accurate word for the feeling that it gives me sometimes. #mhsm

moritherapy: @mySahana oh, i love what you say about dancing – incredibly healing, isn’t it? #mhsm

ReachOutinUSA: @moritherapy @stephintoronto Escape from suicidal thoughts could never be negative. For players/listeners, music can also be grounding #mhsm

MelissaMashburn: I am not sure if this counts as “art and creativity” but sometimes I like to look around for inspiring quotes to lift my mood #mhsm

GermanInAlabama: It provides an escape from an otherwise seemingly hopeless world at times #mhsm

johnalchin: A1. The arts have the ability to mood-alter. Appropriate music can take the edge off a hectic day or motivate when feeling flat #mhsm

stephintoronto: @moritherapy i agree that “escape”has a negitive feel,but so does feeling crappy w #bipolar & #mentalillness šŸ™‚ #mhsm

mySahana: @moritherapy Oh absolutely! It just shifts your whole experience and emotions to a different, almost tangible place #mhsm

Kidsider: @MySahana I think the arts in all forms really works towards mindfullness by stimulating all the senses in such a positive way. #mhsm

MelissaMashburn: I also find writing very theraputic #mhsm

mySahana: @kidsider Definitely true! I personally have had most experience with dancing but you’re right. Music, dancing, drawing it’s profound. #mhsm

—–

moritherapy: Q2 do you consider yourself a “creative”? how does your own expression of creativity help with #mentalhealth? #mhsm

GermanInAlabama: For L writing music also gives him a chance express feelings he otherwise has trouble getting out #mhsm

ReachOutinUSA: As a student of music, playing helps me deal w/ emotional + mental pain, puts things in perspective, gives access to accomplishment #mhsm

MelissaMashburn: A2: I think I am very creative. In the past it took the form of fabric arts, now it is almost exclusively writing. #mhsm

MelissaMashburn: Even if I do not write about stuff going on in my head, just the process of writing feels healing to me. #mhsm

mySahana: A2: I’m very creative too and use it mostly to choreograph dances, to write and to create new experiences for myself #mhsm

stephintoronto: A2: i don’t consider myself a “creative” but i have come to realize that I need artistic outlets to help deal w #mentalillness #mhsm

Kidsider: @moritherapy I think through blogging and SM I would call myself a “creative” we’re all being creative now in breaking stigma #mhsm

bentsinister: @moritherapy A1: I find nothing feeds my soul & makes me feel less alone than great art – especially music & poetry. #mhsm

GermanInAlabama: Here is a video of him singing and playing one of his songs a few months ago http://www.youtube.com/user/OJTLBlog?feature=mhum #mhsm

ReachOutinUSA: Art starts in the mind #mhsm

KerisWithaK: A2– I like to write for 2 reasons – advocacy (feel empowered and possibly educate) & 2 humor to lol when I’m struggling #mhsm

mySahana: I have also recently started singing classes which has been a fabulous way to find my voice and tap into new skills. #mhsm

stephintoronto: i think that many people dealing with #mentalillness and #mentalhealth issues,is that they are blessed with creativity. #mhsm

moritherapy: i feel like i’m in some sort of creativity hub, just listening and talking to you #mhsm guys šŸ™‚ #mhsm

stephintoronto: creativity comes out for me in writing, painting, ballet, arts and crafts, poetry, photography, write comics…. #mhsm

MelissaMashburn: @stephintoronto I have found that fact very interesting. Makes me wonder if the rest of the world needs to catch up with us #mhsm

moritherapy: @mySahana i love the idea of singing to find your voice – so important in #mentalhealth #mhsm

moritherapy: RT @unxpctdblessing Writing & graphic arts are my go to things when Im stressed/upset. #mhsm

bentsinister: @moritherapy A2: I write poetry as a means of expressing those moods & anxieties that won’t otherwise be spoken. #mhsm

Kidsider: @moritherapy i’m glad I have a few minutes this week to be creative with everyone too #mhsm

stephintoronto: feel blessed that so many of you are creative and i get to be the recipiant of it everyday. #mhsm

PeacefulBaker: #mhsm Love to act in plays. It’s a real escape and you learn empathy for people through understanding your characters.

bentsinister: @moritherapy A2: I write fiction too, but I don’t find the same kind of effect from it. #mhsm

KerisWithaK: I can’t sing but loving putting sign language to music!! It’s a great way for me to”show” emotions #mhsm

stephintoronto: @MelissaMashburn I wonder if strong creativity it is our brains compensating for the part of it that is not firing on all cillinders. #mhsm

johnalchin: For me creativity comes by singing, playing guitar, web design and building, enjoying musical theatre, photography #mhsm

GermanInAlabama: There are so many ways to be creative: music, theater, written and spoken word,… #mhsm

KerisWithaK: ASL is a great way to overcome what is known as ‘flat affect’. I had to learn how to overcome flat affect. ASL & theatre were the cure #mhsm

johnalchin: A2. I too have had a love of poetry since I was a young boy. I have written poetry in the past & iit s a great way to get out my angst #mhsm

—–

moritherapy: Q3 what do you think of the (controversial) idea that people with #mentalillness are particularly creative? #mhsm

stephintoronto: @MelissaMashburn i have wondered if it is a bit like ppl who lose there sight and their sense of smell improves to compensate. #mhsm

ReachOutinUSA: @stephintoronto @moritherapy at some level, I think all “artists” thrive on conversation (with others, self and their subjects). #mhsm

stephintoronto: A3:completely agree w the idea ppl with #mentalillness are particularly creative.I wonder if there is any concrete supportive evidence #mhsm

GermanInAlabama: L tends to be most creative (and at times almost frantic about it) when he isn’t doing well (especially when manic) #mhsm

unxpctdblessing: A3: I recently looked back through my poetry from college when I was supremely depressed/ lost in grief. Intense amazing stuff. #mhsm

ReachOutinUSA: A3 Its unfortunate that some artists are foremost identified with MH illness, inspiration/genius do not always have an obvious source #mhsm

mySahana: A3: I think sometimes it’s true and other times it acts as a way to “reach” to find something positive to say about them #mhsm

johnalchin: RT @stephintoronto: A3:completely agree w the idea ppl with #mentalillness are particularly creative.I wonder if there is any concrete supportive evidence #mhsm

moritherapy: there are some studies on the mental health-creativity connection but they seem to go back and forth #mhsm

Kidsider: @moritherapy PTSD victims often gain a state of hyper vigilance making them more aware of surroundings, possible creativity boost? #mhsm

HealthWorksBC: A3: i’ve worked w 100’s of acutely ill ppl w #mentalillness + 1000’s w other illnesses-rec therapist. Have not seen or read evidence #mhsm

ReachOutinUSA: RT @mySahana: A3: I think sometimes its true and other times it acts as a way to “reach” to find something positive to say about them #mhsm

johnalchin: The schizoaffective family member I care for is the creative one in our family. She’s a brill singer, great fashion sense when well. #mhsm

moritherapy: example of study: creativity, schizophrenia and bipolar have similar dopamine system http://bit.ly/b3F8jE #mhsm

bentsinister: @moritherapy A3: For what it’s worth, I’ve seen a correlation between creativity & mental illness in friends & acquaintances. #mhsm

moritherapy: @Kidsider wow, never thought about the connection between creativity and vigilance, very interesting idea #mhsm

KerisWithaK: A3- I worry abt generalizations. As a person of color ppl assume I can do things ascribed to my race. Many times I can’t. #mhsm

HealthWorksBC: a1: con’d I have not seen or heard sufficient evidence about the people w mental illness -creativity correlation. #mhsm

stephintoronto: “Biological basis for creativity linked to mental illness”http://www.sciencedaily.com/releases/2003/10/031001061055.htm #mhsm

johnalchin: Wondering if there is a link between somatisation and the arts. Creativity as outlet for felt pain/grief/psychosis, etc? Anyone know? #mhsm

ReachOutinUSA: A3 Art can be a more effective way of explaining complex concepts and emotions than speech, symbols alone #mhsm

mySahana: @stephintoronto Great article! I wonder how this plays into effect considering creativity changes between childhood and adulthood. #mhsm

—–

moritherapy: Q4 creatives & people with #mentalillness live with feeling “different”. when there’s both, does it all get a bit too much? #mhsm

Kidsider: @moritherapy I dont think its matter of apmlifying the negative issues but a symbiotic aide in the struggle of mental health #mhsm

mySahana: @johnalchin I think body centered therapy addresses the issue of holding mental illness/stress/pain etc in your bdy #mhsm

bentsinister: @moritherapy A4: I’ve dealt with far more of a feeling of difference from MI than from creativity. #mhsm

moritherapy: RT @KerisWithaK “different” is perceived as negative. Leads to a hard, lonely life until difference is embraced positively. #mhsm

stephintoronto: wouldn’t it be wonderful if we could all embrace our creative sides and say screw you to the #mentalillness side? #mhsm

storiesofsommer: @johnalchin @moritherapy A4: I frequently feel overwhelmed. But am learning to deal with it. #mentalillness #mhsm

moritherapy: @bentsinister there’s stigma re #mentalillness but the creative #stigma is less, or not so visible? #mhsm

KerisWithaK: I love it when people see people for people. Acknowledging and celebrating all that IS that person. #mhsm

moritherapy: @storiesofsommer @johnalchin yeah, i think the word “overwhelm” is well placed here #mhsm

bentsinister: @moritherapy I guess the only times I’ve experienced stigma re: creativity is when I got too “out there” for most people’s standards. #mhsm

stephintoronto: i’d be ok with being the creative artsy lady that lives in “there”,but somehow that always comes w the “crazy” label as well #mhsm

—–

moritherapy: Q5 can you recommend any social media sites or web sites about the topic of creativity and/or how the arts help with mental health? #mhsm

bentsinister: @moritherapy When that happened, though, I was probably hypomanic, now that I think about it. #mhsm

johnalchin: @storiesofsommer @moritherapy I *HATE* feeling overwhelmed. I wan’t to have sense of control at all times. #mhsm

ReachOutinUSA: A4 We R all different. I think much pain comes feeling that we have to be so much like others to be loved+respected #mhsm

moritherapy: @stephintoronto yeah, the whole “crazy” connection is kinda interesting. #mhsm

storiesofsommer: @moritherapy No, but it is actually something I have been thinking about starting for quite a while now #mhsm

bentsinister: @moritherapy So I think that any stigma over creativity might be less, at least in my experience. #mhsm

KerisWithaK: My mom used to say I had multiple directions- couldn’t see “one way”. Now that’s called lateral thinkers! The new leaders! #mhsm

moritherapy do you guys know about the ikarus project re mental health and creativity?http://bit.ly/12nHkM #mhsm

storiesofsommer: Unfortunately, here in the states, I think we’re way behind on mental health resources. I’ve seen more progress in european countries #mhsm

moritherapy: @storiesofsommer yes, it does look like particularly the UK are making great strides in the area #mhsm

moritherapy: another great resource: @soundtherapyrad does internet radio shows about creativity and mental health #mhsm

johnalchin: @KerisWithaK Yes, I say that my abstract random learning style means my mind is a lot like the world wide web. #mhsm

moritherapy: there’s the creativity and conflict peopleĀ http://bit.ly/9zqShT #mhsm

ReachOutinUSA: Oof! Im getting all shaky from the excitement/vibes in tonight (and a small amount of coffee). Can you feel it?! #mhsm

storiesofsommer: This may have been asked already but which comes b4: the creativity or the mental health issue? #mhsm

—–

moritherapy: as we’re closing, please let us know your blogs and websites so that we can support each other as a resource #mhsm

MelissaMashburn: My blog is Sugar Filled EmotionsĀ http://www.sugarfilledemotions.com #mhsm

moritherapy: RT @storiesofsommer:Ā  http://www.storiesofsommer.com; life questions and how my depression/bipolar plays a part plus other random bits #mhsm

moritherapy: RT @MelissaMashburn: My blog is Sugar Filled EmotionsĀ http://www.sugarfilledemotions.com#mhsm

ReachOutinUSA: http://ReachOut.com – a place 4 teens, young adults to share stories on tough times in their lives & how they got through, MH expert vetted #mhsm

johnalchin: I’ve just added a Mental Health section to my website at http://johnalchin.info which I will be adding to over summer (in Oz) #mhsm

GermanInAlabama: http://www.our-journey-through-life.com Been slacking lately but really want to get back to blogging #mhsm

mySahana: Thank you for an amazing discussion! Please see our site http://www.mysahana.org addressing mental health issues in the South Asian community #mhsm

stephintoronto: i write about #mentalhealth #migraines #bipolar disorder…. when i feel up to it…http://princessrantsandraves.blogspot.com/ #mhsm

moritherapy: thanks all for participating in the #mentalhealth and social media chat. please come again, same place same time next week! #mhsm

join us for a mental health breakfast!

Canadian Mental Health Association

Speaking Out for Recovery

Mental Health Voices 2010

CANADIAN MENTAL HEALTH ASSOCIATION – VANCOUVER-BURNABY BRANCH

Please join us at our

2010 Mental Health Voices

Breakfast Fundraiser

An Exactly 1 Hour Fundraising Event

With Complimentary Continental Breakfast

Thursday, October 14th, 2010

7:30am – 8:30am

Board Room of Fasken Martineau Dumoulin LLP

2900 – 550 Burrard Street, Vancouver, BC

on Thursday, October 14th

This is an opportunity to learn more about the services of Canadian Mental Health Association, Vancouver/Burnaby Branch and to raise money to support our work.

More importantly, the event features inspiring stories from our clients and their families about how our programs have contributed to their recoveries from mental illness.

Marge Johnson is a mental health professional and mother of an individual with mental illness. She will share with us her experiences and her inspiring stories about recovery.

We are honoring media personality Shelagh Rogers with the 2010 Mental Health Voices Award via a video presentation.

The Mental Health Voices Award is given to an individual who has shown courage, raised awareness or encouraged acceptance and help for people with mental illness.

Generously sponsored by Fasken Martineau, Pacific Blue Cross and BC Life

tweeting against suicide

in preparation for world suicide prevention today, i listened to some tweets. and then I listened to my heart’s response and wrote it down:

spread the word, save lives, get people talking!

yes, let’s TALK about it! who can YOU talk to about this today? and not just on world suicide prevention day.

today is world suicide prevention day. make sure everyone knows you’ll listen and that they’re important.

in a way, people kill themselves because they feel their lives have lost value, or sadder even, never had value. who can we tell today that it matters to us that they are alive?

suicide has affected our family, zero words to explain the pain. it never goes away. they shall be loved and remembered always.

who can we bless today, in silence even, who has lost a loved one? because words – words may just not do the job.

we have the power to change and reduce the stigma of suicide and mental illness, and we need people to talk about it without judgment or fear

power – i mean the power that rises strongly from within, often from a place we didn’t know could be a source. that strong, good power inside – what can you do today to nurture it?

you know what pisses me off? suicide. i am so fucking angry right now. two friends last year, and a close friend’s friend this week.

if we pretend the anger doesn’t exist, if we’re just meek and sad and ignore the fury that can come with surviving someone else’s suicide – that’s not going to help. how can we help this anger be healthy and productive?

today is world #suicide prevention day – get to know the signs, how you can help and how you can give help!

what do you know about signs of suicide?

today is world suicide prevention day. so everybody out there, before you do anything rash, just remember : somebody loves you.

somebody loves you. somebody loves you. somebody loves you. keep saying it. maybe right now you don’t believe it’s true. keep saying it anyway. hear the words. taste them. write them down and look at them. a mantra: somebody lives you. somebody loves you.

today is world suicide prevention day! please hold hands n spread the message……….let us save LIFE!!!!!

hold hands! whose hand can you hold today? who can you get just a tad closer to today?

u guys shld write the word love on ur arm because this week is suicide prevention week šŸ™‚

love on my arm. so i don’t forget it. it’s so easy to forget. love. love. love. somebody loves me.

out of the darkness! take part, get the word out bout suicide. don’t wait to lose a best friend like i did to realize it is real.

don’t wait! death moves so fast. who have you been afraid to tell that you love them? is it time today to finally say it?

everyone wear something yellow tomorrow please! spread the word; suicide prevention <3

imagine – we all wear the clothes of life.

top parental worries: kidnapping, school snipers & terrorists. actual highest childhood risks: car accidents, homicide, abuse & suicide.

just imagine: knowledge can prevent lives. what are the assumptions and illusions that keep us away from life today?

light a candle near a window at 8pm on world suicide prevention day sept 10th

a candle in the window: you are important to me. i’ll wait for you. see the light? we’re waiting for you, to come home, to come back into the warm embrace

gay & transgender youth are 4 times more likely to attempt suicide then their straight peers.

the fear and shame and loneliness of “being other” kills. who can i call my brother today?

suicide prevention

when i was young, i thought for a long time that suicide was a normal, commonplace way for a person’s life to end. it was probably the most frequent cause of death i was familiar from friends and family. my earlier assessment was correct, at least partly – for example, among young men, suicide ranks among the most frequent causes of death. is it “normal”? actually, let’s forget about normal – it’s highly undesirable.

why do people kill themselves? it’s hard to speak of a single cause for a decision that has such a complex and painful pathway. one thing, however, is something that most of those who know about suicide agree on:

people commit suicide because they feel that’s the only way out.

and most of the time what they want a way out from is pain.

some of it is physical pain, mostly for people with chronic pain. cluster headaches, for example, have been called “suicide headaches.” chronic regional pain syndrome (crps, also known as rsd for reflex sympathetic dystrophy).

most of the pain is emotional pain, though. there are so many forms of emotional pain, for example

  • loneliness (e.g. for seniors – older men have a high suicide rate, as well)
  • shame (e.g. gambling has been referred to as the addiction with the highest suicide rate)
  • depression
  • guilt
  • unbearable emotional/mental pressure (e.g. for people with bipolar disorder or schizophrenia)

the list goes on.

to raise awareness about suicide, there is an event on september 10 in honour of world suicide prevention day. here is an announcement:

several community partners are organizing a commemorative event on world suicide prevention day at noon on friday september 10, 2010 outside of the vancouver art gallery.

every year in bc almost 500 people die by suicide – for each of those people, there are families and communities who survive them. on september 10 people around the world gather to remember loved ones who have died by suicide, to demonstrate support and compassion for families, friends and communities whose lives are touched by suicide, and to renew our commitment to learning more about suicide prevention, intervention and postvention so we can act effectively to reduce the incidence and impact of a devastating and often preventable tragedy.

we invite you to bring a pair of shoes that can be included in a display on the steps of the vancouver art gallery, commemorating people lost to suicide. after the ceremony, the shoes will be donated to lookout emergency aid society – so please only bring shoes that are serviceable.

schizophrenia, involuntary admission and family members

the following is a press release from vancouver’s north shore schizophrenia society. Ā since no-one seems to have picked it up yet, i’m publishing it here. Ā it addresses the important question of when involuntary admission for serious mental illness is applicable, and the involvement of family members.

vancouver coastal, in a review of the death by suicide of marek kwapiszewski, has ducked the leading question they needed to answer: why is “dangerousness” still considered a requirement for involuntary admission rather than “to prevent the person’s… substantial mental or physical deterioration,” as spelled out in the mental health act?

what was promised by CEO david ostrow to have been an “independent” review, moreover, turned out to be not so independent after all, with senior managers under question in the review taking part in drawing up its recommendations.

kwapiszewski, 54, of vancouver, who suffered from schizophrenia, jumped off the granville street bridge to his death june 29, 2008. his sister, halina haboosheh, together with her lawyer, had made 16 different attempts to get him the treatment he needed – treatment which required involuntary admission since kwapiszewski, like many suffering from schizophrenia, did not have insight into his own condition.

instead of dealing with the factors leading to kwapiszewski’s death, the review came up with three brief items in a so-called action plan, which involved no changes or improvements in practice, nor was any fault determined although it was an obvious case of clinical failure.

“the ‘action plan’ should have been called an ‘inaction plan,'” NSSS president herschel hardin commented. “it was as if a review had not taken place.”

the so-called action plan was presented to haboosheh and the north shore schizophrenia society, which made the original submission in the case, at a meeting july 26, in vancouver coastal’s boardroom.

the first item, to facilitate a discussion to consider development of an operating definition of “deterioration,” makes no commitment to ultimately do anything, and is highly questionable to begin with in any case. nor does it apply to the kwapiszewski case, where the deterioration was quite clear and substantial.

the second and third of the three items were bureaucratic filler, not representing anything new and showing no grasp of what the problem was.

the review also completely missed two other crucial factors in the case: the failure of vancouver coastal staff to involve the sister, halina haboosheh, as an integral member of the treatment team, following best practices, and the concomitant failure to share clinical information with her. if that had been done, marek kwapiszewski might well be alive today.

it was also learned that the items were not the independent work of the external lawyer and psychiatric consultant hired to undertake the review, but were a consensus arrived at with senior community mental health managers and, possibly, vancouver coastal’s risk management officer. in effect, they had a veto over what would be presented.

as well as forfeiting the review’s independence, this meant that a major shake-up of senior mental health management, called for in NSSS’s 2009 submission, could not even be addressed. instead, the primary subjects of the review, as NSSS considered them, were parties to the review’s outcome.

in response to vancouver coastal’s items, NSSS has presented four recommendations of its own to vancouver coastal and has asked ostrow and his board for leave to speak directly to the recommendations at a board meeting.

for more information, please go to the NSSS media center.

organizational leadership, empowerment and sustainable peace

i am still intrigued by the question of the relationship between work, mental health and peace. it is interesting that this relationship is hardly ever explored, not even the relationship between the workplace and peace. however, here and there i find a little nugget. one of them is giving peace a chance: organizational leadership, empowerment, and sustainable peace by gretchen spreitzer at the university of michigan at ann arbour. here is her finding:

we started the paper with the question – can business organizations contribute to sustainable peace? our initial explorations provide some fledging support for our hypotheses that participative leadership practices and employee empowerment can foster more peaceable conditions. how? in simple terms, we suggest that business organizational leaders can give employees opportunities for voice and empower employees to have more control over their work. from these more participatory work practices, employees will be exposed to some of the key characteristics of peaceful societies. when people get a taste of empowerment at work, they may then seek opportunities for empowerment in civic and political domains. in short, business organizations can develop collective agency so people believe they can intervene in civic and political life as well, leading to more sustainable peace.

the idea that business organizations can be a sort of olive branch for peace rather than just a harbinger of excess and exploitation is attractive. too often, it seems that companies seek to have a positive impact on communities through corporate philanthropy or corporate social responsibility. while these initiatives can be impactful, they are often expensive and can been outside the mission of the firm. this research suggests that business organizations can have a positive influence on peace through their everyday practices around participative leadership and empowerment. while not meant to substitute for more formal philanthropic efforts, this research indicates that business practices affect more than employees and the firms they work for. they can also impact the communities of which they are a part. business organizations can create models of peaceful societies which can ultimately move societies toward more peaceful outcomes. even when financial resources are scarce and impede corporate philanthropy, business organizations can still make a positive impact through participative leadership and empowerment practices. business organizations can do good for peace by creating good business practices. ultimately, it’s a win-win outcome because the business organizations benefit from these progressive management practices while societies benefit from having models for peace.

do you know an organization that embodies these values? have you ever worked in one?

mental health, addiction and self medication

on tuesday i had the honour of hosting the #mhsm (mental health and social media) chat. that’s a weekly one-hour conversation about mental health on twitter. the topic we discussed was mental health and addictions. it was very lively, and perhaps the biggest topic was self medication, a topic that sprung up within the first few seconds and just kept coming back. here are some of the things that were said. the categories i chose are not mutually exclusive – they just make it a bit easies to see some of the patterns.

self medication to deal with life’s stressors
1:02 am floridlymad: [addiction is a] coping mechanism to life’s stressors gone wrong…
1:03 am floridlymad: @JoyFull_deb YES. a girl i know w/crack addiction once told me it’s her only joy left in life…
1:04 am GermanInAlabama: From my uneducated view I would say oftentimes attempt at self-‘medicating’ and means of forgetting about probloems
1:48 am twitertwotter: If addicts r using drugs 2 self-medicate we need to find out why and help them learn to cope with it and move forward from past trauma
1:06 am NAMIMass: Sometimes people don’t want to take prescribed medications but think it’s ok to drink or take illicit drugs to feel better
1:18 am twitertwotter: I think an important thing that gets missed in addiction is in many cases the underlying trauma

self medication to deal with mental health issues
1:02 am JoyFull_deb: Yes !! Addiction (whatever kind) can be used to self medicate mental illness.
1:04 am petequily: @moritherapy society often doesn’t take mental health seriously & pays the cost in self medication / addictions & other MH conditions
1:05 am EatsShootsEdits: I used to self medicate before I came to understand my illness and get stable on meds
1:08 am hollymclennan: @moritherapy i see the conx btwn mental health + addiction when ppl don’t get the help they need + self-medicate.
1:08 am floridlymad: addiction to certain substances can trigger (or worsen preexisting) psychosis, which may or may not persist even after *quitting*.
1:17 am perthtones: We now know cannabis is effective on a range of depressive disorders, ketamine being trialled for bipolar – legal/illegal is abritrary
1:47 am icantican: My hx of drinking problem w/ alcohol was directly related to self medicating my symptoms of depression, blips of mania, anxiety, ADHD
1:08 am EatsShootsEdits: at lot of people self medicate long before they know they have a mental illness. our minds seek comfort sometimes it is drugs first
1:23 am twitertwotter: Many addicts use marijuana and other drugs to medicate their hyperarousal, that can be a result of PTSD or overactive flight/fight

self soothing
1:26 am twitertwotter: Treatment definitely needs to address mental health issues, coping mechanisms, affect regulation and self-soothing techniques
1:51 am twitertwotter: People who drugs to feel better, or to forget, or to escape. That is self-medication. They do not know how to self-soothe.
1:53 am NAMIMass: @twitertwotter Not all addiction is about self soothing. We’ve talked about self-medicating substance abuse for #mentalhealth issues
1:46 am moritherapy: if addiction is about self soothing, then it doesn’t matter that much what the substance/behaviour is
1:57 am NAMIMass: @moritherapy I’m not sure I do agree. I’m not thinking of them at same level. I think of self soothing as less than self medicating
1:54 am moritherapy: @NAMIMass self soothing and self medicating very similar, wouldn’t you say?
1:56 am moritherapy: @NAMIMass but if you talk to health care ppl, self soothing/medication will NOT be #1 for them

self medication and ADHD
1:08 am petequily: Smallest # of addicts with #ADHD in clinical journals I’ve seen is 20%. But only 5% of pop. has ADHD http://bit.ly/7cXP8
1:10 am petequily: Study 35% of Cocaine Abusers had #ADHD http://bit.ly/4vRuoi #selfmedicate #mentalhealth
1:25 am petequily: I know of people who had undiagnosed #ADHD & self medicated w/ one addiction, stopped it & started & stopped multiple other addictions
1:44 am petequily: Study 33% of Alcoholics had #ADHD 65% of Drug Users Had ADHD http://bit.ly/b4EwqG #addiction
1:47 am petequily: @unxpctdblessing well by telling other people about how he self medicated his #ADHD w/ pot you may save others from same exp.
1:54 am asdquefty: With ADHD or depression, substance abuse can be obtaining artificial motivation.

stories of self medication
1:03 am JoyFull_deb: I watched my sister “self medicate” for many, many years….
1:16 am MelissaMashburn: my brother is a vet and almost lost his license because he was self medicating with xanex and writing his own scrips.
1:39 am MelissaMashburn: I used internet games to self medicate
1:40 am unxpctdblessing: @petequily I agree. He had been self medicating since he was 14 years old. I knew he used when I met him but had no idea the extent.
1:44 am MelissaMashburn: For me the addiction to an internet browser game, was away for me to self isolate, and self medicate