I started this series of posts a long time ago. In fact, I posted parts 1, 2, and 3 (you can click on the numbers to read them) over a year ago. I had every intention of writing this fourth part back then, but a funny thing happened on the way to writing it…I went back to work as a teacher!
If you read it, then you may recall that in part 1 I wrote that anxiety had robbed me of a promising teaching career that was still in its infancy at the time. That was true–I did think that at the time. But, about two weeks after I wrote part 3, I got a call from a school district nearby asking me to come in for an interview. I went and interviewed first with the principal, another English teacher, and the counselor. Before I got home from that interview, the principal called me back and asked me to come and meet the superintendent the next day. I did so, and before I got out of the parking lot, the principal called again to offer me the job. I was amazed.
In the interest of total honesty and transparency, I will admit to you that, in that moment (and many moments yet to come) I had my doubts about whether or not I could really do it. After all, the last time I had stepped in a classroom had been a year and a half earlier, and the bout of anxiety I was enduring was better, but still pretty bad. I was worried.
I won’t belabor this story except to tell you that I did it. I made it through the whole school year. It was difficult, and there were days that were very bad. I did miss days because of my anxiety, and I wasn’t able to be as big a part of the school community as I would have liked. I told my mom late in the school year that every day had been a battle, and that was true. Every day of the school year had been a battle to one degree or another. But, just as there were days that were very bad, there were also days that were very good.
I was fortunate to have an amazing group of students to work with. From day 1, they were welcoming, friendly, respectful, and willing to learn. It is true that no school is perfect because no person or group of people is perfect, but while not perfect, my students were capable and willing to work–and I asked them to work hard. In the end, the most important lesson of the year was the one that they taught me during the last days of school–I wrote about that lesson here.
Now, I’m preparing to move on to another school district and meet another group of students. And, again, in the interest of total honesty and transparency, I will admit to you that I am scared.
The last few weeks since school was out have been difficult. For some reason or another (with anxiety one almost never knows for sure), my anxiety has peaked again. The best and only theory I can come up with is that I’ve broken the routine I was in for 10 months; and sometimes my mind and body don’t respond well to a broken routine.
And this brings us to the central question of this post: Where do we go from here?
I’m tired. I’m worn out. I’m physically and mentally exhausted from, literally half my life being caught in the ebb and flow of my anxiety disorder. I have to find a way out of it–or, at least find a way to deal with it so that individual panic attacks don’t become strings of panic attacks, and that strings of panic attacks don’t become months- or years-long episodes of debilitating anxiety. I just can’t do that anymore–not and have any hope of a meaningful life or career. So, I’m taking what for me will be a big step…
In two weeks I will enter the Intensive Outpatient Treatment Program for Anxiety Disorders at UT Health East Texas. This program provides people like me who suffer with anxiety and depression with skills and techniques designed to help us cope with this disorder. It is not typical group counseling. I won’t be sitting around in a circle with a bunch of other people talking about my problems–not that there is anything wrong with that; it’s just not the way this program is designed. Instead, I will be in an educational environment three days a week, learning.
Hey! I’m a pretty good student these days…this could be great!
I have high hopes. I’ve tried cognitive approaches before, but have never been able to maintain the discipline and focus necessary to make them effective. Since this program is guided, I will be accountable to someone other than myself. I think that will make the difference. Hopefully, by the time school starts, I will be in a better place–a place where I can, at the very least, not worry so much about all of the what if’s.
That’s a lot about where do I go from here…what about the we?
I’ve been thinking a lot about that, too. I’ve been thinking about it because WE in this country still focus more on the mental part of mental health than we do the health part.
We must get to a place where we recognize mental health as part, a BIG part, of our overall health as human beings. We must focus more of our attention and resources on the research and treatment of mental health issues, rather than continuing to sweep them under the rug or hide them out of the way in shame.
The statistics detailing the number of people suffering from some mental health issue are staggering. According to the National Alliance on Mental Illness:
- Approximately 1 in 5 adults in the U.S.—43.8 million, or 18.5%—experiences mental illness in a given year.
- Approximately 1 in 25 adults in the U.S.—9.8 million, or 4.0%—experiences a serious mental illness in a given year that substantially interferes with or limits one or more major life activities.
- Approximately 1 in 5 youth aged 13–18 (21.4%) experiences a severe mental disorder at some point during their life. For children aged 8–15, the estimate is 13%.
- 6.9% of adults in the U.S.—16 million—had at least one major depressive episode in the past year.
- 18.1% of adults in the U.S. experienced an anxiety disorder such as post-traumatic stress disorder, obsessive-compulsive disorder and specific phobias.
The costs associated with lack of treatment are equally incredible:
- Serious mental illness costs America $193.2 billion in lost earnings per year.
- Mood disorders, including major depression, dysthymic disorder and bipolar disorder, are the third most common cause of hospitalization in the U.S. for both youth and adults aged 18–44.
- Individuals living with serious mental illness face an increased risk of having chronic medical conditions.17 Adults in the U.S. living with serious mental illness die on average 25 years earlier than others, largely due to treatable medical conditions.
- Over one-third (37%) of students with a mental health condition age 14–21 and older who are served by special education drop out—the highest dropout rate of any disability group.
- Suicide is the 10th leading cause of death in the U.S.,20 the 3rd leading cause of death for people aged 10–14 and the 2nd leading cause of death for people aged 15–24.
- More than 90% of children who die by suicide have a mental health condition.
- Each day an estimated 18-22 veterans die by suicide.
(You can read the full report by clicking here.)
Just think about that for a minute. Mood disorders are the 3rd most common cause of hospitalization in adults aged 18-44; suicide is the 3rd leading cause of death for people aged 10-14 and the 2nd leading cause of death for people aged 15-24. Why should we even have statistics for suicide in people who are that young?!
We’re better than this. We have to be better than this. We are the wealthiest country in the world–the wealthiest country in the history of the world, and yet, we cannot seem to find a way to allocate enough resources to adequately research and treat mental health issues.
The budget proposed by President Trump earlier this year dramatically cut federal spending on mental health services. Likewise, the House Republican plan left the lion’s share of responsibility for those services to the states, which according to a report in U.S. News:
…would mean a cut of about $1.4 trillion over 10 years from projected spending. States would face hard choices over competing priorities like mental health or addiction treatment, nursing home costs or prenatal care for low-income women.
Fair-minded and caring people can make the argument that federal spending and debt is so out-of-control that it must be curbed before it is too late to do anything about. I don’t disagree. However, when a health issue becomes a burden to the economy–and mental health certainly has–a smarter, long-term strategy would be to allocate a level of funding that can do some good.
Regrettably, this, like so many other issues which should not be mired in partisan politics, has become mired in partisan politics. What that means is that most people who suffer from some mental health issue will, most likely, not get the treatment they need because it is either not available in their area (rural areas are hit especially hard by this crisis), or they simply cannot afford the services. Even people with health insurance are often left untreated because their plans do not cover treatment adequately or at all.
I am, by nature, not a very politically active person. I certainly have my beliefs and opinions, and from time to time I will offer them, but in general, I try to stay away from politic activism. But, I’m not sure I can stay away from this issue much longer. It is one that, for obvious reasons, I’m very passionate about. While I don’t have a lot of time to spend on it, I can certainly make my voice heard, and try to bring attention to it. I would hope you would consider doing the same.
Mental health issues touch almost every one of us on some level. Either we suffer ourselves, or we have friends or family members who do. That is what makes it imperative that we become more vocal and advocate for adequate mental health services. That is what makes it imperative that we stop sweeping the issue under the rug out of shame and fear.
We can do better.
We must do better!
If you, or someone you know or love, is suffering from a mental health problem, I urge you to reach out and seek treatment, or offer your support and help for your loved one who is suffering. Below are a few numbers to call for help in finding resources near you.
Please like and share this post…you never know who you could help!
National Suicide Prevention Hotline – 800.273.8255 (TALK)
Veterans Crisis Line – 800.273.8255 (Press option 1)
Treatment Referral Hotline – 877.726.4727
For more resources: www.mentalhealth.gov