MHACC Stories Bank

發展因應策略，尋找社群支持：我在支持團體中的經歷 | Developing Strategies and Finding Community: My Experience in Support Groups

Mon, 23 Mar 2026 23:00:51 GMT

MHACC 雙語部落格 Bilingual Blog

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發佈日期：2023 年 10 月 2日

作者： Maureen O’Dougherty

在為期 12 週的 Family Connections 課程接近尾聲時——這是 NAMI 為家人或摯愛患有邊緣型人格障礙（BPD）的人所提供的課程——我們的講師邀請大家參加每月一次的支持團體。我參加了好多年。我的支持團體經驗，讓我親身確認了研究中早已證實的同儕支持益處。

在我的團體裡，參與者會在 NAMI 帶領者的引導下，練習在 NAMI 課程中學到的技巧——而這些概念本身，也是取材自針對 BPD 的實證治療方法。在聚會中，我們分享自己在理解摯愛真實生活經驗時所面對的困難，也一起集思廣益，想辦法處理彼此之間的落差。我發現，這種對話與把想法說出來共同梳理的過程，能幫助參與者更有效地為摯愛尋找資源，並更好地處理家庭關係。我相信，這正是這些聚會最核心的價值所在。

學習有效溝通

團體成員一起練習發展不同的溝通方式，目標是減少緊張、處理衝突，同時修復關係。這項能力對於維持與 BPD 患者的關係極為重要，因為這種狀況常伴隨人際關係困難，以及「情緒失調」所帶來的後果。在我們的團體中，大家會耐心地彼此協助，練習如何用圓融的方式，組織出三到四句話來處理眼前的問題。舉例來說，有位參與者就在其他團體成員的幫助下，寫出一段話，用來建立並強化與患有 BPD 的成年家人同住時的基本界線。

我們也學到，有效溝通還需要掌握幾個重要概念，其中之一就是「肯定（validation）」。我們該如何在支持和肯定摯愛的同時，又不顯得虛假？許多家屬，尤其是父母，常覺得自己彷彿被要求接受不友善的對待，或是假裝同意自己其實反對的想法或計畫。他們會想：身為父母，你要如何肯定青春期孩子的憤怒，而不是等於承認自己真的就是「全世界最糟糕的媽媽」？當你的摯愛一談到某些話題就會憤怒或極度受傷時，你又該如何和他們討論各種事情？

加深對 BPD 的理解

父母常感到困惑的一件事是，為什麼「任何事」都可能引發爭吵。一位有醫療背景的女性形容她女兒的情緒敏感，就像「燒燙傷病人那麼敏感。我會提醒自己，她待在自己的身體裡是多麼痛苦，她的人生對她來說是多麼艱難。」我們學到，肯定並不代表你要同意那些你無法接受、覺得無益，或認為不恰當的想法或計畫。相反地，肯定的意思是，去理解那個想法或計畫背後的情緒基礎。比如說，一位支持團體中的母親，因女兒打算高中輟學而感到震驚；另有一對夫妻也無奈地提到，他們的兒子也有類似打算，想離開大學。這時，團體中的其他人會引導他們思考，摯愛這些打算背後其實潛藏著焦慮。

練習徹底接納

我們練習的另一個重要概念，是「徹底接納（radical acceptance）」。這意味著，我們必須先接受摯愛的精神疾病事實，之後才有可能幫助他們面對工作、學業或關係上的掙扎。我們被提醒，家人並不應被他們的心理健康狀況所定義。我們可以提供支持，同時尊重對方自我決定的權利。

重新調整我們的思維方式

參與者也談到的另一個難關，是如何重新調整自己的思維，不再把「操控」這類標籤貼在摯愛身上。我曾問過一對夫妻，他們是否覺得自己被女兒操控了，因為女兒總會在他們難得出門度週末，甚至只是外出吃晚餐時，以危機狀況打斷他們。這對夫妻說，他們一離開，女兒就會陷入被遺棄的危機感。他們明白，女兒其實不知道該怎麼開口表達自己的需要。

另一位孩子有被遺棄創傷的家長也有類似的說法：「她大多數的需求或渴望，都來自於一種不確定自己是否永遠都得不到想要之物的感受。她被遺棄過太多次，而被收養帶來的痛苦又那麼深，所以她覺得自己只能緊抓著自己的需求，因為她非常害怕那些需求得不到滿足。」在這些情況裡，我們被鼓勵把摯愛的行為，看作是創傷所引發的焦慮與信任問題，而不是單純的「難相處」。

我們的支持團體由一位非常有能力的帶領者負責，她豐富的知識和經驗讓參與者印象深刻，也感到安心。當某位成員卡在一種無效的做法或思維模式中時，帶領者會溫和但堅定地介入，幫助對方看見自己方法的侷限，並獲得新的理解。

建立一個志同道合的社群

除了有技巧的帶領之外，支持團體為什麼能發揮作用？因為參與者會彼此專注傾聽，以願意接納、不帶批判、能理解他人的見證者與支持者身分陪伴彼此。大家真的會用心思考彼此面對的挑戰，透過追問問題本身、背景脈絡與可行選項，一起努力分析與解決問題。身為教育工作者的我，常常對那種全神貫注與建設性的交流感到驚嘆。現場沒有人分心！

在這個空間裡，參與者可以安全地彼此商量那些在文化上、道德上與情感上都非常艱難的決定：他們應該如何幫助摯愛，或者是否該選擇退一步。其中一個特別令人痛苦、讓父母非常煎熬的議題，是是否應該請成年的孩子不要再住在家裡。當然，缺乏安全、可負擔的低價住房，更讓這個問題雪上加霜。

當大家反覆討論完某位參與者的困境後，總會有人突然問出一個看似出乎意料的問題：「那你需要什麼？」家中有精神疾病患者的人，常常把全部注意力都放在摯愛的醫療需求上，將自己的需要放在一旁。然而，家屬和其他照顧者當然也同樣需要資源和支持，才能慢慢修復自己——所以，這其實是一個非常重要的問題。

最重要的是，參與者真正理解團體成員所處的位置；因為他們自己也走過那條路。當提到那些對 BPD 幾乎不了解、卻出於好意給建議的人時，大家常會彼此搖頭、苦笑。比如有人會說：「你有沒有試過設界線？」有位女性說，她對這類建議的回應通常是：「謝謝你的好意。」我們聽了都笑了。

結果是什麼呢？人們之所以來到支持團體，是因為他們正被反覆出現的急性危機和持續不斷的壓力所困擾。參加團體能幫助人們重新獲得某種程度的平靜、方向感，以及繼續走下去的能量。值得一提的是，也有人不是因為身處危機才來，而是因為他們想回饋別人。

我參加的這個支持團體有一種很特別的氣質。讓我意外的是，幾乎每次聚會，我們都會因某些離奇的情境或觀察而笑出來。聽彼此的故事、衡量不同的做法、被提醒要照顧自己，再加上一點幽默的鬆動——這一切都很鼓舞人心。

Maureen O’Dougherty 是一位文化人類學家，研究文化與心理健康的交會領域。她目前的研究計畫聚焦於家庭面對邊緣型人格障礙的經驗。Maureen 取得紐約市立大學博士學位，現任教於明尼蘇達州聖保羅市的大都會州立大學。

Date Published：October 2, 2023

Author: Maureen O’Dougherty

Article Link

Toward the end of the 12-week Family Connections course, a program offered by NAMI for people whose family members or loved ones live with borderline personality disorder (BPD), our instructor invited everyone to a monthly support group. I attended for years. My experience in a support group confirmed for me the benefits of peer support that has been established in research.

In my group, attendees practiced skills learned in the NAMI course — concepts themselves drawn from evidence-based therapy for BPD — under the guidance of the NAMI facilitator. In our sessions, we shared our struggles to understand our loved ones’ lived experiences and brainstormed suggestions for addressing the disconnect. This kind of dialogue and thinking out loud, I found, empowered attendees to become more effective in finding resources for their loved ones and navigating family relationships. This, I believe, was the heart of the meetings.

Learning Effective Communication

Group members worked on developing alternate ways to communicate with loved ones, with the goal of reducing tension and addressing conflict — all while repairing relationships. This skill is critical in maintaining relationships with people with BPD, because the condition is accompanied by difficulties with interpersonal relationships and the consequences of “emotional dysregulation.” In our group, we patiently coached one another on how to diplomatically craft a three- or four-sentence statement to address a problem at hand. For example, one attendee, with the help of fellow group members, developed a statement to establish and reinforce basic boundaries of co-residing with an adult with BPD.

Effective communication, we learned, also requires the mastery of a few concepts. One is “validation.” How do we maintain that delicate balance of being supportive and affirming a loved one without being inauthentic? Many family members, especially parents, often felt that they were being asked to accept unkind treatment or to pretend to agree with an idea or plan they objected to. They wondered: How do you, as a parent, validate your adolescent’s anger without actually agreeing that you are, indeed, “the worst mother ever?” How do you discuss any number of topics with your loved ones when they cannot be engaged without reacting in anger or extreme hurt?

Deepening Understanding of BPD

One issue that parents often found bewildering was how “anything” could provoke an argument. A woman with a background in health care described her daughter’s emotional sensitivity as akin to “burn patients who are so sensitive. I try to remember how painful it is for her being in her skin, how life is so hard for her.” Validation, we learned, does not mean agreeing with ideas or plans you don’t accept, or find counterproductive or inappropriate. Instead, validation entails relating to the person by going to the emotional basis of the idea or plan. For example, when a support group mother reacted with dismay at her daughter’s “plan” to drop out of high school and when a couple similarly reported discouragement at their son’s similar plan to leave college, fellow attendees guided them to consider the anxiety underlying their loved ones’ intentions.

Practicing Radical Acceptance

Another critical concept we practiced was “radical acceptance.” This required coming to terms with our loved ones’ mental illnesses so we could eventually help them navigate their struggles with work, school or relationships. We were reminded that our family members are not defined by their mental health conditions. We can offer support while respecting the person’s right to self-determination.

Reframing Our Mindsets

Another hurdle that attendees discussed was reframing their mindset, so as not to assign labels like “manipulative” to their loved ones. I once asked a couple if they felt manipulated by their daughter, who would interrupt a rare weekend out or even dinner out with a crisis. The couple said their leaving provokes a crisis of abandonment. They understand their daughter doesn’t know how to ask for what she needs.

Another parent of a child with abandonment wounds said, similarly, “Most of her needs or wants come from the standpoint that she’s not clear that she’ll ever get what she wants. She’s been abandoned so many times, and the pain from being adopted is so big that she feels she can only concentrate on what her needs are because she’s so afraid of them not getting met.” In these situations, we were encouraged to see our loved ones’ behaviors as stemming from trauma that produced anxiety and trust issues.

Our support group was managed by a skilled facilitator, whose wealth of knowledge and experience impressed and reassured attendees. When a group member was stuck in an unproductive approach or mindset, the facilitator intervened gently, unflinchingly helping the person see the limits of their approach and to gain new insights.

Creating a Community of Like-Minded People

Besides skilled facilitation, what makes support groups work? Attendees listen closely as receptive, nonjudgmental, understanding witnesses and supporters. People really consider each other’s challenges by asking follow-up questions about the problem at hand, the context and the options, and by making concerted efforts at analysis and problem-solving. As an educator myself, I marveled at the rapt attention and constructive work. There were no distracted attendees!

In this space, attendees can safely confer with one another over culturally, morally and emotionally harrowing decisions about ways they could or should help their loved one — or step back. One particularly painful matter causing great anguish among parents was whether to ask their young adult child to no longer live in the family home. This problem is of course exacerbated by the lack of safe, affordable low-cost housing.

After poring over an attendee’s concern, someone would eventually ask a question that seemed to come out of left field: “What do you need?” People whose loved ones live with a mental illness focus on the health care needs of their loved one, putting their own needs to the side. Yet of course, family members and others also need resources and support to recover — making this a meaningful question.

Of paramount importance, attendees understand where group members are coming from; they have been there. Attendees would shake their heads or laugh over friendly advice from well-intentioned people without much or any understanding of BPD, such as, “Have you tried setting limits?” One woman said her response to such suggestions was, “Bless you.” We chuckled over that.

What are the results? Attendees come to the support group because they are struggling with recurring acute crises and continual stress. Attending helps people gain some measure of calm, a sense of direction to take and renewed energy. It is worth noting that attendees also come when they are not in crisis because they want to give back.

The support group I attended had a novel quality. To my surprise, at nearly every meeting, we laughed over some farfetched situation or observation. Hearing one another’s stories, weighing different approaches, being reminded of self-care and comic relief — all of that is heartening.

Maureen O’Dougherty is a cultural anthropologist conducting research on the intersections of culture and mental health. Her current project investigates families’ experiences with borderline personality disorder. Maureen received her doctorate from the City University of New York. She is a faculty member at Metropolitan State University in St. Paul, Minn.

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尋找治療，打破代際憂鬱循環 | Finding Treatment and Breaking the Cycle of Intergenerational Depression

Mon, 23 Mar 2026 22:41:45 GMT

MHACC 雙語部落格 Bilingual Blog

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發佈日期：2023 年 10 月 16日

作者： Damon Devine

原文出處

我的曾祖母因憂鬱症與自殺失去了她的丈夫、兩個兒子和兩個孫子。而她也差一點失去我。

Fishel 奶奶在我動盪不安的童年與青春期，一直是我最堅定的支持者。她的家成了我的避風港，是我遠離自己居住的家和就讀學校的安全空間——那些地方讓我很難融入，也讓我明白自己與別人不同。

她總喜歡用溫馨而帶點復古趣味的小擺設，為生活帶來光亮與歡樂。我相信，這樣的環境深深影響了我，塑造了我一生對「老好萊塢」紀念品，以及像 Mae West 和 Yma Sumac 這類個人偶像的喜愛。

尋求幫助

憂鬱症從我 11 歲起，就成了我不受歡迎卻始終揮之不去的同行者。那不是人們在生活中正常會經歷的情境性低潮，而是一種令人動彈不得、長期存在、卻找不到明顯「原因」的慢性憂鬱。伴隨著憂鬱而來的，甚至在那樣年幼的時候，就已經有了自殺的念頭。到了青少年時期，這些想法對我來說已經變得稀鬆平常。我對周圍每個人看起來都那麼輕鬆地過日子感到憤恨，而我卻像是站在窗邊，看著別人在外面快樂生活。

23 歲那年，我開始服用抗憂鬱藥物。那時我剛搬出去，第一次獨自生活；我知道，若想活下去，我需要幫助。承認這一點對我自己而言已經很難，更不用說告訴別人——尤其是在一個從不談心理健康的家庭中長大，儘管我們家族的男性一直籠罩在自殺這個「家族詛咒」之下。但我想要感覺好一些，也想在新的社交和工作環境中正常運作。當醫生認真看待我的狀況時，我真的鬆了一口氣。第一種藥物大約幫助了我六個月。那段時間我覺得整個人輕鬆了許多，對人也更溫和，互動更多，也能在關係中付出更多。

但後來，憂鬱症狀和自殺念頭又回來了——接著便是應對副作用、嘗試不同劑量與藥物組合的掙扎。很多年裡，這就是我管理憂鬱症的日常。現在回頭看，就算有藥物，我其實從未真正覺得自己是正常的（如果所謂「正常」真的存在的話）；只是我的存在沒有那麼可怕而已。有時候我感覺自己接近「還可以」，但現在我明白，其實我從來沒有真正好過。

TMS：打破循環的治療

2018 年對我來說是一段非常糟糕的時期，而藥物已經無法幫助我撐過去了。就在我絕望地想嘗試別的方法時，我想起一段時間前，醫生曾提過一種非藥物治療，叫做經顱磁刺激（TMS）療法。當時我沒有太放在心上，但當我再次想起這個建議時，我告訴自己，我一定要試試看，因為我至少還欠自己最後一次嘗試的機會。就算沒有效，至少我可以說，我真的給過它一次機會。

TMS 會利用磁脈衝刺激大腦，所以它不是另一種藥物，而這一點對我非常有吸引力。一想到還要再面對另一種藥物，我就感到絕望。如果那是我唯一的選擇，我相信自己可能早就放棄了。

我在南加州住家附近找到一間專門提供 TMS 療法的診所，值得慶幸的是，那裡的醫生判定我是很適合接受這項治療的人選。一開始，當他們告訴我必須連續七週、每個工作日都去治療時，我其實很害怕。那時候連起床都很困難，更別說離開家、走進這個世界。但我逼自己去。幾天之後，我開始覺得，自己終於在為自己做一件正面的事，於是我每天都去，持續了整整七週。

每天接受 TMS 治療的實際過程與感受，其實都相當可以承受。診所會配合我的時間安排療程，而每天為我治療的那位專業人員也非常好。她會先幫我在舒適的治療椅上坐好，並確保我接受到精準、處方規定的磁脈衝劑量。大約 20 分鐘的時間裡，我坐在椅子上，感受到頭部靠近磁線圈接觸頭皮的地方，有一種規律的「答、答、答」敲擊感，那就是磁脈衝進入的感覺。

好轉，讓我感到驚訝

我並不確定自己會多久開始感受到改變。醫生告訴我，每個人都不一樣。我最先注意到的改變是，那些我每天都會出現的自殺念頭，停止了。大約做了 10 次治療之後，我迎來了我稱之為「爆開日（Pop Day）」的那一天。顏色似乎變得更明亮了，我甚至會注意到黃昏時交通號誌亮起來有多麼好看；我會在做完 TMS 回家的路上拍花，開始在周遭的一切裡看見美。我的身體也感覺輕盈了許多。得了憂鬱症時，你會覺得自己總像揹著一大袋沙子在生活，而那種沉重感消失了。

當它真的起作用時，我簡直不敢相信。直到現在，有時我還是不敢相信。自從五年前那個「爆開日」之後，一切都再也不是從前的樣子。即使到了今天，我仍會坐下來想想自己現在的感受，然後驚嘆其中的差別。我發現自己如今可以適應那些在過去看來幾乎無法承受的處境。

治療能救命

從憂鬱中走出來，就像是走出監獄一樣，儘管我什麼錯也沒有做。那個一直被困在悲傷、焦慮與疲憊之中的人，終於走了出來。我一直都知道，在那一切的深處，其實住著一個很不錯的人。

對我來說，TMS 就是那個真正有效的治療，而它也可能對你有效。重要的是，要開口求助，也要鼓起力量把治療走完。不論是 TMS，還是其他方式，你都不必等到自己陷入像我當年那樣危險的處境才開始。我不太想說那句被說爛了的話——「如果我做得到，你也做得到。」但這的確是真的。我不是什麼特別的人，但我是一個你可以產生共鳴的人，我理解那種感受。

Damon Devine 是一位心理健康倡議者，他希望讓人們知道：精神疾病不是你的命運，也不是你的身分。他鼓勵每一個人在危機來臨之前，就先了解自己有哪些治療選項。

Date Published：October 16, 2023

Author: Damon Devine

Article Link

My great-grandmother lost her husband, both sons and both grandsons to depression and suicide. And she almost lost me.

Grandma Fishel was my constant supporter during my tumultuous youth and adolescence. Her home became my refuge, my safe space away from the house I lived in and the school I attended — places where I struggled to fit in and knew I was different.

She surrounded herself with cozy kitsch to bring light and cheer into her life. I’m convinced this environment was influential in shaping my lifelong love of “Old Hollywood” memorabilia and personal idols like Mae West and Yma Sumac.

Asking For Help

Depression had been my unwelcome, relentless companion since age 11. Not situational depression that people experience as a normal part of life, but immobilizing, chronic depression with no obvious “reason.” Along with depression, even at that tender age, came thoughts of suicide. By the time I was a teenager, those thoughts were normal for me. I was resentful of how casual everybody seemed about daily life, while I was looking out a window at everyone else having fun.

At age 23, I started taking antidepressant medication. I had just moved away and was on my own for the first time; I knew I needed help to survive. It was hard admitting this to myself, much less anyone else — especially growing up in a family that didn’t talk about mental health, despite “the family curse” of suicide among our men. But I wanted to feel better and function in my new social and work environment. I was so relieved when the doctor took me seriously. The first medication helped for about six months. I felt much lighter, was much nicer to people, interacted more and could give more in my relationships.

Then the depression symptoms and suicidal thoughts came back — followed by the struggle of dealing with side effects and experimenting with doses and medication combinations. For many years, this was my routine to manage my depression. Looking back now, I never felt normal (whatever that is), even with medication; my existence just wasn't as horrific. Sometimes I felt close to ok, but now I see that I never truly was.

TMS: The Treatment That Broke the Cycle

2018 was a really bad time for me, and the medications weren’t getting me through it. In my desperation to try something different, I remembered that some time back, my doctor had mentioned a non-drug treatment called transcranial magnetic stimulation (TMS) therapy. At the time, I hadn’t paid too much attention, but when I recalled the suggestion, I thought to myself that I must do this because I owe myself one last thing to try. If it didn’t work, I could at least say I gave it a chance.

TMS uses magnetic pulses to stimulate the brain, so it’s not another medication, and that appealed to me a great deal. The thought of facing another medication filled me with despair. If that had been my only option, I believe I would have given up.

I found a practice that specializes in TMS Therapy near where I live in Southern California, and thankfully, the doctor there diagnosed me as a good candidate. At first, I was intimidated when they told me I would have to come in every weekday for seven weeks. It was a struggle to get out of bed, much less leave the house and go out into the world. But I forced myself to go. After the first few days, I felt like I was doing something positive for myself, and I went every day for seven weeks.

The actual process and sensation of the daily TMS treatments were quite manageable. The office worked with me to schedule times that were convenient, and the practitioner I saw every day was wonderful. She got me settled into the comfortable treatment chair and made sure I received my exact, prescribed dose of magnetic pulses. For about 20 minutes, I sat in the chair and felt a tap-tap-tap sensation on my head where the magnetic coil touched my scalp and delivered the pulses.

Getting Better Surprised Me

I wasn’t sure how soon I would start to notice a difference. The doctor explained it’s different for everyone. My first sign was that the suicidal thoughts, which I had been having every day, stopped. After about 10 treatments, I had what I call my “Pop Day.” Colors seemed brighter, and I caught myself noticing how pretty traffic lights glow at sunset, photographing flowers on my way home from TMS and seeing beauty everywhere around me. I felt physically lighter, too. With depression, you feel heavy, like you're carrying around a big bag of sand all the time, and that was gone.

When it worked, I couldn't believe it. I still can't believe it sometimes. Ever since Pop Day five years ago, things have never been as they were before. Even now, I'll sit and think of how I feel today and marvel at the difference. I find myself adapting to situations that would have seemed insurmountable back then.

Treatment Is Lifesaving

Coming out of depression felt like coming out of prison, even though I'd done nothing wrong. The person I always knew was deeply trapped in all that sadness, angst and exhaustion came out. I always knew there was a pretty cool person in there.

TMS was the treatment that worked for me, and it might work for you. The important thing is to ask for help and muster up the strength to follow through. Whether it’s TMS or something else, you don’t have to wait until you’re in as dangerous a place as I was. I hate to say the overused phrase, "If I can do it, you can." But it’s the truth. I’m no one special, but I am somebody to relate to, and I understand.

Damon Devine is a mental health advocate who wants people to know that mental illness is not their destiny or their identity. He encourages everyone to be aware of their treatment options before they’re in crisis.

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Beyond Rosemead: From Film to a Movement in the Making 超越《柔似蜜》: 从电影到一场正在成形的社会运动

Sat, 07 Feb 2026 01:54:59 GMT

Scroll down for the Chinese Version（文末有中文版）

Beyond Rosemead: From Film to a Movement in the Making

——By: Cami, Elaine Peng ——Mental Health Association for Chinese Communities

https://www.mhacc-usa.org/

Spoiler Warning: This article discusses key plot points of the film Rosemead and the real-life events it is based on.

Details of the actual case are drawn in part from Frank Shyong’s 2017 reporting for the Los Angeles Times: Read Here

Introduction

There is a scene in the film Rosemead that is particularly memorable.

Irene, the mother played by Lucy Liu, speaks to her son in Mandarin as he drifts off to sleep: "No matter what happens, remember that Mama loves you." It is the first time Lucy Liu has performed an entire film in her native language. In a promotional interview, she noted that Mandarin carries a certain tenderness and sense of restraint that English sometimes struggles to convey.

The film is based on true events. But the real story is far more complex than any two-hour film can convey.

If we reduce the story to "a mother's madness," it ends too quickly. This article does not attempt to justify an irreversible choice. It attempts a different kind of work—a multi-layered deconstruction of:

-How a mother calculates risk on the countdown to her own death;

-How an intimate friendship is frozen by the need for "decency,"

-How a system shows its caregivers a cliff instead of a road;

-And how an era's mass-shooting narrative gives rise to cognitive distortion and panic.

These four layers, stacked on top of one another, are what finally pushed one person toward what she believed was the "only solution."

These are the dimensions that two hours of cinema may not fully capture. You can carry these questions into the theater. If you have already seen the film and still feel something lodged inside you that you cannot quite name, perhaps this article can help you understand that suffocating weight just a bit more.

The Real Event

July 27, 2015. 5:00 AM. Valley Hotel, Rosemead, Los Angeles County, California.

Lai Hang—the real woman behind Irene, referred to here as Hang—fired two shots into her sleeping son's chest. Then she stroked his hair and lay beside him for hours. Only after blood had soaked through the sheets did she call the police.

She told officers she believed her seventeen-year-old son would become a mass shooter. She killed him, she said, to "protect others."

But she did not turn the gun on herself to escape the consequences of what she had done. She said she wanted to "punish herself."

Why would someone who claims to be protecting the world need punishment?

The Collapse

Hang's life traced the arc of a generation. Born in Laos, raised in Hong Kong, she won a scholarship to study graphic design in Tokyo. Friends remembered her as brilliant, beautiful, and fiercely ambitious.

In 1992, she married and moved to the United States. She and her husband, Peter, opened a print shop in Alhambra. The business took off. They bought a house. In 1998, their son George was born. It was a near-perfect American Dream—until 2012.

That year, Peter was diagnosed with cancer and died within months. George, a high school freshman at the time, was devastated. He withdrew from friends and fell silent. He was later diagnosed with schizophrenia.

By 2015, Hang herself had been diagnosed with terminal cancer. In the span of a few years, her husband was gone, her son had unraveled, and her own time was running out. In this country, she was almost entirely alone.

The Silence

Her only close friend was Ping Chong—her childhood companion since primary school in Laos. They had each followed their families to Hong Kong, then reunited in America, becoming mothers in the same year. Chong believed they were destined to be lifelong friends.

After Peter's death, Chong sensed something was wrong in Hang's home. During visits, she noticed a smashed iPad, a ruined garden. Hang blamed carelessness. Chong did not press.

Once, Hang brought her son's prescription medication to show Chong, who worked at a Chinese herbal pharmacy. Chong glanced at the label, said "You should listen to the doctor," and changed the subject.

Another time, Hang asked Chong to come along to George's therapy appointment. Chong went. But once they arrived at the clinic, she felt it would be intrusive to listen to such private matters. She stood at a distance and turned her head away.

"We were so close," Chong said later, "but we couldn't find the right words to talk about any of it."

Her upbringing had taught her that raising a friend's difficulties would only deepen the shame. Maintaining "propriety" and preserving "face" mattered above all. So she said nothing.

In a mental health crisis, the real danger is often not saying the wrong thing—it is that no one is willing to speak at all.

The Fear

Between 2012 and 2015, Hang's television was a loop of mass shootings: the Aurora theater, Sandy Hook Elementary, Isla Vista.

In June 2015, Dylann Roof killed nine people in a South Carolina church. George became fixated on the event.

Hang saw the assignments about Hitler on her son's desk, the hand-drawn swastikas. Her fear deepened by the day.

Weeks later, on the same day she learned her cancer prognosis gave her only months to live, she filled out a handgun purchase application.

The "Bad Son"

Hang once used the Cantonese term seoi-zai (衰仔) to describe her son. The word can mean simply "naughty" or "disobedient," but in a harsher register, it carries the weight of "ruined child" or even "evil child."

Was George truly dangerous? We will never know.

What matters more is this: whether an individual will turn to violence cannot be deduced from a diagnosis or a few sketches. Yet public narrative routinely takes this shortcut, binding "mental illness" to "danger" as though one inevitably leads to the other.

Research suggests that most people with schizophrenia are never violent; in fact, they are far more likely to be victims of violence than perpetrators. But when the media repeats the equation of illness with threat, society develops a cognitive bias: we begin to imagine—and to treat—these individuals according to the worst-case scenario.

By then, Hang's fear had been driven to a place of total isolation.

The System: Between the Door and the Wall

George appeared to be firmly inside the system.

He was receiving treatment at the Asian Pacific Family Center in Rosemead. There were prescriptions, case files, a seemingly complete care pathway. But Hang herself never truly entered that system.

She delivered her son through the door and remained standing outside it. Even when she sat in the therapy room, she did not participate, did not ask questions, did not advocate. Not out of indifference—but because she never believed, from the very beginning, that the system could truly understand or save her son.

On the surface, this distrust looks like unfamiliarity with psychiatric care. Beneath it lies something deeper: the entrenched stigma around mental health in immigrant families—the conviction that "family shame must not be aired," that one must "endure and push through alone." And so she chose to carry everything herself, refusing help, refusing to depend on anyone.

Thus, the system turned a blind eye as well.

George was about to turn eighteen. At that threshold, he would become a legal adult, and Hang would lose her right to make medical decisions on his behalf. Her instincts, her experience, her anxiety as a mother—none of it would carry legal weight anymore.

In theory, she still had options: she could apply for extended treatment; in extreme cases, she could petition the court for conservatorship or assisted decision-making. But for an immigrant mother, what did these "options" actually mean? They meant impenetrable legal language. They meant a cost of time and energy she could not afford. They meant the shame of handing "family matters" over to a court, to a system.

And the cruelest part: she had no time. Hang was dying.

The system assumes that everyone has enough time to learn, to understand, to appeal, to wait. Hang's life was on a countdown.

When institutional barriers collide with language, culture, stigma, and death, some people are destined to remain on the outside—not because they refused the system, but because the system was never designed for them.

Unfortunately, this tension—of being chased by time, cornered by institutions, and shut out by society—is where the film Rosemead falls short. Audiences can understand Irene's predicament, but they may not fully feel that suffocating urgency of running out of time, nor grasp the full depth of what drove a person into such an impossible corner that tragedy became, in her mind, inevitable.

And that is precisely the truest weight of Hang's life.

A Conversation with Actor Lawrence Shou | San Francisco | January 10, 2026 ⬆️

What Cannot Be Said

Hang could not say "I'm scared." Chong could not ask "Are you okay?". George could not say "I need help."

In a promotional interview, Lucy Liu observed: "In Chinese, you don't say 'How are you?'—you say 'Have you eaten?'" We express love through food, concern through money, care through material provision—but rarely through emotion itself. To show emotion is often treated as inherently dangerous: emotion signals vulnerability, vulnerability exposes weakness, and weakness invites harm.

And yet our culture simultaneously demands that mothers be the strongest of all. Chong once said that Hang had been raised to believe her son's troubles were hers alone to bear. Carry everything. Endure in silence. Never complain. Never break down. Never be allowed to be fragile.

"I would do anything for my child." There is awe-inspiring power in that sentence—and a shadow. When "anything for my child" quietly becomes "only I can," love begins to slide toward control, and strength becomes a cage that traps both the child and the mother herself.

And so everyone suffers alone. Everyone "respects" the other's silence. Vulnerability goes unseen—not because the people around us are heartless, but because we do not know how to respond to another person's pain. So we look away.

Protection and Burden

What if someone had reached out to her?

Seen from the outside, Hang's internal monologue might have sounded something like this:

After I die, no one will take care of him.If he hurts someone, it will be my fault.The police will treat him as a threat. The system will treat him as a monster. No one will love him. Only I can protect him—protect him from the world, and the world from him. And I am dying.

This is not the language of madness. It is a "rationality" compressed to its breaking point by prolonged isolation and fear. When a person comes to believe that "only I can fix this," that belief is itself a distress signal—one that needs to be recognized.

Protection should never be one person's burden alone. Communities, schools, healthcare systems, law enforcement—all should be woven into a single safety net. When protection becomes a collective responsibility, no individual is pushed to the edge.

But to understand someone's logic is not to endorse her choice. Hang's tragedy lies precisely in the fact that she drove "bearing responsibility" to its fatal extreme. After her husband died, she held the family together on her own, swallowing fear, despair, and exhaustion whole. "Bearing it" became "only I can bear it." "Protecting" became "only I can protect." She made herself the sole line of defense—and when that line was about to vanish, she felt she had to end things herself.

"Staying alive to be punished" was the final link in this chain of logic: the son was hers, the problem was hers, and so the resolution had to be hers as well; she would remain here and carry every consequence on her own shoulders.

This logic is distorted, but it is not hollow. It is what loneliness looks like at its very end—a person nailing herself to a cross as a last resort.

This is not protection succeeding. It is protection, pushed to its extreme in isolation, finally collapsing. True protection should happen before someone has to carry the weight alone—not after they have already fallen.

Epilogue

On the night it happened, Hang called Chong. "Where are you?" Chong asked. "What happened?"

"I've sent George away," Hang said.

Not "killed." "Sent away"—translating the unbearable into bearable language, rewriting the narrative of what she had done into something she could live with. Perhaps in her mind, this family had been cursed, and the last thing she could do was bear it alone and erase every trace.

Weeks later, Chong visited her in prison. Hang turned her face to the wall: "Burn all our family photos. I don't want anyone to remember us."

In prison, Hang's cancer deteriorated rapidly. Within months, a judge granted her compassionate release. Chong went to see her in the hospital, bringing flowers, prayer beads, and a recording of Buddhist scriptures. She leaned close to Hang's ear and whispered: "You're not a prisoner anymore. You're not a sinner. It's all in the past now."

That afternoon, around four o'clock, Hang died alone.

Chong later told a reporter: "People will only remember her as the mother who killed her son. But she was more than that."

The film ends with a scene of its own invention: Chong had promised Hang she would burn all the family photographs. But when she strikes the match, she stops. She does not burn them.

Perhaps some things should not be forgotten—even if they are painful, even if they defy understanding. Because only by remembering can we begin to see how far a mother's love can reach, and how deep into the abyss it can fall when met with isolation, fear, and the cracks in our systems.

To see is to make it possible that the next time someone stands at the edge of collapse, they might be caught. Even if only once.

A Call for a Movement Beyond the Film Rosemead

In Rosemead, Lucy Liu as Irene and Lawrence Shou as Joe deliver extraordinarily powerful performances, laying bare the pain, love, struggle, and helplessness of their characters without reservation. Liu's portrayal, in particular, is a tour de force—rendering the full depth of her character's psychological unraveling with searing precision.

As a long-term practitioner who works alongside individuals with mental health conditions and their families, many of the scenes in this film were almost impossible to watch with professional distance—because they were too real, too familiar. I wept twice in the theater. What I saw on screen is what we face every day: families who are misunderstood, delayed, and left in isolation; caregivers torn between love and terror, never given enough support.

I deeply admire the creative team behind Rosemead for choosing to confront head-on the subjects most easily avoided and most easily oversimplified: mental illness, social stigma, cultural conflict, and generational trauma. They reframe mental health not as a "personal problem" but as something embedded in the intersection of culture, institutional failure, and intergenerational pressure—compelling audiences to rethink how Asian families talk about illness and how society catches those who fall.

I especially value the post-screening discussions held after select showings. At the screening I attended, Lawrence Shou, who plays Joe, said something in response to an audience question that has stayed with me: "The mother is not a murderer. She and her son are both victims."

Indeed, the most important leap Rosemead makes is this: it does not merely tell a tragedy. It invites its audience to face a harder question—if we continue searching only for "villains" rather than repairing systems and supporting caregivers, will tragedies like this keep happening?

The film is not without its controversies, of course. A general audience may not immediately grasp what it means when the son halves his medication dosage—that this is not simply "taking less medicine," but a potential trigger for relapse, loss of control, and irreversible consequences. The film's depiction of this detail is honest, though it may not provide every viewer with enough context to fully understand its gravity.

But it is precisely because of this that the conversation has begun. Where there is conversation, there will be debate; where there is debate, there may be action.

The public dialogue that Rosemead has sparked—about mental health, about Asian American families, about the isolation of caregivers—has already grown beyond the film itself. What it has generated is not merely sympathy or tears, but a challenge to our systems' blind spots, a confrontation with cultural silence, and a persistent, unanswered question: If someone had caught them in time, could it have been different?

And that, perhaps, is Rosemead's most enduring significance.

Group photo after the film screening:

From right to left: Dr. Steve Sust, MD-Assistant Clinical Professor. Child and Adolescent Psychiatry, Stanford University; Jet Liu-Deputy Executive Director of the Mental Health Association for Chinese Americans (MHACC); Elaine Peng--Co-author of this article, founder and CEO of the Mental Health Association for Chinese Americans (MHACC); Dr. Rona Hu-MD Clinical Professor, Psychiatry and Behavioral Sciences at Stanford University; Lawrence Shou, who played Joe, the son in the film "Rosemead"; Dr. Irene Zhang, former board member of the Mental Health Association for Chinese Americans (MHACC); Olivia.

超越《柔似蜜》: 从电影到一场正在成形的社会运动

作者：卡米，彭一玲

剧透预警： 本文涉及电影《Rosemead》及其原型事件的关键情节。

真实案件的细节，部分来自《洛杉矶时报》记者 Frank Shyong 2017 年的报道， 点击阅读

引子

电影《Rosemead》（柔似蜜）里有一幕让人几乎无法呼吸。刘玉玲（Lucy Liu）饰演的母亲 Irene，用普通话对即将入睡的儿子说： "无论发生什么，记住妈妈爱你。"

这是刘玉玲第一次在银幕上用母语演出一整部电影。她在一段宣传采访里提到，普通话里有一种英语难以承载的温柔与含蓄。

电影改编自真实事件。但真实的故事，比任何一部电影能承载的都更复杂。

如果把这件事只当作"一个母亲的疯狂"，故事就会结束得太快。这篇文章想做的，不是为一个不可逆的选择找借口，而是尝试做一次多维度的拆解：

一个母亲在死亡倒计时里如何计算风险，
一段亲密友谊如何被"体面"冻结，
一个系统如何让照护者看见的是悬崖而不是路，
以及一个时代的枪击叙事如何造就认知偏差、造成恐慌。

这四层交叠，最后才把一个人推到她以为的"唯一解"。

这些层次，也许是两小时的电影很难完全呈现的。你可以带着这些问题去看电影；如果你已看过、仍觉得有什么堵在心里说不清，也许这篇文章能帮你把那份窒息感放进一个更清晰的结构里。

真实事件

2015 年 7 月 27 日，凌晨 5 点，加州洛杉矶县柔似蜜市（Rosemead），山谷旅社。

Lai Hang（Irene 的原型，以下简称 Hang）朝熟睡中的儿子开了两枪，打在胸口。然后她抚摸着他的头发，在他身边躺了好几个小时，直到鲜血浸透了床单，她才打电话报警。

她告诉警察：她相信 17 岁的儿子会成为大规模枪击案的凶手。她杀他，是为了"保护其他人"。

但她没有开枪自杀。她说，她想"惩罚自己"。

一个自称"保护世界"的人，为什么需要惩罚自己？

崩塌

Hang 的人生轨迹，是一代移民的缩影。老挝出生，香港长大，拿到奖学金去东京读平面设计。朋友们眼中的她聪明、漂亮、有野心。

1992 年，她嫁到美国，和丈夫彼得（Peter）在洛杉矶阿罕布拉市开了间印刷店。生意成功，买了房，1998 年儿子乔治（George）出生。这是一个几乎完美的美国梦。直到 2012 年。

2012 年，彼得查出癌症，几个月后去世。乔治那年刚上高一，父亲的死对他打击很大，他变得沉默，不再和朋友来往。随后，他被诊断出精神分裂症。

2015 年，Hang 自己也确诊癌症晚期。短短几年，丈夫走了，儿子崩溃，自己时日无多。而她在这个国家，几乎是孤身一人。

沉默

她唯一的亲密朋友是发小 Ping Chong（以下简称 Chong）。两人从老挝的小学就认识，后来各自随家庭搬到香港，又在美国重逢，同一年当了妈妈。Chong 觉得，她们注定要做一辈子的朋友。

彼得去世后，Chong 察觉到 Hang 家里有些不对劲。去探望时，她看到摔碎的 iPad，被破坏的花园。Hang 说是不小心弄坏的。Chong 没有追问。

有一次，Hang 拿着儿子的处方药来问她。Chong 在一间中药铺工作，但她只扫了一眼药盒，说"你要听医生的"，就把话题岔开了。

还有一次，Hang 请 Chong 陪她去儿子的心理治疗。Chong 去了，但到了诊所，她觉得不该听这些私事，就刻意站得远远的，把头转向一边。

事后 Chong 说："我们明明那么亲近，但好像找不到合适的词来谈论这些。"

从小受的教育让她觉得，主动提起朋友的难处，只会让人更难堪。维持"礼貌"，保留"体面"很重要。于是她什么都没说。

而在精神健康危机中，真正危险的，往往不是说错话，而是没有人愿意开口。

恐惧

2012 年到 2015 年，Hang 的电视屏幕上滚动播放着枪击案新闻。Aurora 电影院、Sandy Hook 小学、Isla Vista……

2015 年 6 月，Dylann Roof 在南卡罗来纳州教堂射杀 9 人。乔治开始对此产生执念。

Hang 看着儿子桌上关于希特勒的作业、手绘的纳粹符号，恐惧一天天加深。

几周后，在得知自己癌症预后只剩几个月的那一天，她填写了购买手枪的申请表。

衰仔

Hang 曾用"衰仔"形容儿子。

这个粤语词可以只是"顽皮""不听话"，但在更严重的语境里，它也意味着"败家子""邪恶的孩子"。

乔治真的危险吗？我们永远不会知道。

而更重要的是：个体是否会走向暴力，并不能从一个诊断或几张草稿直接推出。但公众叙事常常走这条捷径，把"精神疾病"与"危险"捆绑成一个省力的解释。

有研究估计，多数精神分裂症患者并不会实施暴力；相反，他们更常成为暴力的受害者。可当媒体不断重复"精神疾病=暴力"的叙事，整个社会会形成一种认知偏差：我们开始用"最坏可能"来想象这些人，也用"最坏可能"来对待他们。

但当时 Hang 的恐惧，已经被推向了孤立无援的极端。

系统—在门内和门外之间

乔治似乎始终处在医疗"系统之内"。

他在柔似蜜的亚太家庭服务中心接受治疗，有处方药，有个案记录，有一整套看似完整的医疗路径。但 Hang 从未真正进入这个系统。

她把儿子送进那扇门，自己却站在门外。即使和儿子坐在治疗室里，她不参与会谈、不提问、不争取。不是因为冷漠，而是因为她从一开始就不相信，不相信这个系统能真正理解、或拯救她的儿子。

这种不信任，表面上看是对精神疾病与治疗方式的不了解；更深一层，是精神健康在移民家庭中根深蒂固的污名化，"家丑不可外扬"，"靠自己撑过去"。于是她选择独自承担，拒绝求助，拒绝依赖。

而系统并不会为她停下脚步。

乔治即将年满 18 岁。那一刻，他在法律上将成为"成年人"，Hang 也将失去医疗决策权。她作为母亲的直觉、经验、焦虑，将不再被制度承认。

从制度设计上说，她当然还有别的路：她可以申请更长期的治疗；在极端情况下，也可以请求法院介入，设立监护或协助决策机制。

但对一位移民母亲而言，这些"选项"意味着什么？意味着陌生而冰冷的程序语言；意味着无法承受的时间与精力成本；意味着把"家事"交给法院、交给系统的羞耻感；

而最残酷的是：她没有时间。Hang 正在死去。

系统假设每个人都有足够的时间去学习、理解、申诉、等待；但 Hang 的生命正在倒计时。

当制度的门槛遇上语言、文化、污名与死亡，有些人注定只能站在门外。不是因为她拒绝系统，而是这系统从未真正为她而设计。

遗憾的是，这种被时间追赶、被制度逼迫、被社会排斥的张力，在电影《柔似蜜》中的呈现仍显不足。观众能理解电影中的母亲 Irene 的困境，却未必能感受到那种等不及了的窒息感，也未能体会到主人公陷入绝境，了解到导致悲剧发生的原因。

而那，恰恰是 Hang人生中最真实的重量。

说不出口的

Hang 不能说"我害怕"。Chong 不能问"你还好吗"。乔治更难说"我需要帮助"。

刘玉玲在一段采访中提到： "在中文里，打招呼不是'你好吗'，而是'你吃了吗'。"

我们用食物表达爱，用金钱表达关心，用物质填满所有空隙——唯独不用情感。因为表达情感往往被默认为一种危险：情感意味着脆弱，脆弱意味着软肋。

而我们的文化同时期待母亲是最强大的那个人。Chong 说过，Hang 受到的教育是：儿子的麻烦，是母亲独自的责任。扛起一切，默默承受，不抱怨，不崩溃，也不被允许脆弱。

"为了孩子，我可以做任何事。" 这句话里有令人敬畏的力量，也有危险的阴影——当"为了孩子"悄悄变成"只有我能"，爱就开始滑向控制，力量就变成牢笼，困住孩子，也困住自己。

于是每个人都在独自承受，每个人都在"尊重"对方的沉默。脆弱不被看见，往往不是因为旁人无情，而是我们不知道怎么回应别人的痛苦，于是假装看不见。

保护与承担

如果当时有人从旁边拉她一把……

以旁观者的角度审视，Hang 的内心独白也许是这样的：

“我死后，没有人能照顾他。如果他伤害了别人，那是我的责任。警察会把他当威胁处理，系统会把他当怪物对待。没有人会爱他。只有我能保护他，保护他不被世界伤害，也保护世界不被他伤害。而我快死了。”

这不是疯狂的语言，而是一种被长期孤立、被恐惧压缩到极限后的"理性"。当一个人开始相信"只有我能解决"，那本身就是一个需要被接住的危险信号。

保护从来不该是一个人的任务，社区、学校、医疗系统、执法部门都应被纳入同一个"保护网络"中，当保护变成集体责任，个体才不会被推向极端。

但理解一个人的逻辑，不等于认同她的选择。Hang 的悲剧，恰恰在于她把"承担"推到了极端。丈夫去世后，她独自撑起这个家，把恐惧、绝望、疲惫吞进肚子里。"承担"变成"只有我能承担"，"保护"变成"只有我能保护"。她把自己变成了唯一的防线——当这道防线即将消失，她觉得必须由自己来终结一切。

而"活着受罚"，是这条逻辑的最后一环：儿子是我生的，问题是我造成的，终结也应该由我来执行；而我必须留在这里，把所有后果都背在身上。

这逻辑是扭曲的，但它并不空洞：它是孤独的尽头，是一个人把自己钉在十字架上的最后手段。

这不是"保护"的成功，而是"保护"在孤立中被推到极端后的崩塌。真正的保护，应该发生在有人分担之前，而不是有人倒下之后。

尾声

事发当晚，Hang 打电话给 Chong。Chong 问：你在哪？出什么事了？

Hang 说："我把乔治送走了。"

不是"杀"，是"送走"——把不可承受之事翻译成可承受之词，把无法面对的罪责包装成"我做了必须做的事"。也许在她心中，这个家是被诅咒的，而她能做的最后一件事，是独自承担它，并把一切痕迹抹去。

几周后，Chong 去监狱探望。Hang 把脸转向一边："把我们家所有的照片都烧掉。我不想让任何人记得我们。"

入狱后，Hang 的癌症迅速恶化。几个月后，法官批准保外就医。Chong 去医院看她，带了花、念珠、一盘佛经录音带。她凑近 Hang 的耳边，轻声说：你不是囚犯了。你不是罪人了。以前的事，都过去了。

那天下午四点左右，Hang 一个人走了。

Chong 后来对记者说："别人只会记得她是那个杀了儿子的母亲。但她不只是那样的人。"

电影片尾有一个原创场景：Chong 答应 Hang 烧掉所有家庭照片。但当她划亮火柴，她停住了。她没有烧。

也许有些事不应该被遗忘。即使痛苦，即使无法理解。因为只有记住，我们才可能看见：一个母亲的爱可以强大到什么程度，又可以在孤立、恐惧与制度缝隙里，走向怎样的深渊。

看见，是为了让下一次有人在崩塌边缘时，至少能被拉住一次。哪怕只是一次。

呼吁一场超越电影《柔似蜜》的社会运动

电影《柔似蜜》中，饰演母亲 Irene 的刘玉玲，以及饰演儿子 Joe 的 Lawrence Shou，用极具感染力的表演，将人物的痛苦、爱、挣扎与无助，毫不保留地呈现在观众面前。特别是刘玉玲的炸裂演技，将人物心态刻画得入木三分。

作为一名长期与精神健康患者及其家庭并肩工作的实践者，在电影院里，因为场景太过真实、熟悉，我为此落泪了两次。我看到的正是我们每天面对的现实——那些被误解、被拖延、被孤立的家庭；那些在爱与恐惧之间反复拉扯、却始终得不到足够支持的照顾者。

我由衷敬佩《柔似蜜》的创作团队，他们选择直面精神疾病、社会歧视、文化冲突与家庭创伤这些最容易被回避、也最容易被简化的话题。他们让精神健康不再只是"个人问题"，而是被放回文化、制度与代际压力交织的现实之中，迫使观众重新思考——亚裔家庭如何谈病？社会如何接住他们？

我尤其珍惜部分场次设置的映后讨论会。我观看的那一场，饰演儿子 Joe 的 Lawrence Shou 在回答提问时说了一句让我久久无法平静的话："母亲不是凶手，她和儿子都是受害者。"

的确，《柔似蜜》最重要的跨越在于：它不再只是讲述一个悲剧，而是邀请观众共同面对一个更艰难的问题——如果我们继续只寻找"凶手"，而不愿意修补系统、接住照顾者，这样的悲剧，还会不会再次发生？

当然，电影本身并非没有争议。一般观众未必能立刻理解，男主角将药量减半究竟意味着什么——那不仅是"少吃一点药"，而可能是复发、失控，甚至不可逆后果的起点。电影对这一细节的呈现是真实的，却未必为所有观众预留了足够的理解空间。

但也正因如此，讨论开始了。而只要有讨论，就会有争论；只要有争论，就可能引发行动。

《柔似蜜》引发的这场关于精神健康、关于亚裔家庭、关于照顾者孤立处境的公共对话，已经超越了一部电影本身。它带来的不只是同情或眼泪，而是对系统缺口的质问、对文化沉默的挑战，以及对"如果当时有人接住他们，会不会不一样"的反复追问。

而这，或许正是《柔似蜜》最深远的意义所在。

电影会后的合影：

从右到左：Dr. Steven Sust --斯坦福大学副教授，精神科医生；刘先进--美国华裔精神健康联盟MHACC副执行长；彭一玲--本文的共同作者，美国华裔精神健康联盟MHACC创办人及执行长；Dr. Rona Hu --斯坦福大学教授，精神科医生，斯坦福医院急诊室医疗主任；Lawrence Shou--饰演电影《柔似蜜》儿子Joe；张海云博士-美国华裔精神健康联盟MHACC前理事；Olivia

2026年1月10日旧金山，演员Lawrence Shou在电影院的对谈

Highlights from MHACC’s 14th Lunar New Year Celebration｜MHACC 第14屆春節聯歡會精彩回顧

Wed, 04 Feb 2026 18:25:11 GMT

1 月 24 日，美國華裔精神健康聯盟在佛利蒙舉辦第 14 屆「馬年春節聯歡會」，民選官員、社區領袖與 300 位朋友齊聚一堂，在舞龍迎春與新春祝福儀式的熱鬧中，一起迎接新年，也一起關心精神健康。聯歡會中還有一個與眾不同的環節——多位當地民選官員（包括佛利蒙市市長等）親自上陣舞龍，向大家一年來的辛苦付出致意，也特別感謝 MHACC 全體同仁的努力與服務。謝謝每一位到場的你，以及一路支持我們的志工與夥伴，讓愛心與連結在社區裡繼續流動。��✨

On January 24, MHACC hosted our 14th “Year of the Horse” Lunar New Year Gala in Fremont, bringing together elected officials, community leaders, and 300 friends. Through the festive lion/dragon dance, welcome ceremony, and New Year blessings, we celebrated the season—and also reminded one another to care about mental wellness.

One special highlight made the day truly unforgettable: several local elected officials—including the Mayor of Fremont—joined in the dragon dance to honor the community’s hard work over the past year and to recognize the dedication of the entire MHACC team. Thank you to everyone who attended, and to all our volunteers and partners who continue to keep compassion and connection flowing throughout our community. ��✨

暖線團隊的春節小表演影片 Performance video from our Warmline team:
《暖線陪你過新年》Warmline is here with you!

活動照片及视频｜More Pictures and Videos

世界日報報導

我女兒的第一次精神病發作 | My Daughter’s First Episode of Psychosis

Fri, 02 Jan 2026 01:10:24 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

發佈日期：2021 年 5 月 12 日

作者：Brittany Miles

原文出處

兩年前，夏天在我 11 歲的女兒順利完成學年的喜悅中展開。Jamie 因重度憂鬱症與焦慮症缺課數月後，於學年中期重返校園。

在這個沉重的診斷之後，我請了家庭醫療假來照顧她。我與她的精神科醫師、心理治療師及學校行政人員密切合作，制定了一套周全的返校計畫。配合藥物與治療，我以為她正在好轉。我們替她辦了「歡迎回來派對」，朋友們再次來家裡過夜。到了學年結束時，她看起來很快樂，也準備好迎接青春期前的生活。

第一次發作

某天早上，我發現女兒坐在房間裡，目光呆滯地凝視著前方。Jamie 望著空氣，彷彿同時看見了某些東西，又什麼都沒有。我的直覺告訴我，這可能是憂鬱症復發的徵兆，但實際發生的事情遠比我想像的嚴重。Jamie 無法被勸離房間。我邀她和我們的吉娃娃一起出去散步，她拒絕了，並說「不安全」，卻說不出原因。她的眼睛來回掃視，好像看見了我看不見的東西。這已經不同於憂鬱症，我開始為我的孩子感到害怕。

Jamie 的身體癱軟，蜷縮成胎兒姿勢躺在床上。她讓我靠近，我伸手抱住她，希望我的陪伴能安撫她。我輕聲問她看見了什麼，她說：「媽媽，你看不到他們嗎？他們都在那裡。」她指著天花板說：「他們在嘲笑我。不要再取笑我了！」她顫抖、流淚，摀住耳朵。我幾乎無法呼吸，恐懼瞬間吞噬了我。這不是上網搜尋或打給護理專線就能解決的事，這是我從未見過的狀況。後來我才知道，Jamie 經歷的是「首次精神病發作」（First Episode of Psychosis, FEP）。

我立刻打電話給她的精神科醫師，我們親切地稱他為「D 醫師」，向他說明這個新出現的症狀。他開始感到擔憂，並提到可能還有其他前驅症狀。所謂前驅症狀，是指疾病即將發生的早期徵象。考量到她同時有閱讀障礙與 ADHD，我問他這是否代表雙相情緒障礙或思覺失調症的開始。他並未下定論。D 醫師本性謹慎，不願過早下診斷。身為「媽媽醫師」——處理孩子擦傷、燙傷與皮疹的那個人——我渴望有一帖藥膏能治癒這個新出現的問題。我理解他的做法，但我知道，Jamie 需要的幫助遠超過我能提供的。

第二次發作

某個看似平常的下午，我在地下室洗衣服時，Jamie 的尖叫聲響徹整棟房子。那聲尖叫是我從未聽過的，連她幼年時的情緒崩潰都無法相比。我發現她赤裸地躲在走廊的儲物櫃裡。我不確定是什麼觸發了她，或許是外面孩子的聲音，或是割草機、垃圾車等日常噪音讓她過度刺激。無論如何，她徹底崩潰了。她的尖叫原始而激烈，音量與頻率不斷攀升。

我第一個念頭竟然是：「鄰居會怎麼想？」可悲的是，這種想法在有精神疾病家人的家庭中非常常見。你想保護家人，尤其是孩子，不被旁人窺探。Jamie 持續一遍又一遍地喊著「不要」。我滑坐在牆邊，坐在儲物櫃門口。我們唱著傻氣的歌，直到她慢慢平靜下來。母親的觸碰具有療癒力量，我輕輕地搖著她。淚水從她靈魂深處湧出，我能感受到她的恐懼。我陪著她一起哭。等我哄她睡著後，我打電話給醫師；我們一致認為，我已無法獨自應付她的症狀。當晚，我帶她去了急診室。

我對住院的期待，是能獲得對她病情的第二意見。然而，我為醫院設定了他們無法滿足的期待。醫院的目標是穩定孩子的狀況、以治療支持危機，並提出用藥建議。在我們的情況中，Jamie 在五天內穩定下來，接受了一些治療，但沒有新增藥物。主治醫師同意她原本精神科醫師的診斷，並鼓勵她在秋天重返學校。

我震驚於她的精神病症狀竟未被視為迫切的問題。大家急著讓她回到學校，以恢復「正常」。但我的孩子正在受苦——她迷失了方向，卻沒有人認為這是問題。母性的憤怒湧上心頭：怎麼能用輕描淡寫的方式，結束這場花費五萬美元的住院？很明顯，她短期內根本無法回到學校。Jamie 需要全方位的支持服務，才能在日常生活中生存下去。

我們的家庭正在面對一個從未見過的怪物。為孩子找到正確的治療、診斷與藥物，可能帶來截然不同的結果。我們仍在旅程的起點；Jamie 現在正在接受相關服務，這些服務可能會深刻改變她的人生。雖然前方的道路仍然漫長，但我們對復原仍抱持希望。

Brittany Miles 畢業於威廉斯學院，是一名專精於電子商務的產品開發顧問。她曾任職於 Microsoft Outlook Calendar、Starbucks 與 T-Mobile，參與打造我們日常使用的客戶介面。她同時也是《Miles to Go with Brittany Miles》節目的主持人，該節目隸屬於收聽率第一的 Transformation Talk Radio Network。Brittany 亦於全國精神疾病聯盟（NAMI）從事公共政策與倡議志工工作。她是 13 歲女兒的母親，現居西雅圖。

Date Published：May 12, 2021

Author：Brittany Miles

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Two years ago, summer began on the heels of my 11-year-old daughter thankfully finishing the school year. Jamie returned to school mid-year after missing months due to major depressive disorder and anxiety.

I took family medical leave to care for her after this crushing diagnosis. Coordinating with her psychiatrist, therapist and school administration, we crafted a solid plan to get her back into school. Along with medication and therapy, I thought she was getting better. We hosted a “welcome back party” with her friends and the sleepovers started anew. By the end of the school year, she was happy and ready to be a pre-teen.

The First Episode

One morning, I found my daughter in her room with a fixed gaze. Jamie stared into space looking at something and nothing at the same time. My instinct detected the signs of a potential depressive episode, but what was happening was more than I realized. Jamie couldn’t be coaxed out of her room. I asked her to join me on a walk with our Chihuahua, and she refused. She said, “It wasn’t safe” and couldn’t say why. Jamie’s eyes swept back and forth as if she could see something I couldn’t. This was different than depression, and I was afraid for my child.

Jamie’s body was limp and curled into a fetal position on her bed. She let me come closer, and I reached out to embrace her. I hoped my presence would soothe her. Gently, I asked Jamie to describe what she was seeing, and she said, “Can’t you see them Mama? They’re all up there.” She pointed to the ceiling and said, “They’re laughing at me. Stop making fun of me!” Shaken and teary-eyed, she covered her ears. I couldn’t breathe. I was overtaken by fear. What was happening wasn’t a quick Google search or a call to the nurse line. This was something I hadn’t seen before. Later I learned what happened to Jamie is a first episode of psychosis (FEP).

Immediately I called her psychiatrist, affectionately known as “Doctor D,” to discuss this new symptom. He became concerned and told me there may be other prodromal signs. Prodromal signs or symptoms indicate the onset of a disease. Worried about the comorbidities of dyslexia and ADHD, I asked if this was the start of bipolar disorder or schizophrenia. He shied away from making the call. Innately a conservative provider, Doctor D was cautious not to make a premature diagnosis. As doctor Mom — the healer of scrapes, burns and rashes — I wanted a balm for this new thing in our lives. I understood Doctor D’s approach, however, I knew Jamie needed more help than I could provide.

The Second Episode

On a relatively normal afternoon, I was doing laundry in the basement when Jamie’s scream rang through the house. She screamed like I’ve never heard before; her toddler tantrums paled in comparison. I found her naked in our hall closet. I’m not sure what set her off. Perhaps she became overstimulated from the kids outside or the everyday sounds from lawnmowers and trash trucks. Either way, she flipped out. Her screams were primal and rising in cadence every second.

My first thought was “What will the neighbors think?” Sadly, this mindset is predominant in families with loved ones living with mental illness. You want to shield your family, and especially your child, from prying eyes. Jamie continued to scream, “no” over and over. I slid down the wall to sit by the closet door. We sang silly songs until she calmed down. A mother’s touch is healing, so I gently rocked her. Tears flowed from the depths of her soul. I could feel her fear. I wept alongside her. After persuading Jamie to nap, I called the doctor; we agreed I could no longer manage her symptoms. I took her to the ER that night.

My hope for her hospitalization was getting a second opinion on her case. Unfortunately, I created expectations the hospital couldn’t meet. Hospitals seek to stabilize children, support the crisis with therapy and make medication recommendations. In our case, Jamie stabilized in five days, received some therapy and no new medication. Her attending physician agreed with her psychiatrist’s diagnosis and encouraged her to go back to school in the fall.

I was dumbfounded that her psychosis was not an immediate cause for concern. There was pressure to get her back into school to regain normalcy. My child was hurting — she was lost. No one thought there was a problem. Maternal rage flooded me; how dare they tie up her $50,000 hospital stay with a pat on the head? It was evident she wasn’t going to be ready for school anytime soon. Jamie needed wraparound services to help her survive day-to-day.

Our family is facing a monster we’ve never seen. Getting your child the right treatment, diagnosis and medication can make all the difference. We’re still at the beginning of our journey; Jamie is now receiving services which could change her life tremendously. While there’s still a long road ahead of us, we’re hopeful for recovery.

Brittany Miles is a graduate of Williams College and a Product Development Consultant specializing in E-commerce. She has worked for Microsoft – Outlook Calendar, Starbucks and T-Mobile crafting the customer interfaces we use on a daily basis. She is also the host of Miles to Go with Brittany Miles on the number one rated The Transformation Talk Radio Network. Brittany volunteers for the National Alliance on Mental Illness in public policy and advocacy. She is the mother to her 13-year-old daughter and lives in Seattle.

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認識思覺失調症 (精神分裂症) | Understanding Schizophrenia

Fri, 02 Jan 2026 01:01:36 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

發佈日期：2021 年 5 月 17 日

作者：Katherine Ponte, JD, MBA, CPRP

原文出處

思覺失調症可能是最被誤解、也最具污名化的精神疾病之一。它影響不到 1% 的人口，且通常在生命早期發病，男性尤為常見。社會上常將思覺失調症患者描繪成不可預測、危險、無可救藥，甚至無家可歸或被監禁的人，這些刻板印象極具傷害性，不僅製造污名，也可能讓患者與家屬感到絕望。

事實上，這些概括性的描述並不正確。罹患思覺失調症的人完全有可能過上良好而有意義的生活。思覺失調症並非總是嚴重且慢性的。研究顯示，雖然約三分之一的患者仍會受到症狀困擾，但大多數人能夠達到穩定與復原。

思覺失調症是什麼樣子？

要減少污名帶來的傷害，關鍵在於讓大眾真正了解這種精神疾病的實際樣貌。

思覺失調症的核心特徵

正性精神病症狀 ：幻覺、妄想、思考混亂、怪異行為及情緒失調。之所以稱為「正性」症狀，是因為這些經驗是「新增」或主動出現的。

負性症狀 ：動機降低、情感經驗與表達受限、沉默寡言、快樂感減少。稱為「負性」症狀，是因為它們反映的是某些能力或經驗的流失或缺乏。

認知功能障礙 ：多數思覺失調症患者在廣泛的資訊處理任務上會出現缺損，通常在精神病全面發作後不會再顯著惡化。

動作功能障礙 ：嚴重程度不一，有時甚至可能發展為緊張症（僵直不動的狀態）。

此外，許多思覺失調症患者也合併物質使用問題，特別是酒精或其他藥物，這可能加重精神病症狀或冷漠狀態。

思覺失調症的不同階段

此疾病在一生中的病程變化很大，可能急性或緩慢發病，可能持續性或間歇性出現精神病症狀，也可能伴隨或不伴隨臨床功能退化。影響病程的因素包括是否遵從治療、疾病嚴重度、發作次數、復發頻率及病程長短。

以下為思覺失調症可能出現的階段及相應的應對策略：

早期症狀 ：及早發現有助於更有效的治療，並可能避免症狀全面顯現。早期介入可減輕疾病影響並改善治療反應。

首次精神病發作 ：在首次發作後及早介入，有助於提高治療成效並改善預後。主動治療可延緩最嚴重的症狀，並預防不健康的因應方式（如物質使用障礙）。

急性期 ：通常以精神病症狀為主，有時伴隨攻擊性行為或自殺意念。嚴重的正性症狀可能需要住院治療。

緩解期 ：症狀強度較低。在嚴密醫療監督下，可能有機會調整或減少藥物劑量。

慢性或持續性狀態 ：症狀長期或反覆維持在較高強度。抗精神病藥物能有效減少正性症狀並預防復發。

復原：能在社區中正常生活，在社交與職業功能上運作良好，且症狀相對穩定。即使進入復原階段，仍需與臨床醫師合作，持續治療以維持健康。

復發：常見徵象包括睡眠改變、焦慮增加、煩躁不安、疑心或敵意升高、對自身症狀缺乏病識感，以及原有症狀加劇。持續且穩定的臨床照護對於及早發現與迅速介入至關重要。

思覺失調症如何治療？

全面且整合式的治療是目前最有效的方式。透過治療，多數症狀可大幅改善，復發的機率也會降低。

人們常將思覺失調症僅與正性症狀（如精神病）畫上等號，這些症狀也往往是藥物治療的重點。然而，負性症狀與認知功能障礙的治療，對長期功能表現同樣關鍵。不幸的是，這兩類症狀較難治療，至今仍是重要但未被充分滿足的治療需求。

此外，照護應以「以人為中心」，而非僅以疾病為中心，才能提供更具同理心與尊重的照顧。治療的主要組成包括：

1. 藥物治療

多數思覺失調症患者需要處方藥物，且持續用藥通常有助於控制正性症狀並預防復發。若合併憂鬱、睡眠問題或焦慮症，可能也需要其他藥物輔助治療。

某些副作用（如遲發性不自主運動症，TD）可能相當嚴重；體重增加同樣不可忽視，且其發生率遠高於 TD，卻經常未被妥善處理，進而增加心血管疾病與中風風險。若副作用未被重視，可能降低服藥順從性。讓患者參與治療決策，有助於提升治療配合度。

2. 心理社會介入

這類治療包含心理治療、教育與支持性方案。治療可幫助患者發展因應技巧；社交技巧訓練可改善人際互動；對患者與家屬的心理教育有助於加深對疾病的理解；支持性就業方案也能產生顯著影響。此外，心理社會介入能強化個人優勢並提升生活品質。

3. 認知治療

認知復健（CR）可針對「認知缺損」進行介入，而認知功能正是預測生活功能表現最重要的因素。這些缺損可能影響注意力、記憶、執行功能、社會認知等，並干擾就業、獨立生活與整體生活品質。認知復健可透過不同長度與複雜度的電腦化訓練，或由受過訓練的臨床人員一對一進行。

認知行為治療（CBT）也能協助改善認知功能。這是一種高度結構化與標準化的治療方式，針對正性與負性症狀有不同介入策略，幫助患者檢視並重新評估自己的想法與對經驗的詮釋，進而更好地因應症狀。

4. 預防復發計畫

思覺失調症的復發可能對病程與生活品質造成重大負面影響，並導致社交、職業與財務功能退化，也會增加家庭照顧負擔。每次住院後通常需要長時間復原，因此復發往往令人沮喪。

一份清楚且可執行的計畫，能在情況惡化、需要更密集照護（甚至住院）前，降低復發風險。

計畫可包括：

回顧過往病史，辨識反覆出現的誘發因素並建立有效的因應策略
與精神科醫師建立連續照護與早期介入的治療計畫
接受照顧者的協助，因其可能更能察覺早期警訊，特別是在患者缺乏病識感時
訂立精神醫療預立指示，事先說明危機發生時希望醫療團隊如何處理

透過實證為本的治療、對復原的希望、自我賦權、親友支持，以及具同理心的醫療照護，思覺失調症患者能夠過上充實而有意義的生活。同樣重要的是，我們必須培養同理心與關懷，讓思覺失調症患者得以真正茁壯。

註記：特別感謝全球思覺失調症研究領域的權威——Will Carpenter 教授，慷慨撥冗審閱本文，協助我更深入理解思覺失調症，並長期為思覺失調症社群付出。他也是《Schizophrenia Bulletin》的編輯，該期刊是了解思覺失調症的重要資訊來源。

Katherine Ponte 目前正從嚴重的第一型雙相情緒障礙中穩定復原。她是 ForLikeMinds 同儕支持社群的創辦人，並創立了 BipolarThriving：復原教練與精神病房問候卡。她同時也是耶魯大學「復原與社區健康計畫」的師資成員，並著有《ForLikeMinds: Mental Illness Recovery Insights》。

Date Published：May 17, 2021

Author：Katherine Ponte, JD, MBA, CPRP

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Schizophrenia may be the most poorly understood and stigmatized mental illness diagnosis. It affects less than 1% of the population and begins early in life, especially in males. The stereotypical portrayals of people living with schizophrenia as unpredictable, dangerous, irredeemable, and often homeless or incarcerated, are extremely harmful, create stigma and can lead to hopelessness.

Contrary to these inaccurate generalizations, it is possible to live a good life with schizophrenia. In fact, schizophrenia is not always severe and chronic. Research has shown that although about one-third of people living with schizophrenia struggle with their symptoms, the majority are able to achieve stability and recovery.

What Does Schizophrenia Look Like?

To lessen the harmful effects of stigma, it’s essential to spread awareness about what this mental illness actually is.

Central features of schizophrenia

Positive psychotic symptoms : hallucinations, delusions, disorganization of thought, bizarre behavior and disturbed mood. These are called “positive” symptoms because they are experienced actively.
Negative symptoms: loss of motivation, restricted range of emotional experience and expression, quiet and reduced pleasure. These are called “negative” symptoms because they reflect a loss or absence of experience.
Cognitive impairments: most people with schizophrenia experience deficits in a broad range of information-processing tasks. It may not progress much after the full onset of psychosis.
Motor impairments: this varies in severity but sometimes can reach catatonia (a state of immobility).

Many people with schizophrenia also have problems with substance use , especially alcohol and other drugs, which can make psychosis or apathy worse.

Different stages of schizophrenia

The course of this illness varies over a person’s lifetime and can include acute or subtle onset, continuous or episodic psychosis, with or without clinical deterioration. Factors that can influence the course of the illness include non-adherence to treatment, severity, number of episodes, relapses and the duration of the illness.

The following are the potential stages in schizophrenia and potential response strategies.

Early symptoms: early detection leads to more effective treatment and potential to avoid full manifestation. The effects of schizophrenia can be lessened and treatment response improved with early detection.
First episode psychosis : early intervention following the first episode may facilitate a more effective treatment and enhance outcomes. Proactive treatments help to delay the worst symptoms and prevent unhealthy coping mechanisms, such as substance use disorders, from developing.
Acute episode: usually characterized by psychosis and sometimes aggressive behavior or suicidal thoughts. Severe positive symptoms may require hospitalization.
Remission : a low symptom intensity level. It may be possible to reduce medication, but only under close medical supervision.
Chronic or unremitting: sustained or periodic elevated symptom intensity levels. Antipsychotic medications are effective in reducing positive symptoms and preventing relapse.
Recovery: the ability to function in the community, socially and vocationally, as well as being relatively free of symptoms. A person in recovery should still maintain their treatment plan with their clinician to stay well.
Relapse : there are many signs of relapse, such as sleeping changes, increased anxiety, agitation, increasing suspiciousness or hostility, lack of insight into symptoms and an increase in severity of any of the person’s usual symptoms. Continuity of clinical care is essential to detection and rapid intervention.

How Is Schizophrenia Treated?

Comprehensive and integrated treatment is the most effective approach to treating schizophrenia. With treatment, most symptoms can greatly improve, and the likelihood of recurring episodes is reduced.

We often associate schizophrenia only with positive symptoms such as psychosis, which are often the focus of medical treatment. However, the treatment of negative symptoms and cognitive impairments are critically important to long-term functioning. Unfortunately, cognition and negative symptoms can be more difficult to treat and represent major unmet therapeutic needs.

Care should also be person-centered, rather than illness-centered, which can lead to more compassionate care. The components of treatment include:

1. Medication
People with schizophrenia usually need prescription medication, and most will do better with continued use of medication to help control positive symptoms and prevent relapse. Additional medication may also benefit treatment of co-occurring depression, sleep disturbance and anxiety disorders.

Some side effects, like tardive dyskinesia (TD) can be serious. Weight gain can also be serious, and is far more common than TD, as it is most often neglected in terms of reducing or avoiding increased risk for cardiovascular and stroke risks. Failure to address these may increase the risk of non-adherence. Patient participation in treatment decisions can also motivate adherence.

2. Psychosocial Interventions
These forms of treatment refer to therapy, education and support programs. Therapy can help people develop coping skills. Social skills training can enhance personal interactions. Psychoeducation for both the person living with mental illness and their family can enhance understanding of the illness. Supported work programs for people who desire these services also have a large impact. Moreover, psychosocial intervention can support personal strengths and improve quality of life.

3. Cognitive Therapy
Cognitive remediation ( CR ) may address “cognitive deficits,” which is the strongest predictor of functional outcome. These deficits can impact attention, memory, executive function, social cognition and other faculties. They can interfere with various aspects of daily functioning, including employment, independent living and quality of life. CR may be delivered via computerized programs, of varying length and complexity, or one-on-one by a trained clinician.

Cognitive behavioral therapy ( CBT ) can also help with cognitive functioning. It is a highly structured and standardized type of therapy with different approaches to positive and negative symptoms. CBT can help people with schizophrenia cope with their symptoms by examining and reevaluating their thoughts and perceptions of experiences.

4. Relapse Prevention Plan
Relapses in schizophrenia can negatively impact the course of the illness and the person’s quality of life. They can lead to deterioration in social, occupational, and financial status and increase the burden of care on the family. There is typically a long recovery period after each hospitalization, so relapses can be very discouraging.

A clear, actionable plan can minimize the risk of a relapse and situation before it escalates and requires more intensive care, including a possible hospitalization.

It can help to:

Review history to recognize recurring triggers and develop effective coping strategies.
Have a plan with a psychiatrist for continuity of care and early intervention when needed.
Accept a caregiver’s help who may be better able to detect early warning signs, especially in the case where a person lacks insight into their condition.
Have a psychiatric advance directive , which establishes how a person wants their care team to handle a crisis.

People with schizophrenia can lead fulfilling lives with evidence-based treatment, hope of recovery, self-empowerment, support from friends and family, and caring treatment providers. And, importantly, we need to foster empathy and compassion that will allow those with schizophrenia to thrive.

Note: I would like to immensely thank Professor Will Carpenter , the world’s leading schizophrenia scholar, for generously taking the time to review this blog post, for helping me learn more about schizophrenia and for his tremendous dedication to our schizophrenia community. He is the editor of Schizophrenia Bulletin , which is the best resource for information on schizophrenia.

Katherine Ponte is happily living in recovery from severe bipolar I disorder. She’s the Founder of ForLikeMinds ’ mental illness peer support community, BipolarThriving : Recovery Coaching and Psych Ward Greeting Cards . Katherine is also a faculty member of the Yale University Program for Recovery and Community Health and has authored ForLikeMinds: Mental Illness Recovery Insights .

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成為父母後，我沒有預料到的事情 | Things I Didn’t Expect When I Became a Parent

Fri, 02 Jan 2026 00:44:24 GMT

MHACC 雙語部落格 Bilingual Blog

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發佈日期：2021 年 5 月 24 日

作者：Jamie Edelbrock

原文出處： https://www.nami.org/anxiety-disorders-in-children-and-adolescents/things-i-didnt-expect-when-i-became-a-parent/

當我第一次得知自己懷上第一個孩子時，我感到無比喜悅。看到驗孕棒上出現的陽性結果後，和許多第一次當媽媽的人一樣，我開始想像自己將會擁有怎樣的孩子，以及自己會成為什麼樣的父母。在我的想像中，我對未來抱有很高的期待，我們會過著幸福、無憂無慮的生活。

然而，在她出生後不久，我的期待很快就被現實拉回。她確實很可愛，但生活卻完全不是我所想像的樣子。我從未意識到自己會如此酸痛、如此疲憊。我不停地餵奶、不停地換尿布、不停地擔心，精疲力盡，幾乎沒有任何屬於自己的時間，也幾乎從未真正睡過一覺。這一切對我來說都是意料之外的，不過即便如此，我仍然抱持著樂觀的態度，相信情況會慢慢好轉。

在接下來的日子裡，還有更多意想不到的事情，尤其是當她長大、而我也有了其他孩子之後。我從未想過，我那時三歲的孩子，竟然會全身赤裸地偷偷跑出家門，去敲鄰居的門，問她能不能一起玩。我也從未想過，會因為最小的孩子把花生塞進鼻子裡，而跑一趟急診室；更沒想到，還會再跑一趟急診室，替她縫合下巴的傷口。這樣的事情數也數不清。當我一一面對並處理這些狀況時，真正最出乎意料的，卻還在後頭。

一個意想不到的診斷

大約在六歲左右，我其中一個女兒開始出現明顯的行為問題。她在家裡和學校開始出現以前從未有過的行為。我從未想過她會在課堂上製造混亂；從未想過她會突然衝出教室，躲進學校的廁所；也從未想過，我會接到學校打來的電話，告訴我他們找不到我的女兒。我也從未預料到，她會出現憤怒爆發、摔門，甚至對我說出那句令人心碎的「我恨你」。

我嘗試了所有我所知道的方法來改變她的行為——嚴厲的管教、溫和的管教、獎勵制度、行為表、禁足、專注正向行為、給予稱讚——但沒有一樣奏效。我覺得自己作為母親徹底失敗了，內心充滿絕望。我從未想過，自己會感到如此走投無路，完全不知道下一步該怎麼做。經歷了許多黑暗的日子、無數的眼淚、與老師多次的溝通、好幾次前往學校輔導室，以及在公共場合一次又一次情緒失控、令人難堪的場面後，一位朋友建議我們去尋求心理健康專業人員的協助。經過評估後，我的女兒被診斷出患有焦慮症。

作為母親，我感到極大的愧疚。我怎麼會沒有發現，她正在承受這麼嚴重的困擾？這一切是怎麼造成的？是我的教養方式，還是我做錯了什麼？在與治療師多次討論並進行大量閱讀後，我逐漸明白，這並不是我的錯。我只是錯過了一些徵兆，而我真正需要的是對她的狀況有更多的了解與教育。

我從這段經歷中學到的事

我學到，行為問題與焦慮症狀在表現上可能非常相似，而兩者之間往往很難區分。

回顧過去，以下是我在女兒身上錯過的一些警訊：

在學校或家中出現行為改變
無法安靜坐著
容易生氣／情緒爆發
容易感到悲傷／想要獨處
無法解釋或表達自己的感受
睡前特別黏人
無法一覺睡到天亮
過度擔心

身為一位不完美的母親，至今已經十五年並仍在持續學習中，在養育孩子的過程裡，我經歷了無數考驗與困難。當年那個年輕、第一次當媽媽、為孩子描繪完美人生的我，從未預料到其中許多事情。所幸，回頭看來，其中一些意外如今已能一笑置之，而另一些，則成為了極其重要的人生課題。

對我而言，最重大的意外之一，便是孩子被診斷出焦慮症。我最大的體會，是必須主動向心理健康專業人員尋求協助。一旦這麼做了，我和女兒都得到了持續且必要的支持，幫助我們成功面對並管理她的狀況。那些黑暗的日子逐漸變得明亮，情緒爆發也明顯減少；在接下來的幾年裡，我看著她學會用語言表達自己，並更有效地因應焦慮發作。

我相信，未來仍會有更多意想不到的時刻，但多虧了我們曾求助的專業輔導員與治療師，我們如今已經更有能力去面對它們。

Jamie Edelbrock 與她的高中戀人結婚，育有三名女兒。她曾擔任過多種角色，包括在家自學的母親、幼兒園主任、家庭事工主任、部落客，以及兒童讀物《Tangled Up》的作者。更多她的文章，請見 jamieedelbrock.com。

Date Published：May 24, 2021

Author：Jamie Edelbrock

Article Link： https://www.nami.org/anxiety-disorders-in-children-and-adolescents/things-i-didnt-expect-when-i-became-a-parent/

The moment I found out I was pregnant with my first child, I was elated. After I saw the positive sign on the pregnancy test, like many first-time moms, I envisioned the child I was going to have and the type of parent I was going to be. In my mind, I had high expectations, and we were going to live happily without worries.

However, my expectations were brought down to reality soon after she was born. She was delightful, but life wasn’t what I expected. I didn’t realize how sore and tired I would be. I was always feeding, always changing, always worrying, always drained, never had a second to myself and never slept. All of this came as a surprise to me but, nonetheless, I was optimistic that things would improve.

There were other surprises along the way, especially as she grew and I had other children. I never expected my then 3-year-old to sneak out of the house, totally naked, and knock on my neighbor’s door asking if she could play. I never expected a trip to the emergency room with my youngest because she got a peanut stuck up her nose. I never expected another trip to the emergency room to get stitches in her chin. The list could go on. While I worked through each one of these situations, the most unexpected one was yet to come.

An Unexpected Diagnosis

Around the age of six, one of my daughters started having significant behavior issues. She started acting out at home and at school, doing things she had never done before. I never expected her to make disruptive scenes in class. I never expected her to abruptly run out of the class and hide in the school bathroom or to receive a phone call from the school informing me they could not find my daughter. I never expected angry outbursts, slammed doors and the dreaded “I hate you” to come from her mouth.

I tried every technique I knew to change her behavior — the firm parent, the soft parent, incentives, charts, grounding, focusing on the positive, praising — but nothing worked. I felt like I was failing as a mother and I was desperate. I never expected to feel completely at the end of my rope, not knowing what to do next. After a lot of dark days, tears, many talks with teachers, several trips to the school counselor’s office, and numerous explosive and embarrassing scenes in public, a friend suggested that we see a mental health professional. After evaluations, my daughter was diagnosed with an anxiety disorder.

I felt so guilty as her mom. How could I have missed that she was struggling with something so big? What caused this? Was it my parenting or something I did? After talking with our therapist and doing a lot of reading, I realized it was not my fault. I had missed the signs and I just needed to be educated about her condition.

What I Learned from this Experience

I learned that behavior issues and anxiety symptoms can look very similar, and it can be difficult to distinguish between the two.

In retrospect, here are some of the warning signs I missed with my daughter:

Behavior changes in school at home
Inability to sit still
Quick to anger/outbursts
Quick to sadness/wanting to be alone
Inability to explain or express feelings
Clinginess at bedtime
Inability to sleep through the night
Excessive worry

Having been an imperfect mom for 15 years and counting, I have been through many trials and tribulations when it comes to raising children. Many of these I certainly never expected when I was a young, first-time mom dreaming of a perfect life for my child. Thankfully, many of these surprises are ones I can laugh at in hindsight, and others served as important learning lessons.

One of the biggest unexpected moments was having my child diagnosed with anxiety. My main takeaway was the need to reach out to a mental health professional for help. Once I did, both my daughter and I received the ongoing help we needed to successfully navigate her condition. The dark days grew lighter, the outbursts diminished and, over the next few years, I watched her learn to verbalize and cope better with anxiety attacks.

I’m sure there will be more unexpected moments ahead, but thanks to the professional counselors and therapists we saw, we are much better equipped to deal with them.

Jamie Edelbrock is married to her high school sweetheart and together they have three daughters. She has worn many hats, some of which include a homeschool mom, preschool director, family ministry director, blogger and author of the children’s book “Tangled Up.” You can read more of her writings on jamieedelbrock.com .

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如何預測下一次雙相情緒發作 | How to Predict Your Next Bipolar Episode

Wed, 24 Sep 2025 04:45:13 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

發佈日期：2021 年 5 月 26 日

作者：Alice Lam 博士 MBChB FRACGP

原文出處： https://www.nami.org/bipolar-and-related-disorders/how-to-predict-your-next-bipolar-episode/

如果你能在憂鬱或躁症發作之前就阻止它，該有多好？

好消息是，對許多雙相情緒障礙患者而言，他們確實可以學會察覺復發的早期跡象，而這正是預防全面發作的第一步。這些早期跡象被稱為「前驅期（prodrome）」——也就是躁症或憂鬱發作前的一組徵兆。

對雙相情緒障礙患者以及支持他們的家人與朋友來說，學會辨認這些前驅症狀，是病情管理中極為重要的一環。

研究怎麼說？

2003 年，有研究人員回顧了 17 項研究，涵蓋超過 1,000 名雙相情緒障礙患者，調查他們在躁症或憂鬱復發前的前驅症狀及持續時間。主要發現如下：

睡眠障礙是躁症即將發作的重要指標之一
憂鬱發作的前驅期平均為 11～19 天，躁症發作則為 1～120 天

2016 年，另一項包含超過 1,000 名患者的 11 項研究綜述指出：

發作「再次發生」前的前驅期通常比「首次發作」前短得多
前驅期的症狀與發作期間的症狀非常相似，例如：在憂鬱發作前，情緒會開始下滑

這對我意味著什麼？

若你能察覺這些早期警訊，你可能能完全避免復發——或至少讓發作變得更輕微、更易於控制。

如果你目前狀況穩定，可以回想自己過往的發作經歷，建議寫下當時出現的前期徵兆。

雖然目前沒有一套適用於所有人的檢測工具或標準症狀清單，但研究發現：你個人經歷中的警訊症狀，對你自己是有參考價值的。

約一半的雙相情緒障礙患者能辨認出至少三個代表躁症或憂鬱即將來臨的症狀。

如何記錄自己的警訊？

儘量具體、詳細地列出來。以下是按症狀類別整理的一些常見例子：

☁️ 情緒變化

低落／易怒／情緒高漲

「我感到無比快樂、自信，覺得自己無所不能，簡直刀槍不入。」
「我常因一點小事就哭，比如看到一支悲傷的廣告就崩潰。」

�� 睡眠習慣

失眠／睡眠過多或過少

「我記得自己凌晨四點才睡、早上七點起床上班，但完全不覺得累。」

�� 活動狀態

坐立不安／遲緩無力／性慾過度

「我在辦公室走來走去，雖然根本沒什麼事要趕。」
「我幾乎整天躺在床上，只剩下哭的力氣。」

�� 食慾變化

變差／暴食

「我知道自己該吃點東西，但因為一直在忙著拍影片，所以都沒吃。」

�� 興趣與想法

失去原本的興趣／思緒奔馳／對新計畫過度執著／衝動風險行為

「我完全忽略了工作，只因為要更新那張 20 個創業點子的試算表，我相信這些點子會讓我發大財。」
「我開始玩線上撲克，差點把房子賠掉。」
「我整個人被憂鬱吞沒，覺得人生毫無意義，世界沒有快樂、也沒有出路……一切都是假的。」

�� 說話方式

語速飛快、讓人難以跟上／語音含糊

「我不斷被朋友打斷，因為他們說我話太快停不下來。事後他們告訴我，我講話從不換氣，也說個沒完。」

�� 外表打扮

可能變得不修邊幅，或突然換成與平常完全不同的風格

「我在線上花了好幾千元買新衣服，現在回頭看，那些衣服根本不適合我，有些甚至很不得體。」

如果我感覺快要復發了該怎麼辦？

請立刻尋求醫師協助，無論是你的家庭醫師還是精神科醫師。他們可能需要調整你的用藥。也有可能是你的睡眠週期失調，或是近期壓力太大，需要處理。

如果你覺得情況正在惡化，無法靠自己應對，也請向伴侶、家人或朋友求助。最重要的是要及早尋求幫助，以免症狀進一步惡化到危機狀態。

作者簡介

Dr. Alice Lam 是一位家庭醫師，曾在英國與澳洲行醫，長期為病患發聲與倡議。

�� 了解更多可造訪她的健康寫作網站： dralicelam. com

May 26, 2021
By Alice Lam MBChB FRACGP

Original Source: https://www.nami.org/bipolar-and-related-disorders/how-to-predict-your-next-bipolar-episode/

Wouldn’t it be great if you could stop a depressive or manic episode from coming on?
Fortunately, for many people with bipolar disorder, they can learn how to sense a relapse beginning, which is the first step in preventing a full episode. What we are talking about here is the “prodrome:” a set of early signs of a manic or depressive episode.
For people with bipolar disorder, and those in their support network, knowing how to recognize the prodrome is an important part of bipolar management.

What Do the Studies Show?
Researchers reviewed 17 studies in 2003, looking at more than 1,000 people with bipolar disorder. They looked at the prodromal symptoms and duration before a depressive or manic relapse. These were their main findings :

Sleep disturbance was one of the key indicators of an impending manic episode
The average length of the prodrome was 11–19 days for depressive episodes and 1–120 days for manic episodes

In 2016, another review of 11 studies that included more than 1,000 people concluded that prodromes occurring before recurrent episodes were much shorter than those before first episodes. Additionally, the symptoms in the prodrome period were similar to those symptoms that a person would experience during an episode. For example, low mood creeping up before a depressive episode.

What Does This Mean for Me?
It is helpful to know that if you are able to pick up on any early warning signs, it could mean you may prevent a relapse altogether; or at least that the episode will be milder and more manageable.
If you are well enough to think back on your previous episodes, it can be helpful to make some notes on what your early signs were.
Although there isn’t a definitive test or list of symptoms that applies to everyone, the good news is, there is some evidence that your warning signs are a useful marker for you. About half of people with bipolar disorder are able to identify at least three symptoms that indicate impending mania or depression.

When making your list, try to be as specific as you can. Here are some examples based on category of symptom:
Mood: Low / irritable / elevated. “I felt so happy and confident, like I could do anything. I was invincible.” “I would cry at the drop of a hat…even seeing a sad TV ad and I’d break down.”
Sleep: Broken / need for less or more sleep. “I remember being up til 4 a.m. and waking at 7 a.m. for work, feeling totally refreshed.”
Activity: Pacing or fidgeting (can’t sit still) / sluggish / hypersexual. “I was speeding up and down the corridors at work but there was no need to hurry.” “I lay in bed most of the time, no energy to do anything but cry.”
Appetite: Reduced / increased. “I knew I should be eating, but I kept skipping meals, I was so busy with my vlogging.”
Interest / ideas: Loss of interest in usual activities / thoughts racing / obsessive interest in new projects / unhealthy risk taking. “I totally neglected my work as I had to attend to my spreadsheet of 20 different projects, which were going to make me rich.” “I got into online poker and nearly lost my home.” “I was totally wrapped up in my depression. I thought there was no point in anything, no joy in the world, no way out…everything and everyone was fake.”
Speech: Speech is fast, hard to follow / speech is slurred. “I kept getting annoyed with my friends because they wouldn’t let me finish what I had to say. When I recovered, they all told me I never drew breath, and I was rambling.”
Appearance: People around you may notice you are dressing with less attention to your appearance or in a completely different style. “I spent thousands of dollars online for a brand-new wardrobe. The clothes were totally not my style, looking back, and sometimes really inappropriate.”

What Should I Do If I Am Heading Toward Relapse?
Get help from your doctor, whether that is your family physician or psychiatrist. They might need to review your medications. It could be that your sleep cycle is out of balance, or perhaps there are stressors that need to be managed.
If you are getting worse, and feeling like you can’t cope on your own, ask for support from your partner, family and/or friends. The most important thing is to seek help early on so that your symptoms do not escalate to a crisis state.

Dr. Alice Lam has worked as a GP both in the UK and Australia and has advocated for countless patients. To find out more about her health writing service, please go to  dralicelam.com .

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透過人生各階段學會識別我的警訊 | Learning My Warning Signs Through Each Stage of My Life

Wed, 24 Sep 2025 04:35:27 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

發佈日期：2021 年 5 月 28 日

作者：Nicole Beeman-Cadwallader

原文出處： https://www.nami.org/bipolar-and-related-disorders/learning-my-warning-signs-through-each-stage-of-my-life/

我坐在九年級的英文課教室裡，盯著《奧德賽》的書頁，那一刻，我對自己的理解徹底改變了。教室彷彿模糊起來，身邊的人像是被推遠了，我的注意力被強烈地吸引在紙上的文字上。雖然我眼睛在讀，但我無法理解內容。當下，我真的辦不到。

我罹患雙相情緒障礙症。多年來，這樣的經歷一層層揭開了我大腦運作的模式。在人生的每個階段，我都更敏銳地察覺到自己可能陷入憂鬱或躁症發作的警訊。

童年時期

其實在我童年時期，就已經有一些心理健康問題的警訊。雖然我直到青少年才被正式診斷，但我仍希望我的童年經歷能為其他照顧者提供一些參考。

心理病症若能在首次發作時及早治療，就越有可能減少日後復發或嚴重程度。我大約在 10～11 歲那年，有將近一整年，每週有好幾晚都幾乎沒怎麼睡。我會躺在床上，盯著牆角或牆上的影子發呆。有時我會為玩具編故事，這有時能幫我入睡，但更多時候我會陷入無止盡的思緒漩渦。

我常常看到窗戶上出現根本不存在的手印，後來甚至開始幻覺，一個女巫懸浮在天花板角落，對我低語一些令人恐懼的話。有時我會在半夜驚醒，發現自己躺在地板上，臉和臀部有瘀青，卻完全不知道怎麼會這樣。

我記得曾和幾位老師談過這些經歷，但他們都置之不理。有一次，一位老師甚至對我感到不耐，嘆了口氣，還誇張地把頭撞向牆壁。因為我學業成績很好、個性安靜，所以我的掙扎被忽視了。大家以為我「沒事」。然而在兒童身上，心理疾病的徵兆常被誤認為只是尋求注意或鬧脾氣，但這些信號應該被認真看待。

青少年時期

高中一年級時，我緊緊抓住學業成就，試圖尋找穩定與安全感。我每天只睡不到五個小時。剛開始是為了讀書，後來卻演變成失眠。原本老師們稱讚的專注力，卻越來越無法維持。每個醒著的時刻，我都感到胸口緊繃、容易暴躁。

最後，我逐漸脫離了現實。我自己不記得，但照顧我的大人告訴我，我曾穿著不合時節的衣服在外面遊蕩，還在馬路上危險地穿越。我以為自己快要死了。

那天我呆呆地盯著《奧德賽》的書頁時，我的英文老師把我送去保健室。我對護士說我覺得自己快死了，需要去醫院。媽媽接我離開，帶我去精神病院。當時那或許是對我來說最安全的地方。不過如果我們當時能接觸到像「NAMI Basics」這樣的線上資源，我相信身邊的大人會更有能力應對當下的情況。

青年時期

大學畢業後，我搬到德州南部的一個小鎮，擔任國中科學老師。第一年壓力巨大。學生生活的現實讓我感到震驚，而我對自己的期待——要為他們創造高學業標準的機會——幾乎把我吞噬。

我又經歷了一次明顯的躁症與憂鬱發作。一開始，是我晚上待在教室打掃到九、十點；我總是把備課拖到最後一刻，因為我堅信「靈感總在最後一刻才出現」。我靠著極少的睡眠仍感覺「超棒」且高效率，於是睡得更少，吃得也更少。

我總是在天未亮就開車去學校，當我在地平線上看到那座發光的水塔，我的胃就會緊縮，不得不把車停在路邊嘔吐。到了十月底，我完全崩潰。我無法集中精神，連摺衣服都覺得困難。我不小心摔了筆電，螢幕裂了。我知道，我無法提供學生他們應得的教育品質。於是我請假休養。

成年階段

成為大人後，我對自己的情緒與心理狀態更加敏銳。

每天，我都努力讓自己保持在「中間狀態」。感覺「太好」會觸發我過度自信、急躁、不自覺的危險行為；而感覺「太差」則會引發我完全癱瘓、自我懷疑與絕望。睡得少、動作加快，是我快要進入躁期的警訊；注意力難以集中、反覆懷疑自我，則可能是憂鬱症的前兆。不論是哪一種，當我感到失控——無法掌控時間、思緒、甚至人生——就是我最明確的警訊：該採取預防措施了。

我仍會有一些黑暗的時期，讓我難以看見希望，但現在的我更懂得如何在黑暗中找到方向。

作者簡介

Nicole 最近結束了長達 20 多年的 STEM 教育職涯，現在正投入她真正的熱情：致力於支持青少年心理健康與心理疾病的康復服務，並作為家長與照顧者的資源支援者。

�� 了解更多請造訪： www.iamoneinfive.com 或來信聯絡：nbeeman22@gmail.com。

May 28, 2021
By Nicole Beeman-Cadwallader

Original Source: https://www.nami.org/bipolar-and-related-disorders/learning-my-warning-signs-through-each-stage-of-my-life/

While sitting in my ninth grade English class, staring down at the pages of the Odyssey, the way I understood myself changed forever. I felt the room around me blur, almost like the rest of the people in the room were pushed away from me, and I became narrowly focused on the words on the page. I was reading them, but I was not making meaning of them. At that moment, I couldn't.

I live with bipolar disorder and, throughout the years, experiences like this peel back layers of my brain and the way it works. At each stage of my life, I’ve become more acutely aware of the warning signs that I am at risk for a depressive or manic episode.

Childhood
Even in my childhood years, there were warning signs of my mental health condition. While I wasn’t diagnosed until adolescence, I’m hopeful that my childhood experiences are useful for other caregivers.

The earlier a first psychotic episode is treated, the greater the likelihood for reducing relapses or severity of future episodes . For about a year when I was 10–11 years old, several nights a week I slept very little. I’d lie in my bed, staring at the shadows in the corners and on the walls. I’d make up stories for my toys, which sometimes helped me fall asleep, though often I’d end up in thought spirals.

Non-existent handprints would appear on the windows and, eventually, I hallucinated a witch hovering in the corner near the ceiling. She would whisper frightening things to me. Sometimes, I would wake up in the middle of the floor with bruises on my face and hip bones, not knowing how I arrived there.

I remember several conversations with my teachers where my experiences were ignored. On one occasion, my teacher was so frustrated with me that she let out a large sigh and mockingly banged her head against the wall. My high academic achievement and quietness meant that my struggles were dismissed. They assumed that I would be fine. In children, symptoms of mental illness may go undetected, attributed to attention-seeking behaviors or tantrums, but they should be taken seriously.

Adolescence
In my first year of high school, I held tightly to academic achievement for stability and security. I slept less than five hours a night. Initially I did this to study, but eventually it morphed into insomnia. The sharp focus that my teachers generally praised fell farther from my grasp. In every waking moment, I felt a tightness in my chest. I was irritable.

Eventually, I lost touch with the reality of my surroundings. I don't remember, but caring adults in my life told me that I wandered outside with inappropriate clothing for the weather, and that I unsafely walked in front of traffic. I thought I was dying.

The day that I was blankly staring down at the Odyssey, my English teacher sent me to the nurse. I told the nurse that I thought I was dying and needed to go to the hospital. My mom collected me and took me to a psychiatric hospital. It’s possible that was the safest place for me at the time, though if we had the resources that are now available online, like NAMI Basics for example, I am sure the adults in my life would have felt more equipped to navigate this situation.

Young Adulthood
After graduating from college, I moved to a tiny town in south Texas to teach middle school science. The first year was daunting. The realities of my students’ lives overwhelmed me. The pressure I put on myself to succeed at providing them with opportunities for high academic expectations nearly swallowed me.

I experienced another acute episode of mania and then depression. It started with obsessive cleaning of my classroom, sometimes until 9 or 10 p.m. I’d put off lesson planning until late at night, often the night before, because I had the grandiose idea that “my best ideas came to me at the last minute.” I felt “amazing” and productive on small amounts of sleep. So, I started sleeping less, and then eating less.

I would drive into school before the sun had risen, and as soon as I saw the glowing water tower in the south Texas horizon, my stomach would clench and I would have to pull the car over to vomit. By late October, I crashed. I couldn't focus. I felt incapable of anything, even folding laundry. I dropped a computer and cracked the monitor. I knew I was not providing my students the educational experience they deserved. I took a leave of absence to heal.

Middle Adulthood
As an adult, I am much more in tune with my emotions and psychological state.

Daily, I strive for being in the middle most of the time. Feeling too good can trigger grandiose thoughts, abrasive impatience, and unintentionally unsafe behaviors. Feeling too low can trigger deep paralysis, a black hole of self-doubt and hopelessness. Sleeping less and moving faster are signs that mania or hypomania may be near. Lack of focus and self-doubt loops are signs that depression looms. In either case, the sense that I’m losing control — of my time, my thoughts, my life — is the greatest signal to me that I need to take precautionary measures.

I still have darker periods that make it difficult to see the light, but I have greater awareness of how to navigate my way through the dark.

Nicole recently left a more than 20-year career in STEM education and is now pursuing her passion to support youth mental health and mental illness recovery through service and being a resource for parents and caregivers. Find her at www.iamoneinfive.com or email her at nbeeman22@gmail.com to connect.

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強迫症不那麼光鮮亮麗的一面 | The Not So Pretty Version of Obsessive-Compulsive Disorder

Wed, 24 Sep 2025 03:54:51 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

發佈日期：2021 年 6 月 21 日

作者：Megan Fisher

原文出處： https://www.nami.org/media-and- pop -culture/the-not-so-pretty-version-of-obsessive-compulsive-disorder/

「喔，相信我，我超有強迫症的！」

這句讓人尷尬的話，太多人在日常對話中都聽過。說這句話的人接著會興奮地分享他們那些「很丟臉」的習慣，比如把資料夾依顏色分類，或是無比講究廚房整潔。他們也許只是希望家裡看起來像 Pinterest 上的完美照片。

「你不會相信我昨天做了什麼，」他們會繼續說。「我把所有螢光筆按照彩虹順序排好耶！我真的控制不了自己那種強迫症的程度。」

每次聽到這些話，我都很想回答：「喔，太好了！終於遇到一個真正懂我的人！那你是怎麼處理那些想要殺掉親人、孤獨死去，或是不小心傳染致命病毒給身邊所有人的入侵性思維的？」

當然，我從沒真的這樣回過話。我只是沉默不語，在對話中努力找尋自己的定位。

這類說法，最終只會淡化強迫症所帶來的真實痛苦，讓真正生活在這種困境中的人更感孤立。試問，一個正被可怕入侵思維困擾的孩子，怎麼可能與一個單純喜歡打掃的人產生共鳴？我自己就完全無法。

需要說明的是，強迫症的經歷因人而異。對某些人的確會表現為對整潔、對稱的執著，包括極度清潔、組織或角度完美的要求。但即使是這種表現形式，也是一種痛苦的經歷，和單純「喜歡整潔」是完全不同的。

強迫症像是在接受一場永無止盡的審判

對強迫症的誤解太多，加上心理疾病幾乎沒有被公開討論，讓我很難理解自己焦慮的大腦到底發生了什麼。強迫症是一種持續存在的罪惡感，它隨時準備依附在任何一件小事上。

每天醒來，我都感到恐慌，一邊想找出罪惡感的來源，一邊又希望把它忘掉。那股驚慌會一直跟著我，直到我想起：「對了！就是那件事！」也許是三年前闖過的一個紅燈，也許是我想像中那場可能會撞死小孩的車禍。

強迫症會讓我記起2018年11月28日，我對妹妹說的某句傷人話，並不斷重播她臉上難過的表情，那至今仍讓我喉嚨哽住。它讓我反覆想起八歲時嘲笑過的男孩，第一次戀愛中感受到的羞恥嫉妒……這份清單永遠寫不完。

這個疾病每天都像在法庭上審判我，為我一生的「罪行」定罪。每次我都認罪，因為我的強迫症總是讓我相信：這一切都是我的錯。

強迫症讓我背負全世界的重量

對我來說，強迫症意味著每天都得面對一份巨大的待辦清單——而這份清單不是具體的事情，而是一連串對蝴蝶效應的焦慮。

所謂蝴蝶效應，源自混沌理論的一句話：「一隻蝴蝶在巴西扇動翅膀，可能在德州引起一場龍捲風。」

我的強迫症讓我相信，我所做的每一件小事都是蝴蝶扇動翅膀，而世界另一端的每場災難，都是我造成的。比如說，那個我沒有回收的花生醬罐導致了氣候變遷；或是我二月發燒，結果導致 COVID-19 傳到美國。有時，我甚至覺得我每個決定都可能拯救或毀滅這個世界。

強迫症有時就像一部恐怖片，而且沒有暫停鍵。那是一幕幕令人不安的畫面，彷彿出自《沉默的羔羊》、《鬼哭神號》或《德州電鋸殺人狂》。而我就是裡頭的食人魔、綁架犯或殺人兇手。

我努力想著「快樂的畫面」，來消除腦中的可怕想法；我為那些無法控制的思緒感到羞愧。我的腦海裡像是一段段剪輯畫面，有癌症、有車禍、有自殺與謀殺。強迫症是為了「拯救媽媽」而不斷敲木頭，敲到指關節流血——四次、十二次、十七次——總之要敲到「剛剛好」。

強迫症也讓我更有同理心、更堅韌

儘管帶來許多痛苦，強迫症也成就了我某些優點。它讓我對身邊的人充滿同理心，建立起一生的關係；讓我記得朋友的每個小細節；讓我在克服恐懼後感受到難以言喻的喜悅；讓我擁有一點點強迫傾向的工作習慣，使我能設定目標並努力完成。

強迫症教我用不帶批判的眼光看待他人。它讓我從不忘記說「我愛你」、「你路上小心」。它讓我更深刻地理解，人生是珍貴、短暫的，是值得守護的。

沒有人「就是」強迫症；而是有些人「患有」強迫症。改變大眾對心理健康的觀念，第一步就是誠實看待強迫症的本質——它是一種心理健康狀況，不一定整齊、不一定美觀，也絕對不是依顏色排好筆記本的趣味。

作者簡介

Megan Fisher 現居西雅圖，熱愛攀岩、健行與寫作。她即將在華盛頓大學攻讀公共衛生碩士（主修營養學），並希望未來能在非營利診所擔任兒科營養師，服務社區。

June 21, 2021
By Megan Fisher

Original Source: https://www.nami.org/media-and-pop-culture/the-not-so-pretty-version-of-obsessive-compulsive-disorder/

“Oh, trust me, I get it. I am so OCD, too!”
This cringeworthy statement, which far too many of us have heard in casual conversation, is generally followed by the speaker enthusiastically disclosing their “embarrassing” quirks, centered around color coding file folders or preferring an exceptionally clean kitchen. Perhaps they wanted their home to match the picture-perfect scene they found on Pinterest.
“You wouldn’t believe what I did yesterday,” they continue. “I organized all of my highlighters in the order of the rainbow! I can’t help just how OCD I can be sometimes.”
I am always tempted to reply with, “Oh, it’s so nice to meet someone who finally gets it! So how do you cope with the intrusive thoughts of killing your loved ones or dying alone or infecting everyone around you with a deadly virus?”
I never actually respond this way; instead, I keep quiet, struggling to find my place in the conversation.
Ultimately, these comments undermine the true suffering that OCD can cause, and they alienate people who actually live with OCD. Could a child with intrusive, terrifying thoughts identify with someone who simply enjoys cleaning? I certainly could not.
It’s worth noting that no two experiences with OCD are identical — and, for people whose OCD focuses on order and symmetry, the condition can certainly manifest as an obsession with cleanliness, organization or perfect angles. However, that presentation of the condition is also a painful experience and notably different from enjoying organization and aesthetics.

OCD Puts Me on Trial
The common misrepresentation of OCD — and the complete lack of conversation surrounding mental illness — contributes to my struggle to understand what is happening in my anxious brain. OCD is a constant underlying feeling of guilt, eagerly waiting to attach itself to something.
It is waking up and feeling panicked, attempting to both discover and forget the source of my guilt. The sense of panic lingers until I remember, “That’s what it is!” A red light I ran three years ago and the imaginary faces of the children I could have killed in the car crash. OCD is remembering a hurtful comment I made to my sister on Nov. 28, 2018, replaying the hurt look on her face and still feeling the lump in my throat. It is constantly thinking of the boy I made fun of when I was eight years old, the shameful jealousy I felt in my first relationship…The list goes on.
The disorder puts me on trial daily, convicting me of a lifetime of “crimes.” I plead guilty every time because my OCD always convinces me that it’s my fault.

OCD Burdens Me with the Weight of the World
For me, OCD means facing every day with a daunting agenda. More specifically, it means worrying that every choice I make has a butterfly effect.
For those unfamiliar with the idea, according to the Chaos Theory, “It has been said that something as small as the flutter of a butterfly’s wing can ultimately cause a typhoon halfway around the world.”
OCD is believing that every action I take is the flutter of a butterfly’s wing, and every typhoon halfway around the world is somehow my fault. It’s the jar of peanut butter that I didn’t recycle, which led to climate change. It’s the fever I had in February that must have brought COVID-19 to the U.S. Sometimes, OCD is the notion that every decision I make might save or destroy our world.
OCD can feel like a horror movie with no pause button. It’s a disturbing scene from “Silence of the Lambs,” “The Changeling” or “Texas Chainsaw Massacre,” except I am starring as the cannibal, the kidnapper or the murderer.
It’s trying to think “happy thoughts” to desperately undo the evil ones, and intense shame for the thoughts I can’t control. It’s a montage of cancer, car crashes, suicide and homicide. OCD is bloody knuckles from knocking on wood to try to save my mom’s life. Four times. Twelve times. Seventeen ought to do the trick.

OCD Also Makes Me Compassionate and Resilient
Despite its challenges, OCD is responsible for some of my strengths. It is feeling intense empathy for the people I meet, leading me to lifelong relationships. It’s remembering every detail of a friend’s history. It’s the inexplicable joy felt after overcoming a fear. It’s a slightly obsessive work ethic that allows me to set goals and achieve them.
OCD teaches me to approach others free of judgement. It means never forgetting to say, “I love you” or “be safe out there.” OCD gives me the opportunity to live life with the knowledge that it’s precious and brief and something to protect.
No person is OCD; some people have OCD. An important step in changing the conversation surrounding mental health is acknowledging OCD for what it is — a mental health condition — which may or may not present as neat, tidy or color coded.

Megan Fisher lives in Seattle and she loves climbing, hiking and writing. She is eager to begin a graduate program at the University of Washington, where she will pursue a Master of Public Health in Nutrition. Megan cannot wait to serve the community as a pediatric dietitian at a non-profit clinic.

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如何在數量龐大的心理健康 App 中做出明智選擇 | How To Navigate the Overwhelming Volume of Mental Health Apps

Wed, 24 Sep 2025 03:37:30 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

發佈日期：2021 年 6 月 23 日

作者：Sarah Lagan, B.S. 與 John Torous, M.D.

原文出處： https://www.nami.org/complimentary-health-approaches/how-to-navigate-the-overwhelming-volume-of-mental-health-apps/

如同各種智慧型手機廣告所言：「什麼都有 App」，心理健康也不例外。越來越多的手機應用程式宣稱自己是心理健康工具，提供提升情緒、降低焦慮、甚至連結治療師等功能。有些甚至誇口幾天內就能讓你快樂指數上升百分之幾。

這類大膽的宣傳幾乎是這個蓬勃發展的心理健康應用程式市場的常態。但這些工具是否真的能兌現他們亮眼的承諾？對於正尋求數位支持的心理疾病患者來說，它們是否真的容易取得？

我們在哈佛醫學院數位精神醫學部門的研究與計畫顯示，使用這些 App 時確實存在一些問題與限制。不過，如果使用者能找到適合自己需求的 App，它們也有可能成為有效的心理健康治療輔助工具。

認識 App 的限制與挑戰

在下載心理健康 App 前，使用者需要先了解依賴數位照護的潛在缺點。

可近性（Accessibility）

心理健康 App 的能見度與受歡迎程度正不斷提高，例如搜尋「憂鬱」的 App 數量在過去一年就成長了超過 150%。然而，使用者仍面臨許多使用障礙。常見的問題包括：熱門 App 的主要功能藏在付費牆之後，必須訂閱才能完整使用；一些標榜「免費」的 App，其實只是提供有限功能來吸引你升級成付費版本。

穩定性與持續使用（Consistency）

另一個挑戰是使用者留存率（retention）。即使是最受歡迎的平台，也難以讓使用者長期使用。雖然有些研究與案例報告指出，App 對學習心理健康知識、追蹤症狀與自我管理可能有幫助，但實際上只有少部分使用者會長期使用。

針對性（Specificity）

也許最令人擔憂的問題，是多數 App 缺乏針對特定心理健康狀況的支援。我們的研究發現，當你在 App Store 中搜尋「思覺失調」或「雙相情緒障礙」等關鍵詞時，幾乎找不到提供專業資訊或支援的應用程式。相反的，使用者反而需要在大量無關、無效甚至帶有汙名的 App 中篩選。

專業性與可信度（Credibility）

另一個重要問題是：這些 App 如何呈現其功能的研究證據。有些 App 誇大宣稱「具實證基礎（evidence-based）」，例如聲稱採用了經科學證實有效的認知行為療法（CBT），但實際上並沒有真正依循該治療架構。

資料隱私（Privacy）

除了照護品質的問題外，使用者也必須考慮資料隱私的不確定性。由於目前缺乏 FDA 嚴格的監管，即使是下載量很高的 App，也可能存在隱性資料分享、未經授權的存取或資料用途問題。

將 App 視為輔助工具，而非替代方案

儘管有上述問題，心理健康 App 仍有潛力幫助人們，特別是當它們能作為傳統治療的輔助工具，並與使用者的偏好一致時。這些 App 應被視為用來強化與延伸照護的方式，而不是完全取代面對面的治療。

但要找到適合自己的 App——就像尋找合適的治療師、藥物或生活計畫——一樣困難。目前 App Store 上估計有約一萬個心理健康相關 App，要在茫茫搜尋結果中找到真正符合需求的工具，確實讓人感到壓力山大。

雖然 App Store 上的評分、下載數與使用者評論可以提供部分參考，但它們並不代表這款 App 具有臨床實用性。使用者也可能因為試了幾個 App 都不如預期而感到挫折。

那麼，問題來了：我們該如何找到適合的 App？

尋找合適的資源

作為研究的延伸，我們開發了一個可搜尋的心理健康 App 資料庫：「MIND」（Mental Health Index and Navigation Database）。MIND 讓使用者可依照自身最在意的條件篩選 App，例如隱私政策、費用、臨床基礎等，共有超過 100 項過濾條件可選擇。

我們的目標是協助使用者根據自己的偏好、背景與臨床需求，找到最合適的 App。我們不將任何 App 貼上「好」或「不好」的標籤，而是透過搜尋工具來找出哪些 App 符合某位潛在使用者的條件。

找到合適的 App 是一種很棒的感覺，但這只是運用數位工具改善心理健康的第一步。我們哈佛醫學院的團隊創建了一個數位診所，協助人們將面對面治療與 App 結合起來。

我們也發現，對數位工具不熟悉是一大障礙，因此我們推動數位素養訓練，在社區健康中心與心理康復機構舉辦工作坊，幫助有心理疾病的人更容易接觸數位資源。我們還設計了一個新的照護角色——「數位導航員（Digital Navigator）」，幫助病人與醫療人員一同理解 App 並找出合適工具。這些都是可共享的模式，因為打造可近、可用的數位資源對於實現心理健康的數位平權至關重要。

雖然「提升快樂指數」聽起來吸引人，但這絕非一體適用的解方。不過，越來越多的工具確實有潛力協助人們找到符合需求的數位資源。隨著新型數位診所與系統的興起，下一步關鍵是：確保所有人都能平等使用。

作者介紹

Dr. John Torous 是精神科醫師與臨床資訊學專家，目前擔任 Beth Israel Deaconess 醫療中心數位精神醫學部門主任。

Sarah Lagan 是聖地牙哥加州大學（UCSD）醫學生，曾任該機構心理健康 App 評估計畫負責人。

註：MIND 計畫由 Argosy Foundation 慈善基金贊助。

Date published: June 23, 2021
Authors: Sarah Lagan, B.S., and John Torous, M.D.

Original Source: https://www.nami.org/complimentary-health-approaches/how-to-navigate-the-overwhelming-volume-of-mental-health-apps/

As any smartphone commercial will tell you, there is an app for everything — and mental health is no exception. More and more mobile apps are advertised as mental health tools, offering features to improve your mood, decrease your anxiety or connect you with a therapist. Some even promise to boost your happiness by a certain percentage in just a few days.

Bold claims like this are commonplace in the burgeoning mental health app marketplace. But how well do these tools deliver on their flashy promises? And are they readily accessible for people with mental illness seeking digital support?

Research and our initiatives at the Division of Digital Psychiatry at Harvard Medical School suggest that there are issues and limitations that app users need to be aware of. However, certain apps have the potential to be a successful supplement to mental health treatment if users find the right program to fit their individual needs.

Understanding Apps’ Limitations and Challenges

Before downloading mental health apps, users must consider the drawbacks of relying on digital care.

Accessibility
While mental health apps are rising in visibility and popularity, with app searches for depression up over 150% in the last year, users still face accessibility barriers. Often, features of popular mental health apps are hidden behind a paywall, meaning that users have to pay a hefty subscription fee to access the full array of content. Additionally, apps claiming to be “free” may be offering a limited version to entice you to sign up for the paid version.

Consistency
Another challenge mental health apps must confront is retention rate, as even the most popular platforms aren’t seeing their users stick with their services. While some studies and case reports have shown that apps can be a valuable tool for people with mental illness to learn about mental health, track symptoms and self-manage conditions, only a small portion of users return to the apps for a long period of time .

Specificity
Perhaps the most concerning challenge surrounding mental health apps is the lack of specialized support for commonly searched mental health conditions. Our research found that an app store search using terms like “ schizophrenia ” or “ bipolar disorder ” does not return a significant number of apps that offer specialized education or support for these conditions. Instead of finding helpful resources, people still have to wade through many irrelevant, ineffective and stigmatizing apps.

Credibility
Another critical issue with apps is how they present research surrounding the efficacy of their features. Accordingly, users need to be aware that some mental health apps make exaggerated claims that they are “evidence based.” In other words, apps may claim to follow legitimate treatment methods, such as cognitive behavioral therapy, that are proven to help people — when in fact, they are not.

Privacy
Beyond issues of apps’ ability to provide quality care, users need to take into account the uncertainty surrounding data privacy. In the absence of stringent FDA oversight, even widely downloaded apps have raised concerns around privacy around undisclosed sharing, access and use of mental health data.

Thinking of Apps as a Complement to Care

Despite these concerns, apps have potential to help people, especially when used as a tool in conjunction with treatment , and in a way that aligns with a user’s specific preferences. It’s essential to think of apps as a means to boost and extend care, not replace it.

However, finding the right app — like finding the right therapist, medication and lifestyle plan — can be tricky. With an estimated 10,000 mental health apps in the app stores, it can be overwhelming to comb through every search result to find the one with the tools and features you’re seeking.

While app store metrics (like stars, number of downloads and qualitative reviews) can provide some insight to apps’ popularity, they don’t necessarily indicate clinical utility or usability . Users can also get discouraged by trying a variety of apps that don’t meet their expectations and preferences.

So the question becomes: how can people find the right app?

Finding the Right Resources

As a follow-up to our research, we have developed a searchable database of mental health apps. MIND (the Mental health Index and Navigation Database) allows individuals to sort through mental health apps using the criteria that matter most to them. They can choose from more than 100 different filters across areas, ranging from privacy to cost to clinical foundation.

Ultimately, we hope this can be a tool to help individuals find the right mental health app given their unique preferences, personal background and clinical needs. Rather than designating any app as “good” or “bad,” the searchable database can identify which apps meet a potential user’s criteria.

Finding the right app is a great feeling, but it is only one step (of many) toward using technology effectively in the mental health field. Our team at Harvard Medical School has pioneered a digital clinic , where we help people supplement traditional face-to-face care with apps.

Recognizing that lack of familiarity may be a barrier to fully integrating technology into care, we’ve also spearheaded digital literacy trainings , conducting workshops at community health centers and clubhouses that serve people with mental illness. We’ve introduced a new member of a care team, the digital navigator , who can help both patients and clinicians navigate the app space and identify suitable tools. These are sharable programs, as creating accessible digital clinics and resources is critical for ensuring digital health remains equitable.

“Increasing happiness,” as apps may claim to do, is not a one-size-fits-all approach. However, a growing number of tools have the potential to help individuals find digital tools that align with their preferences and meet their expectations. As new digital clinics and ecosystems begin to emerge, ensuring that they’re accessible to everyone will be the next priority.

Dr. John Torous is a psychiatrist and clinical informaticist who directs the Division of Digital Psychiatry at Beth Israel Deaconess Medical Center.

Sarah Lagan is a medical student at UC San Diego and prior director of app evaluation at the Division of Digital Psychiatry at Beth Israel Deaconess Medical Center.

Author’s Note: the MIND project is supported by a philanthropic gift from the Argosy Foundation.

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我掌握自己的治療計劃 | I Am in Charge of My Treatment Plan

Sun, 31 Aug 2025 00:27:47 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者： Tammy Ozolins

原文出處： NAMI 部落格

https://www.nami.org/medications/i-am-in-charge-of-my-treatment-plan/

發佈日期： 2021年8月9日

當我一開始接受雙相情感障礙的治療時，我會坐在精神科醫師辦公室裡，靜靜聆聽、點頭附和，偶爾插入一兩句「嗯」或「是的」。我認為醫生擁有所有的答案，我的意見並不重要。畢竟，我又沒有醫學學位。

後來我意識到這樣的想法有很大漏洞——而且我逐漸明白，要真正康復，我的參與是不可或缺的。

一開始，我在治療中扮演被動角色

我與精神科醫師見了好幾次面，但即使我覺得藥物效果不佳，還出現了許多副作用（例如顫抖、體重增加、噁心、失眠等），我依然一聲不吭。我終於到了極限，乾脆停止服藥。

我常覺得醫生根本不關心我的需要和感受。每次看診，我說話的時間不過幾分鐘，對方幾乎沒有什麼回應。然後就只是拿張處方箋，就這樣被打發了。我感覺自己就像在熟食店排隊的一個號碼，被叫到後處理完就結束了——我像是透明的。這讓我既憤怒又挫敗；我是否只是個累贅？我是否不值得被關心？如果連我的醫師都不在意我的康復，那我自己又何必在意？

我的諮商師鼓勵我掌握主導權

與那位精神科醫師冷冰冰的互動不同，我在心理諮商中有非常正面的經驗。我的諮商師叫Eleanor，她讓我聯想到祖母——總是讓人感到安心，也總是讓我覺得被關心。她會和我一起笑，在我需要時給我一個擁抱。我們很快就建立了連結，我總是期待與她見面。

我在多次會談中向Eleanor描述與精神科醫師的經歷。有次我說自己在諮詢時感到不被重視、不被傾聽，也擔心藥物沒有效果。

她說：「那妳為什麼要忍受這些？」

我回答：「什麼意思？醫生才是專家啊。」

但Eleanor不同意。她告訴我，真正該掌握自己身體的是我，而不是醫生——我才是最了解自己需求的人。

我一開始聽到這個說法非常震驚，甚至有些害怕。我怕如果開口說出來，醫生會不高興，甚至不再讓我拿藥。但儘管有這些恐懼和不確定，我還是感到鬆了一口氣。因為終於有人肯定了我的感受，告訴我：我有權為自己發聲。

我終於開始做出一些改變

第二次因躁症發作而住院後，我才真正開始進入復原的過程——我也終於明白Eleanor說的是對的。我知道自己服的藥不對，也知道我不敢向醫生表達。是時候掌控自己的治療了。我第一步就是換一位精神科醫師。

我一直都害怕改變。重新開始、重新講述自己的故事，讓我感到既緊張又疲憊。但即使一切得從頭來過，這份努力是值得的。我真的很喜歡新醫生，和他相處我能敞開心扉。隨著康復的推進，我越來越清楚：我的成功與否，取決於我是否能掌握自己的治療計劃。

我常用「買衣服」來比喻這件事。買牛仔褲時，我會試穿五六件不同的款式，花好幾個小時在更衣室裡，只為找出最合適的一件。如果我都願意花那麼多時間為衣服挑選合適的款式，那為什麼面對心理健康時，不做出同樣的努力呢？

當然，不斷更換藥物（或更換醫師）是很挫折的，但我學會了要不斷嘗試、不斷為自己發聲，直到找到真正適合的方案。沒有什麼萬靈丹，但我值得為自己找出最好的治療方式。

現在，我是自己的主導者

從今以後，我掌控自己的治療計劃。當我覺得藥物無效，或出現副作用，我會直接表達。我的精神科醫師會傾聽，也會根據需要調整用藥。有一次，我覺得自己已經穩定到可以從每日三次改為兩次，醫師也接受了。我可以放心開口表達，診間不再匆匆結束。我真正感受到被理解、被照顧。

當然，維持復原狀態仍然需要努力。我每天服用兩次情緒穩定劑，每六個月回診一次。有需要時我也會進行個別諮商，並發展出一套自己的因應技巧，例如寫作、閱讀、聽音樂與與朋友談話。我現在甚至協助主持NAMI的支持小組。

最終，我深信自己的康復與成功，都來自於我主動掌控了自己的治療計劃。就像挑到一條合身又讓自己充滿自信的牛仔褲那樣，找到適合自己的治療方案也需要努力——但那絕對值得。

Tammy Ozolins 目前在維吉尼亞州里奇蒙從事教育工作。她相信，許多與心理疾病共處的人能從她的旅程中產生共鳴，一起對抗圍繞心理疾病的汙名。

Written by: Tammy Ozolins

Original Source from NAMI Blog: https://www.nami.org/medications/i-am-in- charge-of-my-treatment-plan/

August 9 2021

When I was first receiving treatment for bipolar disorder, I would sit in the psychiatrist’s office and listen and nod, occasionally adding an “um” or a “yes” to the conversation. I figured that my psychiatrist had all the answers and that my input wasn’t necessary. After all, I didn’t have a medical degree.

Eventually, I saw a flaw in this logic — and I would come to learn that my involvement in my care was essential to my recovery.

At First, I Took a Passive Role in My Treatment

Several sessions with the psychiatrist passed, and I said nothing, even when I felt that the medication wasn’t working, and I was plagued by unpleasant side effects (tremors, weight gain, nausea and trouble sleeping, to name a few). I reached a breaking point and eventually stopped taking the prescribed medication.

Often, I felt that my psychiatrist didn’t care about my needs or concerns. In our visits, I would talk for a few minutes and receive little to no response. Then I would be handed a prescription, and out the door I went. I felt like an order number at a deli counter; my number was called and dealt with — and that was it. I was invisible. This left me feeling angry and defeated; was I just a burden? Was I unworthy of care? If my psychiatrist didn’t invest in my recovery, why should I?

Then, My Therapist Encouraged Me to Take Control

In contrast to my unsatisfying visits to the psychiatrist, I had a wonderful experience in talk therapy with a counselor named Eleanor. She reminded me of a grandmother; she made me feel comfortable, and I always felt like she cared. She laughed with me and gave me a hug when I needed one. We “clicked” immediately, and I always looked forward to seeing her.

In several sessions, I told Eleanor about my visits with the psychiatrist; in one conversation, I described how I felt undervalued and unheard in consultations and how I worried that the medication wasn’t working.

“Well,” she said to me, “Why do you put up with that?”

“What do you mean?” I responded. “The doctor is the expert.”

Eleanor disagreed. She told me that I should be the one in charge of my body, not my doctor — that I am the expert in my own needs.

I was shocked by this notion at first — and then scared. I was afraid that if I spoke up, I would lose my psychiatrist and access to medication. Despite this fear and uncertainty, I was relieved that someone was validating my feelings and telling me I was worthy of advocating for myself.

Finally, I Began to Make Some Changes

After my second hospitalization due to a manic episode, I truly began the process of recovery — and I realized that Eleanor was right. I knew I wasn’t on the right medication, and I was uncomfortable advocating for myself with my doctor. I needed to take control and make a change. I started by finding a new psychiatrist.

I have always found change to be scary. I was nervous about starting over and re-explaining my story. Beginning again felt intimidating and exhausting. In seeing a new doctor, I did have to start from the beginning. But the extra effort was worth it; I really liked the new doctor, and I felt comfortable opening up to him. As my recovery progressed, I began to see that my success depends on me being in charge of my medical treatment.

I find it helpful to think about my care plan like I do about shopping. When I go shopping for clothes, I will try on five or six pairs of jeans and several tops to find the right fit, sometimes spending hours in the dressing room. If I make that time and energy commitment to finding the right fit for clothes, why wouldn’t I do the same for my mental health?

Naturally, taking medication after medication (or even seeing doctor after doctor) can be frustrating, but it’s important to keep trying different options and advocating for myself until I find the right fit. There is no magic solution, but I owe it to myself to find the best possible treatment.

Now, I Am in Charge

Moving forward, I am in control of my treatment plan. I speak up when I feel like the medication is not working or if I experience negative side effects. My psychiatrist listens to me and makes appropriate adjustments when necessary. When I felt that my recovery was far along enough to change my medication regimen from three to two pills a day, he agreed. I can speak openly, and I am never rushed out of the office. I truly feel heard and cared for.

Of course, I must stay vigilant to maintain my recovery. I take a mood stabilizer twice a day and see my psychiatrist every six months. I go to one-on-one counseling when needed, and I have developed several coping skills (including writing, reading, listening to music and talking to friends). I even help run a support group for NAMI.

Ultimately, I owe my recovery and success to taking charge of my treatment plan. Much like finding the perfectly-fitting pair of jeans that make me feel so good, developing the right treatment plan takes some effort — but that effort is well spent.

Tammy Ozolins works in the education field and lives in Richmond, Va. She believes that people living with mental health conditions can relate to her journey and help fight the stigma surrounding mental illness.

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我確信的六件事：我與心理疾病的旅程 | 6 Things I Know Are True: My Journey with Mental Illness

Sun, 03 Aug 2025 22:04:31 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：Lauren Perna

原始來源在此： https://www.nami.org/recovery/6-things-i-know-are-true-my-journey-with-mental-illness/

2021年8月16日

「你的大腦正在對你說謊。」

這是我對一位親密朋友說的話，當時她正經歷嚴重的憂鬱症。這句話我很熟悉：每當懷疑與焦慮籠罩自己時，我也會這樣提醒自己。

大腦是一個出了名的「騙子」。有時，它會讓我們記錯事情，或讓我們與他人看到完全不同的現實。有時，大腦的「謊言」則會影響我們如何看待自己。例如，當你正與心理疾病共處時，你很容易相信一切都很糟，沒有人喜歡你，而且情況永遠不會好轉。但事實是：這些從來都不是絕對的真相。特別是最後那句——「事情永遠不會變好」——那絕對是錯的。情況總是有可能變得更好。

為什麼我能這麼確定？因為我在成年後的大部分時間裡，都在努力管理我的心理疾病並改善心理健康。有時，我能有效控制憂鬱與焦慮，度過不錯的幾個月——甚至是幾年；但也有些時候，我陷入絕望的深淵，讓憂鬱滲入日常生活，影響人際關係並傷害自我價值感。雖然我現在狀況良好，但我明白今日有效的方法，明天可能就不適用了。維持心理健康是一段不斷變化的旅程。

然而，我也建立了幾個在困難時刻支撐我走下去的「真理」。

1. 你需要找出最適合自己的方式
這聽起來很顯而易見，但分辨出什麼方法真正對你有效，與「你認為」應該有效的方法，往往並不容易。

網路上有大量的心理健康建議，點一下滑鼠就能查到成千上萬的方法。這些資訊有時確實能改變人生，但它們只是心理健康照護拼圖中的幾塊。對許多人而言，要處理心理健康問題，是一段尋找正確組合的漫長旅程，這其中可能包括治療、藥物、內在探索與實際活動的搭配。

2. 壞時光不代表你的人生是壞的
當你陷入創傷或憂鬱的發作時，可能會覺得沒有盡頭。在那樣的心態下，很容易下出籠統的結論，例如「我這一生都很糟」。

但重要的是要明白：人生中的壞時光，不代表你整個人生都是壞的。

我過去曾被大腦欺騙，相信自己整個人生都很悲慘，而我真的信了。這樣的謊言，只會讓我的憂鬱拖得更久。無論情況現在有多糟、過去有多慘，總是有希望存在。即使你感受不到那份希望——承認那份絕望感也沒關係——但請不要相信「這幾個月或幾年很糟」就等於「你不配擁有美好人生」。

3. 你的過去無法定義你
不論你的過去多麼艱難，它都不應該主導你的未來。

很長一段時間裡，我的大腦讓我相信自己就是一個情緒不穩、焦慮纏身的混亂個體。我以為這就是我本來的樣子，永遠不會改變。

但你在某個人生階段的行為，並不代表你永遠都是那樣的人。人會成長與改變。你過去經歷過的事可以成為你旅程的一部分，但不必定義你是誰。

4. 事情終究會變好
我不是隨便說這句話。我是看著許多人經歷人生最黑暗的時刻，卻成為我認識中最快樂的一群人。

我自己也是一個從小與心理疾病奮鬥的人，也曾一度陷入低谷，但我總能走出來。當你理解前面三個真理時，你也會明白這一點。

5. 心理健康之路不是孤軍奮戰
這場心理健康之旅，你無法單打獨鬥。它真的需要「一個村落」來幫助你。

我說的村落，不只是朋友，而是整個支持網絡——家庭醫師、心理治療師、健身教練、鄰居等等。不是每個人都需要知道細節，但你需要一個關心你、支持你的圈子。

6. 一個好的伴侶會支持你
我從痛苦中學會：健康的關係，來自於對方能在你處於低潮時支持你。

沒有人際關係是完美的——但你需要知道，對方是否願意努力了解你的經歷並回應你的需求。如果他們做不到，就幫助他們理解。表達你的擔憂，或考慮伴侶諮商。若想改善，就必須開口溝通。（但若你正處於不健康甚至有暴力傾向的關係中，請尋求專業協助。）

透過這些真理來引導我的復原過程，我理解到：我們並不孤單。全球有數百萬人正與心理健康問題共處，而如今這個資訊與連結日益便利的時代，我們能聽見他們的故事，並從他們的經歷中學習。

或許，當我們勇敢分享自己的故事時，也會鼓勵更多人發聲，對抗大腦編造的謊言。分享自己的脆弱固然令人畏懼，但對的人會伸出援手。而如果你覺得自己無人可傾訴，那也只不過是大腦告訴你的又一個謊言。

本文最初刊登於 The Mighty。
Lauren Perna 是 Lauren Perna Communications 的創辦人，協助企業透過內容與文案在線上講述品牌故事。她也熱衷於分享自己的經歷，希望幫助正在與心理疾病奮戰的人們。現居麻州，與伴侶、他的兒子，以及他們的狗 Tessie 一同生活。

Written by: Lauren Perna

Original Source from NAMI Blog: https://www.nami.org/recovery/6-things-i-know-are-true-my-journey-with-mental-illness/

August 16 2021

“Your brain is lying to you.”
That’s what I told a dear friend when she was experiencing severe depression. The advice was familiar: It’s what I tell myself when I feel my own self-doubt and anxiety taking over.
The brain is a notorious liar. Sometimes, these “lies” mean that we misremember something or see something differently from others. Other times, the “lies” our brain tells us influence how we see ourselves. For example, when you are living with a mental illness, you can easily believe that things are awful, that no one likes you and that nothing will ever get better.
Here’s the reality: none of that is ever completely true. And the last part is unequivocally untrue — things can always get better.
How can I be so sure? I’ve spent most of my adult life managing my mental illnesses and trying to improve my mental health. Sometimes, I keep my depression and anxiety at bay, and I have great months — years even. Other times, I find myself in the depths of despair, and I let my depression bleed into my everyday life, impacting relationships and damaging my self-worth.
While I am in a good place now, I know that what works today may not work tomorrow. Maintaining mental health is an ever-changing journey.
However, I’ve developed a few truths that guide me in tougher times.

1. You Need to Do What Works Best for You
While this sounds obvious, distinguishing what actually works for managing your mental health versus what you think should work can be difficult.
Thanks to the internet, one click will find you a litany of suggestions for mental health improvement. This plethora of information can be life-changing; however, those suggestions are just a few pieces of a larger mental health care puzzle. For many people, addressing their mental health concerns can be a long process of developing the right combination of therapy, medicine, internal work and activities.

2. Bad Times Don’t Equal a Bad Life
When you are in the throes of a traumatic or depressive episode, it can feel like there is no end in sight. In this mindset, you can easily make broad-sweeping judgments like, “I have such a bad life.” But it’s important not to mistake a bad time in your life for a bad life.
In the past, my brain lied to me and told me my whole life was bad, and I believed it. This lie only made my depression last longer. No matter how bad things are or have been, there is always hope. It may not feel like it, and it’s ok to acknowledge that feeling of hopelessness, but don’t believe that a bad few months or years means that you are unworthy of a good life.

3. Your Past Doesn’t Define You
Your past, however difficult it may have been, shouldn’t dictate your future. For a long time, my brain convinced me that I was an emotionally unstable, anxiety-ridden mess. I thought that this characterization was simply who I was, and I would always be that way.
But the way you act during one point in your life doesn’t determine who you are forever. People change and grow. What happened in your past can be part of your journey, but it doesn’t have to be who you are.

4. Things Will Get Better
I don’t say this lightly. I say this having witnessed several people go through the worst of the worst — yet they are now some of the happiest people I know. I say that as a person who has struggled with mental illness my whole life and always made it out of my darkest times. If you come to understand the previous three truths, this one will follow.

5. It Takes a Village
Mental health is certainly not a journey you can take alone; it really does take a village. And by village, I don’t just mean your group of friends. I mean your whole circle — your primary care physician, your therapist, your fitness instructor, your neighbor, etc. Not everyone needs to know the details, but it’s essential to have a circle of people who care about you and help you.

6. A Good Partner Will Have Your Back
I learned (the hard way) that a healthy relationship depends on your partner supporting you during the rough times. Your relationship doesn’t have to be perfect — no relationship is — you just have to know that your partner is making an effort to understand your experience and meet your needs. And if they don’t, help them understand. Voice your concerns or consider couples’ therapy. To make improvements, you have to speak up. (However, if you are experiencing relationship abuse, please seek professional help ).

In using these truths to guide my recovery, I have come to understand that we are not alone in dealing with mental illness. Millions of people live with mental health conditions — and thanks to a new era of technology and interconnectedness, we can hear their stories and learn from their experience. Perhaps the more we share of our own stories, the more people will speak up and challenge the lies their brain tells them.
While it’s scary to share our vulnerabilities, the right people will help. And if you think you have no one to tell, that’s just one more lie your brain is telling you.

This post was originally published on The Mighty .

Lauren Perna is the owner of Lauren Perna Communications , where she helps companies share their story online through content and copywriting. Lauren is also passionate about sharing her own story so she can help others struggling with mental illness. She lives in Massachusetts with her partner and his son, along with their dog, Tessie.

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Carole and Regina's Story | Carole and Regina 的故事

Sun, 03 Aug 2025 21:17:14 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：MHACC

附加連結： https://hhrec.org/carole-and-regina/

發佈日期：2025年8月3日

當Regina 16歲時，在擔任夏令營輔導員志工期間，被一棵倒下的樹砸中，導致創傷性腦損傷。她出現了身體和認知方面的問題，例如頭痛和記憶障礙。她的康復過程十分艱難，也因創傷後壓力症候群（PTSD）發展出心理健康問題。她的母親Carole希望能支持Regina度過這些挑戰，於是開始學習有關心理健康與大腦的知識。Carole與其他華人家庭一同參加了華語NAMI「家連家」課程和支持團體。之後，Carole共同創辦了「美國華裔精神健康聯盟」（Mental Health Association for Chinese Communities，簡稱MHACC），這是一家位於阿拉米達縣的心理健康非營利組織，辦公室設於奧克蘭、Castro Valley和Fremont。而從創立初期開始，Regina便一直支持MHACC的發展。

1980年代，Carole從上海移民到美國，當時身上僅有75美元。她在紐約創立了一個成功的時尚品牌，產品銷售於Neiman Marcus和Nordstrom等商店。她在商業與時尚產業累積多年經驗，但幫助他人始終是她工作中的主要動力。轉向心理健康領域的非營利工作是一次重大轉變，但Carole發現這份工作帶來極大的成就感。為了支持目前的工作，她取得了杜克大學的非營利管理證書。Carole了解到復原的方式有很多種，因人而異，可能包括藥物治療、心理治療與整體療法。她認為，第一步是具備知識。「如果你不了解心理健康問題的本質，就很難知道該如何應對，」Carole說。

除了因創傷性意外導致的PTSD之外，Regina多年來也經歷了廣泛性焦慮症及恐慌發作。她嘗試過各種治療方式，包括藥物和不同形式的心理治療。透過治療，她更認識自己，也學會如何管理症狀。她持續進行研究並嘗試新方法來改善焦慮與自我照護。她發現自己喜歡的運動形式，包括瑜伽和舞蹈。她認為維持規律作息、與朋友相處，以及從事編織等興趣，有助於維持心理健康。

在她腦傷之後，編織成為Regina康復過程中的重要部分。住院期間，教會的牧師帶來一條由教友手工編織的圍巾，希望能給她安慰。Carole和Regina覺得很有趣，因為當時正值夏天，但這件充滿愛心的手工物品的確帶來了慰藉。回家後，Regina重新學會的第一件事就是編織。她母親過去曾是針織設計師，家中有許多毛線。編織在她腦傷康復期間帶來平靜，也成為她至今仍在持續的自我照護方式。她也非常感激家人和朋友在困難時期對她的支持，願意傾聽與陪伴。

Author: MHACC

Additional Link: https://hhrec.org/carole-and-regina/

Date posted: 8/3/25

When Regina was 16, while volunteering as a camp counselor she was hit by a falling tree. The accident resulted in a traumatic brain injury. She experienced physical and cognitive issues such as headaches and memory issues. Her recovery was difficult and she developed mental health challenges from PTSD. Her mother Carole wanted to support Regina through these challenges and began studying about mental health and the brain. Carole, along with other Chinese families attended Chinese NAMI Family to Family classes and support groups. Carole went on to co-found Mental Health Association Chinese Communities (MHACC), an Alameda County-based mental health nonprofit with offices in Oakland, Castro Valley and Fremont and from the beginning Regina has helped support MHACC’s growth.

In the 1980’s Carole immigrated from Shanghai with $75 and built a successful fashion label in New York which sold in stores such as Neiman Marcus and Nordstrom. She has years of experience in business and the fashion industry, but helping people was always a primary motivation in her work. Transitioning to non-profit work in mental health was a big change, but Carole found it extremely fulfilling. She pursued and earned a Non-profit Management Certificate from Duke University to help support her current work. Carole’s learned there are many different components to recovery and what works will vary from person to person. She knows this may include medication, therapy and holistic practices. She believes that an important first step is knowledge. “If you don’t understand the nature of the mental health challenge, it’s hard to figure out how to address them,” Carole says.

Regina, in addition to the PTSD developed from her traumatic accident for many years dealt with generalized anxiety disorder and experienced panic attacks. She tried various treatments including medications and different styles of therapy. Through therapy, she learned more about herself and how to manage her symptoms. She continues to do research and try new things to help with her anxiety and self-care. She found forms of exercise that she enjoys such as yoga and dance. She finds sticking to regular routines, spending time with friends, and doing hobbies like knitting helpful in maintaining her mental wellness.

After her brain injury knitting became a big part of Regina’s recovery. In the hospital, the pastor from their church brought a scarf knitted by church members to provide her comfort. Carole and Regina thought it was funny because it was the middle of summer, but it was indeed comforting to have something handcrafted with love. After she came home, one of the first things Regina relearned was how to knit. She had lots of yarn at home from her Mother’s previous work as a knitwear designer. Knitting was a source of calm while Regina went through her brain injury recovery, and continues to be a self-care practice to this day. She is also very grateful to have supportive family and friends who helped her through the hard times and who are always there to talk and listen.

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神經回饋：談話治療與藥物治療的輔助療法 | Neurofeedback: A Complement to Talk Therapy and Medication

Mon, 23 Jun 2025 18:40:35 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：Matthew J. Fleischman, PhD，Henry M. Kaiser, PsyD, MBA，及 Darla Meulemans, MA, CADC

原始來源在此： http://nami.org/other-treatments/neurofeedback-a-complement-to-talk-therapy-and-medication/

2021年8月25日

有多少人曾經嘗試過談話治療並取得進展，卻最終覺得仍然不夠？有多少病人使用了藥物治療卻依然出現嚴重症狀？可能多到數不清。

如果有一種方法可以減輕憂鬱、焦慮、創傷與注意力問題的症狀，同時也能與談話治療與藥物治療搭配使用，那會怎麼樣？一種名為「神經回饋（Neurofeedback）」的新療法正展現出這樣的前景。

當我們稱這種方法為「新」，我們的意思是它對心理健康照護體系而言是新的。事實上，神經回饋已有超過50年的歷史，並已激發超過2,400篇相關研究論文的發表——至今，實務人員已在超過25萬次療程中使用這種方法。

神經回饋從完全不同的角度處理心理健康問題——透過訓練我們的大腦來改善自我調節能力。

當自我調節能力提升，症狀就會減輕。試想，如果一個有心理健康困擾的人能睡得更好、更能專注、更少焦慮、反應也更不衝動，這將帶來多大的影響。這就是為什麼我們——神經回饋倡議計畫（Neurofeedback Advocacy Project, NAP）——相信這種療法應廣泛應用於更多健康與心理健康照護機構中。

什麼是神經回饋？
大腦是一種由超過1000億個神經元組成的物理結構，神經元是負責傳遞訊息的專門細胞。神經元受到各種神經化學物質的影響與控制，例如血清素等神經傳導物質，以調節我們所有的心理過程。這也是精神藥物的基礎：透過藥物影響大腦中特定神經化學物質的濃度與相互作用，就能改變心理過程。

大腦同時也是一個複雜的資訊網絡。電化學資訊透過超過125兆個突觸（細胞間的間隙）在神經元之間傳遞。為了正常運作，這個細胞間的通訊系統必須順暢且協調。像其他複雜系統一樣，它需要持續的回饋來進行自我調節。

舉例來說，請想像一棟建築物的冷暖氣系統。恆溫器會持續測量房間溫度並提供系統回饋。如果溫度過高，恆溫器會發出訊號關閉暖氣。大腦的運作方式也類似（儘管更加複雜）。

大腦會持續監控自身的電化學活動，並依據回饋進行調整。當這種內在監控功能出現問題——也就是神經回饋系統失調——就會導致失調現象。當壓力干擾了大腦網絡內部的溝通，大腦就無法有效地自我調節，進而影響正常功能與心理過程。

我們對這套回饋調節系統的理解在過去幾十年中大幅提升。早期的研究著重於「生理回饋」（biofeedback），也就是透過影響身體來調節不同的生理過程。例如，我們發現改變一個人手部的溫度可以幫助他們放鬆。一位科學家甚至發現，用牛奶作為獎勵能改變貓的大腦波模式，使牠們更能冷靜專注，並最終預防癲癇發作。

隨著我們對生理回饋的認識增長，研究開始專注於大腦的調節過程——神經回饋——並展開針對人類的實驗，研究對象包括癲癇症、ADD/ADHD、焦慮症與PTSD等。

療程是什麼樣子？
自從最初用貓進行的突破性實驗以來，神經回饋在這50年間有了重大進展。現在，在神經回饋療程中，病人會坐在一張舒適的椅子上，玩電玩或看電影。治療師會在病人頭皮上放置感測器，這些感測器可讀取大腦波。經過兩到三次療程後，治療師就能了解這位個體的大腦波情況，判斷出哪些水平與模式屬於「最佳狀態」，也就是能產生最有效功能的狀態。

一旦找出病人的最佳大腦波設定，療程就開始了。專用軟體會持續監控病人的大腦波，當偵測到正向或理想的波形時，會改變螢幕上的內容。例如，加快電玩中汽車的速度，或放大電影的播放畫面。

隨著療程進行，病人的大腦會自動調整。它會「辨識出」某些大腦波模式會帶來正向結果（像是更快的車或更大的畫面），並根據這些回饋來改變自己的運作。這個自我調節過程是自然發生的——病人無需刻意思考或努力。

在療程過程中，病人通常會與治療師討論螢幕上的內容、分享感受或回答問題，這有助於治療師確認感測器放置正確、讀取的大腦波準確，以及軟體回饋的操作正確。

在每次療程結束後，病人與治療師會一起檢視記錄的進展。目標是在大約20次療程內，讓病人症狀獲得緩解。透過幫助大腦「學習」將特定大腦波與正向結果連結，我們讓它學會自我調節，提升整體功能，並支持健康的心理歷程。

雖然神經回饋無法取代心理治療與藥物治療，但它是一種極佳的輔助療法。研究顯示，將神經回饋納入治療計畫的人，更能投入治療，也更能實行治療建議——而且通常需要更少的藥物。

儘管神經回饋的可信度正快速提升，它過去仍主要只透過自費制的私人診所提供。NAP正致力於改變這種情況。我們的使命是將神經回饋導入各種機構與醫療系統中，特別是針對那些服務不足或難以服務的群體。

我們的希望是，神經科學的最新進展能改善心理健康照護，並讓提供者能更多地依靠大腦本身的自我療癒能力。

Dr. Matthew Fleischman 是一位臨床心理學家，擁有30年神經回饋經驗。他曾擔任NIH資助的「侵略性兒童治療多點實施研究」的首席研究員。他成立NAP計畫時，將神經回饋設備借給三個服務多元客戶的在地機構，觀察其效果。基於該經驗，該計畫已擴展至另外15個機構，並正招募另25個。

Dr. Henry M. Kaiser 曾任Kaiser基金會醫院與健康計畫董事、Kaiser家庭基金會受託人。他的職業生涯包括多項創業與風險投資活動，核心主題皆與企業或創新環境中的科技與生命科學有關。

Darla Meulemans, MA, CADC 在奧勒岡州波特蘭經營私人健康工作室。她的職涯包括超過15年的社區心理健康與成癮治療服務與領導經驗，亦負責學校與醫院中的相關計畫。她也為使用神經回饋的臨床人員提供專業訓練與指導。

Written by: Matthew J. Fleischman, PhD, Henry M. Kaiser, PsyD, MBA and Darla Meulemans, MA, CADC

Original Source Here: http://nami.org/other-treatments/neurofeedback-a-complement-to-talk-therapy-and-medication/

August 25 2021

How many people have tried talk therapy and made progress, but ultimately felt that it wasn’t enough? How many patients have tried medications and still experienced severe symptoms? Probably too many to count.

What if there were a way of reducing symptoms of depression, anxiety, trauma and attention problems that could complement talk therapy and medication? A new approach to treatment called “neurofeedback” yields promising results of this nature.

Now, when we describe this method as “new,” we simply mean that it’s new to the mental health care system. In fact, neurofeedback has been around for over 50 years and has inspired more than 2,400 published papers — and practitioners have used this approach in over 250,000 sessions to date.

Neurofeedback addresses problems with mental health from an entirely different direction — by training our brains to better self-regulate.

When self-regulation improves, symptoms lessen. Imagine the impact on any individual with a mental health condition if they were able to sleep better, focus better, feel less anxious and react less impulsively. This is why we, The Neurofeedback Advocacy Project (NAP), believe this treatment approach should be widely implemented in more health and mental health care settings.

What is Neurofeedback?

The brain has a physical structure made up of over 100 billion neurons, specialized cells that transmit information. Neurons are influenced and controlled by various neurochemicals, such as neurotransmitters like serotonin, to affect and regulate all of our mental processes. This is the foundation for psychotropic medications: by using a medication to influence the levels and interactions of certain neurochemicals available in the brain, we can affect the resulting mental processes.

The brain is also a complex informational network. Electro-chemical information is transmitted between neurons through a vast web of over 125 trillion synapses (the gaps between the cells). In order to perform well, this cell-to-cell communication system must be smooth and in sync. Like any other complex system, it requires constant feedback in order to self-regulate.

For example, consider the heating and air system in a building. The thermostat constantly measures the temperature of the room and provides feedback to the system. If the temperature is too high, the thermostat sends a signal to turn off the heat. The brain operates in a similar (although significantly more complex) fashion.

The brain constantly monitors its own electro-chemical activities and uses that feedback to adjust. Any issues with that internal monitoring — dysfunction in the neurofeedback system — can result in dysregulation. When stress has disrupted communication within our brain’s network, it cannot effectively regulate itself, disrupting normal functions and impacting mental processes.

Our understanding of this feedback regulation system has evolved significantly over the years. Early research focused on “biofeedback,” influencing the body in order to affect different processes. For example, we learned that changing the temperature of a person’s hands could help them relax. One scientist discovered that using milk as a reward could alter brainwave patterns in cats, improving calm focus and ultimately preventing the cats from having seizures.

As we learned more about biofeedback, research evolved to focus specifically on the regulatory process of the brain — neurofeedback — and include experiments in humans with a variety of conditions including epilepsy, ADD/ADHD, anxiety, and PTSD.

What Does Treatment Look Like?

Neurofeedback has come a long way in the 50 years since the initial breakthrough with cats. Now, in a neurofeedback session, the patient sits in a comfortable chair where they either play a video game or watch a movie. The practitioner places sensors, which read brainwaves, onto the patient’s scalp. Over two to three sessions, the practitioner develops an understanding of that individual’s brainwaves, determining what levels and patterns are “optimal” and lead to the most effective functioning.

Once the practitioner has identified the optimal brainwave setting for the patient, treatment begins. Specialized software monitors the patient's brainwaves, and when it identifies positive or desired patterns, it alters what the patient sees on the TV screen. For example, boosting the speed of the car they are controlling in a video game or increasing the size of the viewing window for their movie.

As the treatment goes on, the patient’s brain automatically adjusts. It “recognizes” that specific brainwave patterns result in positive outcomes (the faster car or better view of the movie) and uses that feedback to adjust its functioning. This self-regulation happens naturally — there is no conscious effort by the patient.

During a session, a patient will typically talk to their practitioner about what they see on the screen, share their feelings or respond to questions, which helps the practitioner confirm that the sensor placement, brainwave readings and software actions are correct.

At the end of a session, the patient and their practitioner review the recorded progress. The goal is for patients to experience a reduction in symptoms over the course of a typical 20-session course of treatment. By helping the brain “learn” to connect specific brainwaves with positive outcomes, we help it learn to regulate itself, improve overall functioning and support healthy mental processes.

While neurofeedback is not a replacement for psychotherapy and medications, it is an excellent complement. Research shows that people who incorporate neurofeedback into their treatment plan feel better able to engage with therapy and implement therapeutic suggestions — and they often need fewer medications.

While neurofeedback has been gaining credibility rapidly, recently, it has been available only from private practice providers on a fee-for-service basis. The NAP is working to change this. Our mission is to implement neurofeedback within agencies and healthcare systems, particularly for those who are underserved or difficult to serve .

Our hope is for recent advances in neuroscience to improve mental health care and enable providers to rely more on the brain’s capacity for self-healing.

Dr. Matthew Fleischman is a clinical psychologist with 30 years’ experience with neurofeedback. He served as an NIH Principal Investigator on a Multi-site Implementation of Treatment of Aggressive Children. He started the NAP by lending neurofeedback equipment to three local agencies serving a range of clients to see how effective the method could be. Based on that experience, the project has expanded to 15 more agencies and is recruiting another 25.

Dr. Henry M. Kaiser served as a Director of Kaiser Foundation Hospitals & Health Plan and a Trustee of the Kaiser Family Foundation. His various professional venture capital and entrepreneurial activities have in common the theme of working with innovation in corporate and/or entrepreneurial settings, in technology and in life sciences.

Darla Meulemans, MA, CADC has a private wellness practice in Portland, Oregon. Darla's career includes more than 15 years of direct service and leadership in community mental health and addiction treatment in addition to running school and hospital-based programs. Darla provides professional training and mentoring to clinicians using neurofeedback.

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我在強迫症旅程中創立了我所需要的公司 | How I Founded The Company I Needed During My Journey with OCD

Mon, 23 Jun 2025 18:23:13 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：Stephen Smith

原始來源在此： https://www.nami.org/obsessive-compulsive-disorder-and-related-disorders/how-i-founded-the-company-i-needed-during-my-journey-with-ocd/

2021年8月27日

像美國約2.3%的成年人一樣，我與強迫症（OCD）共處——這是一種常被誤解的心理健康狀況，可能帶來毀滅性的影響。一些國際研究指出，患有強迫症的人自殺的可能性可能是一般人的十倍。不過，好消息是，強迫症可以透過一種名為「暴露與反應預防治療（ERP）」的行為治療有效管理。

與大眾媒體對強迫症的錯誤描述不同（通常將其描繪成某種可笑的個性怪癖），強迫症實際上與創傷後壓力症候群（PTSD）非常相似。患有PTSD的人會經歷關於過去的侵入性想法；而許多患有強迫症的人則會經歷關於未來的侵入性想法。

在這兩種情況下，這些侵入性恐懼可能會表現在某些行為上——這些行為往往與個人的核心價值觀相矛盾。這些行為可能是暴力的、性相關的、宗教性的，或與人際關係有關。行為與價值觀之間的脫節常導致極大的痛苦——甚至可能引發嚴重的心理健康共病。

在經歷了一段艱辛的歷程後，我終於確診並接受治療。我認為那些尋求幫助的人應該得到更好的支持。隨著我自身的康復過程進展，我創立了在我掙扎初期真正需要的那家公司。

試圖尋求幫助
我與強迫症的旅程始於我20歲那年，它徹底顛覆了我的生活。我從一名在德州某小型大學主修中文並擔任四分衛的成功學生運動員，在六個月內跌到人生谷底。錯誤的診斷與處置讓我情況惡化。

我一開始找了一位在芝加哥網路內的心理學家，他錯誤地診斷我為廣泛性焦慮症。他的建議治療方法是：每當出現侵入性想法時就用橡皮筋彈手腕。這個錯誤的建議只讓我的症狀更加惡化。

最後我又看了四位治療師，每一位都未能發現我其實患有強迫症。我的健康保險為這些無效的治療支付了數萬美元，而我的心理健康卻持續惡化。我陷入重度憂鬱，足不出戶，並且中斷了學業與足球生涯。

在絕望中，我轉向Google尋求答案。我的搜尋讓我找到了經歷與我幾乎相同的一個社群。他們描述自己如何在與強迫症專家進行ERP治療後，症狀有所改善。在ERP療程中，患者逐漸面對那些引發焦慮與不適的情境，並學習不要進行那些想讓念頭停止的行為（也就是強迫行為），而是學習與焦慮共處，並接受觸發背後的不確定性。我希望這種治療能幫助我，因此找了一位每次收費350美元、但要等七個月的網外醫師。

幸運的是，我沒有等那麼久。這位醫師正確診斷我患有強迫症，並讓我開始進行ERP治療計畫。雖然每週只見一小時，其他時間需要自己管理症狀，但我還是成功完成了治療。八個月後，我重返校園、重返球場，也重拾生活。

我最終在南加州的波莫納學院完成了我的學業與足球生涯。

為他人改變經驗
在畢業前不久，我開始思考下一步該做什麼。我想到那個曾經幫助我走向正確診斷與有效治療的強迫症社群。我也想到全球數以億計的人正在尋找這條道路，卻無法找到。為什麼會這樣？其實不該如此。

我相信數位科技能幫助人們獲得正確診斷、與其他強迫症患者連結，並讓ERP治療變得可及。

2018年，我在芝加哥成立了NOCD辦公室，這是一家遠距醫療公司，致力於為有需要的人提供有效的強迫症治療，不論其地點或財務狀況如何。三年後，我們與治療師、患者、保險公司、醫療機構與雇主合作，改變全球強迫症患者改善與重獲生活的方式。

為未來找解方
2021年是遠距醫療的關鍵一年——無論是身體或心理健康。它不應該只被視為因COVID-19疫情迫使採用的暫時方案（雖然疫情確實加速了普及）。

對某些人而言，虛擬心理健康服務能讓治療變得更容易取得、更負擔得起，同時仍然有效。這些人可能會選擇長期維持虛擬治療方式。然而，值得注意的是，每個人、每位臨床醫師、每間醫療機構都不一樣——適合一個人的方式不一定適合另一個人。

未來，NOCD將持續投入以病患為本的發展目標，希望在治療過程的每一個階段都能提供有益與治癒性的經驗。

雖然我走上成功治療的道路非常艱難，但我很幸運，能有機會為他人改變這個過程。

Stephen Smith 是 NOCD 的執行長，該公司提供全球性的虛擬、實證為本的強迫症治療服務。在經歷一段未被診斷的強迫症掙扎後，Stephen 立志打造一個讓任何人都能取得有效治療的世界，不論其居住地或收入。

Written by: Stephen Smith

Original Source Here: https://www.nami.org/obsessive-compulsive-disorder-and-related-disorders/how-i-founded-the-company-i-needed-during-my-journey-with-ocd/

August 27, 2021

Like 2.3% of U.S. adults , I live with obsessive-compulsive disorder (OCD), a largely misunderstood mental health condition that can have a devastating impact. Some international research suggests that people with OCD may be up to ten times more likely to die by suicide compared to the general population. The good news, though, is that OCD can be managed successfully by a behavioral therapy called Exposure and Response Prevention (ERP).

Unlike popular media representations of OCD, which depict the condition as a silly personality quirk, OCD manifests much like PTSD. People with PTSD experience intrusive thoughts about the past; similarly, many people with OCD often experience intrusive thoughts about the future.

With both conditions, these intrusive fears can take shape in certain behaviors — many of which contradict a person’s core values. These behaviors and can be violent, sexual, religious or relationship-based in nature. The disconnect between one’s behavior and values often leads to crippling distress — and it can even trigger severe behavioral health comorbidities .

After an arduous journey to diagnose and treat my OCD, I felt that others seeking help deserved better. As my own recovery progressed, I founded the company that I truly needed in the early stages of my struggles.

Trying to Find Help

My journey with OCD began when I was 20 years old, and it turned my world upside-down. I plummeted from being a successful student athlete at a small Texas university, majoring in Chinese and playing quarterback, to hitting rock-bottom in about six months. Misdiagnosis and mismanagement of my condition fueled my descent.

I sought care from an in-network Chicago psychologist early on, who misdiagnosed me with generalized anxiety disorder. His recommended treatment plan: Snap a rubber band on my wrist whenever intrusive thoughts appeared. That misguided advice only made my symptoms worse.

I ultimately saw four more providers, and each one failed to recognize I had OCD. In the end, my health plan paid these providers tens of thousands of dollars for ineffective treatment, while my mental health continued to decline. I developed severe depression, became housebound and left my school and football career behind.

In desperation, I turned to Google for answers. My research led me to a community that was sharing experiences nearly identical to mine. They described how their symptoms improved after trying ERP therapy with an OCD specialist. In an ERP session, a patient gradually confronts the situations that cause anxiety and discomfort. Then, rather than engaging in behaviors to make the thoughts stop (also known as compulsions ), the patient learns to sit with the anxiety and accept the uncertainty behind the trigger. Hoping that this treatment might be the answer, I found an out-of-network provider who charged $350 a session and had a seven-month waitlist.

Fortunately, the wait didn’t last for months. The provider correctly diagnosed me with OCD and started me on an ERP therapy plan. Despite only seeing the therapist for one hour a week and needing to manage my symptoms alone between sessions, I successfully navigated treatment. After eight months, I was back in school, back on the football field and back in life.

I completed my degree and football career at Pomona College in southern California.

Changing the Experience for Others

Shortly before graduation, I was confronted with figuring out what to do next. I thought about that community of people with OCD who set me on the path to a correct diagnosis and effective treatment. I also thought about the hundreds of millions of people globally looking for this path who are unable to find it. But why? It didn’t have to be that way.

I was certain that digital technology could help people find a correct diagnosis, connect with other people who have OCD and bring ERP therapy to those who need it.

In 2018, I opened the Chicago office for NOCD, a telehealth company dedicated to providing effective OCD therapy to anyone who needs it, regardless of location or financial situation. Three years later, we work with therapists, patients, health plans, providers and employers to transform how people with OCD globally can improve and reclaim their lives.

Finding A Solution for the Future

2021 has been a pivotal year for telehealth – both for physical and mental health care. And it need not be considered a temporary solution borne of the necessities sparked by the COVID-19 pandemic (although that certainly accelerated its adoption).

For some individuals, virtual behavioral health services can make care more accessible and affordable, while still being effective. These people may decide to adjust their therapeutic plans to stay virtual long-term. However, it is important to note that every person, clinician, and provider company or organization is different – what works for one may not work for another.

Moving forward, NOCD will continue to invest in our patient-first focus, with the goal of providing a beneficial and healing experience at every stage of the treatment process.

While my road to successful treatment was difficult, I am fortunate to have the opportunity to change this process for others.

Stephen Smith is the CEO of NOCD , a worldwide provider of virtual, evidence-based OCD treatment. After a personal struggle with undiagnosed OCD, Stephen made it his mission to create a world where anyone can access effective OCD therapy, no matter where they live or how much money they make.

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重新走出自殺念頭的陰霾 | Finding My Way Back from Suicidal Thoughts

Tue, 17 Jun 2025 07:14:18 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：Joe Dilbert

原始來源： https://www.nami.org/blog-post/finding-my-way-back-from-suicidal-thoughts/

2021年9月10日

2020年2月17日，我站在人生的十字路口，思考著自己究竟是要繼續活下去，還是結束一切。經過兩天不斷地思索自殺，我覺得那彷彿是唯一的解脫方式。我多年來一直與憂鬱症對抗，卻從未向任何人傾訴我的感受。

我從小被教育，不應該談論心理健康，甚至任何情緒都不該表露——那是懦弱的表現。他們說，唯一面對情緒問題的方式就是「撐過去」。所以我照做了。但我後來才明白，壓抑痛苦、忽視情緒，並不是走向康復與內心平靜的答案。

我把憂鬱隱藏起來，誰也沒告訴

我把痛苦埋在心底，就這樣「勉強過活」了好幾年。我結婚、生下了可愛的女兒，開始擔任我熱愛的緩刑官。但在2019年秋天，我開始感到不對勁，不論是身體上還是情緒上。我變得與人疏離，顯得冷淡，卻總假裝一切正常。

妻子曾問我是否一切都好，我總說沒事，還會用工作或其他藉口搪塞。但我的症狀愈來愈嚴重，我感覺大腦出了狀況，卻無法解釋。我極度悲傷，不斷湧現無價值感的念頭，內心總有負面聲音在貶低自己。

沒有協助，我的症狀開始惡化

在我陷入危機前兩週，我首次向妻子坦承自己「不太對勁」，也預約了心理諮商。由於諮商師的時間有限，我必須等待數週才能見面。

我告訴自己要撐住，但事實上，我又一次對自己說謊。自殺的念頭日益強烈，而我只是在等待那場「奇蹟般」的諮商。就在諮商前的那個週末，我的自殺念頭強烈到，我開始擬定傷害自己的計畫。

在那內心的衝突中，有個聲音告訴我：「打電話求助。」我撥打了印第安納大學醫療中心的精神科病房，告訴接線員我情況危急，但對方卻說沒有床位，建議我改聯絡門診部門。

我依照指示撥打門診部門電話，但卻只進入語音信箱。於是我又打回精神科病房，表示我真的非常需要幫助，對方則請我前往當地急診室。最後，我打給妻子，告訴她我有自殺傾向。她立即趕回家，陪我到醫院。

得到適當幫助救了我的命

在醫院，我接受了評估，並被送往精神科照護機構住院四天。一開始我感到羞愧與難堪，但經過住院與一個月的門診治療後，我的視野完全改觀。

參加與我有相同困擾者的支持小組讓我大開眼界——也讓我鬆了一口氣。在這個新社群的幫助下，我學會了應對症狀，也開始正視自己的感受。這是我第一次真正理解，我其實擁有資源，也有在乎我的人願意伸出援手。

這樣的轉變與康復，如果我當時選擇結束生命，是絕對不可能發生的。我鼓起勇氣求助，因此我今天還在這裡。我不只存活了下來，我的人生也變得充實而有意義。

展現脆弱、主動求助確實令人害怕，但有了正確的人在身邊，那種恐懼會很快過去。我希望透過分享我的故事，能鼓勵正經歷憂鬱症狀的人勇敢尋求協助。我找到了重返人生的道路，你也可以。

Joe Dilbert 是一名緩刑官，是 Beth 的丈夫與 Lauren 的父親。在學會透過藥物與他人協助管理自己的心理健康狀況後，他希望透過分享自己的經歷，幫助處於相似情況的人。

Written by: Joe Dilbert

Original Source Here: https://www.nami.org/blog-post/finding-my-way-back-from-suicidal-thoughts/

September 10 2021

On February 17, 2020, I was at a crossroads, deciding whether I wanted to live or die. After contemplating suicide for two days, it seemed like that was the only answer. I had battled depression for years, but I never told anyone how I was feeling.

I was raised to believe that discussing mental health — or any feelings at all — was a sign of weakness. I was told that the only way to address emotional issues was to “get over it.” So that is what I did. But burying the pain and ignoring my feelings, I would come to learn, was not the answer to my recovery or inner peace.

I Hid My Depression from Everyone Around Me

I internalized my pain and “got by” for years. I got married, raised a beautiful daughter and began work as a probation officer, which I loved. But in the Fall of 2019, I began to feel different, both physically and emotionally. I withdrew from everyone around me, becoming visibly distant, but always pretending that nothing was wrong.

My wife would ask me if I was all right, and I would say yes and come up with an excuse about work or something else. My symptoms, however, continued to intensify; I could feel something was going on in my brain, but I just couldn’t explain it. I was profoundly sad, and I had recurring thoughts of worthlessness. I experienced a constant internal monologue of negative self-talk affirming my low opinion of myself.

Without Help, My Symptoms Began to Escalate

About two weeks prior to reaching my crisis point, I told my wife for the first time that I wasn't feeling “right,” and I had made an appointment with a counselor. Due to the counselor’s schedule, I would have to wait for weeks for my appointment.

I told myself I would hold on — but, again, I was lying to myself. The thoughts of suicide became more intense as the days went by, and I waited for the “miracle” of seeing a counselor. The weekend before my appointment, I became so consumed by thoughts of ending my life that I developed a plan to harm myself.

On February 17, 2020, my wife left for work. It was a government holiday, so I stayed home. My daughter was leaving to return to college after visiting home for the weekend. As I watched her drive down the street, I believed that this was going to be the last time I saw her. I started to cry and begged God to help me. I struggled with both wanting and not wanting everything to end.

As I grappled with this inner conflict, a voice told me to call someone. I picked up the phone and called the Indiana University Health psychiatric floor. I told the person on the other line that I was in trouble, and he responded by telling me they did not have any beds and to call outpatient services.

I followed his instructions, but my call to outpatient services went to voicemail. I called the psychiatric floor back and insisted that I desperately needed help, only to be referred to the local emergency room. Finally, I called my wife and told her that I was suicidal. She came home and took me to the hospital.

Getting the Right Help Saved My Life

At the hospital, I completed an evaluation and was admitted to a psychiatric care facility for four days. I was ashamed and humiliated at first. But after the hospitalization and participating in a month-long outpatient treatment program for my depression, I gained a whole new perspective.

Being in a support group with others struggling with the same issue was eye-opening — and, frankly, a relief. With the help of this new community, I was able to cope with my symptoms and learn to pay attention to my feelings. For the first time, I truly understood that I had resources and people who cared about me who were willing to help.

This new perspective, and my subsequent recovery, would not have been possible if I had chosen to end my life. I took a chance on asking for help, and, as a result, I am still here today. I did more than survive — my life has become enjoyable and fulfilling.

Being vulnerable and asking for help is scary, but with the help from the right people, that feeling is short-lived. I hope that by sharing my story of recovery, anyone experiencing symptoms of depression will feel empowered to seek help. I found a way back, and so can you.

Joe Dibert is a probation officer, a proud husband to Beth and a proud father to Lauren. After learning to manage his mental health condition with medication and help from others, he hopes to share his story — as a part of his own recovery and as a tool for helping others in a similar situation.

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🎤 精神健康盃決賽溫暖歌聲照亮屋崙華埠 | Voices of Healing Echo in Oakland Chinatown

Mon, 02 Jun 2025 05:27:13 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

5月31日，由美國華裔精神健康聯盟（MHACC）主辦的第二屆「全美陽光精神健康盃歌唱大賽」決賽，在屋崙華埠林肯中心感動登場。來自全美七州的20組入圍選手齊聚一堂，以歌聲傳遞療癒力量，呼應5月的亞太裔傳統月與心理健康關注月。

本屆賽事亮點紛呈，年齡層從18至93歲，展現跨世代的活力與共鳴。灣區選手黃加奕以周深的《人是_》奪得成人組一等獎，他以真摯話語談到移民生活的掙扎與自我尋找：「無論我們是誰，都值得被看見、被愛。」比賽更有Hong Kiang Lee、Weiqi Wu、秋天的旋律合唱團等脫穎而出，各展才華。

MHACC執行長彭一玲表示，許多華人受文化與羞恥心理影響，對心理困擾避而不談，而音樂能跨越語言與隔閡，創造一個安全、溫暖的表達空間。今年活動吸引逾百人報名，網站點擊超過7萬次，總獎金1萬5千美元來自一個紀念精神健康逝者的匿名家庭捐款，象徵對生命的尊重與延續。

市長Barbara Lee、市議員王夏琳、羅文娜等官員到場支持，強調心理健康是生活的一部分，並呼籲更多資源投入華人社區。現場並設有近十個心理健康攤位，提供即時諮詢與服務。

這場活動不僅是一場音樂盛會，更是一場心靈的對話，讓精神健康的話題走進社區，走進人心。

�� 媒體報導：
世界日報報導連結

星島日報

On May 31, the Mental Health Association for Chinese Communities (MHACC) hosted the 2nd National Sunshine Mental Health Cup Singing Contest Finals at the Lincoln Center in Oakland Chinatown. Twenty finalists from seven U.S. states came together to sing for mental health awareness, in celebration of both Asian American and Pacific Islander Heritage Month and Mental Health Awareness Month.

Bay Area contestant Jiayi Huang won 1st place in the Adult category with a moving performance of Zhou Shen’s “Ren Shi _.” A Doordash actuary by day, Huang shared that the song resonated with his reflections on identity and belonging: “We’re all trying to define ourselves. Whether we’re vulnerable or strong, hesitant or determined, we all deserve to be seen and loved.” His words struck a chord with many in the immigrant community.

Other top winners included Hong Kiang Lee (“You Raise Me Up,” Middle Age group), Weiqi Wu (“Besame Mucho,” Senior group), and Autumn Melody Choir (“Looking Back Again,” Group category). Contestants ranged in age from 18 to 93, demonstrating the power of music across generations.

MHACC Executive Director Elaine Peng emphasized that many in the Chinese community face barriers to seeking mental health support due to stigma and cultural silence. “Music transcends language and cultural divides. It gives people a safe space to release emotions and share their stories. We hope this event builds a bridge to greater understanding and community support.”

This year’s contest drew over 100 applicants and 70,000+ visits to the registration page. The $15,000 prize pool was donated by a family who lost a loved one to mental illness, in honor of those still fighting in silence. The event also featured nearly 10 mental health resource booths providing free consultations.

Elected officials and community leaders—including Oakland Mayor Barbara Lee, Councilmembers Charlene Wang and Rowena Brown—attended the event, voicing their support for mental wellness and resource equity in Chinatown.

Co-hosted by Friends of Lincoln Square, Stepping Forward Foundation, Oakland Chinatown Coalition, and others, the event showcased the strength and unity of the community—using the universal language of music to promote healing, hope, and mental health awareness.

�� Media coverage:
World Journal article

SingDao Daily

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請求與接受幫助拯救了我 | Asking for and Accepting Help Saved Me

Mon, 26 May 2025 20:38:35 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：Cassandra D. Lowe

原始來源： https://www.nami.org/depression-disorders/asking-for-and-accepting-help-saved-me/

2021年9月1日

直到四年前，我仍深信自己終將自殺而死。我曾經做出超過三次嚴重的自殺企圖，結果幾乎被送進芝加哥所有的急診室與加護病房。

有時候，我的憂鬱症嚴重到無法走路、無法睡覺、也無法進食。我一份又一份工作被解雇，因為我每次頂多只能穩定地工作幾個月。我每天祈禱不要醒來，然後在睜開眼聽見鳥鳴時感到絕望。我只想逃避現實，經常一天睡16個小時，並持續對自己造成傷害。

回想起來，那些記憶令人痛苦。我的憂鬱在我心中挖出一個黑洞，常讓我喘不過氣。我幾乎無時無刻在哭泣，無論多普通或多正向的情境，我都只看到絕望與死亡。

幸運的是，我活了下來，也慢慢重拾對心理健康的掌控。這一切之所以可能，主要是因為我願意開口尋求幫助，也幸運地獲得了幫助。家人與朋友的支持，加上心理健康專業人員的協助，讓我即使在最絕望的時刻，也沒有完全沉淪。

我能活下來，也歸功於我採取的幾個具體行動，希望這些能幫助到正在掙扎的你。

我找到了榜樣

我父親曾是酗酒者，但他接受匿名戒酒會的幫助後，成功戒酒。他那份勇氣與復原的精神，即使在我最黑暗的時刻，也一直激勵著我。因為他，我明白了「尋求幫助」本身就是一種勇敢的表現。

我接受治療

我不只一次讓自己住進醫院，也同意服用精神科醫師開立的藥物——即使當時我不相信藥物會有效，甚至有時候不希望它有效。我甚至接受了電痙攣治療（Electro Convulsive Therapy），這可能對我的症狀帶來了最明顯的改善。

我在能夠的時候管理待辦事項

偶爾，憂鬱的迷霧會短暫消散；每當這時，我都盡力把生活中「事務性」的部分處理好。我把醫生的電話號碼放在手邊，將必要的文件交給保險公司，並把處方箋送到藥局。

我也會聯絡家人與朋友，感謝他們的幫助，並告知我的醫療進展。當我終於擁有自己的公寓時，我把房租設定為自動扣款，以防我在繳租日那天病倒。

我勇於表達自己的痛苦

儘管我的憂鬱非常痛苦且難以處理，我並沒有默默承受。我讓身邊的人知道我正在受苦，雖然我很怕這會耗盡他們的耐心與無條件的愛。但後來我發現，這份恐懼並沒有實現。

家人與朋友支持了我：我先生為我做飯，陪我看醫生；朋友與親人打電話鼓勵我，也來醫院探望我；姻親甚至寫信鼓勵我。我原以為大家會離我而去，但事實剛好相反，真正關心我的人聽到了我的呼救，並且一直在我身邊。

我持續向前走

我不為自己患有心理疾病而感到羞愧，並且很高興自己能活下來。我認識了很多堅強的人，他們是鄰居、朋友、或支持團體的成員，即使患有心理疾病，依然過著充實而有意義的生活。我很自豪能與他們並肩而立。

由於我的憂鬱症包含了妄想症狀，我仍然會面臨挑戰，但如今好日子遠多於壞日子。我持續接受精神科醫師與心理師的治療，他們幫助我管理藥物，並處理日常生活與思緒中的困難。

我也很感謝像 NAMI 這樣的機構，讓我有一個安全的空間探索情緒，並與其他心理疾病的倖存者建立聯繫。

Cassandra D. Lowe 是一位自由撰稿人，擁有 Lawrence University 的英文文學學士學位與 St. Xavier University 的教育碩士學位。她曾在芝加哥南區擔任教師與社區組織者。

Written by: Cassandra D. Lowe

Original Source Here: https://www.nami.org/depression-disorders/asking-for-and-accepting-help-saved-me/

September 01 2021

Up until four years ago, I was convinced that I would die by suicide. I made more than three serious suicide attempts that landed me in almost every emergency room or intensive care unit in Chicago.

At times, my depression was so severe that I could not walk, sleep or eat. I was fired from one job after another because I was only stable enough to work for a few months at a time. I prayed that I wouldn’t wake up in the morning, and then felt defeated when I’d open my eyes and hear birds singing. All I wanted to do was to escape from the reality of my life, so I often slept for 16 hours a day and actively self-harmed.

Looking back, it’s painful to remember how sick I was. My depression created a pit in my soul that often took my breath away. I cried from one moment to the next, seeing despair and death in the most mundane or positive situations.

Fortunately, I survived, and I have moved forward and taken control of my mental health. I was able to do this largely because I was willing to ask for help and fortunate enough to receive it. The support from family and friends and expertise from mental health professionals kept me afloat even when I felt I was about to go under for the last time.

My survival is also due to several concrete steps that I hope to share with anyone else who may be struggling.

I Found a Role Model

My father was a recovering alcoholic, and after seeking help from Alcoholics Anonymous, he was able to stop drinking. His example of courage and recovery lingered with me even in my darkest hours. Because of him, I understood that asking for help was a courageous act.

I Accepted Treatment

More than once, I allowed myself to be admitted to the hospital. I also agreed to take medications prescribed by a psychiatrist — even when I did not believe medications could work (or, in some instances, when I did not want the medications to work). I even underwent Electro Convulsive Therapy, which seems to have made the most profound improvements in my symptoms.

I Managed My To-Do List When I Could

Occasionally, the fog of my depression would lift; when this happened, I made sure the “business side” of my life was in order. I kept my doctor’s phone number within reach. I filed all necessary paperwork with my insurance company, and I filled all relevant prescriptions with my pharmacy.

I got in contact with family and friends, letting them know that I appreciated their help, and notifying them of any important developments in my medical regimen. When I obtained an apartment of my own, I put my rent on an automatic payment schedule to cover myself in case I was sick at the time rent was due.

I Was Vocal About My Pain

While my depression was painful and difficult to manage, I did not suffer in silence. I let people know that I was hurting even though I was afraid I would challenge their patience and unconditional love. This fear, I learned, was unfounded.

Family and friends came through for me: My husband cooked for me and accompanied me to all my doctor’s appointments. Friends and family called with encouraging words and visited me in the hospital. My in-laws wrote me letters of encouragement. People did not abandon me as I thought they might; on the contrary, the right people paid attention to my pleas and stuck by me.

I Kept Moving Forward

I feel no shame in having mental illness, and I am glad to be a survivor. I have met so many strong people, neighbors, friends and members of support groups who have created satisfying and productive lives with mental illness. I am proud to stand among them.

Since my depression included psychotic delusions, I still have my struggles, but I have many more good days than bad. I continue to see a psychiatrist and a therapist who help me manage my medications and cope with my thoughts and everyday problems.

I am grateful to organizations like NAMI that give me a safe space to explore my feelings and meet people who, like me, are survivors of mental illness.

Cassandra D. Lowe is a freelance writer who holds a B.A. in English Literature from Lawrence University and a M.A. in Education from St. Xavier University. She has worked as a teacher and a community organizer on Chicago’s southside.

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你真的對治療產生抗拒了嗎？ | Are You Really Treatment Resistant?

Sat, 10 May 2025 22:19:52 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：Mark D. Rego 醫學博士

原始來源： https://www.nami.org/medications/are-you-really-treatment-resistant/

2021年9月20日

在精神醫療實務中，醫師經常會聽到相同的擔憂：「我什麼方法都試過了，但都沒有效。」說這句話的病人可能罹患任何一種心理健康疾病，但他們的故事常常很相似：經歷了多年努力，卻鮮少獲得改善。

在耶魯大學進行臨床實踐並教授精神科住院醫師藥物使用經驗的這些年來，我聽過太多這樣的故事。許多人被貼上「治療抗拒」的標籤，卻未經過完整的病史檢視，因此漸漸失去康復的希望。

我希望分享我如何評估那些被認為「治療抗拒」的病人——這是我建議每位懷疑自己屬於此類病患的人都可以參考的方法。

資料收集

在這篇討論中，我們假設你自己、你的現任醫師以及過去的醫師們都一致同意你的診斷。此時，你可能陷入一種不斷嘗試更新穎、罕見藥物的循環中——而且可能被困在「這個試試、那個也試試」的心態裡。

這種情況下，你需要的是全面性地回顧你的病史，包括以下資訊：

你自己提供的資料
過去的治療紀錄
藥房的配藥紀錄
一位協同報告者（例如你的親人或朋友，能提供另一種觀點）

有些臨床醫師可能會對使用協同報告者感到擔憂，因為他們希望保護與你的保密關係。但我發現，大多數人都樂於讓配偶、朋友或其他家庭成員成為治療團隊的一部分。

無論你與醫師分享什麼資訊，這些內容仍然是保密的；然而，親近你的人可以提供你與醫師都無法得知的觀察，這可能非常有價值。例如，他們可能知道某個藥物讓你看起來恢復了原本的樣子，或重新對某個興趣產生熱情。由於你自己經歷了情緒的高低變化，或醫師每週只能見你一次，很容易錯過這類關鍵資訊。

當這些資訊逐步彙整後，醫師就可以建立一份病史時間軸，特別著重於以下問題：

症狀何時出現？不同時期是否有變化？
曾接受哪些治療？（例如治療方式、不同的治療師等）
曾使用過哪些藥物？劑量與服用時間為何？
是否有所改善？哪些症狀改善了？是否完全消失？
是否出現副作用？副作用持續多久？是否無法忍受或有危險性？是否嘗試控制這些副作用？
在使用藥物期間，劑量是否有增加？是否曾因反應不完全而放棄使用？
是否有加成療法（即添加第二種藥物）？若有，加成後的效果、副作用如何？

為何需要這麼詳細？因為這份病史整理，能集中呈現你曾經經歷過的治療，對於後續治療非常有參考價值。你可以隨時查閱這份紀錄來指引未來的治療方向。對醫師來說，花時間整理這份資料的成本比電腦斷層（CT）低得多，卻能提供比任何檢查更多的資訊。

找出尚未嘗試的選項

我們在這份檢視中真正要找的，是你過往治療中的「漏洞」——也就是你尚未獲得的照護方式。根據我的經驗，大多數個案其實都有明顯的漏洞，而這些漏洞可能代表病人並非真正「治療抗拒」。

這些漏洞包括：

尚未嘗試的藥物
尚未嘗試的劑量增加
醫師未檢查的藥物血中濃度
沒有加成處理的部分反應或適當劑量
沒有處理的副作用
對部分療效未進一步優化的嘗試

這些歷史的某部分可能與醫師的可用性有關。如果醫師無法在預約時間之外提供聯繫（例如沒有緊急聯絡管道），他們很可能會錯過「補漏洞」的機會。例如，調整劑量以減少副作用或改善療效，常常只需要一通電話。結果卻可能是病人因副作用或無效而中止藥物，雖然其實可以輕易解決。

因此，找一位願意在預約之外接電話的醫師，可能會帶來更好的治療機會。

在這段等待與重新評估的週期中，你可能仍然感到不適。如果情況允許且安全，可以在此期間先針對焦慮或睡眠問題進行處理。這類干預通常效果快速，研究也顯示它們不但能讓病人感覺更好，還能降低自殺風險。如果你的醫師未主動提起，請主動與他們討論。

建立治療計劃

這項工作可能會讓人覺得瑣碎繁瑣。但幾次會談後，你可以根據過往治療反應，加上臨床研究與經驗，擬定一份實際可行的治療計劃。過去的治療經驗不必視為「完全失敗」，每一次嘗試都能幫助醫師更了解你的大腦運作，並建立未來的治療方向。

這種從每一次治療中彙整資料的過程，應該持續進行，直到你不再需要心理健康治療。正是這些細節，才能幫助你的醫師找出最有效的方式幫助你。

Mark D. Rego 醫學博士 是一位擁有30年經驗的精神科醫師，曾從事臨床工作25年。他著有《Frontal Fatigue：現代生活與科技對心理健康的影響》（預計於2021年10月出版）。你可以透過他的網站了解更多資訊。

Written by: Mark D. Rego MD

Original Source Here: https://www.nami.org/medications/are-you-really-treatment-resistant/

September 20 2021

In psychiatric practice, providers often hear the same concern: “I’ve tried everything, but nothing works.” The patient giving this history could have any mental health condition, but the story is, unfortunately, the same: They put in many years of hard work without much relief.

After years of clinical practice and teaching medication use to psychiatric residents at Yale, I have heard this story too many times. Often, people will receive the label of “treatment resistant” without a thorough history review, and, as a result, they can lose hope of getting better.

I’d like to share how I evaluate patients concerned with this label — an approach I recommend to anyone who considers themselves treatment resistant.

Collecting Information

Let’s assume for this discussion that you, your clinician and your past clinicians all agree on your diagnosis. At this point, you may be caught in a spiral of trying newer and more uncommon medications — and you may be stuck in an unfortunate “try this-try that” mentality.

What you need in this situation is an extensive review of your history using:

Information that you provide
Past treatment records
Pharmacy records
A co-reporter (a loved one who can provide an additional perspective)

Some clinicians may be concerned about the use of a co-reporter, as they wish to protect the confidential nature of their relationship with you. But I’ve found that most people are happy for a spouse, friend or another family member to be part of the team.

Whatever you tell your clinician remains protected and confidential, but someone close to you will have a perspective that neither you nor your clinician will have, and this can be invaluable. They may know, for instance, that on a certain medication you seemed like yourself again, or that you were interested in your hobby. It is easy for you (who has experienced many shades of good and bad) or a clinician (who sees you only once a week or less) to miss this vital information.

As the information becomes available, your clinician can put together a timeline of your history with special attention to questions such as:

When did symptoms occur? Were they different at different times?
What treatments have you tried? (i.e., therapy styles, different therapists, etc.)
What medications have you tried? What doses and for how long did you take them?
Did you feel better? If so, in what way? Were all symptoms gone, or just some?
Were there side effects? If so, did they last? Were they intolerable or dangerous? Were attempts made to control them?
While on medication, were doses increased? Did you have partial responses that were abandoned because they were inadequate?
Was augmentation (a second medication) added to any existing medication regimen? If so, what happened? (all the same questions about effects and side effects apply)

Why all this detail? For one, this detailed history of what has happened to you, in one place, is very valuable. You can refer to this document at any time to guide your treatment. It costs less than a CT scan for a clinician to put this together, yet it gives more information about treatments than any test we have.

Seeing What Options Are Left

What we are really looking for in this review are holes in your treatment — things that are missing in the care you received. I can say from experience that most cases have significant holes that could mean a patient is not necessarily treatment resistant.

Holes come in the following forms:

Medicines you have not tried
Dose increases you have not tried
Drug levels your clinician did not check
Partial responses or adequate doses that your clinician did not augment

With a second drug:

Side effects that your clinician did not manage
Partial responses that your clinician did not push to improve the result

Part of this history may be due to the availability of the clinician. If there was no available contact outside of appointments (that is, no on-call care), they will most likely miss any chances for “hole-fixing.” Often, this is a missed opportunity to make dose adjustments for side effects or inadequate dosing. As a result, a patient will stop a medication due to a side effect or lack of improvement, when either of these could have been taken care of with a phone call.

It may be worth searching for a clinician who is willing to make time outside of scheduled appointments for phone calls when needed.

I will also mention that during the weeks of this work, you may still not feel well. If safe and appropriate, it is a good idea to treat for anxiety and sleep during this waiting period. This can often be done quickly and has been shown to not only help the patient feel better, but protect against suicide attempts . Make sure to discuss this with your clinician if they do not bring it up.

Creating a Treatment Plan

This work can be tedious. But after a few sessions, you can create a plan that is based on your responses to treatments with reputable studies and experience to back it up. Past treatments do not need to be seen as total failures. Each one tells the clinician something about how your brain works and builds the future of treatment for you.

This process of gathering information out of any treatment should continue as long as you receive mental health treatment. It is these details that inform your clinician about what will help you the most.

Mark D. Rego, M.D., is a psychiatrist with 30 years of experience. He spent 25 years in practice and has written a book, “Frontal Fatigue. The Impact of Modern Life and Technology on Mental Illness,” to be published in October 2021. You can learn more about his work at his website .

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學術界的歧視 | Discrimination in Academia

Sun, 27 Apr 2025 22:52:38 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：Joel Bates

原始來源： https://www.nami.org/education/discrimination-in-academia/

2021年10月25日

在經歷密集的大學申請過程中，我遇到了一個讓我從心底感覺不公平、也不道德的問題。

一位私人導師問我，是否可以在推薦信中提及我的心理健康困難。當時我很錯愕，又受制於申請程序，只能答應。然而，事後回想，我意識到自己當時其實沒有其他選擇。我需要這封推薦信，無法承擔拒絕的後果。

這種私人資訊的披露讓我感到很不安；我覺得在申請過程中將我的心理健康歷史作為一種但書，等於是預先警告大學：我曾有掙扎，出席率不佳，好像這一切都是我的錯。我的導師表示，他不希望給出一封會「誤導大學」的推薦信。不論導師的本意如何，這樣的做法對我來說仍然不對。

我不禁思考，如果一位因身體殘障而缺課的學生，也會被要求如此披露嗎？推薦人會在一封盛讚的推薦信結尾補上一句「這位學生坐輪椅，但他們很有心」嗎？我很懷疑。

質疑的重心

我有複雜性創傷與解離症狀，當症狀發作時，這些問題會大幅影響我達成學業要求的能力。在整個大學申請過程中，我覺得自己被要求向大學保證，我的心理健康不會影響我的學業表現。

但我認為，大學問錯了問題。

真正該問的不是「我要如何保護大學的利益？」，而是「我們該如何支持我們的學生？」

我正在攻讀心理學學位，希望將來幫助那些同樣經歷心理健康掙扎的人。事實上，許多心理健康領域的從業者本身也有心理健康困難，並因此投身這個行業，想要幫助他人。那麼，大學為何能如此冷酷地排斥那些因為生活經歷而學習受阻的人呢？

我相信，擁有親身經歷的人，有責任站出來挑戰學術界的「能力主義」（ableism），為所有人爭取公平與平等的機會。

有毒的文化

學術界內部有一種有害、甚至有毒的文化：對生產力提出極高要求，對教職員與學生都造成了傷害。與其他心理學學生的訪談中，我們談到了這種文化——學生被期待要產出高品質作品、同時應對多重截止日——對有心理疾病的人尤其不利。結果，「能力主義」被內化、被正常化，成為學術文化的一部分。

儘管大學在某種程度上加劇了學生心理健康惡化，他們仍然更關注「學生應該達成什麼標準」和「不達標的懲罰」，而不是如何在學生出現心理健康問題時提供真正的支持。此外，當學生尋求幫助時，資源往往有限且供不應求。

對診斷的過度依賴

在我的大學，支援的提供取決於個人是否有「醫學認可的」診斷。沒有正式診斷的學生，只能獲得如臨時心理諮詢、自助資源、線上講座、「福祉顧問」的協助，或是被轉介到校外的社區支持小組。但這些選項常常需要等待高達六週。

有醫學診斷的學生則可獲得殘疾補助金（由英國政府而非大學提供）和個人化的學習支持計劃。理論上，這些計劃可協助學生申請作業延期，但實際上講師並沒有義務遵守這些支持計劃。在我看來，這些支援措施遠不足以應對高等教育中學生對心理健康支持的迫切需求。

此外，許多有複雜心理健康問題的人，往往因為精神科醫師的長時間等候而數週、甚至數月無法取得正式診斷。我認為，如果大學以診斷狀態作為提供支持的標準，那麼他們就有責任提供充足的資源，讓每位學生能及時取得診斷。

忽視生活品質

心理健康服務——無論是校內還是校外——另一個問題在於判斷「誰值得獲得支持」的過時標準。DSM-5（精神疾病診斷與統計手冊第5版）要求，診斷需證明日常生活受到嚴重影響。然而，這種標準反而迫使個體必須走到崩潰邊緣，才會被當回事。

按照這個定義，只要我能勉強完成基本任務，我就會被視為「功能正常」，不需要支援。但被忽視的是生活品質。我相信，許多患有隱性障礙的學者，也只是勉強達成「最低標準」，表面看起來正常運作。教育與臨床評估的標準會說我們沒問題，但我們還有其他選擇嗎？

僅針對焦慮與憂鬱提供支援

對於有解離、創傷相關或精神病性問題的人來說，尋求支援尤其困難，因為大部分支援措施只針對焦慮或憂鬱設計。

我觀察到，「福祉顧問」對各種精神疾病、創傷影響，以及來自少數族裔學生所經歷的社會污名與歧視問題，普遍缺乏認識。向他們求助時，常得到的制式回應包括：

「你試過散步嗎？」
「是啊，焦慮真的很痛苦對吧？」

整體而言，這種校園心理健康支援的現狀讓人痛心。學生們必須為了生存而掙扎，為了獲得幫助而奮鬥，為了爭取合理的調整而抗爭。

學生應該得到更好的待遇。

我希望，有一天，不會有人再覺得申請學校時必須透露自己的健康資訊。我希望未來，每個有心理疾病的人，都能在得到充分支持與合理調整的情況下接受教育。我們不是負擔，我們值得被聽見、被鼓勵、被支持。

Joel Bates 是一位研究生與心理學及神經科學研究助理，同時也是一位業餘藝術家。你可以在 Instagram 上追蹤他的作品：@Noble_artt。

Written by: Joel Bates

Original Source Here: https://www.nami.org/education/discrimination-in-academia/

October 25 2021

While going through the intensive university application process, I came across an issue that I felt in my bones was not fair, nor ethical.

A personal tutor asked me if they were permitted to include my mental health difficulties in my reference letter. Taken aback, and at the mercy of the process, I said yes. However, upon reflection, I felt that I was not in a position to say anything else. I needed the reference, and I could not afford to say no.

This personal disclosure did not sit well with me; I felt that including my mental health history as a disclaimer in the application process amounted to forewarning universities of my struggles, and resulting poor attendance, as though it were my fault. My tutor did not want to give a reference that would “mislead a university.” Regardless of my tutor’s intentions, it still did not seem right.

I found myself wondering, would the same request ever be made of a student who had a physical disability causing them to miss classes? Would a potential reference write a glowing letter to conclude with “this student is in a wheelchair, but they mean well”? I doubt it.

Questionable Priorities

I have complex trauma and dissociative issues, both of which significantly interfere with my ability to meet academic expectations when my symptoms are flaring. Throughout my university application process, I felt I that I was being asked to assure universities that my mental health would not get in the way of my studies.

Ultimately, I felt that universities were asking the wrong question.

The question should not be “what can I do to protect my university’s interests?” Rather, universities should ask “what can we do to accommodate our students?”

I am a pursuing a degree in psychology, with the intention of helping others who have struggled with their mental health. In fact, many of the mental health industry’s staff and contributors have their own mental health challenges and reasons for wanting to enter this field and help others. So how can universities be so callous in dismissing people whose lived experiences interfere with their ability to pursue this education?

I believe those of us with lived experience owe it to ourselves and society to challenge “ableism” in academia and lead the way in advocating for fair and equitable opportunities for all.

A Toxic Culture

The harmful, and even toxic, cultural issues within academia place exceedingly high standards on productivity, to the detriment to staff and students alike. Interviews with fellow psychology students highlighted how this academic culture, in which students are expected to produce high-quality work while meeting multiple deadlines, becomes harmful for people with mental illness. As a result, ableism is internalized, normalized and becomes ingrained in the culture.

Despite being — at least in part — responsible for worsening students’ mental health, universities tend to focus more on what they expect from students (and enforcing the consequences of not meeting those expectations) than on how they can provide students with the right help if mental health issues arise. Furthermore, when students do seek help, this help is often limited and overstretched.

An Unnecessary Focus on Diagnoses

At my university, support varies based on whether a person has a “medically recognized” diagnosis. Support for people without a diagnosis includes drop-in therapy sessions, self-help resources, virtual workshops, “well-being” advisors and links to community projects outside of the university, such as support group sessions. These options, however, often had waiting lists of up to six weeks.

Those with medical diagnoses were entitled to a disability allowance (funded by the UK government, not universities), and personalized academic study support plans. While the support plans were designed to give students special consideration regarding assignment extension requests, lecturers were not actually obligated to adhere to the plans. These support options, in my view, do not match the desperate need for mental health support in higher education.

Additionally, many individuals dealing with complex mental health issues are often left without a diagnosis for weeks, if not months, due to the long wait times to see a psychiatrist. It is my view that if universities are to make stipulations around a person’s well-being based on their diagnostic status, then universities should step-up and adequately fund measures to ensure all students can receive such diagnoses in a timely manner.

Deprioritizing Quality of Life

Another issue with mental health services both within and outside universities are the outdated criteria for judging who is (and isn’t) deserving of support. The DSM-5 includes a caveat that disorders must create a significant disruption to everyday life. However, this is harmful as it almost sets up individuals onto a course of destruction for them to be taken seriously.

By this definition, I would be deemed fit to function, and not in need of support, because I manage to accomplish what I need to. What remains overlooked is quality of life. I am certain many academics with hidden disabilities manage to scrape by and tick the “necessary boxes” to meet minimum requirements. The standards represented by education and clinical assessment would say we are functioning. But I wonder, what other choice do we have?

Only Offering Help for Anxiety and Depression

Accessing available support is particularly complicated for people with dissociative, trauma-related and/or psychotic mental issues, as so much of the support offered is catered solely to anxiety or depression.

The available “well-being” staff, I observed, seemed to lack awareness of a variety of psychiatric problems or the impacts of trauma, or wider experiences of social stigma and discrimination that many students from minority backgrounds face. Boilerplate responses to requests for help included:

“Have you tried taking a long walk?”
“Oh yes, anxiety is horrible, isn’t it?”

All in all, this picture of mental health support at universities is an uncomfortable reminder of just how poor standards are for care in higher education. Students must fight to stay afloat, fight to get support and fight to get accommodations.

Students deserve better.

My hope is that, one day, no one will feel obligated to divulge their health information in any kind of application. I want to see a future in which anyone with mental illness can receive an education with the support and accommodations they need. We are not a burden, and we deserve to be heard, encouraged and supported.

Joel Bates is a graduate student and research assistant studying psychology and neuroscience. He is also an amateur artist; you can see his posts on Instagram at @Noble_artt .

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學習如何在患有雙相情感障礙的情況下維持就業 | Learning How to Maintain Employment with Bipolar Disorder

Sun, 30 Mar 2025 07:03:41 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：Laura Germak Ksenak

原始來源： https://www.nami.org/bipolar-and-related-disorders/learning-how-to-maintain-employment-with-bipolar-disorder/

2021年10月19日

我再次拿出過時的履歷，開始撰寫求職信。帶著謹慎的樂觀態度，我向幾家在求職網站上列出的公司投遞申請。在重新投入求職的同時，我也非常清楚我的情緒可能會再次讓我無法長期就業。然而，這一次，我決定把那些負面想法藏進公事包裡，勇敢嘗試。

成年以來，躁期的非理性與衝動常讓我難以穩定工作。我常形容躁期的感覺就像是一口氣喝下二十罐能量飲料，並持續承受其副作用好幾天、幾週，甚至幾個月。你可以想像，這對工作能力的影響有多大。

因為躁期，我不停更換工作——從人類服務業轉到廣告，再回到人類服務領域，接著攻讀特殊教育碩士，開始教書，最後又回到人類服務工作——始終無法真正建立一份事業。

我的情緒與症狀常讓我無法清晰思考與理性行為，破壞了我在職場上的人際關係。然而，認識自己的診斷並學習應對技巧，是我學會如何保住工作的關鍵。

在我被診斷之前

當我處於躁期時，根本不知道自己有病，因此幾乎不可能穩定工作。我的症狀包括：

• 自以為是

• 抗拒上級指示

• 腦中混亂，導致專案做到一半就放棄

• 做出糟糕決策

• 隱瞞未完成的工作

• 在需要幫助時不願求助

我將自己的缺失歸咎於別人，因為我總認為自己是對的。

我的主管試圖控制我，但我拒絕配合。最終，他們只能讓我走人。「讓我走」聽起來好像溫柔又友善——彷彿我的主管像放飛小鳥一樣放我自由。但實際上，「讓我走」的語氣通常是這樣的：

• 「我們不會續簽合約。」

• 「你可以做到這週結束。」

• 「我要讓你回原本的職位（也就是降職）。這裡有張衛生紙。」

每次，我的身體都會有反應：淚水潰堤、下顎緊繃到只能吃蘋果泥和奶昔。

在因情緒失控而失去三份工作後，我決定暫時休息。住院一週後，我帶著一份「雙相情感障礙第一型」的診斷離開醫院。

診斷之後

我在精神病房接受治療、服用藥物與心理治療，這些讓我的生活重新燃起正面與平衡的力量。幾個月後，我終於覺得穩定到可以再次工作，於是選擇了一份彈性大、壓力小的工作。

我的主管是一位非常支持我的人，因為她自己也有心理健康的相關經驗。她當時正在攻讀社工師執照。每當我因躁期或憂鬱發作需要請假時，她都會為我發聲。她也堅持讓我不必參加全國性的年度「全員出動」會議，讓我能留在家中與家人和專業支持團隊一起度過。她讓我明白：自我照顧是正當且對我健康非常重要的事。

在這份我能勝任的工作待了兩年後，雙相情感障礙再次控制了我的大腦，讓我從躁期跌入憂鬱期。我知道我需要離職，但至少這一次，是我自己做的決定。我選擇不再做一份工作，而是開始「修復自己」的工作。

全職投入於理解並管理我的心理疾病，需要我改變習慣。我開始健康飲食、運動、重視自我照顧、按時服藥，並嘗試漸進式肌肉放鬆法來穩定自己。我也開始寫日記，記錄感恩的事，並透過寫作反思。

這個過程有高低起伏。有時冥想與肌肉放鬆能讓我平靜，有時則無效。藥物有時能發揮效果——直到它們失效。有時治療能帶來新觀點，有時我則感覺卡住。儘管充滿挑戰，這些工具讓我重新找回多年未曾體驗過的掌控感、自信與希望。

我現在的狀況

最近，我受邀與一個我曾在躁期前申請的職位的主管面談。儘管我內心情緒翻湧，我還是順利完成了面試，並得到了這份工作。在離開職場兩年多後，我甚至不太敢稱自己為「上班族」。

我在短暫復原期中建立的正面自我對話，又迅速轉為負面。我差點說服自己放棄，但我的治療師幫我意識到：回到職場的焦慮觸發了我的憤怒與躁動。透過運用一些應對技巧，如尋求專業協助、自我照顧、練習感恩與活在當下，我相信焦慮終將消散，躁動也會逐漸平息。

儘管我仍然懷疑自己，我決定勇敢一試。我每天努力讓自己放鬆，釋放負面情緒，盡責完成工作，並在需要時尋求職場內外的幫助。請祝我好運。

Laura Germak Ksenak 於 2014 年被診斷為雙相情感障礙第一型，自此便開始書寫自己的故事。她目前在一份兼職工作中找到平衡，也有更多時間在新澤西州的 The Writers Circle 指導下磨練寫作技藝。

Written by: Laura Germak Ksenak

Original Source Here: https://www.nami.org/bipolar-and-related-disorders/learning-how-to-maintain-employment-with-bipolar-disorder/

October 19, 2021

Once again, I dusted off my outdated resume and began to write cover letters. Feeling cautiously optimistic, I applied to several companies listed on an employment site. As I returned to the job hunt, I was acutely aware that my moods could stop me from staying employed (again). However, this time, I decided to conceal that negativity in my briefcase and go for it.

Throughout my adulthood, the irrationality and impulsiveness of mania has severely limited my ability to stay employed. I often describe mania as a similar feeling to chugging 20 energy drinks and weathering the side effects for days, weeks or even months. You can imagine how this would affect a person’s ability to work.

Due to mania, I’ve jumped from job to job — human services to advertising, back to human services, then pursued my Master’s in Special Education that led to teaching, then lastly back to human services — never actually building a career.

My emotions and symptoms often cloud my thinking and behavior, ruining my relationships at work. However, identifying my diagnosis and learning coping skills has been key to learning how to keep a job.

Before My Diagnosis

It was nearly impossible to hold a job when I was manic because I had no idea how sick I was. My symptoms included:

Self-righteousness
Refuting directives
My scattered brain leaving projects halfway finished
Poor decision-making
Hiding failed attempts to complete a task
Neglecting to ask for help when I needed it

I blamed everyone else for my deficiencies because I was always right.

My supervisors tried to rein me in, but I refused. Inevitably, they would have to let me go. Letting someone go sounds so gentle and kind — as if my bosses sent me off like a baby bird learning to fly. In reality, letting me go sounded something like:

“We’re not going to renew your contract.”
“You can finish out the week.”
“I’m going to give you your old position back (aka demote you). Here’s a tissue.”

Each time, my body reacted with a combination of tears and my jaw locking up so painfully I would only be able to eat applesauce and milk shakes.

After losing three jobs to my unpredictable moods, I took some time off to regroup. I spent a week in the hospital and left with a parting gift — a diagnosis of Bipolar I Disorder .

After My Diagnosis

Identifying my mental illness while in the psych ward, as well as receiving medications and therapies, revived both positivity and balance in my life. It took several months to feel stable enough to work again, but then I took a flexible, low-stress job.

My supervisor was an excellent support system who understood mental illness because of personal experience. She was also studying to be a licensed social worker. She advocated for me on several occasions when I had to miss work due to an episode of mania or depression. She also firmly mandated that I skip the annual “all-hands-on-deck” conferences that took place around the country in order to stay home with my support team of family and professionals. I learned from her that my self-care was valid and essential to my well-being.

After two years in this manageable position, bipolar disorder took control of my brain again, dragging me from mania to depression. I knew I needed to stop working, but at least this time leaving was my decision. Instead of working a job, I chose to work on myself.

“Doing the work,” full-time to understand and manage my mental illness required an effort to change my habits. I began eating well, exercising, prioritizing self-care, following a medication regimen and trying progressive muscle relaxation to ground myself. I also began journaling about the things I was grateful for and even writing essays to reflect.

This process had its ups and downs. Sometimes meditation and muscle relaxation calmed me down, sometimes not. My medications would work for a while — until they didn’t. Sometimes, therapy gave me perspective and sometimes I felt stuck. Despite the challenges, after learning these tools, I felt a spark of control, confidence and hope that I hadn’t felt in years.

Where I Am Now

Recently, I was invited to meet with supervisors of a position I had applied for before my latest episode of mania. I aced the interview despite my internal whirlpool of emotions and landed the job. Having been out of work for more than two years, I didn’t feel ready to call myself an employee.

The positive self-talk I developed during my brief recovery quickly turned negative again. I almost talked myself out of trying, but then my therapist helped me realize that my anxiety about returning to work triggered my anger and agitation. By employing some coping skills, like getting professional help, self-care, practicing gratitude and finding presence, I believe my anxiety will pass and, in turn, my manic behaviors will settle down.

Despite my doubts, I am going for it. I work every day to relax, let go of negativity, diligently fill the responsibilities of my post and, when needed, seek help on and off the job. Wish me luck.

Laura Germak Ksenak was diagnosed with bipolar disorder 1 in 2014 and has been writing her story ever since. She is enjoying her new part-time job which affords her plenty of time to hone her craft under the tutelage of The Writers Circle in NJ.

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我的診斷遮蔽經驗 | My Experience with Diagnostic Overshadowing

Sun, 30 Mar 2025 06:47:10 GMT

MHACC 雙語部落格 Bilingual Blog

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作者：Andrea Rosenhaft LCSW-R

原始來源： https://www.nami.org/medical/my-experience-with-diagnostic-overshadowing/

2021年10月13日

當你有心理疾病時，你很可能會遭遇某種形式的歧視，從社會污名與排斥到法律保護的缺乏。所幸，隨著心理健康社群提高意識並挑戰污名，大眾討論逐漸開始關注心理疾病患者所經歷的歧視。

然而，有一種形式的歧視卻鮮少被提及：一種被稱為「診斷遮蔽」的醫療歧視。

專家將診斷遮蔽定義為「將身體症狀誤歸因於心理疾病的過程」。雖然研究與患者的親身經歷都顯示心理與生理健康之間確實存在關聯，但將兩者視為必然相連，並將身體症狀一律視為心因性的做法，卻是相當危險的。

研究指出，心理疾病患者的壽命較短，且其罹患其他身體疾病的比率也遠高於一般人。對於我們這些有心理健康問題的人來說，診斷遮蔽被認為是造成這一現象的原因之一，並不令人意外。

我自己在尋求醫療照護的過程中，有多項心理疾病診斷，包括邊緣性人格障礙（BPD），這也加深了我對診斷遮蔽所帶來負面後果的體會。僅僅是在我的病歷中列出使用精神藥物，就足以引發醫師對我作為病患可信度的懷疑。

我第一次的診斷遮蔽經驗

2015年，我開始出現壓迫性的胸痛發作。在急診室的醫生排除心臟病發作的可能後，我轉而尋求我主治醫師所屬的醫療體系中一位心臟科醫師的診治。

我才剛進診間五分鐘，他就告訴我胸痛是因為焦慮所致。我含淚走出診所。我知道這並不是焦慮造成的；我曾經歷過焦慮和嚴重恐慌發作，但這次的疼痛遠比以往更劇烈。

我下定決心要尋求第二意見，於是找到了紐約市一家大型醫院旗下女性醫療中心的心臟科醫師。她問了許多前一位醫師根本沒問的問題。她注意到我已超過40歲，並且曾被診斷為偏頭痛與雷諾氏症。

這位醫師最終診斷我為變異型心絞痛（Prinzmetal’s Angina），這是一種不常見的心臟血流減少情況。她開立了鈣通道阻斷劑，發作的頻率與嚴重程度大幅下降。

我打電話告訴主治醫師我已尋求第二意見，並說明這不是焦慮，而是變異型心絞痛所致。她只是說：「謝謝妳告訴我。」

我不知道自己當時期望她說什麼，但我對她的反應感到失望。

第二次經歷

2017年，我開始經常感到噁心並出現胃痛。一位腸胃科醫師告訴我，我得了「功能性腹痛症候群」（FAPS），而我只需要「學著與之共處」。

當我回家查詢這個病症時，發現一篇文章將此症狀描述為「身心症」（somatization disorder）。換句話說，我的心理與情緒狀態導致了我經歷的疼痛。這讓我感到憤怒，同時也對被醫療專業忽視感到無奈。

我忍受了數月的疼痛與噁心，體重也開始不自覺地下降，這進而觸發了我的厭食症。我自2012年以來未曾限制飲食，但這次我開始享受體重下降的感覺。

最終，我又回到那間曾帶給我正面經驗的女性醫療中心，找了一位女腸胃科醫師。她認真看待我的症狀，安排了多項檢查，包括胃鏡檢查，但都未發現異常。我體重持續下降，在短短幾個月內減輕了將近20磅。最後，她安排我做了呼氣測試，結果顯示我患有小腸細菌過度生長症（SIBO）。

我將結果傳訊息告訴最初那位將我的症狀視為心因性的醫師，他回覆說：「謝謝你讓我知道。」

我吞下心中的怒火，心想如果他一開始就認真看待我的症狀，也許整個折磨的過程都可以避免。我花了一年多才恢復體重，花更長的時間處理這次被觸發的飲食障礙所造成的情緒創傷。

我對未來仍抱有希望

我仍持續服用精神疾病相關藥物（兩種抗憂鬱劑與一種第二代抗精神病藥，作為輔助用藥）。然而，我有時會想從藥物清單中略去這些藥，因為我擔心告知用藥情況會影響醫師對我的看法。我幾乎從不提自己有 BPD，因為那個診斷伴隨太多污名。

雖然這樣的經歷令人沮喪，但我仍抱持希望。最終，我遇到幾位有同理心的醫師，他們將我視為完整的人與病人，並能有效地為我治療。我現在持續看診的一位頭痛專科醫師，負責處理我嚴重且慢性的偏頭痛。她既關懷病人又非常聰明（她同時擁有醫學博士與哲學博士學位），並擁有神經科與精神科的雙重專科認證。

在看診約五年後，我終於感到足夠安心，告訴她除了厭食症與憂鬱症，我還被診斷出 BPD。

她毫不猶豫地回應：「妳很棒。」

Andrea Rosenhaft 是一名執業於紐約市地區的臨床社工。她已從厭食症、重度憂鬱症與邊緣性人格障礙（BPD）中康復，並經常撰寫有關心理健康與復原的部落格文章。Andrea 是心理健康倡議與宣導組織 BWellBStrong 的創辦人，該組織專注於 BPD、飲食障礙與重度憂鬱症的相關議題。她與她的救援犬 Shelby 一起住在紐約州西徹斯特郡。

Written by: Andrea Rosenhaft LCSW-R

Original Source Here: https://www.nami.org/medical/my-experience-with-diagnostic-overshadowing/

October 13, 2021

When you have mental illness, you’re more than likely to encounter some form of discrimination, from social stigma and exclusion to a lack of legal protections. Thankfully, as the mental health community raises awareness and challenges stigma, the larger conversation is beginning to address the discrimination that people with mental illness experience.

There is one form of discrimination, however, that rarely makes the conversation: A form of medical discrimination called “diagnostic overshadowing.”

Diagnostic overshadowing, as defined by the experts , is a “process by which physical symptoms are misattributed to mental illness.” While research and personal accounts from patients suggest that there is a connection between mental and physical health, the assumption that two are always related, and that physical symptoms must be psychosomatic, is a dangerous approach.

Research shows that people with mental illness die prematurely and have significantly higher medical co-morbidity, as compared to the general population. Unsurprisingly to those of us with mental health conditions, diagnostic overshadowing is believed to be one of the factors contributing to this phenomenon.

My own experience seeking medical care with multiple mental illness diagnoses, including borderline personality disorder (BPD), has underscored the negative consequences of diagnostic overshadowing. Simply having psychotropic medications listed on my medical chart is enough to trigger doctors’ suspicion about my credibility as a patient.

My First Experience with Diagnostic Overshadowing

In 2015, I began having episodes of crushing chest pain. After emergency room doctors ruled out a heart attack, I followed up with a cardiologist from the medical group where my primary care physician worked.

I had only been in the exam room for five minutes before he told me that my chest pain was due to anxiety. I walked out of his office in tears. I knew this pain was not anxiety; I’d experienced anxiety and debilitating panic attacks before, and this pain was much worse.

I vowed to get a second opinion, so I found a cardiologist who oversaw a women’s medical center associated with a major hospital in New York City. She asked questions the other cardiologist didn’t bother to ask. She was interested in the fact that I was over 40 years old and that I had been diagnosed with both migraines and Raynaud’s Syndrome.

This doctor ultimately diagnosed me with Prinzmetal’s Angina, an uncommon form of the decreased blood flow to the heart. She prescribed me a calcium channel blocker, and the frequency and severity of the attacks dropped significantly.

I called my primary care physician to inform her I’d sought a second opinion for my chest pain. I told her that the chest pain was not due to anxiety, but rather a result of Prinzmetal’s Angina. She said simply, “Thank you for letting me know.”

I don’t know what I expected, but I felt disappointed by her response.

My Second Experience

In 2017, I began feeling frequently nauseated and experiencing stomach pain. A gastroenterologist told me I had functional abdominal pain syndrome (FAPS), and I would simply have to “learn to live with it.”

When I went home and googled this disorder, I came across a paper on the syndrome which described the condition as a “somatization disorder.” In other words, my mental and emotional state was leading to the pain I was experiencing. I was simultaneously furious about it and resigned to being dismissed by medical professionals.

I lived with the pain and nausea for months, and I began unintentionally losing weight, which then triggered my anorexia. I hadn’t restricted my food intake since 2012, and I started to enjoy the feeling of seeing the numbers on the scale drop when I weighed myself.

Eventually, I sought a female gastroenterologist at the women’s medical center where I’d had success with the cardiologist. She took me seriously, and put me through a series of tests, including an endoscopy, but they were all negative. I continued to lose weight and dropped almost 20 pounds in just a few months. Finally, the GI administered a breath test and it determined I had small intestinal bacterial overgrowth .

I sent a message to the doctor who originally dismissed my symptoms as psychosomatic, and he wrote back, “Thanks for letting me know.”

I swallowed my anger, convinced that this ordeal could have been avoided if he had taken me seriously when I first saw him. It took me over a year to gain the weight back and even longer to confront the emotional toll of having my eating disorder triggered.

I Still Have Hope for the Future

I still take medications for my mental illness diagnosis (two antidepressants and a second-generation antipsychotic, that works as an adjunct to my antidepressants). However, I sometimes find myself tempted to leave them off the list of medications I provide to practitioners. I worry about how disclosing my medication regimen may influence the way a doctor views me. I almost never reveal I have BPD because of the stigma associated with that diagnosis.

While this experience is frustrating, there is hope. Eventually, I found compassionate doctors who saw me as a whole person and patient — doctors who could treat me effectively. I currently see a headache specialist for severe and chronic migraines. She is caring and smart (she has a Ph.D. as well as an M.D.) and she’s board certified in neurology and psychiatry.

After seeing her for about five years, I felt comfortable enough to reveal that, in addition to anorexia and depression, I’d also been diagnosed with BPD.

She didn’t hesitate. “You are awesome.”

Andrea Rosenhaft is a licensed clinical social worker in the New York City area. She is recovered from anorexia, major depression and borderline personality disorder (BPD), and she frequently blogs on the topic of mental health and recovery. Andrea is the founder of a mental health advocacy and awareness organization called BWellBStrong , which focuses its efforts on BPD, eating disorders and major depressive disorder. She lives in Westchester, N.Y., with her rescue dog, Shelby.

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如何向不理解的人描述邊緣性人格障礙 | How to Describe Borderline Personality Disorder to Those Who Don’t Understand

Sun, 30 Mar 2025 06:28:06 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：Ashley Nestler

原始來源： https://www.nami.org/borderline-personality-disorder/how-to-describe-borderline-personality-disorder-to-those-who-dont-understand/

2021年10月29日

邊緣性人格障礙（BPD）是一種嚴重的心理健康狀況，其特徵包括情緒頻繁波動、不穩定的自我形象，以及激烈且失衡的人際關係。儘管此障礙的基本描述與診斷過程看起來相對簡單，但實際的生活經驗卻要複雜得多。

邊緣性人格障礙有九項診斷標準，但此障礙的表現方式有許多變化。這表示每個人的經歷都是獨特的，且很可能會有不同的表現形式。因此，BPD 是最常被誤解的心理疾病之一，這項診斷往往伴隨著負面的誤解，對患者的生活造成影響。這也是我被診斷後的親身體驗。

幫助他人，尤其是我們身邊親近的人，了解邊緣性人格障礙在日常生活中的實際情況，是一項艱鉅的任務。當我與家人和朋友溝通時，我學會了最重要的是盡我所能，真實地表達我的經歷。

坦誠地表達，是我（也希望是其他人）推動對邊緣性人格障礙理解與同理的方式。

提供關於此障礙的具體資訊

為了向不熟悉 BPD 的人描述我的經歷，我首先會列出九項診斷標準：

• 極力避免真實或想像中的被遺棄

• 不穩定且激烈的人際關係模式，常見理想化與貶低交替出現

• 不穩定的自我形象或自我感

• 可能對自己有害的衝動行為（例如魯莽駕駛或暴食）

• 重複性的自殺行為或威脅

• 因情緒高度反應而產生的情感不穩定（如短時間內強烈的憂鬱、易怒或焦慮，通常只持續幾小時，很少超過幾天）

• 慢性空虛感

• 難以控制憤怒

• 壓力引起的妄想或嚴重的解離症狀

然而，儘管提供診斷標準是讓人初步了解此障礙的好方式，別人仍可能難以完全理解這些症狀，或將其與你的個人經歷連結。因此，我會盡量以自己實際經歷的症狀為主，用更容易理解的方式表達出來。

聚焦於個人影響

我的經驗讓我了解到，大多數人在談到心理疾病時，其實不了解這些症狀有多嚴重、甚至多具破壞性，也不了解我們需要多大的努力去面對這些症狀。但他們通常比較能理解身體上的創傷與症狀有多嚴重。

例如，我會告訴他人，我的強烈情緒與情緒波動常常會帶來身體上的痛苦。當我感到心碎時，那感覺就像全身受傷一樣，思緒也變得混亂，這常常導致衝動行為。在這樣的情況下，我的行為可能看起來像是在操縱他人，但實際上那來自於我正在經歷極度的情緒痛苦。

我發現，當我將自己的心理症狀比喻成他人能理解的身體症狀時，對方更能理解我內在的感受與這些症狀的嚴重性。這樣的溝通方式不但提高了他人給予我肯定的可能性，也促進了彼此間的連結與同理心的產生。

分享正面面向

很遺憾地，我在面對這段歷程時發現，BPD 經常在媒體與大眾文化中被負面描繪。這些症狀常被用作情節工具或聳動標題，以激起恐懼，進而加深對此障礙的污名與壓迫。

雖然在公開對話中坦誠面對此障礙的困難面向很重要，我同時也會努力分享它的正面之處。例如，患有 BPD 的人常常對情緒的感受比他人強烈，這代表我們也能更深刻地體會愛、快樂與興奮，這讓我們的人際關係往往更加充實與激烈。我們常能與他人建立強烈的連結，雖然這些關係有時可能會變得不穩定，但也往往非常深刻且有意義。

從我的症狀中找出正面面向，不但幫助我向身邊親人解釋這個狀況，也幫助我更了解自己，並釋放我對自己這個診斷的批判。許多患有 BPD 的人是我所認識中最有同理心、最能理解他人的人，我們都應該被理解，而不是因為這個疾病所帶來的污名而被評判。

我希望人們能以更正面的角度看待邊緣性人格障礙，也希望患有這個障礙的人能更輕鬆地與親人分享自己的經歷。

最終，患有 BPD 的人應該被他人完整地理解——而不只是被視為一個診斷標籤。

Ashley Nestler ，MSW，是思覺情感障礙、安靜型邊緣性人格障礙、纖維肌痛症、多種飲食障礙、廣泛性焦慮障礙、強迫症與複雜性創傷後壓力症候群的生還者。她是一位心理健康專家、作家與賦能教練。

Written by: Ashley Nestler

Original Source Here: https://www.nami.org/borderline-personality-disorder/how-to-describe-borderline-personality-disorder-to-those-who-dont-understand/

October 29 2021

Borderline personality disorder (BPD) is a severe mental health condition marked by frequent mood changes, an unstable self-image, and intense and unbalanced relationships. While the disorder’s basic description and diagnostic process seem straightforward enough, the lived experience of the disorder is far more complex.

While there are nine criteria for diagnosing BPD, there are many variations of the disorder. This means that each person’s experience is unique and is likely to present quite differently. Unsurprisingly, then, BPD is one of the most misunderstood mental illnesses, and the diagnosis is often accompanied by misconceptions that negatively impact the lives of people who have the disorder. This has been my experience since being diagnosed.

Helping others, particularly those close to us, understand the day-to-day realities of borderline personality disorder can be a daunting task. As I have navigated conversations with family and friends, I’ve learned that what matters most is speaking my truth to the best of my ability.

Speaking out is how I — and, hopefully, others — can promote understanding and, subsequently, empathy for everyone impacted by borderline personality disorder.

Give Specific Information About the Disorder

In order to describe my experience with BPD to people who are unfamiliar with the disorder, I first list the nine diagnostic criteria :

Extreme efforts to avoid real or imagined abandonment
A pattern of unstable and intense relationships, often marked by alternating between idealization and devaluation
An unstable self-image or sense of self
Impulsivity in activities that are potentially self-damaging (like reckless driving or binge eating)
Recurrent suicidal behavior or threats
Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days)
Chronic feelings of emptiness
Difficulty controlling anger
Stress-related paranoid ideation or severe dissociative symptoms

However, while presenting someone with the criteria is an excellent way to introduce them to the basis of what the disorder is, it can be difficult for them to fully comprehend and relate the symptoms of BPD to your personal story. This is why I try to communicate the symptoms that I personally experience with BPD and translate them in ways that are more understandable.

Focus on the Personal Impact

My experience navigating conversations about mental illness have taught me that people generally do not understand how severe and debilitating symptoms can be — or how much work goes into addressing symptoms. They do, however, tend to understand severity of physical injuries and symptoms.

For example, I tell people that my intense emotions and mood swings often feel physically painful. When I am heartbroken, it feels as though I have full-body injuries, and I am unable to think clearly, which often leads to impulsive actions. In these circumstances, my actions may seem manipulative, but they often come from a place of experiencing intense emotional pain.

In likening my symptoms to physical symptoms that someone else can relate, I have found that I’m more likely to relay the in-body experience and severity of my symptoms. This approach provides a higher chance of validation, while also creating a connection and igniting empathy.

Share the Positives

Unfortunately, I have come to find in my journey that BPD is often portrayed negatively in the media and in popular culture. The symptoms of the disorder are often used as a plot device or in a headline to inspire fear, ultimately furthering stigma and oppression for those living with it.

While highlighting the difficulties of the disorder is important in an open conversation, I also prioritize sharing the positives. For example, individuals with BPD tend to feel emotions intensely (and more strongly than many of our peers), which means that we experience love, happiness and excitement to a higher degree, which often makes many of our relationships more exhilarating. We often experience intense connections, and while relationships certainly have the potential to become unstable, they are often deep and meaningful.

Finding the positives in my symptoms of borderline personality disorder has not only helped me explain the condition to my loved ones, but it has also helped me to better connect to myself and release the judgment I placed on myself for having this diagnosis. Those with BPD are often some of the most empathetic, understanding people that I know, and we all deserve to be understood rather than judged based on the stigma surrounding this illness.

My hope is that people will be able to see borderline personality disorder in a more positive light, and that people living with the disorder will be able to relay their experience more easily to their loved ones.

Ultimately, people with BPD deserve the understanding of others who can see the whole person — not just a diagnosis.

Ashley Nestler , MSW, is a survivor of schizoaffective disorder, quiet borderline personality disorder, fibromyalgia, multiple eating disorders, generalized anxiety disorder, obsessive compulsive disorder and Complex PTSD. She is a mental health specialist, author and empowerment coach.

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理解與應對精神醫學中的模糊性 | Understanding and Addressing the Ambiguity in Psychiatry

Tue, 25 Mar 2025 00:13:49 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：David Steingart，LCSW

原始來源： https://www.nami.org/medications/understanding-and-addressing-the-ambiguity-in-psychiatry/

2021年10月27日

精神醫學中區別於其他醫學領域的一個面向是其模糊性。雖然我們知道心理疾病可能有生物學基礎，但我們尚未完全了解這種生物學連結是如何運作的。

大多數研究人員同意，心理健康狀況與基因有關 —— 但他們也發現，環境因素在心理健康中扮演重要角色。這些環境因素包括明顯的創傷（如身體、性或情緒上的創傷），或是較為隱微的壓力來源，例如長期壓力、家庭溝通不良、父母曾經歷過創傷等。

最終，專家普遍認為，心理疾病是否會發展，取決於基因傾向與環境壓力的交互作用。

與其他醫學領域不同的是，病人通常可以藉由藥物治療特定疾病，例如糖尿病患者使用胰島素，但對於心理疾病患者來說，並沒有保證有效的藥物。舉例來說，兩位出現非常相似憂鬱症狀的患者可能被開立相同的抗憂鬱藥物，但其中一位可能效果良好，而另一位則幾乎無反應，甚至完全無效。

這是因為心理疾病在每個人身上的表現都不同。我們雖然有各種疾病名稱（如躁鬱症、憂鬱症、廣泛性焦慮症等），但不同於糖尿病等身體疾病，每位心理疾病患者的具體症狀都可能不同。此外，因為心理疾病並不完全是生理性問題，每個人對同一種藥物的反應也可能大相逕庭。

那麼，這對正接受治療的心理疾病患者意味著什麼呢？這意味著精神醫學是一門非常不精確的科學，正在尋求治療的人應該了解自己可能面對的挑戰。

不同的開藥醫師可能對心理疾病有不同診斷

兩位精神科醫師可能會觀察到同一位病人的不同特質，進而做出不同的診斷並開立不同的藥物。例如，一位病人可能被某位醫師診斷為重度憂鬱症，但另一位醫師卻將其理解為躁鬱症。這些不同的診斷將導致非常不同的治療方向，因為兩種疾病所需的藥物並不一樣。有一種藥物可能有效，而另一種則可能完全無效，甚至對病人有害。

在心理疾病的治療中，特別是對於嚴重心理疾病患者而言，一個令人遺憾的現象是，有些人可能在很長一段時間內都被「誤診」，直到後來由另一位醫師給出較準確的診斷。此時，「自我倡導」—— 積極參與診斷與治療過程 —— 變得非常關鍵。當個人與家人能夠坦誠地與醫師溝通症狀、目標與以往治療經驗時，醫師會更容易做出準確診斷並制定更有效的治療計畫。

精神科藥物的開立是一個主觀的過程

開立藥物的過程需要醫師做出判斷。例如，治療躁鬱症並沒有唯一的一種藥物，有很多種藥物可能對某些人有效，但對其他人無效。

這表示醫師會根據病人對症狀的描述、醫師自身的訓練與過往經驗來做出判斷。理論上，五位精神科醫師可能會對同一位患者選擇五種不同的藥物，因為每位醫師都根據自己的主觀經驗來預測哪種藥物可能最有效。在心理疾病的治療上，沒有保證有效的療法；治療過程中充滿了模糊性、主觀性，並且常常伴隨著不斷的嘗試與錯誤。

這又是一個需要自我倡導的面向 —— 當病人能夠清楚表達自己的症狀與藥物副作用時，將能幫助醫師更準確地做出治療決策。

民眾需要被教育與賦權

精神醫學中模糊性的最具破壞性的結果之一是：病人對整個治療過程與可能的挑戰缺乏正確認知。舉例來說，當一個人第一次踏入精神科診間時，他／她可能並不知道醫師所開立的藥物很可能無效，或者即使有效，效果也可能不夠明顯而無法帶來實質的改善。

若沒有這樣的知識，病人可能會在一條漫長又艱難的試錯之路上前進。他們可能會對開藥的醫師失去信任，並且不再尋求第二意見，而是完全放棄後續的治療之路。

話雖如此，每位精神科醫師或護理師都應該向病人說明心理疾病的不確定性與藥物治療的主觀性 —— 並強調自我教育與自我倡導的重要性。身為一位治療師，即使我並不直接負責開藥，我經常會扮演這樣的說明角色。

若人們能了解精神科藥物的運作方式，他們將更能理解治療過程，也更有可能持續努力、尋求能夠更好理解他們病情的醫師，並不輕言放棄尋找適合自己的治療方法。

David Steingart 是一位執業於佛羅里達州塔拉哈西市的臨床社會工作師（LCSW）。他於2011年獲得哥倫比亞大學社會工作碩士學位，並曾在各種機構中工作。他是 NAMI 塔拉哈西分會的活躍董事會成員，並目前於 Capital City Psychiatry 團隊中接診成人患者。

Written by: David Steingart, LCSW

Original Source Here: https://www.nami.org/medications/understanding-and-addressing-the-ambiguity-in-psychiatry/

October 27 2021

One aspect of psychiatry that distinguishes the discipline from many other forms of medicine is ambiguity. While we know that a biological component likely underlies mental illness, we don’t know exactly how that biological connection works.

Most researchers agree that people with mental health conditions have a genetic predisposition to their illnesses — but they have also found that a strong environmental component underlies mental health conditions. These environmental factors include some form of overt trauma (physical, sexual or emotional) or more subtle stressors, such as chronic stress, a family marked by poor communication, having a parent who has experienced trauma, etc.

Ultimately, experts believe that the combination of genetic predisposition to mental illness and environmental stressors determine whether a mental illness develops.

Unlike other areas of medicine in which a patient may be given a medication to treat an illness, like a diabetic person receiving insulin, a person with mental illness cannot be prescribed medicine that is guaranteed to work. For example, two people with very similar symptoms of depression may be prescribed the same type of anti-depressant, and one person may respond well while the other may have little or no response.

This is because mental illness is different for everyone. We have names for specific illnesses (like bipolar disorder, depression, general anxiety disorder, etc.) but, unlike diabetes or other illnesses, each patient’s specific symptoms are different. Further, because the illness is not a strictly biological problem, each person may react very differently to the same medicine.

What does this mean for a person with mental illness undergoing treatment? It means that psychiatry is a very inexact science, and it’s important for people seeking treatment to be aware of the challenges they may face.

Different Prescribers May Diagnose Mental Illness Differently

Two psychiatrists may observe different traits in a person with mental illness and subsequently prescribe different medications. For example, a patient may present to one psychiatrist as having major depressive disorder while another prescriber understands the same symptoms as bipolar disorder. These different diagnoses will yield very different treatment options, as the medications prescribed for the conditions are different. One medicine may be effective while another may have no positive impact, or even be harmful to the patient.

One of the tragedies of treating mental illness, especially for people with serious mental illness, is that a person may be “misdiagnosed” for a very long time before receiving the correct diagnosis by a different prescriber. Self-advocacy — taking an active role in the diagnosis and treatment process — can be critical. When individuals and family members prioritize transparency and honest communication about symptoms, goals and experiences with past treatment, it may help the prescriber attain a more accurate understanding of the condition and plan for more effective treatment.

Prescribing Psychiatric Medication Is a Subjective Process

Prescribing medication requires practitioners to make judgment calls. For example, there is not one medicine for bipolar disorder; there are many medicines that work for some and not for all.

This means that prescribers use their own judgments based on the description of symptoms given by their patients, their training and their past experiences. Theoretically, five psychiatrists could choose five different medications to treat the same person. This is because each is using their own subjective opinion of what medication will work best. There is no guaranteed treatment with mental illness; there is ambiguity, subjectivity and, unfortunately, lots of trial and error.

This is another area where self-advocacy can be critical — when a patient is able to clearly communicate what they are experiencing with their symptoms and side effects it may help the prescriber make more accurate decisions about changing the treatment plan.

People Need to Be Educated and Empowered

The most damaging outcome of ambiguity in psychiatry is when a patient does not have an accurate understanding of the process and the potential challenges. A person walking into a psychiatrist’s office for the first time, for example, may not be informed that the medicine their doctor prescribes quite possibly will not work, or if the medicine helps, it may not help enough to provide substantial relief.

Without having this knowledge, the patient may start down a long and difficult path of trial and error. They may lose faith in the person prescribing the medication and, rather than seeking a second opinion, they may feel disempowered to pursue the treatment-seeking process any further.

With that said, any psychiatrist or nurse practitioner should inform their patients about the inexact nature of mental illness and the subjectivity that goes into deciding on medicines to treat it — and about the importance of self-education and self-advocacy. As a therapist, I often find myself in this role even though I am not directly involved in prescribing medicine.

If people are educated about how psychiatric medication works, they can understand the process and feel encouraged to keep trying, to consult with another doctor who may better understand their illness and treat it more effectively and to never give up on finding the treatment that works for them.

David Steingart is an LCSW who practices in Tallahassee, Fla. David received his master’s degree in social work from Columbia University in 2011 and has worked in a variety of settings. He is an active board member of NAMI Tallahassee and currently sees adult patients at Capital City Psychiatry, a group practice.

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我丈夫未接受治療的症狀如何影響了我的焦慮症 | How My Husband’s Untreated Symptoms Affected My Anxiety

Mon, 24 Mar 2025 23:52:37 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

作者：A. D.

原始來源： https://www.nami.org/anxiety-disorders/how-my-husbands-untreated-symptoms-affected-my-anxiety/

2021年11月29日

當我坐在沙發上為當時五個月大的女兒訂購衣服時，我的丈夫 —— 看似毫無預警地 —— 告訴我他不是一個好丈夫和好父親，他不再愛我了，並且他想結束我們的婚姻。

我有聽錯嗎？這到底發生了什麼事？

時間彷彿凝結，房間開始旋轉，我感到噁心並嘔吐。我哭了，我懇求他妥協，我乞求他給我答案。那晚，我們同意分開睡在不同房間，好好思考這一切。

接下來的幾個月是一場情緒的雲霄飛車。我與丈夫進行了幾次漫長的談話，淚水不斷。他最終搬出去住，但幾天後又搬回來。我試圖說服他去接受心理治療，但他拒絕了 —— 這在心理健康受困擾的男性中很常見，主要是因為尋求幫助仍帶有汙名。

我一生中大部分時間都在與焦慮共處，而這個情況讓我的心理幾乎崩潰。身為一個原本就容易過度思考和擔憂的人，我的思緒更加無法停止。我過度分析我與丈夫之間的每一次互動，對未知的未來充滿執著。如果我們離婚，我將錯過女兒一半的成長，我對此感到心碎。當我開始思考自己為什麼不再值得他愛時，我的自尊心跌到了谷底。

開始接受治療

即使我丈夫不願與我一同參與，我還是決定自己去接受心理治療。至少，我可以與專業人士談談我們的問題，並努力改善我這一方的關係。我非常喜歡我的治療時光。我學到了一些關於自己的事，讓我更理解自己的焦慮，也學會了一些實用的應對技巧。

我的治療師幫助我了解：為什麼我會因突發狀況或計劃改變而感到高度煩躁（對控制的需求／失去控制），為什麼我會不斷在腦中重複對話直到筋疲力盡（反芻思考），以及為什麼我會出現生動又令人不安的幻想，想像我摯愛的人出事（因為我害怕失去他們）。雖然我一直知道自己常常憂慮不安、坐立難安、難以集中注意力是焦慮的表現，但我從未真正理解這些症狀如何全面影響我的日常生活。

意識到這一點，並找到我的焦慮根源，幫助我更好地管理症狀。當計劃突然改變時，我不再馬上生氣或沮喪，而是強迫自己先暫停一下再反應。我學會承認自己對變化和失控的恐懼，並思考事情是否真的像我感受到的那麼嚴重。通常並沒有，我只是需要一點時間來處理情緒。

心理治療幫助我度過了丈夫症狀持續的三年。那段時間感覺就像有一片黑雲籠罩在我家上方。我會開車回家，停在車內，盯著我原本應該感到快樂和安全的地方。相反地，我感到恐懼籠罩全身。我會猶豫要不要進門，因為我知道一進去就會看到我正在受苦的伴侶。

此外，我還得承擔所有責任：維持家務、照顧嬰兒，還要照顧我的丈夫。我感到筋疲力盡 —— 心理上、身體上與情感上。有很多天，我都想放棄。我會對自己說：「撐過今天，睡一覺，明天再重新思考。」

為什麼我們需要減少汙名

大約兩年後，我開始看到那個我曾經熟悉的男人的一些片段。雖然這些時刻並不常見，但確實有出現。直到有一天，在我因為發現一筆債務與他對質之後，他終於崩潰，坦承他陷入了網路賭博，並且輸了很多錢。此外，他對自己的工作感到極度不滿，覺得自己是個失敗者。

我花了很多時間過度思考與分析，因此終於有了具體的答案讓我感到鬆了一口氣。儘管我對他的坦承感到感激，也對未來感到些許希望，但我同時也感到害怕和不確定。這兩年的不安與焦慮已經在我身上留下了深深的痕跡。

我再次建議我們一起去做心理諮詢，但他仍不願意。我真心希望他能與我一同參加治療，讓專業人士幫助我們討論問題，並指引我們如何繼續前進。即使他拒絕，我們仍然一起努力經營關係和照顧他的健康。

我們目前仍然不使用任何標籤來描述他的心理狀態。如果我提到「憂鬱症」這個詞，他會移開眼神並草率帶過。我相信他可能感到不安與羞愧，主要是因為社會對心理疾病的汙名仍然存在。我常常思考，如果我們的社會能對心理疾病更加開放、更勇敢發聲，讓大家知道心理健康問題不是軟弱的象徵，或許就會有更多人願意尋求幫助。如果我丈夫能早些求助於專業人士，他的症狀可能不會拖那麼久，也不會對我造成那麼大的影響。

然而，我很慶幸我對自己的心理健康有足夠的認知。我的經驗與心理治療帶給我的洞察力，讓我能夠在支持丈夫的同時照顧好自己。最終，我也感激我對心理健康的理解能夠對他有所幫助。

我不是一個會後悔的人，因為我相信每件事都是一次學習的機會。這段人生與婚姻的經歷是一堂痛苦的課。但我們很幸運地度過了它。如今，幾年過去了，我們倆都幸福且健康。但我們的結局並不是大多數人的寫照。心理疾病影響著許多人，它對朋友與家人的波及也可能是毀滅性的。

減少對心理疾病的汙名是極為重要的，尋求幫助不應該成為禁忌。就像我們會因為牙齒問題去看牙醫一樣，我們也應該為心理健康問題去找心理健康專業人員。他們能比我們單靠自己更有效、更有建設性地幫助我們與我們所愛的人處理問題。

A.D. 擁有商業管理背景，但最近她決定結束 11 年的職涯，專注於自己的心理健康，並追尋創作的熱情。她目前在 St. John’s Recovery Place 撰寫有關心理健康與物質使用的文章。

Written by: A. D.

Original Source Here: https://www.nami.org/anxiety-disorders/how-my-husbands-untreated-symptoms-affected-my-anxiety/

November 29 2021

As I sat on the couch ordering clothes for my then five-month-old daughter, my husband — seemingly out of the blue — told me that he was not a good husband and father, he was no longer in love with me, and he wanted to end our marriage.

Had I heard him correctly? What was happening?

Time froze. The room began spinning. I got nauseous and threw up. I cried. I begged for compromise. I pleaded for answers. We went to bed that night agreeing to stay in separate rooms so we could think things over.

The next several months were a rollercoaster of emotions. My husband and I had several long talks, with many tears shed. He eventually moved out, only to move back in several days later. I tried to convince him to go to therapy, but he refused to go, as is common among men struggling with their mental health, largely due to the stigma surrounding seeking help.

I’ve dealt with anxiety for most of my life and this situation wreaked havoc on my mind. As someone who already struggled with overthinking and excessive worrying, I was now consumed by my thoughts. I overanalyzed every interaction with my husband and obsessed over the unknowns. I was devastated by the idea that I would miss half my daughter’s life to shared custody if we divorced. My self-esteem plummeted as I considered why I wasn’t good enough for him anymore.

Starting Therapy

Even though my husband was not willing to join me, I decided to seek therapy on my own. At the very least, I figured, I could talk about our issues with a professional and work on my side of the relationship. I loved my time in therapy. I learned things about myself that shed light on my own anxiety and discovered some useful coping techniques.

My therapist helped me understand why I become highly irritated by spontaneity or changed plans (loss of/need to control), why I repeat conversations in my head to the point of frustration and exhaustion (rumination) and why I have vivid, morbid daydreams about my loved ones (my fear of losing them). Though I had always known my constant worrying, restlessness and inability to concentrate were signs of anxiety, I hadn’t put together all the ways anxiety impacts my daily life.

Realizing this fact, and discovering the root of my anxiety, helped me to better manage my symptoms. Instead of getting angry and frustrated when plans changed suddenly, I forced myself to pause before responding. I acknowledged my fear of change and loss of control, and I learned to think through situations to determine if they were as serious as they felt to me. Most often, they weren’t, and I just needed a moment to process.

Going to therapy helped me get through the three years that my husband’s symptoms lasted. That period felt like a dark cloud was hanging over my house. I would come home and sit in my car, staring at the place where I was supposed to feel happy and safe. Instead, I would feel dread wash over me. I would hesitate going inside, knowing I would see my partner in pain.

Additionally, I would have to pick up all the slack, maintaining the house, caring for the baby and caring for my husband. I was exhausted — mentally, physically and emotionally. Many days, I was ready to give up. I would think to myself, “just get through today, sleep on it, reevaluate tomorrow.”

Why We Need to Reduce Stigma

After about two years, I started to see glimpses of the man I used to know. They didn’t appear often, but they were there. Then one day, after confronting him about some debt I discovered, he finally broke and admitted he had gotten into online gambling and lost a lot of money. On top of that, he was severely unhappy at his job. He felt like a failure.

I had spent so much time overthinking and overanalyzing that it was a relief to finally have some concrete answers. Though I was grateful he had opened up, and I felt hopeful things would get better, I was also afraid and unsure. Two years of uncertainty and worrying had taken a toll on me.

I suggested again that we go to therapy. He still wasn't convinced. I truly wished he would go with me, so we could have a professional to talk to and guide us on how to move forward. Even though he said no, we still actively worked together on our relationship and his health.

We still do not use labels to describe his mental health. If I mention the term “depression,” he’ll avert his eyes and brush it off. I believe he may feel uncomfortable and ashamed , largely due to the enduring stigma surrounding mental illness. I frequently think about how perhaps more people would seek help if, as a society, we were more open about mental illness and more vocal that mental health is not a sign of weakness. If my husband had sought help from a professional, his symptoms may not have lasted as long or impacted me the way they did.

However, I’m thankful for my awareness of my own mental illness. My experience and insights from therapy allowed me to cope while supporting my husband. And ultimately, I’m grateful that my understanding of mental health could help him too.

I am not one to have regrets as I truly find everything to be a learning experience. This time in my life, and in our marriage, was a painful lesson. We were lucky to get through it, and now, several years later, we are both happy and thriving. But our story’s ending is not necessarily common. Mental illness affects so many individuals and the ripple effect onto friends and family can be devastating.

Reducing the stigma surrounding mental illness is critical and seeking help shouldn’t be taboo. Just as we’d go to a dentist for dental issues, we should be going to mental health professionals for our mental health issues. Professionals can help us, and our loved ones, work through our issues far more productively and effectively than we can on our own.

A.D. has a background in business management but recently left her career of 11 years to focus on her mental wellbeing and pursue creative passions. She currently writes about mental health and substance use for St. John’s Recovery Place .

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照顧心理疾病者的建議 | Advice for Mental Illness Caregivers

Mon, 24 Mar 2025 22:09:18 GMT

MHACC 雙語部落格 Bilingual Blog

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撰寫者：Katherine Ponte 和 Izzy Goncalves

原始來源： https://www.nami.org/family-member-caregivers/advice-for-mental-illness-caregivers/

2021年11月10日

我患有嚴重的心理疾病。因此，心理疾病也成為了我伴侶兼照顧者 Izzy 生活的一部分。在這段長達 18 年充滿挑戰的康復旅程中，我們倆學到了許多。我們希望分享一些幫助我們走過康復之路的經驗。

與你所愛的人同在當下

幫助患有心理疾病的親人，通常從了解他們目前處於「改變的五個階段」的哪一階段開始，並依此調整你的行動：

• 前思考階段（尚未願意接受協助）：表現同理心並避免批判。

• 思考階段（意識到問題但尚未準備改變）：認識到改變是困難的，並一同思考接受治療的利與弊。

• 準備階段（表示願意改變）：協助你所愛的人設定目標。目標應具體、可衡量、可實現、合理並具時效性。

• 行為改變階段（開始改變／積極參與治療）：強化對方的正向行為。

• 維持階段（維持改變成果）：持續提供支持。

傾聽他們是否有「改變的語言」，並在每個階段提供支持、安慰與鼓勵是非常重要的。同時也需要耐心（但在緊急情況下，親人應有權依最佳判斷行事）。對對方施加壓力，可能導致抗拒，進而延誤治療。

為了溝通而傾聽

與親人展開對話是幫助他們獲得所需協助的關鍵。照顧者可能需要主動開啟對話，而最好的方式是表達你對對方關切的真誠興趣。

不要直接告訴他們你能如何幫助他們 —— 應該先詢問：「我能幫助你嗎？」以及「我可以怎麼幫助你？」尊重他們不想談論現況的意願。「我需要和你談談」通常不是開始對話的好方式。如果他們不想談，較好的做法是溫柔地提醒他們：當他們想說話時，你會在那裡陪伴他們。

幾種有效的溝通工具包括：

• 動機式晤談：這種技巧試圖激發對方改變的內在動機，例如達成特定人生目標。

• OARS 技巧：是動機式晤談的實踐架構，代表開放式提問（Open-ended questions）、肯定（Affirmation）、反映（Reflection）與總結（Summarizing）。

• 積極傾聽：是一種投入式傾聽，透過回應對方所說的話來表達理解，也能幫助他們反思自己的想法與感受。

對過去的錯誤展現同理心

與親人談話時，始終表現出同理與關懷是很重要的，包括談論過去。許多心理疾病患者意識到自己在發病時曾做出不當行為，甚至可能對過去的錯誤感到過度懊悔。

如果你發現對方正積極努力改善行為，最好不要主動提及那些過去的事件。提起這些可能會讓康復之路更艱難 —— 畢竟，他們無法改變過去。更好的做法是專注於當下與未來的目標。

鼓勵自我賦權

心理疾病可能讓人覺得自己無能為力，失去對生活的掌控。他們可能會讓照顧者完全掌控治療計畫，因為難以接受診斷或對未來感到迷惘。然而，自我賦權是康復的關鍵。

請用開放式問題與對方討論他們的想法，幫助他們主動參與自身的疾病管理與治療決策。當照顧者尊重並信任對方的選擇時，這種自由感能增進雙方的關係。

治療方式本身也可以具備自我賦權的特質。例如，「共同決策模式」就非常有效 —— 患者向醫師說明自身優先事項，雙方共同制定治療計畫。這種以生活目標為導向、而非僅處理症狀的方式，能帶來更大的動力。

實踐正向增強

照顧者應該努力認可並稱讚每個小小的進步。當親人處於嚴重憂鬱中，起床、洗澡或吃東西都可能非常困難。完成這些日常行為，本身就是一項成就。不要將憂鬱症患者的低活動力誤認為懶惰。

康復通常是由一連串的小成就組成的，這些小進步可能累積成更大的突破，例如找到工作或搬進自己的住處。鼓勵親人懷抱夢想、追求目標，並在過程中給予實際可行的建議與支持。

避免直升機式照顧

所謂「直升機式照顧者」，是指對親人照顧過度，過分介入他們的生活。簡單來說，就是讓對方感到被持續監視 —— 照顧者彷彿隨時盤旋在身旁，對可能的發作或危機高度警覺。對心理疾病患者來說，這種過度介入可能令人窒息、失去自主感、沮喪，甚至感到憤怒。儘管照顧者出於善意，但這樣的行為可能導致患者退縮與疏離。

常見的例子是照顧者一再堅持聯絡精神科醫師，使患者感覺被「打小報告」。他們可能因此擔心醫師會更相信照顧者而非自己，或者醫師會因此改變藥物處方。這些情況可能嚴重破壞患者對照顧者、甚至醫師的信任關係。

許多照顧者並未意識到這種行為可能造成的後果。例如，心理疾病患者可能會撤銷或限制醫師與照顧者的溝通許可。

吸收同儕經驗

同儕之間可以互相支持、啟發並促進彼此的康復旅程。事實上，許多心理疾病患者比起醫療人員，更願意與有共同經歷的同儕交談。這是因為同儕能提供無法從臨床專業學習的寶貴洞察力與希望。

對心理疾病患者與照顧者而言，理解是建立良好關係的關鍵。雖然心理疾病往往需要全家人共同努力，但更重要的是讓患者有責任感、自我認同與自我賦權，這樣才能真正提升康復效果。當患者在治療過程中獲得更多主控權，他們更可能走向康復。而這，正是照顧者與親人應該共同追求的目標。

Katherine Ponte 正在康復中，與重度躁鬱症（第一型）共處，並過著幸福生活。她是 ForLikeMinds 心理健康同儕支持社群的創辦人，亦創立了 BipolarThriving: Recovery Coaching 與 Psych Ward Greeting Cards。Katherine 同時是耶魯大學復元與社區健康計畫的教學人員，並著有《ForLikeMinds: Mental Illness Recovery Insights》。

Izzy Goncalves 從事金融業，是 Katherine 的主要照顧者，在她創立多個心理健康康復倡議上發揮了關鍵作用。

Written by: Katherine Ponte and Izzy Goncalves

Original Source here: https://www.nami.org/family-member-caregivers/advice-for-mental-illness-caregivers/

November 10 2021

I have serious mental illness. As a result, mental illness has become a part of my partner and caregiver Izzy’s life as well. He and I have both learned a lot in our challenging 18-year journey to recovery. We’d like to share several lessons that have helped us to navigate recovery.

Meet Your Loved One Where They Are

Helping a loved one with mental illness often begins by identifying where they are in the five stages of change and advice for what you can do accordingly:

Precontemplation (not interested in help): Demonstrate empathy and avoid judgment.
Contemplation (recognizes problem but isn’t ready to change): Recognize that change is hard and consider pros and cons of treatment.
Preparation (states commitment to change): Try to help your loved one define goals . Goals should be specific, measurable, achievable, reasonable and timely.
Behavior change (starts to change/become actively involved in treatment): Reinforce your loved one’s positive behavior.
Maintenance (sustaining change): Offer your continuing support.

It’s important to listen for “change talk” and act on it by providing support, comfort and encouragement at each stage. Patience is also required (although loved one should feel empowered to use their best judgment in times of an emergency). Pressuring someone to move forward in their journey may cause them to resist, which may delay treatment.

Listen in Order to Communicate

Starting the conversation with your loved one can be critical to helping them get the help they need. The caregiver may need to take the first step to start the discussion, and the best way to do so is to demonstrate genuine interest in your loved one’s concerns.

Don’t tell them how you can help — ask if you can help and how. Respect their desire not to talk about the situation. “I need to talk to you” is rarely a good way to start a conversation. When they don’t want to talk, the better approach is to keep gently reminding them that you are there for them if they want to speak.

Highly effective tools for improving communication include:

Motivational interviewing : This technique seeks to tap into one’s own personal motivation for change, which may include achieving specific life goals.
OARS : This method provides a framework for practicing motivational interviewing. This acronym stands for opened-ended questions, affirmation, reflection and summarizing.
Active listening : This form of engaging involves listening to what a person says and then reflecting what was said in a way that demonstrates understanding. It also serves as a mirror, nudging a person to see and confront their thoughts, ideas and impressions.

Show Compassion for Past Mistakes

It is important to always convey empathy and compassion when speaking with your loved one. This includes talking about the past. Many people with mental illness are aware of some of the inappropriate things they did when ill. In fact, they may often obsess over their regrets and mistakes.

It may be best not to raise these incidents if you see that your loved one is actively trying to improve their behavior. Mentioning them may make it harder to move forward in their recovery — they can’t change the past. It can be helpful to instead focus on the present moment and future goals.

Encourage Self-Empowerment

Mental illness may make a person feel as if they have no say or control over their life. Often, they may allow their caregiver to take control of their treatment because of their difficulty accepting the diagnosis or out of ambivalence. However, self-empowerment is key to recovery.

It’s important to ask open-ended questions to explore what your loved one wants and to help them take ownership of their mental illness and treatment. When a caregiver respects and trusts their loved one’s decisions, this can feel liberating and improve the relationship.

Treatment approaches can also be self-empowering. A shared decision-making approach can be very effective. With this approach, a patient makes clear to their doctor what their priorities are, and together they agree on a treatment plan. An approach designed to help patients pursue life goals, rather than merely addressing symptoms and side effects, can be extremely motivating.

Practice Positive Reinforcement

Caregivers should strive to recognize and praise all accomplishments. When your loved one it severely depressed, getting up from bed, taking a shower or eating can be extremely difficult for them. Doing any of these is an accomplishment. Don’t mistake a depressed person’s inactivity as laziness.

Recovery is often a series of small accomplishments. Small accomplishments can build into big strides, such as getting a job or getting your own home. Encourage your loved one to dream and pursue goals and help them along the way with practical and realistic advice.

Avoid Helicoptering

Helicoptering is a form of a caregiver’s over-involvement in their loved one’s care. Plainly stated, a person feels under constant surveillance as a caregiver “hovers” around them, constantly on high alert for an episode or other adverse event. To a person with mental illness, this over-involvement and anticipation of the worst-case scenario can feel suffocating, disempowering, discouraging and even enraging. Despite a caregiver’s good intentions, helicoptering can lead a person to withdraw and isolate.

A common instance of helicoptering is when a caregiver repeatedly insists on contacting their loved one’s psychiatrist, leading the patient to feel like they’re being “snitched on.” This fear may be based on the control a psychiatrist has on their treatment, such as the ability to make a medication change. A person may also feel that a psychiatrist will give deference to the caregiver rather than the “sick” patient. All of this may lead to a significant and harmful erosion of trust between the person and their caregiver — as well as the patient and their provider.

Many caregivers do not realize the serious consequences of this sort of helicoptering. For example, their loved one with mental illness can revoke or put limits on the permission their psychiatrist has to speak with caregivers in the future.

Access Peer Insights

Peers can support, inform and inspire each other’s recovery journey. In fact, people with mental illness are often more comfortable speaking to peers than clinicians. Peers have insights that clinicians without lived experience cannot offer; moreover, peers in recovery can offer invaluable hope to both supports and people living with mental illness.

Understanding is critical to a good relationship between a person with mental illness and their caregiver. While mental illness is very often a family effort, it cannot be overemphasized that a person’s responsibility, ownership and self-empowerment will enhance outcomes. When a person is provided more control over their treatment process, they are more likely to reach recovery. Ultimately, that’s what caregivers and their loved ones should be striving for, together.

Katherine Ponte is happily living in recovery from severe bipolar I disorder. She’s the Founder of ForLikeMinds ’ mental illness peer support community, BipolarThriving : Recovery Coaching and Psych Ward Greeting Cards . Katherine is also a faculty member of the Yale University Program for Recovery and Community Health and has authored ForLikeMinds: Mental Illness Recovery Insights .

Izzy Goncalves works in finance and has been the primary caregiver of his spouse, Katherine. He has been instrumental in helping her develop a number of mental illness recovery initiatives.

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當我錯過了我兒子患有思覺失調症的跡象 | When I Missed the Signs That My Son Has Schizophrenia

Sun, 16 Mar 2025 22:16:13 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

撰寫者： Patty DeMauro

原始來源： https://www.nami.org/family-member-caregivers/when-i-missed-the-signs-that-my-son-has-schizophrenia/

2021年11月3日

作為一名家長，我深刻體會到，要意識到自己的孩子正在受疾病折磨——無論是哪種類型的疾病，尤其是心理疾病——是多麼困難。在穿越錯綜複雜的心理健康照護體系後，我發現 早期發現 可以幫助減輕心理疾病的嚴重程度。然而，這一點只讓我更加深陷內疚之中，因為我覺得自己辜負了我的兒子。

我常常問自己：我怎麼會錯過這些跡象？

當這些跡象開始出現

我的兒子 Frank 一直是個「完美」的孩子。他快樂、開朗且聰明。他是個滑雪運動員、滑板愛好者、吉他手，並且差一步就能成為鷹級童軍（Eagle Scout）。最重要的是，他總是那個會在學校餐廳陪伴新同學的孩子。我從未懷疑過，他的未來將會光明而幸福。

變化是逐漸發生的。他的成績開始下滑，接著與朋友之間出現小爭執，然後開始撒些無傷大雅的謊言。他越來越常獨自待在房間裡，最後甚至開始拒絕參與他曾經熱愛的活動。我也越來越常發現他呆呆地凝視著空間。

內心深處，我知道這些可能是警示跡象。但當我與他對峙時，他會露出燦爛的笑容，告訴我我太過擔心了。他向我保證他很好，和其他青少年沒什麼不同。於是，我把這些徵兆歸咎於青少年的典型煩惱。

當這些跡象惡化

對於父母來說，孩子生命中的某些里程碑會深深烙印在我們的記憶裡，通常是那些輝煌的成就。然而，對我來說，有一個特別痛苦的記憶一直揮之不去：那一天，我接到警察的電話，告知我 17 歲的兒子被捕了。

我的第一反應是，警察一定弄錯了。但 Frank 確實被確定了身份。他和另一個男孩闖入了一名同學的家，偷走了一台 CD 播放機。

當我趕到警局，看到警察帶著 Frank 出來時，我立刻注意到他看起來不一樣了。他的臉像是被無形的線拉扯著，擠出一個扭曲的笑容。我沒有質問他，而是緊緊抱住他，告訴他一切都會好起來。不久之後，他被交由我照顧，直到他出庭接受少年法官的裁決。

在法庭上，法官對 Frank 嚴厲訓誡。她命令他歸還被盜物品，接下來四個月內，每週執行八小時的社區服務，並每週接受一次毒品檢測。Frank 表現得很有禮貌，也充滿悔意。他被分配到鎮中心的維護工作，每週三去接受毒品檢測。我開始允許自己感到一絲希望。

當這些跡象轉變成診斷

然而，改變我們一生的電話很快就來了。這是來自法官辦公室的通知。Frankie 沒通過毒品檢測，而且這已經不是第一次了。法官曾與我的兒子談話，警告他若繼續吸毒、無視法院命令，將會面臨後果。最後，法官判處他在縣少管所服刑六個月，他將於次日被送往該機構。

Frankie 依然固執地認為，這只是「微不足道的一點大麻！」當我質疑他為何無視法官命令時，他甚至笑了出來。然後，他就變得沉默不語。我試圖擁抱這個如木頭般僵硬的兒子，但他粗魯地推開了我。他說了一些關於手機的話，我聽不太懂。更多我無法解讀的訊號。我在門口失聲痛哭，看著他在社工和縣警的陪同下走出家門。

Frankie 入獄第二個月後，我收到了少管所醫療單位寄來的一封掛號信。他被診斷出患有 急性偏執型思覺失調症 。他嚴重退縮，開始聽見幻聽，而據醫生所說，他已完全脫離現實。他們準備開始給他服用一種嚴格管理的藥物，並要求我簽署同意書。

我的理智在與崩潰的情緒抗衡。我開始回顧過去，彷彿透過全新的視角重新審視我們的生活。思覺失調症最初就像一層薄霧，隨著時間的推移逐漸加厚，直到將我和我的兒子完全包圍在難以穿透的迷霧中。

當我們尋求答案

我意識到，如果我不開始學習這種疾病，我的兒子可能會永遠困在妄想和偏執的迷霧中。於是，我們的旅程開始了——這是一場將持續一生的旅程。

首先，我與家庭醫生推薦的幾位精神科醫師交談。我查閱了關於抗精神病藥物的資料，擔心它們帶來的可怕副作用。在與一位專門治療思覺失調症的精神科醫師及 Frankie 的監管醫生討論後，我甚至協調了一種更強效的藥物送達少管所的藥房。

我每天都會打電話給少管所的護士長，詢問我兒子的狀況。她向我保證，Frank 受到了妥善的照顧。她還告訴我，儘管 Frank 仍然在與症狀對抗，但他總是試圖微笑，並經常對護士輕聲說「謝謝」。這讓我感到一絲希望——希望人們能夠看到我兒子病症之外的本質，看到那個我所認識的優秀年輕人。

找到康復之路

經歷了無數的祈禱與小小的進展後，我很幸運地遇見了 NAMI Collier County 的時任執行董事 Kathryn Hunter 。認識 Kathryn 之後，我不再孤身一人尋找答案。她強調 要善用所有可及的資源 （而事實上，這些資源相當豐富）。

她建議我和丈夫參加 NAMI 家長團體 ，這是一個由家長領導的小組，成員們互相分享應對挑戰與成功的經驗。最重要的是，她向我們介紹了 佛羅里達州積極社區治療團隊（FACT） ，這成為我兒子康復過程中的支柱。

FACT 採用跨學科方法，為重度精神疾病患者提供 全天候、每週七天的醫療照護 。她建議我們將 FACT 作為 Frankie 出獄後的 第一站 。這個計畫的導覽讓我們安心，因為我們知道兒子會有一整個醫療團隊—— 精神科醫師、個案管理員、治療師和護士 ——隨時提供協助。

這些導師與資源改變了一切。Frank 得以踏上康復之路，並朝著他應得的生活邁進。Kathryn 的指導，以及我們在這段旅程中遇見的無數倡導者的關懷，使我們堅定地願意分享經歷，並為那些也在與這種疾病抗爭的人們帶來希望。

Patty DeMauro 是 NAMI Collier County 的熱心支持者，並在零售業擁有 30 年經驗 ，經營 Patty’s Apparel 服裝店（位於 Naples）。透過她的家庭親身經歷，她希望能為那些正在與心理健康問題抗爭的人們提供一條生命線。

Written by: Patty DeMauro

Original Source here: https://www.nami.org/family-member-caregivers/when-i-missed-the-signs-that-my-son-has-schizophrenia/

November 3 2021

As a parent, I’ve learned that it can be unbelievably difficult to recognize that your child is suffering from an illness of any kind, least of all a mental illness. After navigating the maze that is the mental health care system, I discovered that early detection can help reduce the severity of mental illness. This only served to fuel my guilt that I had failed my son.
I’ve often wondered: How did I miss the signs?

When the Signs Started
My son Frank had been the “perfect” child. He was happy, fun-loving and intelligent. He was a skier, skateboarder, guitar player and one notch from Eagle Scout. Most importantly, he was the child who sat with the new kid in the lunchroom at school. There was never a doubt in my mind that a bright and happy future awaited him.
The changes were gradual. His grades began to slip, then came minor skirmishes with friends, followed by small white lies. He was spending more time alone in his room. Eventually, he refused invitations to do the things he loved. More and more frequently I’d find him staring into space.
Deep down, I knew these might be signs warning me of trouble. But when I confronted him, he would turn on a thousand-watt smile and tell me I worried too much. He assured me that he was fine and no different from any other teenager. So I dismissed it all as adolescent angst.

When the Signs Escalated
For parents, certain milestones in our children’s lives are etched permanently in our minds, usually triumphs and achievements. However, for me, one particularly painful memory endures: The day I received a phone call from the police telling me that my 17-year-old son had been arrested. My first thought was that surely the police had made a mistake. But Frank had been positively identified. He and another boy had broken into a classmate’s home and stolen a CD player.
When I arrived at the police station, and they brought Frank to me, I immediately noticed that his face looked different. It was as if strings were pulling on the corners of a smile that was twisted on his face. Rather than question him, I held him tightly and told him he would be fine. Shortly after, he was released to my care until his appointment to appear before a juvenile court judge.
Once before the judge, Frankie received a stern lecture. She ordered him to return the stolen property, to perform eight hours of community service a week for the next four months and to submit to weekly drug testing. Frank was respectful and apologetic. He was assigned to a maintenance crew in our town center. Every Wednesday, he went for his drug test. I allowed myself to feel a sense of hope.

When the Signs Turned into a Diagnosis
Then, the phone call came that would change our lives permanently. It was the judge’s office. Frankie had failed the drug test. And this hadn’t been the first time. The judge had spoken to my son and warned him of the consequences of getting high and ignoring her ruling. The judge then sentenced him to the county’s juvenile detention center for six months. He was scheduled to be transported the following day.
Frankie remained rigid in his insistence that it was such a “minuscule amount of pot!” He even laughed when I questioned his disregard for the judge’s orders. And then he just shut down. I hugged a wooden statue of my son who gruffly pulled away from me. He said something about his cell phone that I didn’t understand. More signs I was unable to decipher. I wept openly as he walked out the door flanked by a social worker and a county officer.
It was during the second month of Frankie’s incarceration that I received a certified letter from the detention center’s medical unit. He had been diagnosed with acute paranoid schizophrenia. He was severely withdrawn, hearing voices and, according to the doctor, completely out of touch with reality. They were prepared to start him on a strict regime of medication for which I had to give my consent.
My rational mind fought against my desire to shut down. It was as if I’d been looking at our lives through a different lens. Past events began to make more sense. Schizophrenia began as a fine mist that thickened over time until my son and I were enveloped in an impenetrable fog.

When We Pursued Answers
I sensed that if I didn’t begin to learn about this disease, my son might remain in his haze of delusion and paranoia. And so began our journey — one that has been, and will continue to be, a lifelong effort.
First, I spoke to several psychiatrists referred by our family physician. I read up on anti-psychotic medications and worried about the terrifying side-effects. Along with a psychiatrist who specialized in the treatment of schizophrenia and permission from Frankie’s doctor, I even coordinated the delivery of a more powerful drug to the detention center’s dispensary.
I called the charge nurse at the detention center daily to check on my son. She assured me my son was getting the proper care. She also told me that even though Frank was struggling with his symptoms, he always tried to smile and often whispered “thank you” to any nurses that visited. This information made me hopeful that people might look past my son’s diagnosis and see the amazing young man that I knew.

Finding a Path to Recovery
Many prayers and small steps later, I had the good fortune of meeting Kathryn Hunter, the then-Executive Director of NAMI Collier County. After meeting Kathryn, I was no longer alone in my search for answers. She stressed the need for embracing every available resource (of which there were many).
She suggested my husband and I attend the NAMI Parents Group, a peer-led group that shared the challenges and successes of those facing similar experiences. Most importantly, she introduced us to the Florida Assertive Community Treatment team (FACT), which became an anchor throughout my son’s journey to recovery.
FACT, an interdisciplinary approach, offered 24-hour, seven-days-a-week care to people with severe mental illness. She advised us to make FACT our first stop upon our son’s release from the detention center. The orientation to the program gave us a refreshing sense of security, knowing that our son had a psychiatrist, caseworker, therapist and nurse who were only a phone call away.
These mentors and resources made all the difference. Frank was able to get on the path to recovery and work toward the life he deserved. Kathryn’s inspiration, and the concern of the many advocates we were privileged to meet along our journey, have kept us committed to share our experiences and spread hope to those also battling this illness.

Patty DeMauro, an avid supporter of NAMI Collier County, brings 30 years of experience to her retail store: Patty’s Apparel in Naples. Through her family’s personal experience, she aspires to offer a lifeline to those suffering from mental health conditions.

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「懶惰迷思」如何影響心理疾病患者 | How the “Laziness Myth” Affects Those with Mental Illness

Sun, 16 Mar 2025 21:51:08 GMT

MHACC 雙語部落格 Bilingual Blog

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撰寫者： Ashley Nestler

原始來源： https://www.nami.org/stigma/how-the-laziness-myth-affects-those-with-mental-illness/

2021年12月15日

最近，我一直在反思一個我稱之為「懶惰迷思」的概念。 根據社會心理學家 Devon Price 的解釋，這種迷思源自於 工作狂文化和資本主義價值觀 。它讓我們相信自己的價值取決於生產力，並讓我們覺得自己永遠做得「不夠努力」。

在我面對各種心理與生理健康挑戰的過程中，我逐漸意識到這種迷思對於 慢性疾病患者或需要長期醫療照護的人 可能帶來多麼嚴重的影響。

從專業角度來看，我是一名心理健康專家。 然而，目前我因慢性疾病而無法工作，並且領取殘障補助。我罹患的疾病包括 纖維肌痛、多種進食障礙、強迫症（OCD）和複雜性創傷後壓力症候群（C-PTSD） ，以及其他健康問題。

在我努力管理健康狀況的同時，我遭遇了來自自己和他人的 精神健康污名 ，特別是關於「為了康復而休息」這件事。我花了很長時間才克服這種污名，並接受自己 在需要時休息並不代表我懶惰 。

為健康騰出時間是關鍵

維持我的健康本身就是一份全職工作。 我每週參加多次心理治療，與精神科醫師合作進行藥物管理，並與多位專科醫生合作處理我的生理健康狀況。

在兩年前因嚴重的精神健康危機住院之前，我強迫自己完成學業，獲得了 社會工作學士（B.S.W.）和社會工作碩士（M.S.W.）學位 。在這段期間，我一直在與心理健康問題抗爭，卻因為害怕尋求幫助而使用不健康的因應機制。

我學會了如何向他人隱藏我的症狀，並努力展現出一副「雄心勃勃」的樣子。我讓自己變成**「工作狂」，試圖用生產力來掩蓋內心的崩潰**。然而，在經歷一場痛苦的關係破裂後，我的精神疾病徹底失控，我開始出現 嚴重的自殺意念 ，甚至無法正常運作，最終被送往急診室。

這次住院讓我徹底醒悟—— 為了生存，我必須休息 。住院後，我決定暫時離開學校和工作，把重心放在心理與生理健康上。

我仍然難以將自己放在優先順位

然而，專注於健康和傾聽自己身體需求的過程並不容易。 當我需要休息或無法完成某些事情時，我總會感到內疚，彷彿自己做錯了什麼。

舉個例子，我的許多藥物會 增加對高溫的敏感度 ，使我更容易中暑，再加上 纖維肌痛本身會導致對熱的耐受性降低 。因此，在夏天時，我常常待在室內，並且需要更多的睡眠。當我看到別人活力充沛地在戶外活動時，我會感到內疚，彷彿自己不該這麼做，即使這樣做是為了確保自己的身體安全與舒適。

這種內疚感往往還會被外界的批評加劇。 不是所有人都能理解為什麼我無法工作 。當有人得知我是因為精神疾病而領取殘障補助時，我甚至遭遇過 明顯的鄙視與直接的歧視 。在我過去的經歷中， 休息常常被視為「懶惰」，與生產力背道而馳 。

我曾經也是這麼相信的。 我從小被教育要把 努力工作視為最高價值 ，因此，如今要將「休息」從「羞恥感」中區分開來，仍然是一場每天都在奮戰的心理拉鋸戰。

每一天，我都在努力選擇 將健康與身體需求放在優先順位，而不是迎合社會對我的期待 。在接受幫助之前，我從未為自己的需求設下界線。這是一個艱難的過程，但我已經學會 尊重自己的極限，設立界線，並勇敢表達我的健康需求 。

我對未來懷抱希望

長期以來，精神疾病一直被誤解，這種誤解使我們變得 過於苛責自己，甚至懷疑自身的需求是否合理 。然而，如 Price 的研究所示， 關於心理健康、休息與生產力的對話正在變得更加開放與誠實 。

我開始理解，即使我的運作方式與沒有慢性病的人不同，這依然是完全可以接受的。 我逐漸明白， 照顧自己和滿足自身需求，其實是一種極為寶貴的生產力形式 ，而這種價值是無可取代的。

無論這個世界如何定義你的價值， 你的「外在生產力」並不能決定你的價值 ， 你的經濟產出並不能定義你的存在意義 。

你本身就有價值，你現在的樣子就已經足夠重要。

不要讓這個社會說服你相信別的說法。

Ashley Nestler, MSW ，是一位思覺失調情感障礙（Schizoaffective Disorder）、邊緣性人格障礙（BPD）、纖維肌痛、多種進食障礙、廣泛性焦慮症（GAD）、強迫症（OCD）和複雜性創傷後壓力症候群（C-PTSD）的生還者。她同時也是心理健康專家、作家與賦能教練。

Written by: Ashley Nestler

Original Source here: https://www.nami.org/stigma/how-the-laziness-myth-affects-those-with-mental-illness/

December 15 2021

Recently, I have been reflecting on a concept I like to call “the laziness myth.” This myth, as explained by social psychologist Devon Price, is born from a workaholic culture and capitalistic ideals. It tells us that our value is derived from productivity and that we are never working “hard enough.”

As I have navigated a variety of mental and physical health challenges, I have learned just how damaging this myth can be for those with chronic illness or extensive medical needs.

Professionally, I am a mental health specialist. Currently, however, I am not working, and I’m on disability due to chronic illness. My conditions include fibromyalgia, multiple eating disorders, obsessive-compulsive disorder (OCD) and complex post-traumatic stress disorder, among others.

As I’ve attended to my health issues, I’ve run into stigma — both self-imposed and from others — surrounding mental health and taking time off from daily demands to recover. It has taken me a long time to combat this stigma and to accept that resting when I need to does not mean that I am lazy.

Making Time for My Health Is Critical

Maintaining my health is a job in itself. I attend multiple therapy sessions each week; I work with a psychiatrist for medication management; I also see multiple other specialists for my physical health conditions.

Prior to being admitted to the hospital for a severe mental health crisis two years ago, I pushed myself through school to get my Bachelor of Science in Social Work and Master of Social Work. During this time, I was struggling with my mental health and using unhealthy coping mechanisms because I was afraid to get help.

I learned how to hide my symptoms from others; I put on an ambitious face and became a “workaholic” so I could feel as though I was succeeding when everything was crumbling around me. It was only after a traumatic loss of a relationship that my mental illnesses became all-encompassing, and I experienced an episode of severe suicidal ideation. I was taken to the emergency room because I was not able to function at all.

The hospitalization was a wakeup call that — in order to survive — I need rest. Afterwards, I took time away from school and work to focus on my mental and physical health.

I Still Struggle to Prioritize Myself

Unfortunately, centering my health and responding to what my body needs has not been easy. I feel guilty for taking time to rest or for being unable to do certain things because my health is in jeopardy.

For example, many of my medications increase my sensitivity to heat and make heatstroke more likely, on top of my current heat sensitivity due to fibromyalgia. As a result, I often spend summer days inside, and I tend to need more sleep. While I see other people spend extra time outside with increased activity, I find myself feeling guilty, as though I am doing something wrong for needing the extra time to ensure that my body is comfortable and safe.

This guilt is often compounded by criticism. Others do not always understand why I am currently unable to work. I have also experienced blatant distaste and outright disrespect from some people who learn I am on disability primarily because of my mental illnesses. As several interactions I’ve had have suggested, rest is often seen as “laziness” and the antithesis of productivity. I used to believe this, too. I was raised to value arduous work above anything else. Needless to say, trying to separate my need for rest from the shame resting brings is something I am still working on every day.

Each day is an uphill battle of trying to choose my health and what my body needs first, rather than what others expect of me. Before receiving help, I didn’t set any boundaries when it came to choosing my needs first. It is hard to make these choices — but I have learned to respect my own limitations, set boundaries, and speak up about my health and well-being.

I Have Hope for the Future

For far too long, people have misunderstood mental illness, and this misunderstanding has forced us to be overly critical of ourselves and challenge the reality of our needs. The emergence of a more honest dialogue surrounding mental health, rest and productivity (like in Price’s work) has taught me that it is perfectly acceptable to function differently than those without with chronic illnesses. I have come to understand that taking care of myself and my own needs is a priceless level of productivity that is more than valid.

Despite what our world might tell you, your outward “tracked” productivity that results in economic gain does not define your worth. You, right now, without having to accomplish a feat, are worthy and important. You are precious as you are. Don’t let society tell you otherwise.

Ashley Nestler , MSW, is a survivor of schizoaffective disorder, borderline personality disorder, fibromyalgia, multiple eating disorders, generalized anxiety disorder, obsessive compulsive disorder and complex post-traumatic stress disorder. She is also a mental health specialist, author and empowerment coach.

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MHACC花車亮相舊金山農曆新年大遊行 | “Hope Float” Shines at SF Lunar New Year Parade

Fri, 28 Feb 2025 00:33:34 GMT

MHACC 雙語部落格 Bilingual Blog

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2月15日， 舊金山農曆新年花車大遊行 盛大登場，數萬名觀眾齊聚市中心，共迎蛇年。

美國華裔精神健康聯盟（MHACC） 的 「希望花車」 亮相巡遊，以溫暖的大熊貓造型和 閃亮的字母氣球展示 1-800-881-8502 心理健康暖線 ，提醒社區關注心理健康。MHACC 志願者們沿途向市民揮手，傳遞關懷與支持。

本次遊行匯聚 舞獅、武術、傳統戲曲 等精彩表演，並首次帶來 500 架無人機燈光秀 ，在夜空中呈現 金龍翻騰、祥蛇盤繞 ，融合科技與傳統，為新年增添壯觀視覺盛宴。

舊金山農曆新年慶典不僅展現華人文化魅力，也象徵社區團結。MHACC 透過參與，呼籲大家關注心理健康，讓幫助的力量觸及更多人。

On February 15, thousands gathered in San Francisco to celebrate the Lunar New Year Parade , marking the Year of the Snake.

The Mental Health Association for Chinese Communities (MHACC) proudly debuted its "Hope Float," featuring a friendly panda design and shimmering letter balloons displaying the 1-800-881-8502 mental health support line , promoting mental health awareness. MHACC volunteers waved along the route, spreading warmth and encouragement.

The parade featured lion dances, martial arts, and traditional performances , alongside a spectacular 500-drone light show , forming images of a golden dragon and a coiled snake in the sky, blending technology with cultural traditions.

As one of the largest Lunar New Year celebrations worldwide , this event highlighted unity and cultural pride . Through its participation, MHACC continues to advocate for mental health awareness and support within the community .

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MHACC 花車領航屋崙華埠農曆新年巡遊 | MHACC Float Leads Oakland Chinatown Lunar New Year Parade

Fri, 28 Feb 2025 00:10:39 GMT

MHACC 雙語部落格 Bilingual Blog

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2025年 2月22日，由 屋崙華埠社區促進會（OCIC） 主辦、 現代汽車贊助 的 第3屆亞裔華埠農曆新年巡遊 盛大舉行。巡遊隊伍從 陳煥瑛廣場 出發，繞行華埠 9條街道 ，最終抵達 林肯廣場公園 ，舉辦豐富的文化表演與慶祝活動。

美國華裔精神健康聯盟（MHACC） 的花車率先啟程，執行長彭一玲向市民揮手致意，展現社區精神。花車上的 大熊貓造型 傳遞溫暖，團隊帶來的 綢帶舞龍《小龍獻瑞》 活力四射，成為巡遊亮點。此外， 東灣台山同鄉會 出動 百餘人舞龍醒獅 ，場面壯觀，擁有十萬粉絲的饒舌歌手 Seiji Oda 以 中英文歌曲 鼓勵大家來華埠消費，共襄盛舉。

巡遊不僅是一場節慶活動，更象徵著社區的團結與復甦。嘉賓們紛紛強調華埠在疫情後的復甦成果，感謝社區商家與居民的努力，並承諾持續改善治安、推動住房建設與長者福利計畫，以提升華埠的生活品質。

舞台表演同樣吸引眾多目光。擁有 60年歷史的屋崙芭蕾舞團 ，首次以芭蕾形式呈現 華裔移民故事《天使島》 ，感動人心。現場還有美食攤位與藝術展售，吸引大量遊客，帶動當地經濟。

華埠新年巡遊不僅帶來節慶歡樂，也凝聚社區力量，展現華埠的文化魅力與活力，讓新年的喜悅在街道間延續。

On February 22，2025, the 3rd Annual AAPI Lunar New Year Parade , hosted by the Oakland Chinatown Improvement Council (OCIC) and sponsored by Hyundai , brought vibrant celebrations to Oakland Chinatown. The parade started at Wilma Chan Park , winding through nine Chinatown streets , and concluded at Lincoln Square Park , where cultural performances continued.

The Mental Health Association for Chinese Communities (MHACC) float led the parade, with Executive Director Elaine Peng greeting the crowd. The float’s giant panda design symbolized warmth and unity, while the team’s ribbon dance-dragon performance, “Little Dragon’s Blessing,” added energy and excitement. The East Bay Taishan Association presented a 100-person dragon and lion dance , while rapper Seiji Oda blended Chinese and English music , encouraging visitors to explore Chinatown businesses.

The parade wasn’t just a celebration—it was a testament to the community’s resilience and revival . Speakers emphasized Chinatown’s post-pandemic recovery, recognizing the efforts of local businesses and residents. City officials also reaffirmed their commitment to public safety, housing initiatives, and senior welfare programs to enhance Chinatown’s livability.

The Oakland Ballet Company , celebrating 60 years , performed an excerpt from "Angel Island," the first ballet to depict the struggles of Chinese immigrants. Food vendors and art booths extended the festivities, attracting visitors and stimulating the local economy.

This year’s Lunar New Year Parade not only brought joy and cultural pride but also strengthened community bonds, ensuring Chinatown’s traditions and vibrancy continue to thrive.

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洛杉磯山火災情嚴重，MHACC 傳遞希望 | Wildfires in Los Angeles: MHACC Offers Support and Hope

Sun, 26 Jan 2025 02:47:16 GMT

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截止2025年1月24日，洛杉磯山火已造成28人死亡，16,200多棟建築受損或被毀，20萬人被迫撤離家園，經濟損失高達2750億美元。當地華人社區受到嚴重影響，許多家庭急需支持和心理重建。

美國華裔精神健康聯盟（MHACC）迅速行動，準備救援物資並趕赴災區。在洛杉磯Santa Anita Park，志願者向受災華人分發物資，提供心理暖線資源，並協助他們與救援機構聯繫。

我們還前往災後恢復中心和夢想中心分發物資，廣播中宣傳心理暖線資訊。即使夜晚降臨，志願者仍持續工作，傳遞支持與關懷。

儘管災難帶來的痛苦無法立即消除，但我們相信通過心理支持和社區力量，每個人都能走出陰影，重建家園。如需幫助，請撥打心理暖線：1-800-881-8502，或訪問MHACC-USA.org

As of January 24, 2025, the Los Angeles wildfires have claimed 28 lives, destroyed or damaged over 16,200 structures, and displaced 200,000 residents. Economic losses are estimated at $275 billion. The Chinese community has been hit hard, with many families in urgent need of assistance.

The Mental Health Association for Chinese Communities (MHACC) responded quickly, preparing supplies and heading to the affected areas. At Santa Anita Park, volunteers distributed resources, shared mental health hotline information, and helped evacuees connect with aid organizations.

We also visited Disaster Recovery Centers and the Dream Center to provide supplies and share warmline details via radio broadcasts. Even as night fell, MHACC volunteers continued to work tirelessly, offering support and care.

While the pain caused by the fires cannot be undone overnight, mental health support and community collaboration can help people rebuild their lives. If you need help, please call the MHACC Warmline at 1-800-881-8502 or visit MHACC-USA.org.

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年第13屆農曆新年歡慶暨首屆慈善募捐會 | 13th Annual Lunar New Year Party & First Charity Fundraiser | January 2025

Sun, 26 Jan 2025 02:30:55 GMT

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2025年1月18日，在農曆青蛇年的春光裡，美國華裔精神健康聯盟（MHACC）在怡景麗苑 Pacific Lighthouse 隆重舉辦了第13屆農曆新年歡慶暨首屆慈善募捐會，吸引了300多位來賓參加，共襄盛舉。

舊金山市第11區市議員陳小焱親臨現場，向聯盟頒發獎狀，感謝其多年來為社區精神健康所做的努力。她表示：「精神健康是社區亟需的資源，但因文化與傳統原因，許多人難以啟齒。作為華裔官員，我將繼續支持更多精神健康資源投入。」

聯盟資深副執行長 Carole Wang 分享了她剛從南加山火救災工作的經歷。她提到，山火讓許多華裔居民失去家園，也遭受心理創傷。北加與南加的團隊攜手合作，不僅提供物質幫助，更給予災民情感支持和資源指引。

執行長彭一玲（Elaine Peng）回顧了聯盟自2012年成立以來的發展歷程。她表示，免費心理健康暖線（1-800-881-8502）每天從早上9點到晚上9點，用國、粵、英語為有需要的人提供支持，每月接聽近1000通電話，幫助他們走出困境。她感謝支持者，並希望新的一年能幫助更多人。

活動現場的舞龍舞獅、功夫變臉、歌舞表演等節目贏得熱烈掌聲，暖線團隊的合唱更是感動全場。本次活動圓滿落幕，籌得的善款將用於支持更多精神健康服務。

世界日報報導： https://www.worldjournal.com/wj/story/121472/8509228?from=wj_maintab_cate

On January 18, 2025, under the vibrant spirit of the Lunar Year of the Green Snake, the Mental Health Association for Chinese Communities (MHACC) held its 13th Annual Lunar New Year Celebration and First Charity Fundraiser at Pacific Lighthouse. Over 300 attendees gathered to celebrate and support the cause.

San Francisco District 11 Supervisor Chyanne Chen attended the event, presenting MHACC with an award to recognize its contributions to community mental health. “Mental health resources are critical for our community, but cultural barriers often make it difficult for people to seek help,” Chen said. “I am committed to advocating for increased resources in this area.”

Carole Wang, Senior Duputy Executive Director of MHACC, shared her recent experience with wildfire disaster relief in Southern California, where many Chinese residents lost their homes and suffered emotional trauma. She highlighted the collaborative efforts of the Northern and Southern California teams in providing both material and emotional support.

Elaine Peng, Executive Director of MHACC, reflected on the organization’s progress since its founding in 2012. She emphasized the importance of the free mental health warmline (1-800-881-8502), which operates daily in Mandarin, Cantonese, and English, handling nearly 1,000 calls monthly. “Our mission is to ensure that no one feels alone,” Peng said, expressing gratitude to supporters and a hope to reach more people in the new year.

The event featured lion dances, face-changing martial arts, and singing and dancing performances, culminating in a heartfelt choral performance by the warmline team. The fundraiser concluded on a high note, with proceeds dedicated to expanding MHACC’s mental health services.

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營養精神醫學：你的大腦與食物 | Nutritional psychiatry: Your brain on food

Sun, 29 Dec 2024 00:29:03 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

撰寫者： Eva Selhub 醫學博士，特約編輯

原始來源： https://health.harvard.edu/blog/nutritional-psychiatry-your-brain-on-food-201511168626

2022年9月18日

請思考一下：你的大腦始終處於“開啟”狀態。它負責你的思考和運動、呼吸和心跳、感官——即使在睡覺時也在辛勤工作，全天候不停歇。這意味著你的大腦需要不間斷的“燃料”供應。而這種“燃料”來自於你所攝取的食物——燃料的質量決定了大腦的結構和功能，甚至影響到你的情緒。

就像一輛昂貴的汽車一樣，大腦在獲得“高級燃料”時才能運作最佳。攝取富含維生素、礦物質和抗氧化劑的優質食物能滋養大腦，並保護它免受氧化壓力的影響。氧化壓力是當身體使用氧氣時產生的“廢物”（自由基），這些廢物可能會損害細胞。

然而，不幸的是，和昂貴的汽車一樣，如果攝入了“低級燃料”（例如加工或精製的食物），大腦幾乎無法將這些有害物質清除出去。高糖飲食對大腦尤為有害，不僅會加劇胰島素的調節問題，還會促進炎症和氧化壓力。多項研究發現，高糖飲食與大腦功能受損之間存在相關性，甚至會加劇情緒障礙（如抑鬱症）的症狀。

這很有道理。如果你的大腦缺乏優質營養，或者自由基或有害的炎性細胞在大腦的封閉空間內循環，進一步導致腦組織受損，那麼後果是可以預見的。有趣的是，過去多年，醫學領域並未完全承認食物與情緒之間的關聯。

如今，幸運的是，新興的“營養精神醫學”領域正在揭示食物、情緒和行為之間的種種影響和相關性，甚至包括腸道內的細菌種類。

食物如何影響心理健康

血清素是一種神經遞質，能幫助調節睡眠和食慾、緩解情緒並抑制疼痛。約有95%的血清素是在胃腸道中生成的，而胃腸道內有上億個神經細胞（神經元）。因此，胃腸道的運作不僅幫助消化食物，還對情緒起到指導作用。更重要的是，這些神經元的功能以及血清素等神經遞質的生成，受到腸道內數十億“有益菌”的高度影響。

這些有益菌對你的健康至關重要。它們保護腸道內壁，確保形成對毒素和“有害菌”的強大屏障；它們能減少炎症，提升你從食物中吸收營養的能力；它們還能激活直接連接腸道與大腦的神經通路。

研究比較了“傳統飲食”（如地中海飲食和傳統日本飲食）與典型“西方飲食”，發現遵循傳統飲食的人患抑鬱症的風險降低了25%至35%。科學家認為這一差異的原因在於，傳統飲食通常富含蔬菜、水果、未加工穀物、魚類和海鮮，僅含適量的瘦肉和乳製品，而且不含西方飲食中常見的加工食品和精製糖。此外，許多未加工食品經過發酵，因此能作為天然益生菌。

這可能聽起來難以置信，但有益菌不僅影響腸道對食物的消化和吸收，它們還影響全身的炎症水平，以及情緒和能量水平，這一觀點正在得到越來越多研究者的支持。

營養精神醫學：對你意味著什麼？

開始關注不同食物對你感覺的影響——不僅是在當下，還包括隔天的感受。嘗試實行兩到三週的“清潔飲食”，這意味著完全戒除加工食品和糖。看看你的感覺如何。然後逐漸將一些食物重新納入飲食中，一次一種，觀察自己的感受變化。

一些人在“清潔飲食”期間，對自己身體和情緒的改善感到難以置信，而當他們重新攝取那些已知會加劇炎症的食物時，感受到明顯的不適。

摘自哈佛健康博客文章，作者：Eva Selhub, MD

圖片來源：Pablo_K/Getty Images

Written by: Eva Selhub MD , Contributing Editor

Original Source here: https://health.harvard.edu/blog/nutritional-psychiatry-your-brain-on-food-201511168626

September 18, 2022

Think about it. Your brain is always "on." It takes care of your thoughts and movements, your breathing and heartbeat, your senses — it works hard 24/7, even while you're asleep. This means your brain requires a constant supply of fuel. That "fuel" comes from the foods you eat — and what's in that fuel makes all the difference. Put simply, what you eat directly affects the structure and function of your brain and, ultimately, your mood.

Like an expensive car, your brain functions best when it gets only premium fuel. Eating high-quality foods that contain lots of vitamins, minerals, and antioxidants nourishes the brain and protects it from oxidative stress — the "waste" (free radicals) produced when the body uses oxygen, which can damage cells.

Unfortunately, just like an expensive car, your brain can be damaged if you ingest anything other than premium fuel. If substances from "low-premium" fuel (such as what you get from processed or refined foods) get to the brain, it has little ability to get rid of them. Diets high in refined sugars , for example, are harmful to the brain. In addition to worsening your body's regulation of insulin, they also promote inflammation and oxidative stress. Multiple studies have found a correlation between a diet high in refined sugars and impaired brain function — and even a worsening of symptoms of mood disorders, such as depression .

It makes sense. If your brain is deprived of good-quality nutrition, or if free radicals or damaging inflammatory cells are circulating within the brain's enclosed space, further contributing to brain tissue injury, consequences are to be expected. What's interesting is that for many years, the medical field did not fully acknowledge the connection between mood and food.

Today, fortunately, the burgeoning field of nutritional psychiatry is finding there are many consequences and correlations between not only what you eat, how you feel, and how you ultimately behave, but also the kinds of bacteria that live in your gut.

How the foods you eat affect your mental health

Serotonin is a neurotransmitter that helps regulate sleep and appetite, mediate moods, and inhibit pain. Since about 95% of your serotonin is produced in your gastrointestinal tract, and your gastrointestinal tract is lined with a hundred million nerve cells, or neurons, it makes sense that the inner workings of your digestive system don't just help you digest food, but also guide your emotions. What's more, the function of these neurons — and the production of neurotransmitters like serotonin — is highly influenced by the billions of "good" bacteria that make up your intestinal microbiome. These bacteria play an essential role in your health. They protect the lining of your intestines and ensure they provide a strong barrier against toxins and "bad" bacteria; they limit inflammation ; they improve how well you absorb nutrients from your food; and they activate neural pathways that travel directly between the gut and the brain.

Studies have compared "traditional" diets, like the Mediterranean diet and the traditional Japanese diet, to a typical "Western" diet and have shown that the risk of depression is 25% to 35% lower in those who eat a traditional diet. Scientists account for this difference because these traditional diets tend to be high in vegetables, fruits, unprocessed grains, and fish and seafood, and to contain only modest amounts of lean meats and dairy. They are also void of processed and refined foods and sugars, which are staples of the "Western" dietary pattern. In addition, many of these unprocessed foods are fermented, and therefore act as natural probiotics.

This may sound implausible to you, but the notion that good bacteria not only influence what your gut digests and absorbs, but that they also affect the degree of inflammation throughout your body, as well as your mood and energy level, is gaining traction among researchers.

Nutritional psychiatry: What does it mean for you?

Start paying attention to how eating different foods makes you feel — not just in the moment, but the next day. Try eating a "clean" diet for two to three weeks — that means cutting out all processed foods and sugar. See how you feel. Then slowly introduce foods back into your diet, one by one, and see how you feel.

When some people "go clean," they cannot believe how much better they feel both physically and emotionally, and how much worse they then feel when they reintroduce the foods that are known to enhance inflammation.

Adapted from a Harvard Health Blog post by Eva Selhub, MD

Image: Pablo_K/Getty Images

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超越表面：亞裔美國基金會報告 | Beyond The Surface: A Report By The Asian American Foundation

Thu, 26 Dec 2024 00:25:51 GMT

MHACC 雙語部落格 Bilingual Blog

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亞裔美國人、夏威夷原住民及太平洋島嶼（AANHPI）青年的心理健康是一個重要但經常被忽視的議題。在最新的報告《超越表面》中，亞裔美國基金會（TAAF）深入探討了14至25歲AANHPI青年所面臨的獨特挑戰和壓力。這份全面的研究結合了青年焦點小組的個人見解和來自超過1400名調查參與者的數據，揭示了令人震驚的事實：

• 48% 的AANHPI青年表現出中度至重度抑鬱的跡象。

• 93% 的人表示在過去一年中經歷過某種形式的種族歧視。

• 更令人擔憂的是，每 10名 14至25歲的AANHPI青年中有 3名曾認真考慮過或試圖自殺。

這份報告同時揭示了青年堅韌與支持的來源，強調友誼、家庭對話和文化身份如何對心理健康產生積極影響。它也挑戰了有害的刻板印象，如「模範少數族裔」的迷思，並倡導針對這個多元化社區的心理健康危機進行量身定制的干預措施。

無論您是家長、教育者、政策制定者還是盟友，這份報告都是一個行動呼籲。探索這些發現，了解我們如何共同努力，為AANHPI青年創造更光明的未來。

��查看完整報告：TAAF 官方網站

https://www.taaf.org/youthmentalhealth

了解更多關於亞裔美國基金會的信息：

Mental health among Asian American, Native Hawaiian, and Pacific Islander (AANHPI) youth is a critical yet often overlooked topic. In their latest report, Beyond the Surface, The Asian American Foundation (TAAF) dives into the unique challenges and stressors faced by young AANHPIs aged 14–25. This comprehensive study combines personal insights from youth focus groups with data from over 1,400 survey participants, uncovering startling realities:

• 48% of young AANHPIs show signs of moderate to severe depression.

• 93% have faced some form of race-based discrimination in the past year.

• Alarmingly, 3 in 10 AANHPIs aged 14-25 report seriously considering or attempting suicide.

The report also sheds light on sources of resilience and support, highlighting how friendships, family conversations, and cultural identity contribute to mental health. It challenges harmful stereotypes, such as the model minority myth, and advocates for tailored interventions to address the mental health crisis within this diverse community.

Whether you’re a parent, educator, policymaker, or ally, this report is a call to action. Explore the findings and discover how we can work together to create a brighter future for AANHPI youth.

View the report at TAAF's official website:

https://www.taaf.org/youthmentalhealth

Learn more about The Asian American Foundation:

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NAMI加州年會 | NAMI California Annual Conference | October 2024

Wed, 16 Oct 2024 17:27:30 GMT

MHACC 雙語部落格 Bilingual Blog

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2024年10月16日

MHACC參加2024年NAMI加州年會：通過文化敏感性賦能社區

2024年NAMI加州年會於10月3日至4日在安納海姆的JW萬豪酒店舉行。此次年會匯聚了心理健康倡導者、專業人士和社區成員，共同探討心理健康倡議、同伴支持和系統改進等重要議題，旨在增強受心理健康問題影響的個人和家庭的能力。會議期間舉辦了多場研討會、專家小組討論和激勵人心的主題演講。

MHACC在年會上的活動

美國華裔精神健康聯盟（MHACC）積極參與了此次年會，設置了資訊攤位，向與會者介紹我們的文化敏感性精神健康服務。

我們的團隊還參加了年會中的各種活動，包括：

主持文化敏感性工作坊：MHACC舉辦了題為“打破沉默：文化敏感性和支持網絡的力量”的工作坊，重點介紹了在心理健康服務中融入文化和語言敏感性的重要性。我們分享了在華裔社區工作的經驗，並探討了如何在多元文化背景下，打破與心理健康有關的污名。
網絡交流與學習：我們利用這次機會向其他組織學習、分享最佳實踐，並討論未來可能的合作，以加強對弱勢社區的心理健康服務。

繼續我們的使命

NAMI加州年會為MHACC提供了一個展示我們工作的平臺，同時也讓我們獲得了寶貴的見解，以改進我們的項目。我們將繼續致力於通過文化敏感性的服務、教育和倡導，支持華裔社區的心理健康。

MHACC at the 2024 NAMI California Annual Conference:

Empowering Communities Through Cultural Competence

The 2024 NAMI California Annual Conference, held on October 3-4 at the JW Marriott in Anaheim, brought together mental health advocates, professionals, and community members to discuss key mental health initiatives, peer support, and system improvements. This year's conference aimed to empower individuals and families affected by mental health challenges and featured a variety of workshops, expert panels, and inspiring keynote speakers.

MHACC's Presence at the Conference

The Mental Health Association for Chinese Communities (MHACC) actively participated in this year's conference, setting up an informational booth to introduce our culturally sensitive mental health services.

Our team participated in various conference activities, including:

Hosting a Workshop on Cultural Sensitivity: MHACC led a workshop titled "Ending the Silence: The Power of Cultural Competence & Support Networks," which highlighted the importance of culturally and linguistically sensitive approaches to mental health services. We shared our experiences working with Chinese communities and discussed strategies to break the stigma associated with mental health in culturally diverse populations.
Networking and Learning: We took the opportunity to learn from other organizations, share best practices, and discuss potential collaborations to strengthen mental health services for underserved communities.

Continuing Our Mission

The NAMI California Annual Conference provided a platform for MHACC to not only present our work but also gain valuable insights to enhance our programs. We are committed to continuing our mission of supporting the mental well-being of Chinese communities through culturally sensitive services, education, and advocacy.

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我的睡眠模式如何揭示我逐漸惡化的精神健康 | How My Sleep Pattern Highlighted My Failing Mental Health

Sun, 29 Sep 2024 20:17:02 GMT

MHACC 雙語部落格 Bilingual Blog

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作者： Rhiannon

原文來源： https://www.mind.org.uk/information-support/your-stories/how-my-sleep-pattern-highlighted-my-failing-mental-health/

2019年3月14日

突如其來的精神疾病以最殘酷的方式讓我意識到睡眠的重要性。

你知道嗎，睡眠習慣的改變——無論是失眠還是需要更多的睡眠——可能是一個警告信號，表明你的心理健康正在惡化。如果你知道，那很好。如果你不知道，那你和我以前一樣。

在我患上嚴重抑鬱症和創傷後壓力症候群（PTSD）之前，我一直把睡眠視為理所當然。我是一個「頭一碰到枕頭就能深睡八小時，電池充滿，醒來精神飽滿」的人。我的丈夫是個夜貓子，入睡時間很長，他對我無論在哪裡，只要舒適就能入睡，並在睡足八小時後充滿活力感到既好奇又沮喪。

「我的睡眠是第一個高高揮舞的紅旗，警告我出了問題。」

直到我病倒了，我才意識到自己是多麼幸運。生活很忙碌。我全職教書，還要照顧一對十歲的雙胞胎。我對工作充滿熱情，全身心的投入。對家庭充滿熱情，我也全身心的投入。是的，你說的對。這樣的分配是不合理的，我没有留一点照顾自己的空间。

當一切順利的時候，這樣做沒問題。但一旦不順利，就再也無法維持了。

在我經歷了一場重大創傷後，當時如果我還留有一些精力給自己，也許我還能應付。然而当我的睡眠作为第一個高高揮舞的紅旗，警告我的精神健康出了問題时，我卻遺憾的忽略了它。

我的問題始於我一進入深度睡眠就開始做惡夢。持續的、痛苦的、恐怖的惡夢，將我帶回到我長期試圖忘記的記憶中。很快地，為了避免這些噩夢，我開始避免入睡。清醒時，對做夢的恐懼在我的腦海中徘徊數小時，直到最終我不情願地陷入深眠。然而，更多的惡夢，更多的痛苦，隨之而來的，是不可避免的疲憊。

短短幾週內，我就開始難以應付日常生活。我開始體重下降，並對以前從來不是問題的簡單事情感到困惑。

我的女兒們仍然會笑著提起那天發生的事，當我開車在離家不遠的環島上繞圈時，我走了錯誤的出口，無法找到回家的路。當然我很高興她們能以積極的心態記住那段艱難的時光，但每次她們提起那件事我都會發抖。我真的不知道如何回家，而當時我們距離已經住了三年的房子只有兩百米。我現在知道，缺乏睡眠是我頭腦混亂的一個主要因素。

我的惡夢持續著，導致我體內的腎上腺素激增，一旦我醒來，我會在客廳的交叉訓練機上運動以消耗它。我仍然沒有真正意識到我有多麼病重，也沒有意識到這些腎上腺素水平表明我的惡夢對我的影響有多大。我只是知道，如果不運動，我無法應付眼前漫長的一天。

「在一次特別糟糕的惡夢中，我跳下床，衝過房間，撞上了一個大衣櫃。」

不久之後，我開始看心理治療師，並被迫休病假。接受我需要的幫助，以及解決我的驚醒問題，這是我們所有人記憶中的一個轉折點。在一次特別糟糕的惡夢中，我跳下床，衝過房間，撞上了一個大衣櫃。它劇烈地晃動，驚醒了我的丈夫、女兒和我自己，把我們都嚇壞了。第二天，我臉上帶著一個大大的瘀傷，和我的醫生討論了有關幫助我入睡的藥物。不幸的是，這些藥物並沒有幫助我。雖然我更容易入睡，但它把我「困」在惡夢中，因為我不像往常那樣醒來，導致惡夢延長。

我幾乎立刻停止了服藥。我和丈夫交換了床的兩邊，這樣他可以靠近門口。每晚我們都會堵住樓梯的入口，確保我不會摔下去，而當我的夢特別糟糕時，我丈夫會鎖上我們的臥室門，並把鑰匙放到我拿不到的地方。

我記不起來是什麼時候開始再次正常睡覺的。這對我來說很奇怪，因為睡眠不好曾經是個大問題。隨著時間的推移，通過治療、朋友和家人的支持，以及許多白天的小睡（我從不在白天做夢），我開始感覺好轉。

「我學到了一些重要的課程。自我照顧至關重要。而睡眠是自我照顧的基本部分。」

兩年過去了，我已經完全康復。我全職工作，回到了以往忙碌的生活中。但我學到了一些重要的課程。自我照顧至關重要。而睡眠是自我照顧的基本部分。我確保自己不會忘記這一點，使用一個縮寫詞 SETA 來提醒自己。Seta 在意大利語中是絲綢的意思。絲綢是柔軟、光滑且舒適的，不是嗎？當我感到不知所措時，我會問自己是否有足夠的 SETA。它代表著睡眠（Sleep）、運動（Exercise）和獨處時間（Time Alone）。這是我知道對於我的心理健康至關重要的三個要素。

我們每個人都有不同的自我照顧需求。你能想到一個縮寫詞來幫助你記住對你至關重要的東西嗎？只要記住，所有名詞的結尾都可以加上一個 S——包括睡眠，因為它對我們所有人都非常重要。我以最艱難的方式學到了這一點。

我真的相信，如果我更早意識到睡眠不足可能對我造成如此大的不利影響，我就會更早面對我的問題。然而，由於我忽視了它們太久，導致我的康復時間比必要的要長得多。

Written by: Rhiannon

Original Source here: https://www.mind.org.uk/information-support/your-stories/how-my-sleep-pattern-highlighted-my-failing-mental-health/

14 March 2019

Sudden, unexpected mental illness taught me the importance of sleep in the harshest way possible.

Did you know that a change in sleeping habits – whether insomnia or the need to sleep much more – can be a red flag that you are struggling with your mental health? If so, that’s great to hear. If not, you’re just like I used to be.

Until I fell ill with severe depression and PTSD , I had always taken sleep for granted. I was a ‘head hit the pillow, deep sleep for eight hours, battery fully charged, up and ready to go’ kind of person. My husband, a night owl who takes ages to fall asleep, was both intrigued and exasperated about my ability to sleep anywhere, as long as I was comfortable, and then to be full of energy once I had slept for those eight hours.

"My sleep was the first red flag that started waving wildly to warn me that something was wrong."

It took falling sick to make me realise how fortunate I was. Life was hectic. I was teaching full-time as well as looking after ten year old twins. Passionate about my own job, I gave it one hundred per cent of my energy. Passionate about my family, I gave them one hundred per cent of my energy too. Yup, you’re right. The maths doesn’t add up and those percentages don’t include energy for myself either.

That was fine while things were fine. But once they weren’t, well it was no longer fine.

I experienced a significant trauma. A trauma I might have handled if I had had some energy left for me. The point is, is that my sleep was the first red flag that started waving wildly to warn me that something was wrong, yet, disastrously, I ignored it.

My problems began with nightmares as soon as I fell into a deep sleep. Continuous, painful, terrorizing nightmares that took me back to memories I had long tried to forget. Pretty soon, in order to avoid those nightmares, I began to avoid going to sleep. Wide awake, my fear of dreaming would buzz around my head for hours until eventually, against my will, I would fall into a deep slumber. More nightmares. More pain. And exhaustion, inevitably, set in.

Within a couple of weeks of this, I began to struggle with my daily life. I started to lose weight and to get confused about simple things that had never been a problem.

My daughters still laugh when we go around a roundabout near home as they remember the day I took the wrong exit and couldn’t work out why I couldn’t find our road. I let them laugh. I’m glad they can remember a difficult time in a positive light. But I shudder when they remind me of it. I genuinely couldn’t work out how to get home and we were two hundred metres from a house we’d lived in for three years. I know now that lack of sleep was a major factor in my confusion levels.

My nightmares continued and caused such an adrenalin surge in my body that, as soon as I woke up, I went on a cross-trainer in our living room to burn it all off. I still hadn’t really recognized how sick I was and that those levels of adrenalin showed how much my nightmares were affecting me. I just knew that without working-out, I couldn’t cope with the long days that stretched before me.

"During one particularly bad nightmare, I leapt out of bed, dashed across the room and collided with a large wardrobe."

Before long I was seeing a therapist and had been signed off work . A turning point in accepting how much I needed help, and how much I needed to resolve my night terrors, has stuck in all of our minds ever since. During one particularly bad nightmare, I leapt out of bed, dashed across the room and collided with a large wardrobe. It shook violently, waking up my husband, daughters and myself, frightening us all. The following day, sporting a large bruise on my face, I discussed medication to help me sleep with my doctor. Unfortunately, it didn’t help. Although I fell asleep more easily, it ‘trapped’ me in my nightmares, prolonging them as I didn’t wake up like I usually did.

I gave up taking them almost immediately. My husband and I swapped sides of the bed so he could be closer to the door. Every night we blocked access to the stairs to ensure I didn’t fall down them and, on nights when my dreams were especially bad, my husband would lock our bedroom door and put the key out of my reach.

There was no turning point that I can remember when I started to sleep properly again. That seems strange to me now as sleeping badly was such an issue. Gradually, with therapy, support from my friends and family, as well as lots of daytime naps (I never dreamt in the day), I began to feel better.

"I have learnt some important lessons. Self-care is vital. And sleep is a fundamental part of self-care."

Two years on, I have recovered fully. I am working full-time and back to much of the busyness of my previous life. But I have learnt some important lessons. Self-care is vital. And sleep is a fundamental part of self-care. I make sure I don’t forget that with the acronym SETA. Seta means silk in Italian. Silk is soft, smooth and comforting, right? Well, when I’m feeling overwhelmed, I just ask myself if I’ve had enough SETA. It stands for Sleep, Exercise and Time Alone. Those are the three elements that I know are crucial for my mental health.

We are all different and we have different self-care needs. Can you think of an acronym that would help you remember what’s vital for you? Just remember that an S can go at the end of all nouns – include sleep because it is so important for us all. As I learnt. The hard way.

I truly believe that had I been more aware that lack of sleep could have such a detrimental effect on me, I would have faced my issues sooner. As it was, I ignored them for too long and, consequently, my recovery took far longer than it needed to.

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普通的母親 | An Ordinary Mother

Wed, 28 Aug 2024 21:13:15 GMT

MHACC 雙語部落格 Bilingue Blog

Scroll down for the English Version ⬇️

作者: Huina Zheng

在這裡閱讀原文: https://short-stories.co/@huinazheng/an-ordinary-mother-3jglpeee7zdx

媽媽，每次看到你在廚房裡做水晶餃，我的胃都會翻滾。

做水晶餃需要花十個小時：浸泡米兩小時，將其與蘿蔔泥混合，蒸三個小時；蒸好的水晶餃需要冷卻四小時，然後再煎。每次你做這道菜，都會因為太累而發脾氣。每次我吃它時，都小心翼翼，生怕惹你生氣。但媽媽，我其實討厭這所謂的美味又營養的食物。你總是喊道：“我這麼辛苦做的！你為什麼不珍惜呢？”

我一直不明白為什麼你明明很累，還堅持做水晶餃，直到我成為了母親。

你辭掉了忙碌的工作來照顧我。你的生活每天都圍繞著我打轉。你做飯、洗衣服，幫我做功課。你不斷提醒我你是一位敬業而偉大的母親。你希望我聽你的話，考好成績來回報你。每當你說“這都是為了你好”時，我感覺壓力很大。當我有了蘭，我決定要做一個好母親，但不是一個心懷怨恨的母親。我要成為一個更好的母親。

雖然我知道雞蛋對孩子有好處，但蘭不喜歡吃，我從來不強迫她。她喜歡奇異果，儘管它們很貴，但我經常買。我會挖出果肉給她吃，留在果皮上的薄果肉就留給我。她喜歡吃魚，所以我會幫她挑魚刺。她問：“媽媽，你不喜歡吃魚嗎？”我撒謊說：“我喜歡吃魚頭。”

直到有一天，我的女兒說：“媽媽，我厭倦了吃蒸魚。”我立刻大喊：“我這麼辛苦蒸的魚！你為什麼不珍惜呢？”我才猛然發現，我已經變成了像你一樣的母親。

年輕時，我迫不及待地想長大，這樣我就可以離開家，擺脫你的控制。但當我達到一定年齡時，我成為了像你一樣的母親。我開始自我懷疑。當我與朋友們交談時，我發現大多數人對母親都有負面印象，認為她們嘮叨且脾氣暴躁。我們以為我們永遠不會像我們的母親。然而，最終我們還是變成了她們，因為我們是以她們為榜樣。

我的朋友燕住得離她的父母很遠，由於中國的疫情政策，她已經三年沒能回家探親。今年她探親時，她的母親做了很多她喜歡的菜。她意識到她已經很久沒有做自己喜歡的菜了；她做的菜都是她兒子和丈夫喜歡的。到了三十多歲，她突然發現自己甚至不知道母親喜歡吃什麼。淚水濕潤了她的眼眶。

我們不希望母親為我們犧牲，但結婚後，我們要麼做家務，要麼照顧孩子。像我們的母親一樣，我們很少有社交活動，沒有愛好，也沒有娛樂。這是我們這一代中國母親的命運嗎？這是母職的代價嗎？

媽媽，我不想過像你那樣的生活。當我因為蘭“不懂感恩”而對她大吼時，她愣住了，哭了，並且希望我抱住她。我立刻想起了你做出犧牲時的感受；我感到內疚而不是感動。我覺得自己是你一生中所有不快樂的原因。我只希望你快樂。你用一生來告訴我自我犧牲的後果，我決定不跟隨你的腳步，這樣蘭將來成為母親時，她會是一個不同的母親。

父母是孩子的鏡子。如果你希望孩子自信、獨立，你自己必須如此；如果你希望孩子快樂，你也必須快樂。我們不應該將負面情緒變成隱形基因，傳給我們的孩子。作為母親，有時我們可以把自己放在第一位，這樣我們的孩子就不會因為我們的“愛”而感到負擔。

有時候我會點外賣。我知道，我彷彿聽到你的警告：

餐館的調料重，導致攝入過多的油和鹽。

餐館會重複使用煎炸油，使菜餚含有致癌物質。

餐館使用不新鮮或過期的食材。

我知道所有這些潛在的危險，所以我只在太忙的時候才點外賣，而且我只選擇可靠的餐館。

媽媽，當我不必一直做一個偉大的母親時，我感覺輕鬆了很多，蘭也更快樂了。

上週，我帶你和蘭去一家著名的四川餐館吃烤魚。你為了蘭主動提議吃不辣的菜，但你和我都喜歡吃辣。我對你說：“我會給蘭買個漢堡。”你震驚地看著我。我知道，按照傳統，負責任的母親絕不會給孩子吃垃圾食品。但我決定不聽這種指責的聲音。

就在你準備開口時，我打斷了你。“蘭喜歡漢堡，是嗎，蘭？”

蘭歡呼道：“是的，我喜歡漢堡！”

只有當我們愛自己時，我們才不會因為孩子“不懂感恩”而怨恨他們。孩子們可以從父母那裡學會如何愛自己，並快樂地成長。

媽媽，我們不必成為偉大的母親；讓我們只做普通的母親。這樣我們可以學會更好地彼此相愛。

Written by: Huina Zheng

Read original article here: https://short-stories.co/@huinazheng/an-ordinary-mother-3jglpeee7zdx

Mom, whenever I saw you making crystal dumplings in the kitchen, my stomach turned upside down.

The crystal dumplings took about ten hours to make: soaking the rice for two hours, mixing it with pureed turnips, and steaming for three hours; four hours to cool steamed crystal dumplings, which were then fried. Every time you made this dish, you lost your temper, because you were too exhausted. Every time I ate it, I was watchful for fear of provoking you. But Mom, I hated this so-called delicious and nutritious food. And you shouted, “I worked so hard to make them! Why don’t you appreciate it?”

I never understood why you insisted on making crystal dumplings even though it was exhausting; that is, until I became a mother. You quit your busy job to take care of me. Your life was centered on me every day. You cooked, did laundry, and helped me with homework. You never let me forget that you were a dedicated and great mother. You expected me to repay you by listening to you and getting good grades. Whenever you said, “It’s all for your own good,” I felt weighed down. When I had Lan, I resolved to be a good mother but not a resentful one. I would be a better mother.

Although I knew eggs were good for kids, Lan didn’t like them, and I never pushed her. She loved kiwi fruits. Although they cost a lot, I often bought them. I spooned out the pulp for her, and the thin pulp on the kiwi skin was for me. She loved eating fish, so I removed the fish bones for her. She asked, “Mom, don’t you like fish?” And I lied: “I like the fish head.”

Until the day my daughter said, “Mom, I’m tired of steamed fish.” Instantly, I yelled, “I worked so hard to steam the fish! Why don’t you appreciate it?” It struck me that I had become a mother like you.

When I was young, I wanted to grow up, so I could leave home and be independent of you. But when I reached my age, I became a mother like you. I fell into self-doubt. When I talked with my friends, I found that most had negative impressions of our mothers, who we believed were nagging and bad-tempered. We thought we would never be like our mothers. However, we eventually became them because we learned by example.

My friend Yan lived far away from her parents and, due to the covid-19 policy in China, she hadn’t visited them for three years. When she visited this year, her mother made many dishes she liked. She realized that she hadn’t made her favorite dishes for a long time; all the dishes she made were her son’s and husband’s favorites. In her thirties, she suddenly found that she didn’t even know what her mother liked to eat. Tears wet her eyes.

We didn’t want our mothers to sacrifice themselves for us, but after marriage, we either did house chores or took care of the children. Like our mothers, we had few social interactions, no hobbies, and no entertainment. Is it the mother’s fate in our part of China? Is this a motherhood penalty?

Mom, I don’t want to live like you. When I yelled at Lan for being “ungrateful,” she froze, cried, and wanted me to hug her. Immediately I remembered how it felt when you made sacrifices; I felt guilty rather than moved. I believed I was responsible for all the unhappiness in your life. All I wanted was for you to be happy. You had spent your entire life showing me the consequences of self-sacrificing, and I decided not to follow your example so that when Lan became a mother, she would be a different mother.

Parents are a mirror of the child. If you expect the child to be confident and independent, you have to be so; if you want your child to be happy, you must be that way. We shouldn’t turn our negative emotions into stealth genes and pass them on to our children. As mothers, we can sometimes put ourselves first, so our children won’t be burdened with our “love.”

Sometimes I order takeout. I know; I can hear your warnings in my ear:
Restaurants choose heavy seasonings, leading to excessive intake of oil and salt.
Restaurants reuse frying oil to make dishes that contain carcinogens.
Restaurants use stale or expired ingredients.

I know all the potential dangers, so I only order takeout when I am too busy, and I choose only reliable restaurants.

Mom, when I don’t have to be a great mother all the time, I feel a lot lighter, and Lan is also happier.

Last week, I took you and Lan out for grilled fish at a famous Sichuan restaurant. You offered to eat non-spicy food for Lan’s sake, but you and I both enjoy spicy food. I told you, “I will buy Lan a hamburger.” You looked at me in shock. I know, traditionally, a responsible mother should never feed junk food to her child. I decided not to listen to this accusatory voice.

Just as you started, I cut you off. “Lan likes hamburgers. Don’t you, Lan?”

Lan cheered and said, “Yes, I love hamburgers!”

Only when we love ourselves, we won’t resent our children for being “ungrateful.” Children can learn from their parents how to love themselves and grow up happily.

Mom, we don’t have to be great mothers; let’s just be ordinary mothers. We can learn to love each other more this way.

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撰寫文章以提高對雙相情感障礙的認識 | Writing to Spread Awareness about Bipolar Disorder

Sun, 25 Aug 2024 08:42:48 GMT

MHACC 雙語部落格 Bilingue Blog

Scroll down for the English Version ⬇️

作者： Julie Whitehead

在這裡閱讀原文: https://www.nami.org/advocate/writing-to-spread-awareness-about-bipolar-disorder/

2023年06月02日

2006年，我經歷了一系列的精神疾病的發作，最終我決定逃離到家人無法找到我的地方，結束自己的生命。幸運的是，我被送往路易斯安那州的一家住院治療中心接受了三天的住院治療，然後被送回密西西比州，在靠近州首府郊區的家中度過了這一階段。在狂躁期被評估後，我終於在三十多歲時被正確診斷為雙相情感障礙。

這個診斷讓我震驚；我從未想過自己可能患有嚴重的精神疾病。以前的抑鬱症發作似乎是在我有理由感到抑鬱的時候發生的。我把我的輕躁期視為我的正常個性。我花了四個小時的時間在深夜開車到新奧爾良，並且連續醒了三十六個小時，才讓人們了解到我情緒的錯綜複雜。

但即使在我尚未完全接受自己患有雙相情感障礙之前，我就知道我可以以某種方式讓這個診斷帶來益處。我是一名作家，已經寫作了很長時間。我覺得我寫得越多，就越能教育那些需要了解這個診斷的人。雖然這確實是一個嚴重的問題，但這並不意味著世界的終結。

我查閱了我的診斷資料，建立了一個關於雙相情感障礙的資源庫，從生活經驗的回憶錄到充滿統計數據和科學發現的書籍，這些書多到甚至可以用來擋門。最終，我在2014年開始寫博客，討論我與這個疾病的日常生活。

分享生活經驗的故事

2018年，我發現我的一位新聞導師正與一位調查記者合作，成立一種新的新聞編輯部，專注於對密西西比州人民有意義的調查報道。我迫不及待地聯繫了創始人，並主動提出撰寫有關精神健康、精神健康倡導和精神健康教育的故事。

密西西比調查報道中心（MCIR）於2019年底發表了我的第一篇文章，這些文章是有關精神疾病患者的個人檔案，還有我自己精神健康之旅的觀點專欄。不久之後，我也開始為全國性的博客BPHope撰稿，該博客由BP雜誌贊助，這是唯一一本專門探討雙相情感障礙問題的雜誌。

為BPHope，我寫下了自己的生活經驗。但為MCIR，我採訪了真實的人，談論他們的真實經歷，包括焦慮、抑鬱、雙相情感障礙、精神分裂症等等。我寫的第一個故事是關於一個家庭，他們的兒子因可能是雙相情感障礙發作而失踪。隨後的其他故事探討了藥物高成本、治療費用難以負擔以及缺乏專業人士來治療精神疾病等問題。

意識到我有多幸運

我知道雙相情感障礙在我自己的生活中造成的破壞，但通過與這麼多人談論他們的經歷，我發現我非常幸運。我有資源：良好的治療、良好的諮詢服務和良好的家庭支持。我遇到的許多人都沒有這些選擇，或者只有少數選擇。

我對藥物成本問題很熟悉。2015年，我丈夫的公司更改了健康保險計劃，新的計劃不會支付我其中一種藥物的費用，這導致我的治療嚴重受限。我的精神科醫生更換了我的藥物，試圖找到一個有效的組合，但沒有成功。六個月後，在我原來的藥物治療穩定多年後，我因自殺念頭被送醫。我在一篇個人專欄中寫到了這一事件，並附上了我關於藥劑師、患者和醫生如何共同努力，滿足有效治療需求的故事。

但在2021年，一個問題開始引起我的注意——患有精神健康問題的人被關押在監獄中而非治療設施中的困境。有些人在經歷症狀期間犯下暴力罪行後仍被關押在監獄中。其他人在等待擁擠的精神病院安置期間被關押在監獄中。但所有我與之交談的執法人員都表達了相同的看法——監獄不是處理精神疾病的人的地方。

我感同身受。我也曾在我最嚴重的精神崩潰期間被警察作為失踪人口帶走。我有健康保險並被送往醫院治療我的病——但我看到情況很容易走向另一個方向。

我撰寫了一篇關於一名被控謀殺的男子的故事，他在被裁定無法受審後被關押在縣監獄中五年未經審判。我的故事在全州各地報紙上刊登後，該男子最終被轉移至州立精神病院的監護之下。

我寫的另一篇文章——一名市警察據報在臉書帖子中對一名失踪近一年的精神病患者使用辱罵語言的故事——導致該警察因其行為受到譴責。同一案件中的另一個線索導致對該地區前縣警長的調查，該警長涉嫌監管範圍內對精神病患者的虐待和不當對待。

現在我不僅為自己寫作，還為那些無法講述自己故事的人寫作。我坦率而公開地討論這些問題。必須有人這樣做，而我接受了這個挑戰。

Julie Whitehead在密西西比州生活和寫作。她是密西西比州調查報道中心的記者，負責報道有關精神健康、精神健康倡導和精神健康教育的主題。自2014年以來，她一直在Day by Day撰寫博客。

Written By: Julie Whitehead

Read original article here: https://www.nami.org/advocate/writing-to-spread-awareness-about-bipolar-disorder/

June 2, 2023

In 2006, I experienced a series of psychotic episodes, ending with my decision to run away from home, where my family would never find me, and end my life. Thankfully, I was committed to inpatient care in Louisiana for three days and brought back home to Mississippi to ride out the rest of the episode closer to my home in a suburb of the state capital. After being evaluated in a manic phase, I was finally correctly diagnosed with bipolar disorder in my mid-thirties.

The diagnosis shocked me; I had never even considered the thought that I might have severe mental illness. My previous depressions had come when I seemed to have something to be depressed about. My bouts of hypomania were something I considered to be my normal personality. It took an episode of me driving four hours in the dead of night to New Orleans, La. and being awake for over thirty-six hours straight for anyone to put together the intricacies of my moods.

But even before I came to really accept that I had bipolar disorder, I knew that I could somehow make something good come out of my diagnosis. I am a writer and have been writing for a long time. I felt that the more I wrote about bipolar disorder, the more I could educate people who needed to know that this diagnosis, while certainly serious, does not mean the end of the world.

I read up on my diagnosis, building a library of resources about bipolar disorder ranging from memoirs of lived experience to books so dense with statistics and scientific discoveries that you could use them as doorstops. I eventually started blogging about my disorder in 2014, discussing my day-to-day life with the diagnosis.

Sharing Stories of Lived Experience

In 2018, I found out that a journalism mentor of mine was joining forces with an investigative reporter to form a new kind of newsroom, focused specifically on investigations that would matter to the people of Mississippi. I eagerly contacted the founder and offered to write stories related to mental health, mental health advocacy and mental health education.

Mississippi Center for Investigative Reporting (MCIR) published my first stories in late 2019, which were profiles of people who have mental illness and a perspective column on my own mental health journey. Shortly thereafter, I also started writing for BPHope, a nationwide blog sponsored by BP Magazine, the only magazine devoted to the issues surrounding bipolar disorder.

For BPHope, I wrote of my own lived experience. But for MCIR, I interviewed real people about their real experiences with anxiety, depression, bipolar disorder, schizophrenia and more. One of my first stories was about a family whose son had disappeared, likely from a bipolar episode. Other stories followed on issues like high costs for medication, difficulty affording treatment and the lack of professionals available to treat mental illness.

Realizing How Lucky I Am

I knew the havoc bipolar disorder had wreaked in my own life, but through talking to so many people about their experiences, I found I had been extremely fortunate. I had resources: good medication, good treatment, good counseling and good family support. Many people I met had none or few of these options to aid in treating their disorders.

Issues about the cost of medications, however, I was familiar with. My own treatment had been severely curtailed when my husband’s company changed its health insurance plan in 2015, and the new plan would not pay for one of my medications. My psychiatrist changed around my medications, trying to find a combination that would work but was unsuccessful. Six months later, I was admitted for suicidal thinking after being stable for many years on my old medication. I wrote about this episode in a personal column that accompanied my story on how pharmacists, patients and physicians worked together to be able to cover the needs for effective treatment.

But in 2021, one issue began grabbing my attention — the plight of people with mental health conditions who were housed in jails rather than in treatment facilities. Some stayed in jails after committing violent crimes while experiencing symptoms of their disorders. Others stayed in jail awaiting placement in crowded psychiatric facilities. But all the law enforcement personnel I spoke with echoed the same sentiments — jail was not the place for people struggling with mental illness.

I felt empathy. I, too, had been picked up by the police as a missing person when I was suffering my worst psychotic break. I had health insurance and was placed in a hospital to treat my illness — but I could see how easily the situation could have gone another way.

I worked on one story about a man accused of murder who was held in a county jail for five years without trial after being ruled incompetent to stand trial. After my story ran in newspapers across the state, the man was finally transferred to custody of the state psychiatric hospital.

Another piece I wrote — the story of a city police officer who was reported to have used abusive language in a Facebook post about a man with mental illness who had been missing for almost a year — resulted in the officer being reprimanded for her actions. Another tip in the same case led to an investigation of accusations of the former county sheriff in that area overseeing abuse and mistreatment of prisoners with mental illness under his jurisdiction.

Now I write not only for myself but for those who cannot tell their own stories. I write honestly and openly about such issues. Someone has to do it, and I accept the challenge.

Julie Whitehead lives and writes in Mississippi. A reporter for Mississippi Center or Investigative Reporting, Julie covers topics on mental health, mental health advocacy and mental health education. She has also blogged at Day by Day since 2014.

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接受我解離性身份障礙的旅程 | My Journey to Accepting My Dissociative Identity Disorder

Sun, 25 Aug 2024 08:14:19 GMT

MHACC 雙語部落格 Bilingue Blog

Scroll down for the English Version ⬇️

作者：Adrian Fletcher，心理學博士

在這裡閱讀原文: https://www.nami.org/person-with-mental-illness/my-journey-to-accepting-my-dissociative-identity-disorder/

2023年8月16日

2017年4月，我發現自己躺在一家住院治療設施裡，唯一的安慰是一條紫色的棉被。我似乎無法獲得足夠的藥物或小熊餅乾來麻痺我當時所面對的現實。然而，當時我並不知道的是，這次經歷將成為我康復的催化劑，並挽救了我的生命。

否認我的診斷

2012年，在我接受眼動脫敏和再處理療法（EMDR）治療創傷後壓力症候群（PTSD）的症狀時，我的治療師隨口提到了我可能患有解離性身份障礙（DID）的可能性。這種病症是由至少兩個不同且獨立的身份狀態存在於一個人內，每個身份都有其自己的記憶和行為。

這些身份，通常在系統中被稱為”變體”，通常是在經歷極端創傷後形成的應對機制，並掌控一個人的思想和行為。解離性身份障礙——以前稱為多重人格障礙，長期遭受媒體和醫學界的誤解和懷疑。

當時，我完全無法面對這個診斷。我終止了與那位治療師的合作，並重新尋找另一位治療師來繼續我的PTSD康復。在與新治療師的治療中，DID的診斷從未再次出現。回顧過去，我理解我並未得到新治療師的適當評估，他們錯過了我DID的症狀。

住院治療經歷

在治療過程中，我經歷了一次觸發事件，這是一個緩慢但徹底解體的開端。我有嚴重自殺念頭，並多次嘗試結束自己的生命。在丈夫的鼓勵下，我自願進入一家精神病院住院。最初，我的護理團隊告訴我，我患有重度抑鬱症並伴有精神病症狀。

我的治療團隊和我當時都不知道的是，我正在經歷DID系統中的變體間的快速轉換。當我出院時，我並未康復，創傷反而更加重。

然後，我前往州外的一家有紫色棉被的住院治療設施。這個療程包括12步治療，偶爾進行藝術和舞蹈療法。在這個治療階段，我開始慢慢重建我的生活，並得到了丈夫、朋友、治療師和同事的幫助。隨著我的進展並重返獨立生活，我對自己剛剛經歷的一切感到非常困惑。我充滿了羞恥，並對自己病得如此嚴重感到憤怒。

面對現實

在我開始重建生活和門診心理治療業務後不久，我的母親被診斷出患有胰腺癌。在得知她的診斷五個月後，她去世了。我們在幾年未通話後重新聯繫上。我心碎了。

母親去世後，我的飲酒習慣加劇。我感到沮喪、焦慮、迷失、困惑、悲痛欲絕並感到被遺棄。我的婚姻變得緊張。我感到憤怒，再次變得極度絕望。

我重新回到治療，並決定戒酒。那時，我兒時的痛苦記憶突然湧現。

我開始回憶並看到被我父親性虐待並被他賣給其他男人的記憶和圖像。這些記憶擾亂了我的睡眠、食慾、友誼和婚姻。我感到孤獨、害怕、困惑和抑鬱。在這段時間裡，我的DID開始以更明顯的方式顯現。各種變體開始出現在治療和與丈夫的對話中，他們分享了自己所經歷的一切。

我們很快發現，這22個變體具有獨特的名字、性別、喜好、不喜好、認知能力、技能集和對食物、人物、活動等的偏好。有些變體還在某些方面表現出特定的異常行為，例如飲食失調、物質濫用、自殘、依附和學習困難。

最終接受診斷

我被正式診斷為DID。我的丈夫和我都感到既鬆了一口氣又感到恐懼。他感到自己多年來一直觀察到的現象得到了證實，但卻沒有對應的詞彙來形容。我問自己，這對我們的婚姻、我的未來和我的職業生涯意味著什麼。我感到孤獨和尷尬——被擔心他人發現的恐懼吞噬。我也在與否認作鬥爭。我會對自己說類似“這不可能發生”，“我一定是編造的”等等的話。但是我的身體和大腦會通過閃回、噩夢、焦慮、驚恐發作、身體不適、緊張和對擁抱和身體接觸的防禦來提醒我。我想與周圍的每個人保持距離。

但我決定我必須要康復，以便我能回饋社會；以此教育治療師和公眾DID是被高度誤解的，通常被低估/誤診，而且它並不像電影中呈現的那樣。

我認真對待我的康復。我閱讀了所有能幫助我理解自己情況的書籍。我開始通過日記、聆聽、藝術創作以及尋找支持社區（如An Infinite Mind（AIM），一個為需要支持、治療轉介和教育的DID患者提供的國際組織）來關注我的變體及其需求。當我遇到其他有類似經歷的人時，我多年的症狀開始變得有意義了。

治療和致力於康復之旅是耗費精力、昂貴、孤獨和繁瑣的。但我很感激自己還活著，並為自己和我的DID系統倡導。我為自己的康復工作和提高意識的努力感到自豪。

將痛苦轉化為目的

我現在正致力於通過演講、咨詢、教育和公共倡導來提供指導和支持，從一個有DID生活經歷的人和一個在精神健康領域工作了二十年的治療師的角度出發。

這就是我將痛苦轉化為目的的定義。長期以來，DID的污名讓人們隱藏和沉默。像我一樣，患有這種病症的人往往不願分享自己的故事；他們害怕被判斷、嘲笑或無視。可悲的是，對這種疾病的錯誤信息和錯誤表示使人們認為患有DID的人是危險的、無知的、不健康的、無能的或簡單地說謊。我希望改變這種敘述和看法；事實上，我認為DID是一種為生存在不可能的境況而產生的出色應對策略。

作為一位有DID生活經歷的專業人士，我的公開身份使我有機會向他人展示，他們可以擁抱自己並接受自己所有的部分，包括過去的創傷和變體。我希望我的努力能夠提高人們對DID的認識，幫助他們感到不再孤單——甚至可能挽救生命。

Adrian A. Fletcher，心理學博士、文學碩士，是一名人口販賣幸存者、心理學家、演講者、咨詢師和作者，擁有解離性身份障礙（DID）的生活和專業經歷。她和她的變體是《一個靈魂，多重表達：不同部分的詩集》的驕傲作者，並主持了一個名為《勇敢的路徑與Fletch博士》的播客。您可以在www.drfletch.com了解更多有關Fletch博士的信息。

Written By: Adrian Fletcher, Psy. D.

Read original article here: https://www.nami.org/person-with-mental-illness/my-journey-to-accepting-my-dissociative-identity-disorder/

August 16, 2023

It was April of 2017, and I found myself lying in a residential treatment facility where the only solace was a purple comforter. I couldn’t seem to get enough medication or Teddy Grahams to numb out the reality that I was currently facing. What I did not know at the time, though, was that this experience was going to be the catalyst to my recovery and to saving my life.

Denying My Diagnosis

In 2012, while I was undergoing eye movement and desensitization and reprocessing therapy (EMDR) for symptoms of post-traumatic stress disorder (PTSD), my therapist casually mentioned the possibility of me having dissociative identity disorder (DID). This condition is determined by the presence of at least two distinct and separate personality states, each with its own memories and behaviors, within an individual.

The identities, often referred to as alters in a system, typically form as a coping mechanism after extreme trauma and take control of a person’s thoughts and behavior. DID — what the Diagnostic and Statistical Manual of Mental Disorders used to refer to as multiple personality disorder — has a long history of misrepresentation and doubt in the media and medical field.

At the time, I was not at all ready to face the reality of what this diagnosis meant. I quit working with that therapist and began my quest again with a different therapist to continue my healing from PTSD. In my treatment with the new provider, the DID diagnosis never resurfaced. Looking back, I understand that I was not appropriately assessed by this therapist, and they missed my DID symptoms.

Going Through Inpatient Treatment

During treatment, I experienced a triggering event which was the start of a slow, but complete, unravel. I became extremely suicidal and made attempts at my own life. With encouragement from my husband, I admitted myself to a psychiatric inpatient hospital. Initially, my care team told me I was experiencing major depressive disorder with psychotic features.

What my treatment team and I didn’t know at the time was that I was experiencing rapid switching amongst the alters of my DID system. When I was released from this inpatient stay, I was certainly not recovered, and I was, if anything, more traumatized.

I then ventured out of state to a residential treatment facility with the purple comforter. The program consisted of 12 step groups and occasional art and dance therapy. During this stage of treatment, I began to slowly rebuild my life with the help of my husband, friends, therapist and colleagues. As I made progress and returned to independent living, I was very confused about what I had just experienced. I was filled with shame and mad at myself for getting so “sick.”

Facing Reality

Shortly after I began to rebuild my life, and my outpatient psychotherapy practice, my mother was diagnosed with pancreatic cancer. Within five months of learning of her diagnosis, she passed away. We had just reconnected after not speaking for several years. I was heartbroken.

After my mother’s death, my drinking escalated. I was depressed, anxious, lost, confused, grief stricken and feeling abandoned. My marriage was strained. I was angry, and again, I became extremely hopeless.

I went back to therapy and decided to quit drinking; that was when disturbing memories of my childhood came flooding to the surface.

I began to recall memories and images about being sexually abused by my father and him trafficking me to other men. The memories disrupted my sleep, my appetite, my friendships and my marriage. I felt alone, scared, confused and depressed. It was during this time that my DID began to surface in more visible ways. Various alters began showing up in therapy and in conversations with my husband, and they would share what had happened to them.

These 22 alters, we soon learned, had distinct names, genders, likes, dislikes, cognitive abilities, skill sets and preferences for food, people, activities, etc. Some alters struggled with specific disordered behavior such as disordered eating, substance abuse, self-injury, attachment and learning difficulties.

Finally Accepting My Diagnosis

I was officially diagnosed with DID. My husband and I were both relieved and terrified. He felt validated in what he had been observing for years but did not have a language for. I asked myself what this was going to mean for our marriage, for my future and for my career. I felt alone and embarrassed — consumed with worry about others finding out. I also struggled with denial. I would tell myself things like, “this couldn’t have happened,” “I must be making this up,” etc. But my body and my brain would remind me through flashbacks, nightmares, anxiety, panic attacks, physical discomfort, jitteriness and guardedness around hugs and physical touch. I wanted to distance myself from everyone around me.

But I decided that my mission was to recover so that I could give back; to teach providers and the public that DID is highly misunderstood, is often underdiagnosed / misdiagnosed and that it is not what it looks like in the movies.

I took my recovery seriously. I read everything I could to understand what was happening to me. I began to attune to my alters and their needs by journaling, listening, doing artwork and finding communities, such as An Infinite Mind (AIM), an International Organization for those living with DID who need support, referrals for treatment and education about the condition. As I met other people with similar experiences, the symptoms I experienced for years began to make sense.

Therapy and the commitment to the healing journey were exhausting, expensive, lonely and cumbersome. But I am grateful to be alive and to have advocated for myself and my DID system. I am proud of the work that I have put in to recover and to raise awareness.

Turning Pain into Purpose

I am now on a quest to offer guidance and support through speaking, consultation, education and public advocacy from both the perspective of someone living with DID and the perspective of a treatment provider who has worked in the mental health field for two decades.

Doing this is my definition of turning pain into purpose. For far too long, the stigma of DID has kept people hidden and silent. Just like I was, people living with the condition are hesitant to share their stories; they are afraid of being judged, laughed at or invalidated. Tragically, misinformation and misrepresentation of this disorder leads people to believe that those living with DID are dangerous, uneducated, unwell, inept or simply lying. I want to change this narrative and perception; in fact, I see DID as a brilliant coping strategy for surviving the unsurvivable.

Coming forward as a professional with lived experience of DID has given me the freedom to show others that they can embrace who they are and accept all parts of themselves, their past traumas and alters included. I hope that my work to increase awareness can help others feel less alone — and maybe save lives.

Adrian A. Fletcher, Psy.D., M.A. is a trafficking survivor, psychologist, speaker, consultant and author with lived and professional experience of dissociative identity disorder (DID). She and her alters are the proud authors of “One Soul, Multiple Expressions: POEMS BY THE PARTS” and hosts of a podcast, “Braving the Way with Dr. Fletch.” You can learn more about Dr. Fletcher at www.drfletch.com

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躁鬱症譜系中的茁壯成長 | Thriving on the Bipolar Spectrum

Tue, 20 Aug 2024 21:21:09 GMT

By Sara Schley and Devika Bhushan, M.D.

Original article source : https://www.nami.org/advocate/thriving-on-the-bipolar-spectrum-changing-the-narrative-with-stories-of-lived-experience/

March 30, 2023

Scroll down for the English Version ⬇️

當你聽到「躁鬱症」這個詞時，你會想到什麼畫面？也許是一些不值得信任、暴力、情緒波動大或難以預測的人。

我們大概都認識一些患有躁鬱症的人，甚至可能與他們非常親近。但由於精神健康問題的污名，我們可能並不知道他們有這樣的情況。雖然估計有所不同，但大約每38人中就有1人會在一生中被診斷出患有躁鬱症Ⅰ型或Ⅱ型，甚至可能多達每22人中有1人。

然而，儘管患病率很高，關於躁鬱症的負面刻板印象在我們的社會中依然普遍存在，這些刻板印象不僅不真實，而且導致被診斷躁鬱症的患者遭受非常現實的歧視——在工作場所、機會、社會/公民參與以及醫療保健中。事實上，有4/5的人認為與精神健康問題相關的污名和歧視經歷比精神健康問題本身更痛苦。部分原因是由於這種污名，超過一半的美國成人精神病患者未接受治療。

人們對躁鬱症的刻板印象往往來自對處於病情最嚴重階段（甚至更糟）的人的極端看法，但這並不能代表那些接受良好治療的躁鬱症患者。那些對躁鬱症管理得當的人能夠成為最具思考、好奇心、創造力和愛心的自己。

我們兩位，這篇文章的作者，就是這種情況的活生生例子。我們兩人都患有管理良好的躁鬱症。我們自認是成功的專業人士；Sara 是企業家和作家，Devika 是兒科醫生和公共衛生領袖。我們各自都有深厚的社群聯繫，包括與丈夫們持續多年的伴侶關係，還有與孩子、家人、朋友和同事的親密關係。

更複雜的畫面

許多人認為躁鬱症包括狂熱的高峰期——伴隨妄想、幻覺和瘋狂消費——但這其實只是描述了躁鬱症Ⅰ型的狂躁症狀，這是在現在所謂的「躁鬱症譜系」中的一個極端。

那些大腦屬於躁鬱症譜系其他部分的人——例如躁鬱症Ⅱ型——經歷的是嚴重且威脅生命的抑鬱，而不會表現出典型的狂躁症狀。取而代之的是，我們經歷的是稱為輕躁症的較溫和的狀態，伴隨著焦慮、易怒、講話/思考更快以及膨脹的自我感覺，還有抑鬱。

因此，躁鬱症可以存在而沒有狂躁症狀，且通常是如此。事實上，躁鬱症Ⅱ型的患病率實際上是躁鬱症Ⅰ型的1.5倍。抑鬱症經常困擾著躁鬱症Ⅱ型患者，並可能是患者首次向醫生表現出的躁鬱情緒發作種類。由於它看起來與典型的抑鬱症（重度抑鬱症）相似，誤診情況非常普遍。最多有三分之一最初被診斷為典型抑鬱症的人可能實際上處於躁鬱症譜系上，具有如家族病史或個人狂躁/輕躁症狀的關鍵線索，這些通常會被忽略。

這一點非常重要，因為通常為典型抑鬱症開出的抗抑鬱藥物可能導致輕躁症、狂躁症、混合症狀或使躁鬱症病程惡化，帶來危險甚至致命的後果，而穩定情緒劑（與行為治療相結合）可以幫助緩解抑鬱症狀。

污名和誤解的影響

平均而言，躁鬱症Ⅱ型患者需要超過11年才能得到正確的診斷和治療。

在此期間，我們遭受了極大的痛苦，包括成癮、入獄、無家可歸、自殺意念和其他原因造成的死亡。由於長時間的病痛未能得到治療，躁鬱症患者的自殺嘗試風險是重度抑鬱症患者的兩倍。而且我們的早逝風險也高於普通人10到20年，包括因自殺或心臟病等慢性疾病。

以Sara為例，她花了25年才得到正確的診斷。而對Devika來說，則接近三年。這些年是我們和我們所愛的人經歷過的最艱難的時光——在某些時候，我們曾經接近死亡。

我們不希望這樣的事情再發生在其他人身上。我們知道如何有效地診斷和治療躁鬱症。我們希望每個人都能夠及時獲得正確的治療和工具，以迅速康復和茁壯成長。

透過電影改變敘事

我們現在有一個共同的使命，那就是通過傳播教育和啟發，終結污名，促進康復，拯救生命。

Sara 為此寫了一本回憶錄。Devika 在擔任加州代理衛生總監期間，公開分享了她的故事，這使她遇到了Sara，並建立了一個健康社區，致力於消除心理疾病的污名，並傳播康復和韌性工具。

在這個共同的使命中，我們正在製作一部電影，旨在幫助數百萬遭受躁鬱症譜系疾病折磨的人改變現狀。這部電影以Sara的回憶錄命名，我們希望《腦暴風電影》（BrainStorm the Film），預計在2025年上映，將有助於轉變有關生活在躁鬱症譜系上的對話和現實。

這部即將上映的電影將把生活在躁鬱症中的人們的故事、尖端科學和突破性治療結合成一個連貫的敘事，以傳達希望和韌性。請加入我們的旅程，實現我們的使命——創造一個人們可以充分發揮潛力和茁壯成長的世界。

Sara Schley 是《腦暴風電影》的聯合製作人、聯合編劇，她是一位商業顧問、社會變革企業家、演講家和作家。她是一位母親、祖母、社區領袖和26年來的妻子。在她的回憶錄《腦暴風：從破碎到祝福的躁鬱症譜系》中，這部電影的靈感來源，她講述了自己的激動人心的故事。

Dr. Devika Bhushan 是一名兒科醫生和公共衛生領袖，專注於增強韌性和平等。她曾在2022年擔任加州代理衛生總監。自從公開分享她自己的躁鬱症故事以來，Dr. Bhushan 建立了一個健康社區，致力於消除心理疾病的污名，並傳播康復和韌性工具。

When you hear the word “bipolar,” what images come to mind? Maybe someone who is untrustworthy, violent, highly emotional or unpredictable.

We all likely know someone with bipolar disorder — maybe intimately. But thanks to the stigma surrounding mental illness, we may not know that they have a mental health condition. Though estimates vary, about 1 in 38 people will be diagnosed with either bipolar I or II in their lifetimes — and maybe even as many as 1 in 22 people .

Yet, despite the high prevalence, negative stereotypes about bipolar disorder are as common in our society as they are untrue — and revealing a bipolar disorder diagnosis can lead to very real discrimination ; in the workplace, in opportunities, in civic/social participation and in health care. In fact, 4 out of 5 people find the experiences of stigma and discrimination related to mental illness to be more painful than mental illness itself. In part because of stigma, more than half of American adults with mental illness are not in treatment.

The stereotypes people hold about bipolar disorder evoke extreme images of folks at their most unwell (or worse than that) — but do not describe people with well-treated bipolar disorder. People with well-managed bipolar disorder are able to be our most thoughtful, curious, creative and loving selves.

Both of us, the authors of this blog, are living proof. We both have well-managed bipolar disorder. We identify as successful professionals; Sara is an entrepreneur and author, and Devika is a pediatrician and public health leader. We each have deep community bonds, including decades-long partnerships with our husbands, as well as loving relationships with our children, family members, friends and colleagues.

A More Complex Picture

While many people understand bipolar disorder to encompass wild highs — with delusions, visions and spending sprees — this actually only describes mania, which is part of bipolar I disorder, at one extreme end of what we now call the “bipolar spectrum.”

People whose brains fall elsewhere on the bipolar spectrum — bipolar II and others — experience severe, life-threatening depression, but do not exhibit classic mania. Instead, we experience a milder elevated state called hypomania, with symptoms like anxiety, irritability, talking/thinking faster and an inflated sense of self, in addition to depression.

So bipolar disorder can exist without mania — and more often does. In fact, bipolar II is actually about 1.5 times more prevalent than bipolar I. Depression commonly afflicts people with bipolar II disorder and can be the first kind of bipolar mood episode that presents to a doctor. And since it looks similar to classic depression (major depressive disorder), misdiagnosis is rampant. Up to one of three people who are initially diagnosed with classic depression may actually be on the bipolar spectrum, with key clues like family history or personal history of mania or hypomania that are often missed.

This is critical to discern because the antidepressants usually prescribed for classic depression can lead to hypomania, mania, mixed symptoms or a worsening course for those with bipolar disorder — with dangerous, even lethal consequences — whereas mood stabilizers (in combination with behavioral treatments) can help lift the depression.

The Impact of Stigma and Misinformation

On average, it takes over 11 years for people with bipolar II to get the correct diagnosis and treatments.

In the meantime, we suffer great pain, including addiction, incarceration, homelessness, suicidality and death from other causes. Due to longer periods of time spent unwell, people with bipolar disorder are twice as likely to attempt suicide as those with major depression. And we're at increased risk for dying 10 to 20 years earlier than the general population, including by suicide or from chronic conditions like heart disease.

In Sara’s case, it took 25 years to get the right diagnosis. For Devika, it was close to three years. These years were the hardest we and our loved ones have known — and we were each close to death at points.

We don’t want this to be the case for anyone else. We know how to diagnose and treat bipolar disorder effectively. We want everyone to be able to access the right treatments and tools to heal and thrive as quickly as possible.

Changing the Narrative with Film

We’re now on a shared mission to end the stigma, maximize healing and save lives by spreading education and inspiration.

Sara wrote a memoir to this end. Devika shared her story publicly while serving as California’s Acting Surgeon General, which led her to meet Sara and build a well-being community to destigmatize mental illness and spread tools for healing and resilience.

In this shared mission, we are making a film that will reach and help change the reality for millions of people suffering from bipolar spectrum disorders. Named after Sara’s memoir, we hope that “BrainStorm the Film ,” expected in 2025, will help transform the conversation and realities around living on the bipolar spectrum.

This upcoming film combines stories of people living and thriving with bipolar disorder; cutting-edge science; and breakthrough treatments into one coherent narrative to convey hope and resilience. Please join us on this journey as we realize our mission — a world in which people living with bipolar disorder can unlock their fullest potential and thrive.

Sara Schley , co-producer, co-writer of “BrainStorm the Film,” is a business consultant, social change entrepreneur, speaker and author. She is a mother, grandmother, community leader and wife of 26. In her memoir, “ BrainStorm: From Broken to Blessed on the Bipolar Spectrum ,” the inspiration for Brainstorm the Film, she tells her riveting story.

Dr. Devika Bhushan is a pediatrician and public health leader focused on enhancing resilience and equity. She served as California’s Acting Surgeon General in 2022. Since sharing her own story with bipolar disorder publicly, Dr. Bhushan has built a well-being community to destigmatize mental illness and spread tools for healing and resilience.

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共創精神健康平等MHACC參加加州亞太裔健康圓桌會議 | MHACC Joins in California AANHPI Health Equity Roundtable

Thu, 08 Aug 2024 17:43:10 GMT

MHACC 雙語部落格快訊｜Bilingual Blog Flash News

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8月6日，執行長彭一玲女士代表美國華裔精神健康聯盟（MHACC）參加了在薩克拉門托舉行的加州亞裔美國人與夏威夷原住民/太平洋島民（AA NHPI）健康公平圓桌會議。這次會議匯聚了聯邦、州和地方領導人，以及社區組織代表，共同探討亞太裔社區面臨的三大挑戰：語言障礙、精神健康問題和反亞裔暴力。

會議重點：

語言可及性：新的聯邦法規要求醫療機構為英語能力有限的人士提供語言協助。與會者討論了如何在加州有效落實這些政策。
精神健康：探討了文化敏感的精神健康服務的重要性，以及如何增加亞太裔社區獲得這些服務的機會。
反亞裔暴力：討論了COVID-19期間反亞裔仇恨犯罪激增對社區造成的影響，以及應對策略。

彭一玲女士在會上發言時強調了MHACC在這些領域的工作：

"反亞裔仇恨犯罪的增加導致了嚴重的精神健康問題。語言障礙和文化污名使許多受害者沉默無助。通過'遏止仇恨'項目的資助，MHACC得以填補關鍵服務空白：

擴大支持小組：為受害者提供母語交流和療癒的安全空間
面對面支持：在高風險地區設立四個辦公室和危機干預團隊
社區外展：每年接觸2萬人
開發AI驅動的免費手機應用程式，為仇恨事件受害者隨時隨地提供精神健康資源和支持"

彭女士還指出了一些持續的挑戰，如社交媒體上的錯誤信息傳播、政策誤解等，並呼籲加強非營利組織與決策者之間的溝通，以便在緊急情況下獲得及時的資金和支持。

其他重要發言人也分享了寶貴見解：

亞洲健康服務首席執行官Julia Liou指出："語言可及性是確保獲得優質醫療保健的首要因素，但我們的社區仍然面臨著以自己的語言獲取重要服務的障礙。"
加州參議員Dave Min強調："語言可及性對我們多元社區的整體健康和福祉至關重要。"
美國衛生與公眾服務部第9區主任Jeffrey Reynoso博士表示："語言可及性是我們所有掌權者為有效服務社區而承擔的責任。我們必須承擔起自己的角色，確保最弱勢的社區成員獲得應得的機會，並必須在公共和私營部門通力合作以實現這一目標。"

出席會議的重要領導包括：

聯邦政府代表：

Kota Mizutani，白宮公眾參與辦公室
Erika Niniyou，白宮亞太裔倡議
Melanie Fontes Rainer，美國衛生與公眾服務部民權辦公室主任
Dr. Jeffrey Reynoso，衛生與公眾服務部第9區主任

州政府與立法代表：

加州參議員David Min
加州眾議員Phil Ting
加州眾議員Evan Low
加州眾議員Stephanie Nguyen
Pam Chueh，加州政府運營局州首席公平官
Dan Torres，加州健康與公眾服務局首席公平官
Maureen Keffer，加州健康與公眾服務局助理公平官

學術界代表：

Dr. Ninez Ponce，加州大學洛杉磯分校健康政策研究中心主任

社區與基金會代表：

Kaying Hang，Sierra Health基金會主席
David Yee委員，加州亞太島民事務委員會
Rajan Gill委員，加州亞太島民事務委員會

此外，多個社區組織的代表也積極參與了此次會議，共同為亞太裔社區的健康平等獻計獻策。

這次會議為我們提供了寶貴的機會，與各界領袖分享經驗、探討解決方案。MHACC將繼續致力於為我們的社區提供文化敏感的精神健康服務，幫助受害者康復，培養社區韌性。我們深信，通過持續的努力和跨部門合作，我們可以建立一個更強大、更團結的華裔美國社區，共同抵制仇恨和歧視，促進健康平等。

On August 6th, our Executive Director Elaine Peng represented the Mental Health Association for Chinese Communities (MHACC) at the California Asian American and Native Hawaiian/Pacific Islander (AA & NHPI) Health Equity Roundtable in Sacramento. The meeting brought together federal, state, and local leaders, as well as community organization representatives, to address three major challenges facing the AA & NHPI community: language barriers, mental health issues, and anti-Asian violence.

Key Points of the Meeting:

Language Access: New federal regulations require healthcare institutions to provide language assistance for those with limited English proficiency. Participants discussed how to effectively implement these policies in California.
Mental Health: The importance of culturally sensitive mental health services was explored, along with ways to increase access to these services for the AA & NHPI community.
Anti-Asian Violence: The impact of increased anti-Asian hate crimes during COVID-19 and strategies to address this issue were discussed.

Elaine Peng highlighted MHACC's work in her speech:

"The rise in anti-Asian hate crimes has led to significant mental health issues. Language barriers and cultural stigma have left many victims silent and without resources. Through the 'Stop the Hate' program funding, MHACC has been able to fill critical service gaps:

Expanded Support Groups: Providing safe spaces for victims to connect and heal in their native language
In-Person Support: Establishing four offices and crisis intervention teams in high-risk areas
Community Outreach: Reaching 20,000 people annually
Developing AI-powered free mobile apps offering mental health resources and support for hate incident victims anytime, anywhere"

Ms. Peng also pointed out ongoing challenges such as misinformation spread on social media and policy misconceptions, calling for stronger communication between nonprofits and policymakers to ensure timely funding and support in emergencies.

Other key speakers shared valuable insights:

Julia Liou, CEO of Asian Health Services, stated: "Language access is a top factor in ensuring meaningful access to quality health care, yet our communities continue to face barriers accessing critical services in their language."
California Senator Dave Min emphasized: "Language access is paramount to the overall health and wellness of our diverse communities."
Dr. Jeffrey Reynoso, HHS Region 9 Director, noted: "Language access is a responsibility that all of us in positions of power hold to serve our communities effectively. We must own our role in ensuring that our most underserved community members have the opportunities they deserve and must work together across the public and private sectors to do so."

Key attendees included:

Federal Government Representatives:

Kota Mizutani, White House Office of Public Engagement
Erika Niniyou, White House Initiative on AANHPIs
Melanie Fontes Rainer, Director, Office of Civil Rights, U.S. Department of Health & Human Services
Dr. Jeffrey Reynoso, Health and Human Services Region 9 Director

State Government and Legislative Representatives:

Senator David Min
Assemblymember Phil Ting
Assemblymember Evan Low
Assemblymember Stephanie Nguyen
Pam Chueh, State Chief Equity Officer, Cal Government Operations Agency
Dan Torres, Chief Equity Officer, California Health and Human Services Agency
Maureen Keffer, Assistant Equity Officer, California Health and Human Services Agency

Academic Representative:

Dr. Ninez Ponce, Director, UCLA Center for Health Policy Research

Community and Foundation Representatives:

Kaying Hang, President, Sierra Health Foundation
Commissioner David Yee, CA Commission on APIA Affairs
Commissioner Rajan Gill, CA Commission on APIA Affairs

Additionally, representatives from various community-based organizations actively participated in the meeting, contributing to strategies for health equity in the AA & NHPI community.

This meeting provided a valuable opportunity to share experiences and explore solutions with leaders from various sectors. MHACC will continue its commitment to providing culturally sensitive mental health services to our community, helping victims recover, and fostering community resilience. We firmly believe that through ongoing efforts and cross-sector collaboration, we can build a stronger, more united Chinese American community that stands against hate and discrimination and promotes health equity.

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彭一玲在白宮亞太裔精神健康會議為社區發聲 | Elaine Peng Advocates at White House AANHPI Convening

Fri, 26 Jul 2024 23:25:36 GMT

MHACC 雙語部落格快訊｜Bilingual Blog Flash News

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7月24日，正值全美少數族裔精神健康月，美國華裔精神健康聯盟（MHACC）的執行長彭一玲和UCA WAVES（浪潮）的執行長Lily Chen（陳健）應邀出席白宮舉辦的亞太裔（AANHPI）精神健康會議，為華裔社區發出了強而有力的呼聲。這場具有里程碑意義的會議匯聚了聯邦高級官員、社區領袖和精神健康專業人士，共同探討亞太裔社區面臨的精神健康挑戰。

出席會議的重要人士包括白宮總統副助理兼AANHPI高級聯絡員莫里茲古（Erika Moritsugu）、美國衛生與公眾服務部助理部長萊文（Admiral Rachel L. Levine，MD）、美國藥物濫用與精神健康服務管理局（SAMHSA）行為健康公平辦公室主任Larke Huang、白宮亞太裔促進項目（WHIAANHPI）執行長Krystal Ka'ai，以及白宮公共參與辦公室高級顧問Kota Mizutani。此外，全美從事亞太裔精神健康研究和治療的專業人士，以及社區組織領袖和青少年組織領袖共數十人也出席會議並分享了各領域的寶貴經驗。

彭一玲在會上揭示了一個令人震驚的事實：儘管MHACC的暖線服務已運營十年，但僅獲得了3000美元的政府撥款。她說：「我們的暖線目前每週七天，從早上9時到晚上9時，30名受過培訓的員工和志願者，不間斷的提供國語、粵語、英語三種語言的免費情感支持、危機干預和資源轉介。然而，我們主要依靠四處籌集資金和私人捐贈來維持運營。」

彭一玲同時強調了語言在精神健康護理中的關鍵作用，指出缺乏文化和語言適當的服務使得社區成員，尤其是新移民，無法獲得足夠的支持。

她以半月灣槍擊案為例：「造成慘案的兇手趙春力患有嚴重的精神疾病。但由於不懂英語，他不知道如何正確服藥。這凸顯了我們社區亟需針對精神健康疾病進行預防和早期干預。」

與會者還討論了AANHPI社區中的精神健康污名問題，以及資源有限和缺乏文化敏感的醫療提供者等挑戰。會議強調了準確數據對指導政策和實踐的重要性，特別是考慮到AANHPI社區內部的多樣性。

UCA WAVES 的執行長陳健的發言別出心裁，在分別用國語、粵語和英文向與會者致意後，她強調了家長在幫助青少年獲取心理健康資源中的關鍵作用，並倡導"Nothing About Us Without Us"（我們社區的事務，必須有我們的參與）的原則。陳健指出，解決青少年心理健康危機需要全社會的努力，同時強調深入聽取社區聲音對尋找解決方案至關重要。她分享了UCA WAVES最近進行的青少年焦點小組研究，呼籲投資社區組織的研究能力，因為他們最了解社區問題和可能的解決方案。陳健還介紹了他們的心理健康急救培訓項目，指出了服務中存在的污名化問題，並強調需要社區組織與研究人員合作，以提高研究能力和服務效果。

會議最後強烈呼籲將資金用於提供文化特定預防和治療計劃的社區組織，以確保資源能到達最需要的個人和家庭。

這次會議不僅是一次深入的交流，更是一個新的起點。MHACC將繼續為華裔社區爭取更多的精神健康服務資源，推動建立一個更具包容性和支持性的精神健康護理體系，為每一位社區成員的精神健康保駕護航。

參考世界日報報導：暖線10年只獲3000元華裔精神健康聯盟盼官方伸援

On July 24, During 'Bebe Moore Campbell Minority Mental Health Awareness Month', Elaine Peng, Executive Director of the Mental Health Association for Chinese Communities (MHACC), and Lily Chen, Executive Director of UCA WAVEs, attended the White House AANHPI Mental Health Convening, giving a powerful voice to the Chinese-American community. This landmark meeting brought together federal officials, community leaders, and mental health professionals to address mental health challenges facing the Asian American, Native Hawaiian, and Pacific Islander (AANHPI) communities.

Notable attendees included Erika Moritsugu, White House Deputy Assistant to the President and AANHPI Senior Liaison; Admiral Rachel L. Levine, MD, Assistant Secretary for Health at the U.S. Department of Health and Human Services; Larke Huang, Director of the Office of Behavioral Health Equity at SAMHSA; Krystal Ka'ai, Executive Director of the White House Initiative on AANHPIs; and Kota Mizutani, Senior Advisor at the White House Office of Public Engagement. Dozens of AAPI mental health researchers, practitioners, community organization leaders, and youth representatives also participated, sharing insights from various fields.

Peng revealed a shocking fact: despite a decade of operating MHACC's warmline service, they had received only $3,000 in government funding. "Our warmline operates seven days a week, from 9 AM to 9 PM, with 30 trained staff and volunteers providing free emotional support, crisis intervention, and resource referrals in Mandarin, Cantonese, and English. However, we mainly rely on fundraising and private donations to maintain our operations," Peng stated. She emphasized the crucial role of language in mental health care, noting how the lack of culturally and linguistically appropriate services leaves community members, especially new immigrants, without adequate support.

Illustrating the impact of language barriers, Peng cited the Half Moon Bay shooting: "The perpetrator, Chunli Zhao, suffered from severe mental illness. But due to his limited English, he didn't know how to take his medication properly. This underscores the urgent need for mental health prevention and early intervention in our community."

Participants also discussed mental health stigma in AAPI communities, limited resources, and the lack of culturally sensitive healthcare providers. The meeting highlighted the importance of accurate data to guide policies and practices, considering the diversity within AANHPI communities.

The speech by Lily Chen (UCA WAVES), was particularly distinctive. After greeting the attendees in Mandarin, Cantonese, and English, she emphasized the crucial role of parents in helping youth access mental health resources and advocated for the principle of "Nothing About Us Without Us". Chen pointed out that addressing the youth mental health crisis requires a society-wide effort while stressing the critical importance of deeply listening to community voices in finding solutions. She shared UCA Waves' recent youth focus group research and called for investment in community organizations' research capabilities, as they best understand community issues and potential solutions. Chen also introduced their mental health first aid training program, highlighted the stigma issues in services, and emphasized the need for community organizations to collaborate with researchers to enhance research capabilities and service effectiveness.

The convention concluded with a strong call for funding culturally specific prevention and treatment programs through community organizations, ensuring resources reach those most in need.

This convention marks not just a dialogue, but a new beginning. MHACC will continue advocating for more mental health resources for the Chinese-American community, working towards a more inclusive and supportive mental health care system.

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克服精神健康污名化—彭一玲接受MHFA採訪報導 | Overcoming Mental Health Stigma - An Interview with MHFA | July 2024

Fri, 26 Jul 2024 21:26:40 GMT

MHACC 雙語部落格快訊｜Bilingual Blog Flash News

本文翻譯自MHFA（精神健康急救）的部落格文章——亞裔美國人社區的精神健康：克服污名化

By Mental Health First Aid USA on July 19, 2024

Click for the Original English Article: Mental Health in Asian American Communities: Overcoming Stigma

Scroll down for the English Version ⬇️

"美國每五個成年人中，就有一個正在經歷精神疾病挑戰。所以，我常常問自己，為什麼人們不能像談論癌症或心臟病那樣，公開談論精神疾病呢?"

彭一玲是成人和青少年精神健康急救(MHFA)華語社區的重要講師。自從多年前丈夫因酒精使用障礙去世, 以及女兒被診斷出患有躁鬱症後，她開始投身於精神健康倡導的旅程。

在尋求幫助以應對自己的精神健康挑戰時，她學會了如何支持自己和女兒，並受到啟發，決心要幫助華人社區中的其他人。

回顧自己的經歷，一玲分享道:"我女兒的康復，證明治療是有效的。所以，我希望其他人知道他們並不孤單！"

研究估計 , 全美有5780萬人正在經歷各種精神疾病的挑戰。儘管如此, 社會對精神健康問題的偏見仍然存在。精神疾病是可以有效治療的, 但社會傾向於將精神疾病與身體疾病區別對待。這種污名化在亞裔社區尤為普遍, 研究表明這是阻礙亞裔美國人尋求幫助的主要障礙。

彭一玲指出, 在加州阿拉米達縣，亞裔佔總人口的29%，但在公共心理健康系統中僅佔2%。"這是否意味著亞裔的心理健康狀況比其他族裔好15倍？當然不是，"她說。"太多正在與心理疾病抗爭的華裔美國人仍在默默忍受，就像我的丈夫一樣，最終因病去世。"

一玲目前正致力於提高精神健康教育的認識, 幫助人們及早識別症狀並迅速尋求專業幫助, 就像他們對待身體疾病一樣。她的目標是將 MHFA 項目引入華人社區, 以防止其他人經歷她和她的家人所經歷的痛苦。

理解污名：何為精神健康的文化觀念

長期以來受到邊緣化的群體,如黑人、原住民和有色人種(BIPOC)社群, 在獲得優質的精神健康和藥物濫用護理服務方面, 面臨著不成比例的挑戰。華人社區因文化和結構原因更面臨著獨特的精神健康挑戰。彭一玲強調了這兩個因素:

1，文化因素: 污名化

根深蒂固的文化污名是一個重大障礙。將精神疾病視為個人失敗或軟弱的表現, 阻礙了個人尋求幫助。

在華人文化中, 大腦被視為支配所有功能的器官。因此, 精神健康挑戰往往被認為是大腦——這個身體指揮中心的根本缺陷。這種看法導致人們認為患有精神健康問題的個人不可靠或不適合社交互動, 從而導致社會地位的喪失。

"面子"的概念, 與一個人的公眾形象和榮譽相關聯, 使人們難以尋求幫助。因為他們會擔心丟臉或破壞社會和諧。所以, 人們往往承受著很大的壓力, 需要獨自面對問題。

2，結構因素:資源有限

缺乏適合華人社區文化和語言的精神健康服務，造成了獲取支持的障礙。這包括雙語治療師和文化敏感性治療模式的短缺。

這些因素共同作用，為華裔美國人尋求幫助製造了一個複雜的阻礙環境。文化上的污名化，再加上缺乏易於獲得且具有文化敏感度的資源，導致了孤立感和絕望感。

改變策略：克服污名化並促進精神健康

彭一玲指出，同時解決文化污名化和結構性障礙可以創造積極的變化，以應對華人社區內的精神健康挑戰。她的建議包括：

促進開放溝通

減少精神健康污名化的一個關鍵方法是鼓勵開放和易於接觸的溝通。這可以通過在社交媒體或支持團體等不同平台上促進公開討論精神健康來實現。同伴支持為面臨類似挑戰的個人提供了社區感和歸屬感，減少了孤立感。人們常常報告感到較少孤單、孤立或被評判，並且痛苦、抑鬱、焦慮或疲勞有所減輕。公開誠實地交流感受是一個重要的益處。

對抗污名化

解決與精神疾病相關的不足感知需要有針對性的干預。不同類型的支持團體為人們提供了安全的空間來分享經驗，創造社區感和歸屬感。這有助於對抗孤立感，並賦予個人管理自身狀況的能力。

通過倡導賦權照顧者

倡導在對抗外部污名化方面發揮著巨大作用。諸如倡導精神健康立法、組織意識提升運動, 以及與受人尊敬的機構(如聖何塞鯊魚隊)合作等努力可以顯著改善公眾認知。舉辦全美陽光精神健康杯歌唱大賽和農曆新年遊行等活動突出展示了精神疾病患者的才能, 進一步促進了理解和接納。

提供支持和資源

像全美精神健康聯盟(NAMI)這樣的組織創建了華裔美國人支持小組 , 改善了華人社區獲取精神健康資源的機會。這些資源滿足了文化敏感的同伴支持的迫切需求, 為個人和家庭帶來了積極成果。

美國華裔精神健康聯盟(MHACC) 的資源和支持小組從 5 個擴展到目前的 13 個, 表明了對文化敏感資源的巨大需求。通過這些小組，MHACC 已接觸到10萬個人, 並介入了117起家庭自殺危機。MHACC的其他資源還包括:

免費雙語暖線, 為經歷精神健康挑戰的人提供即時和保密的情感支持。
免費雙語精神健康手機應用軟件 (UrSpace和MiSunshine)

認識到我們社區的多元性，精神健康急救（MHFA）最近為不同群體開發了文化適應性的成人和青少年的 MHFA 課程，其中包括針對華語社區的培訓。這些課程在保留原有內容精髓的同時, 也針對特定的文化需求和細微差異進行了調整。華人社區的成員能夠獲得的資源不僅僅在表面上認可文化差異, 更深入地理解並回應可能影響精神健康觀念的文化因素。培訓模塊教導個人如何在考慮文化差異的同時，識別和回應他們社區中的精神健康或物質使用挑戰。這些課程強調尊重不同觀點的重要性，並承認在精神健康支持方面，沒有一刀切的解決方案。

為了幫助解決導致不平等的種族不公和相關污名化，國家精神健康委員會建立了一個資源目錄，為您的社區提供工具和學習機會。

作為華裔美國社區精神健康項目開發的領導者，彭一玲指出為特定群體量身定制支持策略的重要性。她注意到傳統的支持小組模式可能並不總是與華人社區產生共鳴，因此優先考慮基於文化偏好的活動，如野餐、釣魚旅行和公共慶祝活動。文化敏感的活動可以提高參與度並創造歸屬感，這對於克服污名化和鼓勵人們尋求幫助至關重要。再加上對教育和意識的強烈關注，確保可及性和適應性，就可以集體賦權人們，減少污名化，並促進華裔美國社區的精神健康。

展望未來，一玲希望能夠繼續為華人社區提供精神健康教育的機會。她鼓勵正在掙扎的個人以及精神健康倡導者加入支持網絡，並通力合作以擴大他們的影響力。

精神健康急救員可以通過「精神健康急救課程查詢工具」搜索他們偏好語言的課程。這個工具還可以用來尋找並聯繫獲得認證的、專門針對特定社區開設課程的MHFA講師。如果沒有合適的課程，急救員可以考慮「成為MHFA講師」，帶頭為自己的社區引進相關課程。

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當歧視始於小學 | When Discrimination Starts in Elementary School

Sun, 14 Jul 2024 17:34:09 GMT

March 20, 2019

By Leslie Cappiello, Ph.D.

https://www.nami.org/attention-deficit-hyperactivity-disorder/when-discrimination-starts-in-elementary-school/

Scroll down for the English Version ⬇️

十多年前，我接到兒子小學校長的緊急電話，說路克又「失控了」，「用鉛筆作為致命武器刺傷了他的老師」。校長告訴我警察正在趕來的路上，如果我不盡快趕到，他們就要以攻擊罪逮捕我兒子。當時我兒子才六歲。

我匆忙地告訴我的大學生們下課，然後衝向停車場，猛踩油門衝出校園。同時，我對上帝大聲吶喊，問他我的兒子何時才能得到他所需要的幫助，而不是遭受這樣的歧視和誤解。二十分鐘後，我衝進小學，來到兒子所在的房間。地上散落著書本和玩具，椅子翻倒，一張桌子被折斷成兩半，就像我的心一樣碎了。

我的兒子獨自坐在地板上，像隻受傷的動物般啜泣，仿佛陷入了無法逃脫的陷阱。一名警察站在旁邊「守衛」著他，校長和另外三名老師也在一旁看守。我撲到兒子身邊，將他緊緊抱在懷裡，低聲說：「媽媽在這裡，別擔心，一切都會好起來的。」老師們抱著胸，默默地注視著這一切。校長說必須對我兒子採取行動，因為「他太危險了，需要被安置在另一個環境中」。我能感受到他的憤怒和批判填滿了整個房間，也深刻體會到我兒子正面臨的歧視。

為兒子尋求所需的幫助，對抗偏見

這樣的生活持續了十年，漫長而充滿壓力。我的兒子被診斷出早發性躁鬱症、自閉症譜系障礙和注意力缺陷多動症（ADHD）。

多年來，我與不同的學區爭取幫助，試圖讓他們理解我兒子的情況並提供適當的支持，卻徒勞無功。同時，我兒子的學業也不斷落後。他在公立學校進進出出，嘗試了無數無效的藥物，曾短暫住過精神病院。保險公司不願支付住院治療或在家教育的費用。15歲時，他因為打了老師助理而被送進少年拘留所，這再次顯示了社會對精神健康問題的誤解和歧視。

剛滿16歲時,他宣布不再服藥。我苦苦哀求他不要這麼做,但他不聽。慢慢地,他表現出極端的攻擊性,進入了極度躁狂狀態。他拒絕去醫院,說他不需要再參加另一場「怪胎秀」。他說沒有人能幫助他。

我知道他該再次住院了。我們最近搬到了德州海岸的一個小鎮,為了離家人更近,過上節奏更慢的生活,希望這能幫助他變得更好。我還不熟悉當地的醫院,所以只能碰運氣。幸運的是,我們找對了地方。

我叫來一名精神健康副警長幫忙安撫他,把他弄進車裡。這位警長對我兒子出奇地和善。我從不知道還有這樣的警察。他把我兒子送到了醫院,這家醫院無論是字面上還是比喻上,都成了我兒子真正康復的第一站。

他在醫院住了三週。負責治療他的精神病醫生非常出色。在嘗試了幾種無效藥物後,他問我能不能試試每月注射一次的Invega Sustenna。我對這種藥一無所知,於是做了些研究,然後同意了。我們已經嘗試了所有其他方法,我想也許這種藥會是有效的那一個。事實證明確實如此。這成了讓我兒子首次能夠清晰、冷靜思考的關鍵。

轉折點

從那以後,路克能夠每週上學三天左右。這不是傳統的高中,而是一個半天制的項目,專門幫助各種在常規學校無法適應的孩子。他每週接受心理諮詢。現在他的情緒比以往任何時候都穩定,所以他能夠開始處理自己的憤怒和情緒波動問題。如果不是這最後一次的住院,這一切都不可能發生。

我非常感恩我的兒子生命中第一次有了蓬勃發展的機會。我不得不放下對他以前老師和行政人員的許多怨恨,因為他們在滿足他需求方面太不靈活。他是一個患有精神疾病的孩子。他需要的是他們的幫助和同情,而不是判斷。他需要適當的照顧和諮詢。

希望與改變

如今，我們專注於讓路克在所有他錯過的學習上趕上進度。路克已經填寫了工作申請表，希望能找到一份兼職工作。他甚至在考慮上社區大學——這些都是我們曾經無法想像會成為他未來一部分的事情。

儘管我曾害怕搬到一個新城鎮，換一個新醫生，但這個決定對我兒子的心理健康和穩定性來說是最好的。我感覺上帝回應了我的求助。我知道我和兒子還有很長的路要走，但我們已經取得了實質性的進展。第一次，我們有了希望。更重要的是，我們找到了真正理解和支持我兒子需求的人，而不是簡單地將他貼上標籤或歧視他。

這個經歷讓我意識到，我們社會在理解和接納精神健康問題方面還有很長的路要走，特別是在教育系統中。我希望通過分享我們的故事，能夠幫助更多人理解，每個孩子，無論是否有精神健康問題，都值得被公平對待和得到適當的教育機會。

萊斯莉·卡皮耶洛（Leslie Cappiello）是四個孩子的單親母親。她是一名國際文憑高中英語教師，同時也在一所社區大學任教。為了更好地理解躁鬱症並幫助兒子接受治療，她獲得了博士學位。她自行出版了一本小說《猴子的魔法》。她在2016年獲得了克勞斯·諾貝爾傑出教師獎，2017年獲得傑出教師獎。

Over a decade ago, I received a frantic call from my son’s elementary school principal that Luke was “out of control again,” and “used a pencil as a deadly weapon to jab his teacher in the arm.” He told me that the police were on their way, and if I didn’t get there soon, they were going to have him arrested for assault. My son was six years old at the time.

Hurriedly, I told my college students that class was dismissed. I raced to the car, hit the gas pedal hard and roared out of the college parking lot. At the same time, I was yelling at God asking him when my son was going to get the help he needed. Twenty long minutes later, I ran into the elementary school and into the room where my son was. There were books and toys thrown all over the floor, chairs overturned, and a table broken in two, which is how my heart felt.

My son sat alone on the floor, sobbing like a wounded animal caught in a trap with no way out. There was a police officer standing “guard” over him; the principal and three other teachers were doing the same. I flung myself to the ground next to my son, pulled him close to my chest and whispered, “Mommy’s here, don’t worry, it’ll be all right.” The teachers silently watched with arms crossed over their chests. The principal said that something had to be done about my son because “he’s simply too dangerous and needs to be put in another environment.” I could feel his anger and judgment filling the room.

Getting My Son the Help He Needed

This has been our life for 10 very long and stressful years. My son has early onset bipolar disorder, autism spectrum disorder and ADHD.

Over the years, I have fought different school districts for help to no avail, while my son fell behind academically. He has been in and out of public schools. He has tried countless medicines that haven’t worked. He’s experienced short stays in psychiatric hospitals. Insurance wouldn’t pay for residential treatment or home school. He was put in juvenile detention when he was 15 for hitting his teacher’s aid.

Right after he turned 16, he announced he wasn’t going to take his meds anymore. I begged him not to do that, but he didn’t listen. Slowly he exhibited extreme aggression and became hyper manic. He refused to go to a hospital saying that he didn’t need another “freak show.” He said that no one can help him.

I knew he was overdue for another hospital stay. We’d recently moved to a small town on the Texas coast to be closer to family and have a slower paced life in hopes that it would help him do better. I didn’t know the local hospitals yet, so it was going to be hit or miss. Thankfully, it was a hit.

I called for a mental health deputy to help calm him down and get him in the car. He was amazingly kind to my son. I never knew there was such a thing. He transported my son to the hospital, which turned out to be literally and figuratively the first real road to my son’s recovery.

He was in the hospital for three weeks. The psychiatrist helping him was outstanding. After trying a few medications that didn’t work, he asked me if they could try Invega Sustenna injection once a month. Not knowing anything about it, I did my research and said okay. We had tried everything else, I thought maybe this medicine will be the one. And it was. It has been the key to my son being able to think clearly and calmly for the first time in his life.

Turning a Corner

Since that time, Luke’s been able to attend school about three days a week. It’s not a traditional high school, but a half day program that works with all types of kids that haven’t been successful in regular school. He attends weekly counseling. He is now more stable than ever, so he can work on his anger and mood swings. All that would never have happened if he had not been placed in this last hospital.

I’m so thankful that my son is thriving for the first time in his life. I have had to let go of a lot of anger towards his former teachers and administrators for being so inflexible in attending to his needs. He was child with mental illness. He needed their help and compassion rather than their judgment. He needed proper accommodations and counseling.

Today, we are focusing on Luke gaining some ground on all the learning he never received. Luke has filled out a job application and hopes to get a part-time job. He is even thinking about community college—all things that he and I never imagined could be part of his future.

Though I was afraid to make the move to a new town and a new doctor, this decision has been the best one for my son’s mental health and stability. I feel as if God answered my cries for help. I know that my son and I have a long journey ahead of us, but we’ve made real progress. For the first time, we have hope.

Leslie Cappiello is the single mother of four children. She is an International Baccalaureate high school English teacher as well as an instructor at a community college. In order to understand bipolar more and help with her son’s treatment, she obtained a PhD. She has self-published a novel, The Magic of the Monkeys. She was the Claes Nobel Distinguished Teacher in 2016, and Outstanding Teacher in 2017.

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全美華裔心理健康峰會| National Mental Health Summit | June 2024

Sun, 30 Jun 2024 17:51:23 GMT

06/27-06/30 首屆全美華裔心理健康高峰會在華盛頓特區成功舉辦

Chinese American Mental Health Summit Successfully Held in Washington, D.C.

Scroll Down for an English version ⬇️

2024年6月27日至30日，作為美國華人聯盟（UCA）2024年美國華人大會的重要組成部分，由UCA WAVES和美國華裔精神健康聯盟（MHACC）共同主辦的全美華裔心理健康高峰會在華盛頓特區成功舉行。這次峰會匯聚了來自全國各地的華裔社區組織、心理健康專業人士、政府部門代表以及主流機構的影響力人士，共同探討華裔美國人心理健康的關鍵議題。

此次高峰會不僅是華人社區組織和華裔心理健康組織在全國性平台上展示項目的難得機會，更是一個促進跨部門對話、分享最佳實踐經驗的重要平台。與會者們就當前華裔社區面臨的心理健康挑戰、創新服務模式以及未來發展方向進行了深入討論。

值得一提的是，拜登總統特別為2024年美國華人大會發來賀信，肯定了這個活動的重要性。

國會日活動（6月27日）

第一天是 "國會日"，為了呼應本次華人大會的主題「擁抱新時代民權運動」。600多個亞裔社區代表分成50多個小組，訪問了281個參眾兩院議員辦公室，占議員總數的50%以上。代表們表達了社區關切的問題，包括精神健康服務、購房法案，以及將華裔歷史納入美國歷史課程的倡議等。

聯邦眾議員趙美心（Judy Chu）表示：「亞裔讓國會和各界知道了我們的存在，讓人們聽到了華裔和亞裔的聲音。」

國會山活動共同主席、MHACC執行長彭一玲（Elaine Peng）重點介紹了H.R. 7924法案，該法案旨在推進精神健康領域的文化適宜性和公平支持服務。彭一玲解釋道，這項法案的目標是通過擴大少數族裔服務機構的專業培訓計劃，來增加精神健康工作隊伍的多樣性。多元化的員工隊伍有助於減少語言和文化障礙，從而提高少數群體獲得精神健康服務的機會和效果。

（詳見世界日報報導： https://www.worldjournal.com/wj/story/121472/8062271?from=wj_breaknews_index ）

峰會討論要點（6月28-29日）- 挑戰和機遇

心理健康污名化：紐約長老會醫院副主任陳志佳（Justin Chen）指出，對心理健康的污名化仍然是一個重要挑戰。
資金不足：UCA WAVES執行總監陳健（Lily Chen）強調，資金缺乏是最常見的挑戰，但社區機構必須迅速應對緊急的精神健康危機。
研究經費短缺：哈佛醫學院助理教授劉欣如（Cindy H.Liu）指出，NIH在亞裔健康研究方面的經費僅占總預算的8.17%。
多方面挑戰：MHACC執行長彭一玲（Elaine Peng）指出了幾個關鍵挑戰：
建立信任：服務組織如何讓社區成員產生信任。
教育和宣導：如何針對來自不同背景、甚至尚未認識到精神健康重要性的民眾進行教育，幫助他們識別精神健康問題的跡象。
資源缺乏：例如很難找到合格的中文翻譯。
數據不足：缺少相關數據，難以檢驗和調整服務策略。

彭一玲呼籲："當我們有一顆善良的心，想為社區工作時，卻不知道這樣做到底對不對？很希望研究機構、大學能分享數據。"

（詳見世界日報報導： https://www.worldjournal.com/wj/story/121472/8063708?from=wj_maintab_cate ）

交流與合作

在峰會中，包括MHACC在內的多個組織進行了精彩的演講，介紹了各自在華裔心理健康領域的服務內容和經驗。這些分享不僅展示了各組織的獨特視角和方法，也為與會者提供了寶貴的借鑒機會，更為未來的工作指明了方向。

值得一提的是，MHACC開發的兩款手機軟件被指定為大會官方使用的精神健康護理專用軟件。這些軟件為使用者提供了便捷的心理支持和資源獲取等功能，展示了科技在心理健康中的重要作用，提升了服務的可及性和有效性。

展望未來

展望未來，與會者一致認為，增加數據收集、提高公眾意識、加強跨部門合作，以及充分利用科技創新將是未來工作的重點。

MHACC和其他參與組織將繼續努力，推動相關立法，並致力於消除心理健康領域的文化障礙，打造一個更包容的社會，為華裔美國人提供更好的精神健康服務。

結語

6月30日，在峰會的最後一天，近300位來自美國34個州和大華府本地的華人同胞在華盛頓特區舉行了首次華人組織的大型民權步行活動，紀念《1964民權法》生效60周年。步行活動與心理健康高峰會相呼應，進一步強調了華裔社區在美國社會中爭取平等權利和機會的重要性，包括在心理健康服務方面獲得公平對待的權利。

這次高峰會和隨後的步行活動不僅展現了美國華人對美國建國理念的認同，也體現了華裔社區對於爭取平等權益的決心。通過這樣的活動，華裔社區進一步凝聚力量，為未來在心理健康等各個領域的發展奠定了堅實基礎。

�� 峰會手冊網頁版 Program book

Chinese American Mental Health Summit Successfully Held in Washington, D.C.

From June 27 to 30, 2024, the National Chinese American Mental Health Summit was successfully held in Washington, D.C., as a crucial component of the 2024 United Chinese Americans (UCA) Convention. Co-hosted by UCA WAVES and the Mental Health Association for Chinese Communities (MHACC), this summit brought together Chinese community organizations, mental health professionals, government representatives, and influential figures from mainstream institutions nationwide to discuss key mental health issues affecting Chinese Americans.

This summit not only provided a rare opportunity for Chinese community organizations and mental health groups to showcase their projects on a national platform but also served as an important forum for cross-sector dialogue and sharing of best practices. Participants engaged in in-depth discussions on current mental health challenges in the Chinese community, innovative service models, and the direction of future development.

Notably, President Biden sent a congratulatory letter to the 2024 UCA National Convention, affirming the important contributions of this event.

Congressional Day Activities (June 27)

The first day was "Congressional Day," echoing the convention's theme of "Embracing the New Era of Civil Rights Movement." Over 500 Asian American community representatives, divided into more than 50 groups, visited 281 Congressional offices, representing over 50% of all members of Congress. The representatives expressed community concerns, including mental health services, housing legislation, and initiatives to incorporate Chinese American history into U.S. history curricula.

Congresswoman Judy Chu stated, "Asian Americans have made their presence known to Congress and the public, ensuring that Chinese and Asian voices are heard."

Elaine Peng, co-chair of the event and Executive Director of MHACC, highlighted H.R. 7924, a bill aimed at advancing cultural competence and equitable support services in the mental health field. Peng explained that the bill's goal is to increase diversity in the mental health workforce by expanding professional training programs in minority-serving institutions. A more diverse workforce helps reduce language and cultural barriers, thereby improving access to and effectiveness of mental health services for minority groups.

Summit Discussion Highlights (June 28-29) - Challenges and Opportunities

Mental Health Stigma : Dr. Justin Chen, Deputy Director at New York-Presbyterian Hospital, pointed out that stigma around mental health remains a significant challenge.
Funding Shortages : Lily Chen, Executive Director of UCA WAVES, emphasized that while lack of funding is the most common challenge, community organizations must respond swiftly to urgent mental health crises.
Research Funding Deficiency : Dr. Cindy H. Liu, Assistant Professor at Harvard Medical School, noted that NIH funding for Asian health research accounts for only 8.17% of its total budget.
Multifaceted Challenges : Elaine Peng, Executive Director of MHACC, highlighted several key challenges:

Building Trust: How service organizations can gain community members' trust.
Education and Advocacy: How to educate people from diverse backgrounds, including those who may not recognize the importance of mental health, and help them identify signs of mental health issues.
Resource Scarcity: For example, the difficulty in finding qualified Chinese translators.
Data Insufficiency: Lack of relevant data that makes it challenging to evaluate and adjust service strategies.

Peng appealed, "When we have good intentions to work for the community, how do we know if we're doing the right thing? We hope research institutions and universities can share their data."

Exchange and Collaboration

During the summit, multiple organizations, including MHACC, delivered compelling presentations, introducing their services and experiences in the field of Chinese American mental health. These sharing sessions not only showcased each organization's unique approaches, but also provided valuable learning opportunities for attendees that will direct their future work.

Notably, two mobile apps developed by MHACC were designated as the official mental health care apps for the convention. These apps offer users convenient access to self-care tools and resources, showcasing the significant benefits of integrating technology with mental health services.

Looking Ahead

Looking to the future, participants unanimously agreed that increasing data collection, raising public awareness, strengthening cross-sector collaboration, and fully leveraging technological innovations would be key priorities. All of these objectives can greatly enhance the accessibility and effectiveness of mental health services.

MHACC and other participating organizations will continue their efforts to promote relevant legislation and work towards eliminating cultural barriers in the mental health field, aiming to build a more inclusive society and provide better services for Chinese Americans.

Conclusion

On June 30, the final day of the summit, nearly 300 Chinese Americans from 34 states and the Greater Washington area participated in the first large-scale civil rights walk. It was organized by the Chinese community in Washington, D.C. in order to commemorate the 60th anniversary of the Civil Rights Act of 1964. This walk, resonating with the mental health summit, further emphasized the Chinese American community's pursuit of equal rights and opportunities in American society, including the right to fair treatment in mental health services.

Ultimately, the event not only demonstrated Chinese Americans' identification with America's founding ideals, but also reflected the Chinese community's intense determination to strive for equal rights. Through such activities, the Chinese American community further consolidated its strength, laying a solid foundation for future development in mental health and related fields.

驚恐發作的應對方法｜Coping Strategies for Panic Attacks

Wed, 15 May 2024 21:05:30 GMT

Causes of Panic Attacks (恐慌发作的原因)

Panic attacks can be triggered by high stress, underlying psychiatric conditions such as panic disorder or generalized anxiety disorder, significant life changes, genetic predispositions, or specific phobias. Sometimes, they occur without any obvious cause.
恐慌发作可能由高压力、潜在的精神病状况如恐慌症或广泛性焦虑症、重大生活变化、遗传倾向或特定恐惧症触发。有时候，它们可能在没有明显原因的情况下发生。

Symptoms of Panic Attacks (恐慌发作的症状)

Symptoms include a sudden feeling of overwhelming fear and anxiety, heart palpitations, sweating, shaking, shortness of breath, chest pain, nausea, dizziness, and a fear of losing control or impending doom. The symptoms peak within minutes and are often intense and frightening.
症状包括突然感到极度的恐惧和焦虑、心悸、出汗、颤抖、呼吸急促、胸痛、恶心、眩晕以及失控感或即将发生灾难的恐惧。这些症状通常在几分钟内达到高峰，强烈且可怕。

Coping Strategies for Panic Attacks (应对恐慌发作的策略)

1. Recognize the Signs (承認症狀)

Acknowledge that you are experiencing a panic attack. Understanding that it's a temporary state and not life-threatening can help reduce fear.
承认你正在经历恐慌发作。明白这是一种暂时的状态，并不会威胁生命，可以帮助减少恐惧。

2. Practice Deep Breathing (练习深呼吸)

Slow, deep breaths can help counteract the rapid breathing that occurs during a panic attack, calming both the mind and body.
缓慢深长的呼吸可以帮助抵消恐慌发作时的快速呼吸，安抚心灵和身体。

3. Focus on an Object (专注于一个物体)

Pick an object within your sight and observe every detail about it. This can help ground your senses and divert your mind from panic.
选择你视线范围内的一个物体，观察它的每一个细节。这可以帮助你的感官稳定下来，并将你的注意力从恐慌中转移开。

4. Use Muscle Relaxation Techniques (使用肌肉放松技巧)

Progressively tighten and then relax different muscle groups. This relaxation technique can help ease the physical symptoms of a panic attack. Begin with your feet and work your way up to your face. Tighten each muscle group for about five seconds and then relax for 30 seconds. Notice the contrast between tension and relaxation.
逐渐紧张然后放松不同的肌肉群。这种放松技巧可以帮助缓解恐慌发作的身体症状。从脚开始，逐步向上到面部。每个肌肉群紧张约五秒钟，然后放松三十秒钟。感受紧张和放松之间的对比。

5. Visualize a Calm Place (想象一个平静的地方)

Imagine a peaceful place that makes you feel safe and calm. Visualization can serve as a mental escape from the distress of a panic attack.
想象一个能让你感到安全和平静的宁静场所。视觉化可以作为从恐慌发作的痛苦中逃离的一种心理方式。

6. Practice Mindfulness (练习正念)

Stay present in the moment. Mindfulness can reduce the intensity of a panic attack by keeping your focus on the present rather than on the overwhelming fears.
保持当下。正念可以通过将你的注意力保持在当下，而不是在压倒性的恐惧上，来减轻恐慌发作的强度。

7. Seek Professional Help (寻求专业帮助)

If panic attacks are frequent and interfering with your quality of life, consult a mental health professional for guidance and treatment.
如果恐慌发作频繁且影响你的生活质量，请咨询心理健康专业人员以获得指导和治疗。

街會慶典暨歌唱大賽｜AAPI Street Fair and Singing Contest | May 2024

Thu, 09 May 2024 16:33:55 GMT

亞太裔傳統月街會慶典暨全美陽光精神健康盃歌唱大賽

The AAPI Heritage Month celebration street fair and the National Sunshine Mental Health Cup Singing Contest

05/04/2024 - 05/05/2024

這週末的兩天街會完美落幕！全美首屆陽光精神健康盃歌唱大賽也圓滿結束，冠亞軍選手已經產生。來自全美各地的選手們的歌聲如天籟之音，在奧克蘭的上空迴響，為奧克蘭唐人街增添了一抹亮麗的風景。感謝MHACC歌唱大賽籌委會成員、所有志工、參賽者、評審、贊助商以及各協辦單位的大力支持。我們一起克服困難，讓唐人街熱鬧非凡。期待明年再相聚！

The two-day street fair concluded perfectly this weekend! The first National Sunshine Mental Health Cup Singing Contest also came to a successful close, with champions announced in all categories. Contestants from across the U.S. filled Oakland's skies with melodious songs, creating a beautiful scene in Chinatown. Thanks to the MHACC singing contest committee, all volunteers, contestants, judges, sponsors, and partners for their support. We overcame many challenges to make Chinatown lively and joyous. See you next year!

美國華裔精神健康聯盟

MHACC

執行長彭一玲敬上

Elaine Peng

�� 媒體報導

——盛大的亞太裔傳統月街會暨全美首屆「陽光精神健康盃」歌唱大賽在5月4日和5日於屋崙華埠成功舉行。儘管遇到下雨天氣，活動依然風雨無阻，吸引了數千名觀眾參與。近100個攤位提供了各式美食和娛樂設施，讓整個街會充滿了歡聲笑語。

——此次活動由MHACC主辦，並得到了眾多嘉賓和社區領袖的大力支持，為活動增添了不少光彩。來自全美各地的歌手們在三個組別中競爭，展現了高水平的表演，成為活動一大亮點。

——這次盛會不僅展示了亞太裔社群的多元文化，還通過音樂治療促進身心健康，強調了精神健康的重要性。活動的成功舉辦，不僅為華埠注入了新的活力，還大大增強了社區的凝聚力和參與感。

�� Media Coverage

——The grand celebration of the AAPI Heritage Month Street Fair and the first National Sunshine Mental Health Cup Singing Contest was successfully held on May 4th and 5th in Oakland's Chinatown. Despite the rainy weather, the event went on uninterrupted, attracting thousands of attendees. Nearly 100 booths offered a variety of food and entertainment, filling the fair with laughter and joy.

——This event, organized by MHACC, received tremendous support from numerous guests and community leaders, adding much prestige to the celebration. Singers from across the United States competed in three categories, showcasing high-level performances that became a highlight of the event.

——The festival not only showcased the diverse culture of the AAPI community but also promoted mental and physical health through music therapy, emphasizing the importance of mental wellness. The successful event revitalized Chinatown and significantly enhanced community cohesion and participation.

世界日報報導（World Journal）— 屋崙慶亞太月街會風雨無阻

世界日報報導（World Journal）— 台裔歌手莊婷婷高唱回家送祝福

星島日報報導（SingTao Daily）— 陽光精神健康盃歌唱賽風雨中展開

6月18日世界日報｜星島日報快訊：

陽光精神健康杯歌唱大賽獲獎者出爐！

由美國華裔精神健康聯盟MHACC www.mhacc-usa.org 主辦的亞太裔傳統文化月街會慶典，以完美的姿態成功落幕，近半英里的熱鬧街會和精彩絕倫的亞裔表演，吸引了上萬名來賓！全美首屆陽光精神健康盃歌唱大賽塵埃落定，三個組別的冠、亞、季軍全數出爐！總額12000美金��獎金已全部發放完畢！來自美國各州選手的歌聲宛如天籟，似百靈鳥在城市上空迴盪，歌聲笑語傳遍社區的每個角落！如果您也願意來一展歌喉，請掃碼報名，參加來年五月的全美陽光精神健康盃歌唱大賽！

全美首屆陽光精神健康盃歌唱大賽獲勝者名單

冠軍

冠軍：Qiqi Li （成人組）

冠軍：王琴（壯年組）

冠軍：彭遠良（長青組）

亞軍：

鐘蔓芩 Manqin Zhong （成人組）

張雲（壯年組）

劉道元（長青組）

季軍：

朱原（成人組）

Lu Yu （壯年組）

鄧範存（長青組）

AAPI群体精神健康问题概述｜Overview of Mental Health Issues in the AAPI Community

Thu, 21 Mar 2024 04:24:17 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

“AAPI”一词代表了一个多样化的群体，涵盖了多个国家、民族和身份认同，每个群体都面临着独特的挑战。这些挑战包括但不限于东南亚战争中的历史创伤、二战期间日裔美国人的拘留，以及第一代移民子女在保持文化遗产和美国生活之间寻找平衡所面临的挑战。

在美国，AAPI社群在身份认同和系统性挑战中寻求方向，包括“模范少数族裔”神话，这一神话基于种族赋予人智力，并歪曲了个别社群的多样性和特有挑战。

AAPI社群的心理健康也受到多种基于种族的问题的影响：

“永久外籍人”刻板印象是指某人被假定为外国出生或不会说英语，促成了孤立。

第一代移民经历的创伤可能会传递给后代。

围绕心理健康的污名化很严重，常常阻止个人寻求帮助。

一家名为国家亚裔妇女健康组织（NAWHO）的机构赞助了一项研究：打破沉默：亚裔美国女性抑郁症研究。 Breaking the Silence: A Study of Depression Among Asian American Women . 这项研究发现：

亚裔美国女性的自尊常因不切实际的期望而受到影响。

亚裔美国女性对家庭中的精神健康问题保持沉默。

亚裔美国女性担心自己和家人会因为心理健康问题而受到污名化。

美国物质滥用与心理健康服务署（SAMHSA）的全国药物使用和健康调查显示 SAMHSA’s National Survey on Drug use and Health ，亚裔美国人、太平洋岛民和夏威夷原住民后裔青年的心理健康问题正在增加。

“2008年到2018年间，18至25岁AAPI人群中严重心理疾病（SMI）的比例从2.9%（47,000人）上升到5.6%（136,000人）。”

“AAPI青年中的自杀想法、计划和尝试也在增加。”

然而，由于强烈的污名化和语言障碍，亚裔美国人很少寻求专业的心理健康治疗。此外，AAPI历史上在获取医疗保健和保险方面面临困难。

“在寻求心理健康服务方面，AAPI成人是最不可能寻求帮助的种族群体——比白人同龄人少3倍。 least likely to seek mental health services ”

请通过下面的链接查看更多提供给亚裔美国人和太平洋岛民社区的资源：

原文由心理健康美国（MHA）撰写。

Original article written by Mental Health America (MHA)

~~~

The term "AAPI" represents a diverse group spanning a variety of countries, ethnicities, and identities, each with unique challenges. These include but are not limited to the historical traumas of wars in Southeast Asia, the internment of Japanese Americans during World War II, and the challenges faced by first-generation immigrant children balancing cultural heritage with American life.

In the U.S., AAPI communities navigate the complexities of identity and systemic challenges, including the "model minority" myth, which assigns intelligence to a person based on their race and misrepresents the diversity and challenges specific to individual communities.

Mental health within AAPI communities is also influenced by a multitude of race-based issues:

The "Perpetual Foreigner" stereotype occurs when someone is assumed to be foreign-born or unable to speak English, fostering isolation.
First-generation immigrants who have experienced trauma may pass down such trauma to future generations.
Stigma around mental health is significant, often preventing individuals from seeking help.

An organization known as National Asian Women’s Health Organization (NAWHO) sponsored a study: Breaking the Silence: A Study of Depression Among Asian American Women . This study found…

Low self-esteem among Asian-American women is often facilitated by unrealistic expectations.
Asian-American women remain silent on depression that is witnessed within their families.
Asian-American women fear stigma for themselves and more so for their family.

SAMHSA’s National Survey on Drug use and Health states that mental health issues are increasing for young adults of Asian American, Pacific Islander, and Native Hawaiian descent.

“Serious mental illness (SMI) rose from 2.9 percent (47,000) to 5.6 percent (136,000) in AAPI people ages 18-25 between 2008 and 2018.”
“Suicidal thoughts, plans, and attempts are also rising among AAPI young adults.”

However, due to intense stigma and language barriers, Asian Americans rarely seek out professional mental health treatment. Additionally, AAPIs have historically faced difficulties accessing health care and insurance.

“AAPIs adults are the racial group least likely to seek mental health services - 3 times less likely than their white counterparts.”

Please see the link below to view more resources available to Asian American and Pacific Islander Communities:

Original article written by Mental Health America (MHA)

生命之语 - 非暴力沟通NVC的实用技巧和练习 | Your Complete Nonviolent Communication Guide

Sat, 02 Mar 2024 05:39:42 GMT

PLEASE SCROLL DOWN FOR ENGLISH VERSION

我们的沟通方式是否暴力？

在人类错综复杂的情感交流中，沟通是穿梭在彼此纹理间的线索。我们的言语有时候就像一把双刃剑，既有凝聚人心的力量，也可能在不经意间伤人伤己。

若将“暴力”定义得更广泛一些，我们发现，在沟通中隐藏的“暴力”往往并非源自恶意，它更多时候是一种无意识的习惯性行为。所有人都有与生俱来的同情心，但在追求个人目标的过程中，这些同情心可能会被无意中忘记。隐形的暴力会伤害到他人，当我们自己遭遇相同对待时，也会感到痛苦。

在本文中，我们将探讨“非暴力沟通” (Non-Violent Communication - NVC) 这个沟通艺术，它教会我们如何在倾听自己和他人的需求时，能够清晰且诚实地表达自己。

非暴力沟通引导我们在生活的每一刻采取更富有同理心的交流方式，从而避免互相伤害，改善人际关系，并在潜移默化中疗愈自己的内在创伤。

非暴力沟通：同理心的交流艺术

非暴力沟通由心理学家马歇尔·罗森伯格所创立。他将它称作“生命之语”。

罗森伯格深信，真正的沟通远超过简单的言语交流，它要求我们对自己和他人的深层需求有着清晰的认识和敏锐的意识。通过建立基于同理心的交流，非暴力沟通开启了一条通往理解与链接的道路，让我们在纷繁复杂的人际互动中找到心灵的平和。

一个现实世界的例子

以下是罗森伯格博士的一次亲身经历。当他在伯利恒的难民营进行演讲时，一位听众突然打断他，指责他是“杀人犯”，因为作为美国人的罗森伯格，在他们眼中代表了向以色列供应武器的国家。

面对这样尖锐的责备，罗森伯格博士没有让自己的本能反应——防御或反击——占据上风。相反，他选择运用非暴力沟通的技巧，耐心地倾听这位男士的诉求。

通过倾听，罗森伯格博士发现，这位外表愤怒的男士，他内心的需求和这个世界上的每一个人是一样的：渴望有一个干净且安全的家园、孩子能接受优质教育的机会、政治自由和自治权。

另一方面，罗森伯格博士的倾听，有效地缓解了男士的情绪。他开始将罗森伯格视为一个有共同感受的人类，而非一个“美国人”的标签。这次沟通的结果，是罗森伯格被邀请到男士家中共享晚餐。

这一经历不仅展示了非暴力沟通在化解文化和国际间冲突中的巨大潜力，也证明了通过真诚的倾听和对共同人性需求的理解，非暴力沟通能够搭建起理解与和平之间的桥梁，哪怕是在最不可能的情况之下。

非暴力沟通的4个步骤

1. 观察

非暴力沟通强调在不带评判的情况下进行观察。这意味着简单呈现我们所观察到的事实。例如，把有评判性的话：“我说话时，你经常不听！”，改成这么说：“在今天的会议中，我注意到你在玩手机。”

学会将观察到的事实与我们对这些观察的主观判断分开来。保留自己的判断不要说出来，这样可以避免激发对方的防御性反应，并为彼此理解打开可能性。在日常沟通中，只说自己的观察是非暴力沟通的起点。

2. 感受

非暴力沟通中，他人的言行只是一个刺激源。我们感受的产生是由我们对这些刺激的反应，以及当时的需求和期望决定的。

学习非暴力沟通，要承认并表达自己的感受，识别并负责任地处理自己的情绪，而不是简单地将情绪归咎于他人的行为或言语。

例如，面对来自他人的指责：“你太自私了！”，比较下面4个回答，你觉得哪个回答更有效呢：

郁闷接受：“是，我真的很自私……”
愤怒反击：“我不自私，是你太自私！”
考虑自己的感受和需求：“当我听到你说我自私时，我感到受伤，因为我确实有想到你，也希望你能看到我的努力。” 通过将自己的感受与需求联系起来，使得对方更容易以同理心回应。
考虑对方的感受和需求：“我看到你很受伤，是因为你希望我能更多地想到你吗？”这样的回应为对话开辟了空间，并让对方有机会表达他们潜在的需求。

非暴力沟通赋予了个体在与他人互动时做出不同选择的能力，让个体更有可能理解对方并满足自己的需求，从而达到一个称为“情感解放”的阶段。

3. 需求

非暴力沟通建立了个体的感受和未满足需求之间的联系。这些需求是所有人类共有且基本的。比如，愤怒和挫败这两种情感，通常是因为爱的需求和被接纳的需求没有得到满足时的外在表达。

所以，在这一步中，我们需要学习内省，寻找情感背后的内在需求。在非暴力沟通的练习中，用一张纸来列出所有描述我们情感和需求的词汇，可以了解人类丰富情感和需求之间的细微差别。

下面是一个比较简单的列表，当然人类的感受和需求更复杂和多样化。建议使用这个列表作为起点，根据个人的具体情况进行调整和补充，构建你自己的感受和需求图表。

4. 请求

在非暴力沟通的实践中，最后一个至关重要的步骤是提出既具体又可行的请求，请求应该以一种能够促使对方以同理心进行回应的方式提出。请求绝不是强求。因为任何形式的强迫和威胁都是无效沟通的源头，削弱了沟通的真正意义和价值。

提出请求应该是积极和建设性的，表达我们所希望得到的，而不是反对的或想要避免的事情。例如，说“我希望你能在家里和我共渡更多时光”，比说 “我不希望你总是忙于工作”来得更为直接和正面。

非暴力沟通的技巧

精准倾听的技巧

倾听是非暴力沟通的重要部分。记住下面的要点可以提升倾听技能，更加熟练地识别对方话语背后的情感和需求。

站在他人的立场上：选择一个你希望改善关系的人。在交谈时，尽你最大的努力去理解他们的观点。比如，想象自己是对方，体验他们的一天。通过换位思考，你的同理心能力有变化吗？
核实你的解读：回顾你和那个人之间的对话。有意识地核实你对对方所说内容的解读和假设。
全神贯注：在对话中，首先要全心全意地倾听对方。在转换话题前说：“我想确认一下我是否正确理解了你的意思？”
澄清对方所说的内容：努力澄清你认为自己听到的内容，识别并反映对方的情感。如果你不确定是否正确理解，就直接询问。
澄清你所说的内容：在对话中，你可以尝试询问对方是怎么理解你说的话。如果出现了误解，你会如何澄清？

愤怒-退出-重返技巧

愤怒可能是最容易阻碍同理心发生的情绪。使用愤怒-退出-重返步骤学习缓解愤怒。

退出：在你说任何话之前，站起来并开始走动。当你离开时，说一些温和的话，比如“我需要喝口水。”
冷静：先专注做一些其他无关的事物，分心做一些愉快的事情，直到你回到冷静状态。
洞察：冷静后，反思当处于愤怒中时看不到的东西。你的真正需求是什么？有什么更好的办法可以满足你的需求？
重返：首先通过一个愉快且安全的对话来测试水温，然后再回到棘手的话题上。

沟通中需避免的陷阱

固化思维，反复说同一件事，不接受新信息。
坚持某一立场并一意孤行推动自己的方案。
批评对方的观点，而不是试图理解对方。

沟通中成功的技巧

倾听并互相学习。
列出双方关心的问题，让两边的问题都变得同等重要。
强调盲人摸象的故事：每个盲人摸到了大象的一部分。摸到身体的人描述大象就像一堵墙。摸到尾巴的人描述它像一根管子，摸到鼻子感觉像树枝，摸到腿感觉像树干。将所有人的观点汇集在一起对全面了解大象至关重要。
跳出常规思维框架，探索有创造性的解决方案往往才能打破僵局。
当双方都陷得太深，建议停止对话并在大家都更平静时再继续。

使用“我”陈述的技巧

开放而诚实的沟通确实很难，特别是当我们感到被指责或有罪恶感时。在这些情况下，我们可能会说出伤人的话，或者在表达我们需求或情感时说出并不是真正想要表达的意思。

在非暴力沟通中，使用“我”陈述是一个关键的技巧，因为它允许说话者拥有自己的陈述，并为自己的需求和感受负责。

下面是一些常见的可能引起冲突的情境，以及如何用“我”陈述来改善沟通效果的例子。

情境1：“你总是让我迟到，因为你从不提前告诉我我们的计划”
“我”陈述：“我感到压力很大，当你没有及时告诉我关于计划的信息。”
情境2：“你总是在你知道我没有休息日的时候谈论你精彩的周末。”
“我”陈述：“我感到被排除在外，当我不能参与你的周末计划。”
情境3：亲戚本周第三次请求借钱。你正在为账单存钱，现金紧张。
“我”陈述：“我感到焦虑，当你一再请求借钱，因为我正在为账单存钱，现金很紧张。”
情境4：你的邻居每天都停在你的车道上。你不得不在街上停车，搬运重物上长长的车道。
“我”陈述：“我感到不便，当你把车停在我的车道上，因为我不得不在街上停车并搬运重物。”
情境5：一个朋友不能参加你即将到来的表演。你已经为他们练习了几周特别的歌曲。
“我”陈述：“我感到失望，当你不能来看我的表演，我已经为你练习了几周特别的歌曲。”

冥想与非暴力沟通

冥想和非暴力沟通是相辅相成的实践，它们共同塑造了一种更加深刻的自我和他人理解。非暴力沟通教导我们在沟通中放慢步伐，深入探寻并诚实表达我们的感受和需求。冥想则为这一过程提供了强大的支持，帮助我们在日常生活中培养出更加稳定的情绪状态和更高的意识水平，使我们能够更加从容地面对各种情境，以反应取代自动的回应。

在非暴力沟通的旅程中，冥想不仅是一项技能，它是一扇窗，透过这扇窗，我们能够更清晰地看见内在世界的风景。因此，在下一篇文章中，我们将深入探讨冥想如何与非暴力沟通相结合，并提供专为非暴力沟通设计的冥想练习，以帮助大家在沟通与生活中实现更深层次的和谐与理解。

敬请关注美国华裔精神健康联盟公众号，及时获取更多精彩内容！

本文翻译并改写自： https://positivepsychology.com/non-violent-communication/

如果你想进一步了解非暴力沟通，我们推荐以下三本书籍：

《非暴力沟通：生命之语》第三版 - 马歇尔·B·罗森伯格博士 & 迪帕克·乔普拉

《活用非暴力沟通：在各种情境下连接与沟通的实用工具》 - 马歇尔·B·罗森伯格博士

《做自己，爱你所爱：非凡关系的实用指南》 - 马歇尔·B·罗森伯格博士（2005）

在MHACC微信上阅读这篇文章： https://mp.weixin.qq.com/s/vH68TLJSPkdmb88Bw-4y7Q

Your Complete Nonviolent Communication Guide

1 Oct 2020 by Joshua Schultz, Psy.D.

Violent communication, defined as causing harm to ourselves or others, is often not intentional but can result from automatic and habitual ways of interacting. Despite our innate capacity for compassion, we may resort to fear, guilt, shame, or coercion to get our way, leading to suffering for both parties.

This article introduces Nonviolent Communication (NVC) as a method to foster clear and honest expression while attentively considering both our own needs and those of others.

What Is Nonviolent Communication, and What Are Some Real-life Applications?

Nonviolent Communication (NVC) is a communication method developed by psychologist Marshall Rosenberg, aimed at fostering compassionate interactions.

Described as a "language of compassion," NVC is intended to focus our attention in a way that increases the likelihood of meeting our needs. It operates on the premise that communicating with compassion leads to more beneficial outcomes than does uncompassionate communication, affecting both personal and societal dynamics.

NVC is applicable in various settings, including intimate relationships, educational and professional environments, and in resolving conflicts and disputes.

2 Examples of NVC:

1) School

A special-ed teacher taught her students NVC. A child in her class grapples with behavioral difficulties, as he becomes agitated and violent when other students get too close to his desk. When the teacher asks him to use NVC, he articulates his discomfort by saying: “Would you please move away from my desk? I feel angry when you stand so close to me.” The other student complies and the situation deescalates.

2) Medicine

A doctor uses NVC with her patients to understand their needs. She makes an effort to use NVC to show interest in her patients’ daily lives and make suggestions on how they can improve their well-being. The patients respond with gratitude, and the doctor feels motivated. Not only that, the doctor improves in her ability to see her patients as people beyond their diagnoses.

https://positivepsychology.com/non-violent-communication/

How to Practice It: 4 Steps

1. Observations

Step one invokes observation instead of judgment.

For instance, instead of saying “you often don’t listen when I’m speaking”, you could state a fact: “In our meeting today, I noticed that you were on your phone.”

2. Feelings

Take responsibility for your feelings. Remember that the words and actions of others do not directly CAUSE your emotions, and that you can control how you respond to them.

For example, in response to something like “you are so selfish”, you could practice NVC by…

Considering your own needs and feelings: “When I hear you say that I am selfish, I feel hurt because I need some recognition of the effort I make to consider your preferences.”
Considering the other person’s needs or feelings: “Are you feeling hurt because you need more consideration for your preferences?”

3. Needs

Learn to look inside yourself for your particular “needs”. Outer expression of feelings, such as anger and frustration, are seen as indicators of needs, such as love and acceptance, that are unfulfilled. Users of NVC effectively communicate their needs while listening to the needs of others.

4. Requests

Make specific, doable requests for things that enrich the requester’s life. Look for things that people can do rather than things they can’t.

For example, you could say: “I’d like you to spend more time with me at home” rather than “I don’t want you to spend so much time at work.”

If you’d like to learn more about NVC and the various tactics/resources used in NVC, please

read the free, original article below!

“Your Complete Non-Violent Communication Guide” by Joshua Schultz, Psy.D.

Link: https://positivepsychology.com/non-violent-communication/#steps

華裔青少年自殺變多了？世界週刊採訪文章 | Are more Chinese teenagers committing suicide? A World Journal Article

Thu, 08 Feb 2024 23:00:25 GMT

點擊連結閱覽世界日報文章

了解加州和美國的心理健康隱私法律 | Understanding California and U.S. Mental Health Privacy Laws

Sun, 28 Jan 2024 06:19:33 GMT

Scroll Down for an English version of this article ⬇️

隨著對心理健康問題的關注日益增加，了解相關法律保護尤其重要。這篇文章旨在為心理健康患者及其家人提供關於加州和美國醫療及心理健康資訊隱私保護法律的關鍵資訊。

健康資訊的保護

健康保險攜帶與責任法案（HIPAA）

HIPAA 是美國的一項聯邦法律，旨在保護個人的醫療資訊。此法律要求醫療保健提供者保護患者健康資訊的隱私，並規定醫療資訊的使用和揭露條件。重要的是，HIPAA 保障病患取得並更正其醫療記錄中的錯誤或不完整資訊的權利。

加州醫療資訊保密法（CMIA）

CMIA 是加州的法律，進一步增強了 HIPAA 的聯邦保護。它禁止未經授權的醫療資訊揭露，同時定義了廣泛的「醫療資訊」範疇，允許個人對因疏忽洩露機密資訊的實體採取法律行動。

患者權利

加州病患在其醫療記錄方面享有多項權利，包括查詢誰存取了他們的個人健康資訊的權利，以及對健康隱私法違規的投訴權利。

就業中的保護

美國殘疾人法案（ADA）

ADA 是一項重要的聯邦法律，旨在保護殘疾人（包括精神健康問題人士）在就業、公共服務、公共住宿和電信方面免受歧視。它確保有心理健康問題的個人在就業過程中不受歧視，包括招聘、晉升、工作分配、解僱和其他與就業相關的活動。雇主也必須為身心障礙員工提供合理的便利，包括心理健康狀況，以履行基本的工作職能。

美國平等就業機會委員會（EEOC）

平等就業機會委員會是一個聯邦機構，負責執行 ADA 和其他禁止工作場所歧視的法律。它提供指導和監督，以確保雇主遵守禁止基於殘疾（包括心理健康狀況）的歧視的法律。

雇主的責任和限制

根據 ADA 和 EEOC 指南，處理有心理健康問題的員工或求職者的雇主有特定的責任和限制：

評估能力，而不是健康狀況：雇主可以詢問候選人履行基本工作職能的能力，但不應直接詢問他們的心理健康狀況。

提供合理的住宿：如果員工因心理健康狀況需要特殊安排或支持，雇主應提供必要的工作調整。

維護員工隱私：與員工健康狀況相關的所有資訊均應保密。

避免歧視和偏見：雇主不得根據僱員的心理健康狀況做出歧視性的僱用決定。

如何尋求協助

如果您認為自己因心理健康狀況在工作中受到歧視，可以聯絡 EEOC 提出申訴。 EEOC 將進行調查，並在必要時提供法律救濟。

重要链接

健康保险携带与责任法案（HIPAA） www.hhs.gov/hipaa
加州医疗信息保密法（CMIA） oag.ca.gov
美国残疾人法案（ADA）信息 www.ada.gov
美国平等就业机会委员会（EEOC）官方网站 www.eeoc.gov

Understanding California and US Mental Health Privacy Laws

As society's awareness of mental health issues deepens, understanding the relevant legal protections becomes increasingly important. This article aims to provide key information on California and US laws concerning the privacy of medical and mental health information for individuals with mental health concerns and their families.

Protection of Health Information

Health Insurance Portability and Accountability Act (HIPAA)
HIPAA is a crucial federal law in the US that sets standards for the protection of certain identifiable health information. This law mandates that healthcare providers who transmit health information electronically must safeguard patient privacy. It also regulates the use and disclosure of medical information, including requiring healthcare providers to accommodate patients' requests to access or correct their medical records.

California Confidentiality of Medical Information Act (CMIA)
The CMIA is a law in California that bolsters the federal protections provided by HIPAA. It prohibits healthcare providers, healthcare service plans, or contractors from disclosing medical information without authorization, except in specific circumstances. The law broadly defines "medical information" to include personally identifiable information held by healthcare providers or plans and allows individuals to take legal action against entities that negligently release confidential information.

Patient Rights
Patients in California have several rights regarding their medical records. These include the right to be informed about who has accessed their personal health information, the right to request and obtain copies of their medical records, and the right to file complaints about potential violations of health privacy laws.

Protection in Employment

Americans with Disabilities Act (ADA)
The ADA is a significant federal law designed to protect individuals with disabilities, including mental health conditions, from discrimination in employment, public services, public accommodations, and telecommunications. It ensures that individuals with mental health issues are not discriminated against in the employment process, including hiring, promotions, job assignments, termination, and other employment-related activities. Employers are also required to make reasonable accommodations for employees with disabilities, including mental health conditions, to perform essential job functions.

Equal Employment Opportunity Commission (EEOC)
The EEOC is a federal agency responsible for enforcing ADA and other laws prohibiting discrimination in the workplace. It provides guidance and oversight to ensure that employers comply with laws prohibiting discrimination based on disability, including mental health conditions.

Employer Responsibilities and Limitations

Under the ADA and EEOC guidelines, employers handling employees or job applicants with mental health issues have specific responsibilities and limitations:

Evaluating Ability, Not Health Status: Employers may inquire about a candidate's ability to perform essential job functions but should not directly inquire about their mental health status.
Providing Reasonable Accommodations: Employers should provide necessary work adjustments if an employee requires special arrangements or support due to a mental health condition.
Maintaining Employee Privacy: All information related to an employee's health condition should be kept confidential.
Avoiding Discrimination and Bias: Employers must not make discriminatory employment decisions based on an employee's mental health status.

Seeking Assistance

If you believe you have faced discrimination in the workplace due to a mental health condition, you can contact the EEOC to file a complaint. The EEOC investigates these complaints and provides legal remedies when necessary.

Important Links and Resources

HIPAA Official Website www.hhs.gov/hipaa
California Confidentiality of Medical Information Act (CMIA) Information oag.ca.gov
Americans with Disabilities Act (ADA) Information www.ada.gov
Equal Employment Opportunity Commission (EEOC) Official Website www.eeoc.gov

什麼是代際創傷? | What is generational trauma?

Thu, 11 Jan 2024 20:16:11 GMT

Scroll Down for English version of this article

代際創傷是什麼？

創傷通常指的是對災難性事件的不良情緒和身體反應。代際創傷是一種通過生物學、環境、心理學和社會事件傳遞下來的創傷。這種創傷可以在家庭內多代人之間傳遞，例如從祖父母到父母再到你自己。

代際創傷有哪些影響？

代際創傷的一些跡象和症狀包括：

情緒困擾：缺乏自我價值、情感脫離、消極思想、羞愧

行為模式：避免衝突、責怪他人、易於吸毒、暴飲暴食、工作過度等

應對機制：不尋求幫助、避免感受、自我傷害和孤立

遭受代際創傷的人可能還會發展出如下健康狀況：

焦慮

抑鬱

心臟病

創傷後壓力症候群（PTSD）

代際創傷是如何產生和傳遞的？

代際創傷通常是由影響特定群體的歷史事件或文化經歷引起的。例如，經歷過戰爭、種族滅絕或被迫遷移的家庭可能在養育孩子時承受這些創傷性事件的重擔，改變他們的行為或思維方式。

代際創傷甚至可能源於表觀遺傳變化，即由於創傷性經歷而導致的人的DNA變化。這些變化然後被傳給他們的孩子。例如，經歷了9/11的孕婦易患低皮質醇水平並發展為PTSD，這一特徵也在他們的孩子身上觀察到。

導致代際創傷的其他一些事件包括：

身體、情感和性虐待

種族主義

歧視

童年期間的不良經歷

悲傷和失落

應對策略和康復

代際創傷沒有特定的診斷。然而，這一現象在心理學家和精神健康專業人士中被廣泛接受。如果你正經歷代際創傷的創傷症狀，醫療保健提供者可以使用心理健康篩查。這項篩查包括一系列關於你的日常行為的問題，如食慾、感覺、心情和睡眠。然後他們可能會把你轉介給心理學家或精神病醫生來診斷焦慮、抑鬱或PTSD等心理疾病。

代際創傷的康復路徑對每個人來說都不同。許多人選擇心理治療或談話療法，它可以通過識別創傷是什麼以及如何有效應對來減輕創傷的影響。談話療法可以涉及個人和家庭治療。

由於代際創傷通常與一個人的文化背景有關，尋找能夠識別你特定文化的規範和信仰的心理健康專業人員非常有幫助。

許多心理健康小組專門訓練並致力於服務亞洲或中國群體。這樣的資源目錄可在我們的網站上找到：

https://mhacc-usa.org/non-crisis-resource

如果你認為代際創傷影響了你的生活，我們鼓勵你尋求任何形式的支持。你並不孤單！

參考文章和視頻：

Video/視頻

走出抑鬱，破解代際創傷，“丟臉”文化对心理健康的負面影響/Wendy's Journey: Generational Trauma, Asian Culture Impacts

https://youtu.be/WGd_rPmqvW4?si=kTw1u6Gl3mqRsqdD

电影「青春變形記」：揭開代際創傷之痛，尋求治癒：

https://youtu.be/UNMv6ihS07M?si=TY8RlVOKMKOcx9tl

继承创伤的感觉是什么：

https://mp.weixin.qq.com/s?__biz=MzIzNjEwMjQ5Nw==&mid=2247484545&idx=1&sn=61bcf909c57827207d66eb02747583f1&chksm=e8ddb28fdfaa3b990585f86616ebfd4f579305557761022c3b28702ad03e9db34923e37e04c4#rd

在中文中，我们有一个“丢脸”的概念，这就是我用笔名写这篇文章的原因：

https://mp.weixin.qq.com/s?__biz=MzIzNjEwMjQ5Nw==&mid=2247484244&idx=1&sn=8f8d47435ee48acf3ebf9f76393a56c8&chksm=e8ddb55adfaa3c4ccdac7544e9f76b3ec8f359427b53edf4c9430d170859cddf85107bddd119#rd

What is generational trauma?

Trauma generally refers to adverse emotional and physical responses to a devastating event. Generational trauma is a type of trauma that is passed down through biological, environmental, psychological, and social means. This can be passed down over a span of multiple generations within a family, such as from grandparents to parents to yourself.

What are the effects of generational trauma?

Some signs and symptoms of generational trauma include:

Shared emotional distress: lack of self worth, emotional detachment, negative thoughts, shame
Shared behavioral patterns: avoiding conflicts, blaming others, susceptibility to drug usage, overeating, overworking, and more
Shared coping mechanisms: not asking for help, avoiding feelings, self harm, and isolation

Those who suffer from generational trauma may also develop health conditions such as:

Anxiety
Depression
Heart Disease
Post Traumatic Stress Disorder (PTSD)

How is generational trauma created and transferred?

Generational trauma is often caused by historical events or shared cultural experiences that have profoundly affected a particular group of people. For example, families who have endured war, genocide, or forced migration may carry the weight of these traumatic events as they raise their children, altering their behavior or the way they think.

Generational trauma can even stem from epigenetic changes, or shifts in a person’s DNA due to traumatic experiences. These changes are then passed down to one’s children. For instance, pregnant women who experienced 9/11 were susceptible to low cortisol levels and developed PTSD, a trait that is also observed in their children.

Some other examples of events that can result in generational trauma include:

Physical, emotional, and sexual abuse
Racism
Discrimination
Adverse experiences during childhood
Grief and loss

Coping Strategies and Healing

There is no specific diagnosis of generational trauma. Still, the phenomenon is well-accepted amongst psychologists and health professionals. If you are experiencing symptoms of generational trauma, a healthcare provider can use a mental health screening. This screening consists of a set of questions about your day-to-day behaviors, such as appetite, feelings, mood, and sleep. They may then refer you to a psychologist or psychiatrist to diagnose mental illnesses such as anxiety, depression, or PTSD.

The path towards healing from generational trauma is different for everyone. An option that many look to is psychotherapy or talk therapy, which can lessen the effects of trauma by recognizing what it is and how to effectively cope with it. Talk therapy can involve individual and family therapy.

Because generational trauma is commonly tied with one’s cultural background, seeking mental health professionals that are competent at recognizing your specific culture’s norms and beliefs is incredibly helpful.

Many mental health groups are specially trained and dedicate themselves to serving Asian or Chinese groups. A catalog of such resources are available on our website at the link below:

https://mhacc-usa.org/non-crisis-resource

We encourage you to seek any kind of support if you believe generational trauma is impacting your life. You are not alone!

Sources

Credit: Joyce Hesselberth

https://www.scientificamerican.com/article/how-parents-rsquo-trauma-leaves-biological-traces-in-children/

https://www.health.com/condition/ptsd/generational-trauma#toc-examples-of-generational-trauma

https://www.liberationhealingseattle.com/blog-trauma-therapist/generational-trauma-asian-families#:~:text=In%20Asian%20families%2C%20generational%20trauma,ways%20within%20the%20family%20unit .

https://www.scientificamerican.com/article/how-parents-rsquo-trauma-leaves-biological-traces-in-children/

冬季憂鬱症：了解季節性情感障礙 | Winter Depression: Understanding Seasonal Affective Disorder

Sat, 16 Dec 2023 22:35:30 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

随着感恩节的余温消散，悄然而至的冬天不但带来了寂静和冰冷，也带来了一种被称为季节性情感障碍（Seasonal Affective Disorder, SAD）的情绪波动。这种情绪障碍影响着全美数百万人，却常常被忽视。

在这昼短夜长的季节，一些人可能会经历难以言喻的忧郁，这是一种深刻而持久的心理状态，让我们来了解一下，冬季SAD。

SAD的症状和影响

冬季型SAD不仅仅是简单的“冬季忧郁”，它是一种真正的情感挑战。

它的症状多样，包括持续性的悲伤、焦虑或空虚，感到绝望或悲观，易感烦躁沮丧或不安；感觉自己无价值或无助，失去兴趣或乐趣，感到疲劳或行动迟缓；难以集中注意力、记忆力下降，出现疼痛、头痛或消化问题；自杀的念头或自杀尝试；过度睡眠，暴食，特别是对碳水化合物的渴望，以及社交退缩。

SAD的成因

科学家们已经发现，SAD与我们的生物钟和大脑中的化学物质变化密切相关。冬季日照时间减少，导致体内血清素水平发生变化，进而影响情绪。

此外，SAD也与褪黑激素水平的改变有关，褪黑激素是维持正常睡眠-觉醒周期的重要激素。患有冬季型SAD的人会产生过多的褪黑激素，导致困倦和睡眠过多

维生素D的缺乏可能会加剧冬季型SAD的症状。维生素D有助于促进血清素活性，而在冬季，由于日照不足，人体生成的维生素D量减少，影响血清素的活性。

SAD的治疗方法

治疗SAD有多种方法，包括：

光疗：光疗是目前治疗冬季型SAD的主要方法。通过让患者每天早晨坐在一盏非常明亮的灯箱前大约30至45分钟，来补偿暗淡月份中自然阳光的减少。
心理治疗：认知行为疗法（CBT）帮助患者改变消极想法，鼓励进行愉快的活动。
抗抑郁药物：特别是选择性血清素再摄取抑制剂（SSRIs），调整大脑化学物质。
生活方式调整：饮食平衡，维生素D的补充。

冬天不只有雪

保持适当的社交活动对于抗击SAD至关重要。与家人、朋友的互动，或是参与社区活动，可以有效提升情绪。

就像季节的轮回，冬天虽然漫长，但终将过去，春天总会随之到来。在抵御寒冷的过程中，更要在心灵深处寻找那份坚韧和光明。

毕竟，冬天已经来了，春天还会远吗？

以上是关于SAD的科普，了解更多请浏览国家心理健康学院的网页：

https://www.nimh.nih.gov/health/publications/seasonal-affective-disorder

重要的是要记住，帮助永远在您身边。如果您或您认识的人在应对SAD或其他心理健康问题时需要支持，美国华裔精神健康联盟（MHACC）提供了一个宝贵的资源——心理暖线。

MHACC心理暖线致力于提供免费而专业的心理支持和资源转介。无论您感到恐惧、焦虑、抑郁，还是仅仅需要找人倾诉，拿起电话，我们就在这里，倾听您的心声，陪伴您度过难关。

1 (800) 881-8502
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如果您希望成为MHACC暖线志愿者，帮助更多人点亮黑夜中的一点火光，请通过电子邮件联系我们：HR@mhacc-usa.org

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As the heat of Thanksgiving dissipates, the approaching winter brings not only the frigid cold, but also a type of disorder called Seasonal Affective Disorder (SAD). This mood disorder affects millions of people across the United States, but is often overlooked. During this season of shorter days and longer nights, some people may experience unspeakable depression, a deep and long-lasting psychological state.

Symptoms and effects of SAD:

Winter SAD is more than just the "winter blues"; it's a real emotional challenge. Symptoms include persistent sadness, anxiety, or emptiness, feelings of hopelessness or pessimism, susceptibility to irritability, depression, or restlessness; feelings of worthlessness or helplessness; loss of interest or fun; feeling tired or sluggish; and difficulty concentrating. One may also experience memory loss, pain, headaches, digestive problems, suicidal thoughts or attempts, excessive sleeping, overeating, and social withdrawal.

Causes of SAD:

Scientists have discovered that SAD is closely related to changes in our body clocks and brain chemicals. The reduction in daylight hours in winter causes changes in serotonin levels in the body, which in turn affects mood. In addition, SAD is also associated with changes in melatonin levels, an important hormone that maintains normal sleep-wake cycles. People with winter-type SAD produce too much melatonin, causing drowsiness and excessive sleep. Vitamin D deficiency may exacerbate symptoms of winter SAD. Vitamin D helps promote serotonin activity. In winter, due to insufficient sunlight, the amount of vitamin D produced by the body decreases, affecting the activity of serotonin.

Treatments for SAD

There are many ways to treat SAD, including:

Phototherapy: Phototherapy is currently the main method for treating winter-type SAD. It compensates for the decrease in natural sunlight during the dimmer months by having the patient sit in front of a very bright light box for approximately 30 to 45 minutes each morning.
Psychotherapy: Cognitive behavioral therapy (CBT) helps patients alter their negative thoughts and encourage pleasurable activities.
Antidepressants: specifically selective serotonin reuptake inhibitors (SSRIs), which modulate brain chemicals.
Lifestyle adjustments: balanced diet, vitamin D supplementation.

Winter is not just about snow

Maintaining appropriate social interactions is crucial to combating SAD. Interacting with family, friends, or participating in community activities can effectively enhance your mood. Just like the cycle of seasons, although winter is long, it will always pass. In the process of resisting the cold, we must also look for the tenacity and light deep in our souls.

After all, since winter has come, can spring be far behind?

Ending Notes

Above is the popular science about SAD. To learn more, please visit the National Institute of Mental Health’s website: https://www.nimh.nih.gov/health/publications/seasonal-affective-disorder

It’s important to remember that help is always there for you. If you or someone you know needs support while dealing with SAD or other mental health issues, the Mental Health Coalition of Chinese Americans (MHACC) offers a valuable resource - The Mental Health Line. MHACC Psychological Warmline is committed to providing free and professional psychological support and resource referrals. Whether you're feeling anxious or depressed, or just need someone to talk to, please pick up the phone. We are here to listen and help you get through it.

1 (800) 881-8502

9am to 9pm (PST), 7 days a week

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加州5150/5250/監護權問答 | What is 5150, 5250, and CareCourt？

Thu, 16 Nov 2023 18:39:22 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

Q: 什麼是5150？

答: 加州福利與機構法典的5150條款授權對個體進行最長72小時的非自願拘留，這通常發生在因心理健康問題而對自己或他人構成危險，或者嚴重失能的情況下。需要滿足以下條件之一：1）患者可能會傷害自己；2）患者可能會傷害他人；3）患者無法滿足自己的基本生活需求。 5150 通常涉及執法或其他緊急服務人員的介入。

在72小時期間，個人將在精神病院接受心理健康專業人員的評估和治療。主要目標是提供穩定護理、進行深入評估、啟動治療並確定是否需要長期非自願承諾。如果在這 72 小時內的任何時間，心理健康專家確定該人不再符合 5150 拘留的標準，則必須將其釋放。

Q: 什麼是5250？

答: 5250條款允許在5150條款下最初72小時拘留期之後額外延長14天的非自願拘留。當精神科醫生或執照心理學家發現個體仍然存在重大危險或由於心理健康問題仍然嚴重失能時，可以採取此延長措施。嚴重失能涉及無法照顧自己的基本需要，包括食物、衣物或住所。

Q: 5150條款72小時後，如何進入5250條款？

答: 要啟動 5250 拘留，精神病機構必須在個人仍處於 5150 拘留期間進行認證審查聽證會。他們必須提供證據證明該人繼續對自己或他人構成危險，或因精神健康障礙而嚴重殘疾。如果聽證官同意，該人可以再被拘留最多 14 天接受治療。在此過程中，個人將被告知其權利以及延長保留的原因。

Q：在5250條款下患者有什麼權利？

答：在5250條款下，患者有權在拘留開始後的四天內進行認證審查聽證會，以此質疑拘留。此外，患者在此過程中有權獲得法律代表，以確保其權利受到保護，且拘留的必要性得到合理評估。

Q：什麼是AB 1424法案？

答： AB 1424法案要求心理健康專業人員在評估個體是否符合5150或5250條款下非自願承諾的標準時，考慮更廣泛的信息，包括患者的歷史和來自家庭成員及看護人的輸入。這種全面的方法有助於臨床醫生更全面地了解患者的心理狀態和行為歷史。

Q：在根據5150條款召喚執法部門處理心理健康緊急情況時應注意什麼？

答：在心理健康緊急情況下涉及執法部門時，至關重要的是要清晰、冷靜地描述情況和個體的情緒狀態。為了安全，清除現場潛在的武器很重要。事先準備，包括提前完成AB 1424表格，可以幫助有效、安全地處理情況。也需重視使用緩和技巧和清晰的溝通，以傳達危機的心理健康性質。

Q: 什麼是臨時監護權和永久監護權？

答: 經過5250條款規定的17天之後，病人可能進入為期30天的「臨時監護權」程序。在這個階段，患者必須符合上述的第二和第三條件。 30天后，患者可能進入為期一年的“永久監護權”，並且每年進行複審和更新。監護權基本上是剝奪一個人的自由和權力，需要經過複雜的法律和法院程序。

Q: 監護權的特殊條件是什麼？

答: 監護權的設立必須基於無人願意為當事人提供基本生活需求的情況。如果當事人能找到人提供生活支持，或願意接受庇護所安排，則監護權不成立。如果當事人有能力作為無家可歸者生活，就不符合「嚴重失能」的定義。監護權不是家屬自己可以申請的家屬可以和医師/社工提出要求，家屬可以和医師/社工提出要求。

Q：什麼是CARE法庭法案？

答： CARE法庭法案引入了一種新的框架，旨在為嚴重心理疾病的個體提供更全面的支持。它專注於創建個人化的治療計劃，並確保獲得必要的社會和醫療服務。該法案旨在填補現有心理健康護理系統的空白，為患者提供更全面的照護方式。

這是現在Care Court 的法案供參考： https://www.chhs.ca.gov/care-act/

Q: What is a 5150?
A: The 5150 provision in the California Welfare and Institutions Code authorizes up to 72 hours of involuntary detention for an individual, typically occurring when mental health issues pose a danger to themselves or others, or result in serious disability. One of the following conditions must be met: 1) The patient may harm themselves; 2) The patient may harm others; 3) The patient is unable to meet their basic life needs. A 5150 usually involves intervention by law enforcement or other emergency service personnel.
During the 72-hour period, the individual will be evaluated and treated by mental health professionals at a psychiatric facility. The main goals are to provide stabilization care, conduct an in-depth evaluation, initiate treatment, and determine if long-term involuntary commitment is necessary. If at any time during these 72 hours, mental health experts determine that the person no longer meets the criteria for a 5150 hold, they must be released.

Q: What is a 5250?
A: The 5250 provision allows for an additional 14 days of involuntary detention following the initial 72-hour period under the 5150 provision. This extension can be implemented when a psychiatrist or licensed psychologist finds the individual still poses a significant danger or remains gravely disabled due to mental health issues. Grave disability involves being unable to take care of one's basic needs, including food, clothing, or shelter.

Q: How do you transition from 5150 to 5250 after 72 hours?
A: To initiate a 5250 hold, the psychiatric facility must conduct a certification review hearing while the individual is still under the 5150 hold. They must provide evidence that the person continues to be a danger to themselves or others, or is gravely disabled due to a mental health disorder. If the hearing officer agrees, the individual can be held for up to an additional 14 days of treatment. During this process, the individual will be informed of their rights and the reasons for the extended hold.

Q: What rights does a patient have under the 5250 provision?
A: Under the 5250 provision, patients have the right to a certification review hearing within four days of detention to challenge the detention. Moreover, patients are entitled to legal representation during this process to ensure their rights are protected and the necessity of detention is reasonably assessed.

Q: What is the AB 1424 bill?
A: The AB 1424 bill requires mental health professionals to consider a broader range of information when assessing whether an individual meets the criteria for involuntary commitment under the 5150 or 5250 provisions. This includes the patient's history and input from family members and caregivers. This comprehensive approach helps clinicians better understand the patient's mental state and behavioral history.

Q: What should be considered when involving law enforcement in a mental health emergency under the 5150 provision?
A: In mental health emergencies involving law enforcement, it is crucial to describe the situation and the individual's emotional state clearly and calmly. Removing potential weapons from the scene for safety is important. Preparations, including completing the AB 1424 form in advance, can help handle the situation effectively and safely. Emphasizing de-escalation techniques and clear communication to convey the mental health nature of the crisis is also necessary.

Q: What are temporary and permanent conservatorship?
A: After the 17 days prescribed under the 5250 provision, a patient may enter a 30-day "temporary conservatorship" process. In this stage, the patient must meet the second and third conditions mentioned above. After 30 days, the patient may enter a one-year "permanent conservatorship," subject to annual review and renewal. Conservatorship essentially strips an individual of their freedom and rights and requires a complex legal and court process.

Q: What are the special conditions for conservatorship?
A: Conservatorship must be established based on the absence of anyone willing to provide basic life needs for the individual. If someone can provide support or the individual is willing to accept shelter arrangements, conservatorship does not stand. If the individual can live as a homeless person, they do not meet the definition of 'gravely disabled'. Family members cannot apply for conservatorship themselves but can request it from doctors/social workers.

Q: What is the CARE Court Act?
A: The CARE Court Act introduces a new framework aimed at providing more comprehensive support for individuals with severe mental illnesses. It focuses on creating personalized treatment plans and ensuring access to necessary social and medical services. The Act aims to fill gaps in the existing mental health care system, offering more comprehensive care for patients. For reference, here is the current Care Court Act: https://www.chhs.ca.gov/care-act/

Note: This information is specific to California law. Laws may vary in different states and regions. Always consult local legal experts and medical professionals when handling mental health crises. While this article provides general information, specific cases require handling by qualified professionals.

何时拨打988，或者911? | Calling 988 vs 911 in a Mental Health Crisis: What You Need to Know

Fri, 10 Nov 2023 19:50:34 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

心理健康危机是一个需要立即关注的时敏问题。但当你或你认识的人经历这样的情况时，你应该拨打哪个号码：988还是911？知道拨打正确的号码在如何处理情况方面可能会有关键性的影响，甚至可以挽救生命。

什么是988和911？

911: 这是美国所有类型危机的通用紧急号码—医疗、火警、警察，甚至也包括心理健康。

988: 这是一个相对较新的号码，专门用于心理健康紧急情况。它旨在将个体连接到适当的心理健康服务，而不是通过通用的紧急系统进行路由。

何时拨打911？

立即危险: 如果有立即伤害自己或他人的风险。伴随医疗紧急情况: 在心理健康症状伴随医疗紧急情况的情况下。执法需要: 需要警察立即干预的情况，如暴力行为。

何时拨打988？

心理健康支持: 当您或您认识的人需要情感支持或危机咨询时。资源信息: 获取有关心理健康资源和服务的信息。缓解: 受过培训的专业人员可以通过电话帮助缓解情况。

优点和缺点

911优点: 立即响应，可以处理广泛的紧急情况。缺点: 可能会导致执法干预，这并不总是心理健康危机的最佳解决方案。

988优点: 专业护理，减少了围绕心理健康的污名。缺点: 可能还没有在所有地方全面运营，并且可能无法处理伴随的医疗紧急情况。

数据和事实根据全美心理健康联盟（NAMI）的数据，警察通常是首先响应心理健康危机的人，但他们可能并没有接受过处理这种情况的培训。《心理健康杂志》上发表的一项研究发现，像988这样的专门危机热线可以将紧急室就诊的需要减少多达40%。

结论了解在心理健康危机中何时拨打988或911至关重要。虽然这两个号码都有重要的功能，但了解它们各自的作用可以确保您或您的亲人得到最合适的帮助。总体而言，对于那些仅与心理健康有关并且不是生命威胁的情况，988是更好的选择。对于紧急和可能威胁生命的紧急情况，911仍然是首选号码。

更多资源

A mental health crisis is a time-sensitive situation that requires immediate attention. But when you or someone you know is experiencing one, which number should you dial: 988 or 911? Knowing the right number to call can make a crucial difference in how the situation is handled and can even save lives. This article aims to shed light on the distinctions between the two and guide you on making the right choice.

The Basics: What Are 988 and 911?

911: This is the general emergency number in the United States for all kinds of crises—medical, fire, police, and yes, even mental health.
988: This is a relatively new number specifically designed for mental health emergencies. It's intended to connect individuals to appropriate mental health services rather than routing them through the general emergency system.

When to Call 911

Immediate Danger: If there's a risk of immediate harm to oneself or others.
Co-Occurring Medical Emergency: In cases where mental health symptoms are accompanied by a medical emergency.
Law Enforcement Needs: Situations that require immediate intervention by the police, such as violent behavior.

When to Call 988

Mental Health Support: When you or someone you know needs emotional support or crisis counseling.
Resource Information: To get information about mental health resources and services.
De-escalation: Trained professionals can help defuse the situation over the phone.

Pros and Cons

911
Pros: Immediate response, can handle a broad range of emergencies.
Cons: May result in law enforcement intervention, which isn't always the best solution for mental health crises.
988
Pros: Specialized care, minimizes stigma around mental health.
Cons: May not be fully operational everywhere, and may not handle accompanying medical emergencies.

Data and Facts

According to the National Alliance on Mental Illness (NAMI), police are often the first to respond to mental health crises, but they may not always be trained to handle such situations.
A study published in the Journal of Mental Health found that specialized crisis lines like 988 can reduce the need for emergency room visits by up to 40%.

Knowing when to call 988 or 911 during a mental health crisis is crucial. While both numbers serve important functions, understanding their respective roles can ensure that you or your loved one receives the most appropriate help. In general, for situations that are exclusively mental health-related and not life-threatening, 988 is the preferable option. For emergencies that are immediate and potentially life-threatening, 911 remains the go-to number.

More Resources

人們為什麼會自殘？| Why do people self-injure?

Fri, 03 Nov 2023 03:26:10 GMT

MHACC 雙語部落格 Bilingual Blog

Trauma-Informed Interventions for People Who Self-Injure

Click to view the full version(點擊連結瀏覽完整版）

https://dpi.wi.gov/sites/default/files/imce/sspw/pdf/sswpgshintervene.pdf

中文翻譯版請往下拉⬇️

Self-injury: Making pain visible

Self-injury can be understood as a coping mechanism to deal with less visible forms of pain. While there are perhaps self-harming behaviors that have greater repercussions on the person than cutting, burning, or biting does, self-injury (also called self-inflicted violence [SIV]) can provoke intense reactions from others, including helpers. It might be useful to consider self-injury to be one among many self-harming behaviors that people might engage in. Self-harm can be understood to include a range of behaviors from self-annihilation (suicide, unsafe sex, terminating essential treatment), to self-injury (cutting, burning, unhygienic tattooing or piercing), to self-defeating (isolating, anger, rejection of help).

This broad understanding of self-harm encompasses substance abuse, unsafe relationships and sex, running away, isolating, disordered eating, hair plucking, dropping out of school as well as self-injuring actions like cutting, picking, burning, and self-punching.

There are many reasons people turn to self-inflicted violence. However, no one can determine why someone else is self-injuring. Since the reasons are myriad and people often use several forms of self-injury for different purposes, listening to the person becomes the only way to discover what the self-injuring actions mean for that person. Understanding the meaning behind the self-injury is the avenue into finding safer alternatives to the self-injuring behaviors for both the person struggling and the person helping.

Common reasons for self-injury:

- To displace emotional pain from the psyche to the body

- To reconnect with the reality of being alive today

- To distract from overwhelming emotion

- To end a dissociative response

- To show the pain or to make the pain visible to others

- To release endorphins for immediate (if temporary) relief

- To express self-hatred

Trauma-Informed Interventions for People Who Self-Injure

Click to view the full version(點擊連結瀏覽完整版）

https://dpi.wi.gov/sites/default/files/imce/sspw/pdf/sswpgshintervene.pdf

自殘：使痛苦可見

自殘可以被理解為一種不太常見的應對痛苦的方式。雖然有些自傷行為可能比切割、燒或咬對個體產生更大傷害，但自殘（也被稱為自我施暴[SIV]）會引起他人，包括援助者的強烈反應。有必要將自殘看作人們可能參與的眾多自傷行為之一。自傷可以被理解為包括從自我消亡（如自殺、不安全的性行為、終止必要的治療），到自殘（如切割、燒傷、不衛生的紋身或穿刺），再到自我打敗（如孤立、憤怒、拒絕幫助）。這個廣義的自傷理解包括濫用物質、不安全的人際關係和性行為、逃跑、孤立、飲食失調、拔毛、退學以及如切割、抓取、燒傷和自我拳擊等自殘行為。

人們之所以轉向自我施暴有很多原因。然而，沒有人可以確定他人為什麼自殘。由於原因多種多樣，且人們經常使用多種自傷方式來達到不同的目的，因此傾聽成為唯一的方法來發現自殘行為對該人意味著什麼。理解自殘背後的意義是找到替代自殘行為的更安全選擇的途徑，對於掙扎的人和幫助的人都是如此。

常見的自殘原因：

將情感痛苦從心靈轉移到身體
重新與當今活著的現實相連接
為了分散压倒性的情感
終止分離反應
顯示痛苦或使他人看到痛苦
釋放內啡肽以獲得即時（即使是暫時的）舒緩
表達自我厭惡

困於黑暗之中：美國非法按摩產業 | Trapped in the Darkness: America's Illicit Massage Industry

Mon, 30 Oct 2023 05:53:43 GMT

"Living in a world of inner vulnerability and darkness, it seems pointless for me to live, but I don’t know how to break free. My name is Yunxi Wang, and this is my story."

A raspy voice emerges at the beginning of the film, accompanied by a heart-wrenching monologue from Wang Yunxi—one of the countless victims of America's illicit massage industry.

Scan the QR code to watch the video, or click this link: https://youtu.be/cDLl98jRe04?feature=shared

Overview of the Illicit Massage Industry

According to the latest data �� provided by The Network ( www.thenetworkteam.org ), a non-profit organization committed to combating the illicit massage industry in the United States:

�� The illicit massage industry (IMI) is vast in scale, encompassing over 13,000 establishments with an annual revenue exceeding $5 billion.

�� In New York, there are 2 IMBs for every Starbucks, while in California, there are 3 IMBs for every McDonald's.

�� Over 100,000 incidents of sexual violence occur in these IMBs daily.

�� A staggering 84% of the victims are from China; trafficked and saddled with massive debts, they endure long hours engaged in the shadowy underbelly of this exploitative industry.

These harrowing circumstances disproportionately affect Chinese-American women in the United States. Regrettably, the majority of the Chinese community in America remains largely unaware of this crisis. Few are acquainted with the stories of these victims, their lives, and the internal anguish they endure.

In January 2023, an article by USAToday peeled back the shocking layers of this dark industry (a link to the original article can be found at the end of this report).

In Baltimore, a masseuse was coerced by her ex-husband into providing sexual services to clients. Enduring dehumanizing experiences, she constantly lived under the looming threat of either escaping or facing arrest.

When the police appeared at her doorstep, she was consumed by panic and despair.

In the United States, many illicit massage businesses are operated by Asian traffickers and effectively serve as a covert form of human trafficking. However, due to a lack of understanding from both society and law enforcement agencies, victims are often arrested instead.

Many victims of human trafficking are recruited by acquaintances, friends, or even family members.

Traffickers exploit human vulnerabilities, luring people with promises of wealth, foreign travel, love, and material comforts. In some Asian countries, many are enticed by the allure of the "American Dream," seduced by visa brokers and traffickers, caught in debt traps, and ultimately forced into servitude to repay these debts.

"Let me show you my WeChat," she says.

Mainstream Chinese-language media outlets like the "World Journal" still sporadically feature vaguely-worded massage parlor advertisements, providing traffickers a concealed platform.

WeChat, with its user base exceeding 1.2 billion, has inadvertently provided traffickers a way to sidestep regulatory oversight due to its utility and multifunctionality. Traffickers use the WeChat platform to communicate with clients, market women, and create WeChat groups to share information.

This not only enables criminals to delete accounts or block victims when necessary to evade law enforcement, but it also hinders victims from gathering more information on the traffickers, making investigations increasingly challenging.

"It's a different version of pimp control."

Traffickers often establish a façade of a "dependent" relationship through psychological manipulation. Usually, women with more power within the organization adopt the persona of a "big sister" or a "mother," luring victims with housing and employment opportunities.

Victims find themselves with confiscated passports, taken to unfamiliar locations without internet access and where they don't speak the local language, making escape much more difficult.

In Western societies, Asian women are commonly stereotyped as sexual and submissive objects, often perpetuated through media, entertainment, and societal biases with historical roots in U.S. policy and military action abroad. This often leads to sexual assault and rape in massage settings.

"If she dares to resist, the beatings get worse."

Interviews in New York and Los Angeles reveal that many massage parlor workers face abuse from their clients, including being tied up, gagged, and beaten with weapons.

Traffickers establish this environment of viole nt abuse to exert control over the victims, while also avoiding direct involvement in criminal activities.

Survivor‘s Voice

The opening video features Wang Yunxi, who shares her thoughts after being rescued:

Every time I recall the human trafficking that I experienced in the illicit massage business (IMB), it takes me days to recover from the fear and shame I feel. Until now, I have thought about it countless times. If when I came to New York, I could have seen information about human trafficking in a library or a doctor's office, or on a street corner, or if I called the hotline, I would have known that being forced to do this work was a crime. If I had choices and help, would my life be different? I know that most women in the IMI feel that they have no other choice to make the money they need to live.

Do we really have no choice but to engage in illicit massage? Starting an illegal massage job means that every day your body is susceptible to AIDS, gynecological infections, and various other infectious diseases. The longer you work in an IMB, the more thoughts you have in your head about "massaging" customers. Strangers touching my body filled me with all kinds of humiliating and traumatic memories. How can I move on, and how long does it take to forget those memories?

Robbery, rape, and being scammed are very common in IMBs. In the case of the shooting in Atlanta in 2021, eight people were killed. Money is important in life, but it is not so important that we sacrifice our physical freedom, the value of life, and our responsibilities to society and family.

Staying away from the illicit massage industry is the only choice to keep yourself free and grounded.

The Illicit Massage Industry in the United States

According to the latest 2023 data �� from The Network, a non-profit organization dedicated to combating the illicit massage industry ( www.thenetworkteam.org ):

�� There are over 13,000 suspected illicit massage businesses (IMBs) across all 50 states in the U.S., marking a 32.3% increase in the industry over the past year, with annual revenue exceeding $5 billion.

�� To put this into perspective with some startling comparative data:

In New York, for every single Starbucks, there are 2 IMBs; while in California, for every McDonald's, there are 3 IMBs.

�� On average, each IMB has between 2-4 victims. A single IMB sees 8-12 customers daily. If we take the lower estimate of 8 customers per day and multiply it by 13,000 IMBs, that could potentially mean over 100,000 incidents of sexual violence happening across the U.S. every day.

�� Women trafficked into IMBs carry an average debt of $45,000.

�� 68% of the victims in the illicit massage industry are without legal status.

�� These women are forced to work six days a week, with workdays lasting 12-16 hours.

�� Among the victims, 84% come from China, 7% from Thailand, and 9% from other countries.

The Network

The Network is an intelligence-driven counter-human trafficking organization that aims to equip partners with actionable intelligence to dismantle human trafficking networks. They focus on understanding traffickers' businesses - including their organization, operations, and profit drivers - to identify vulnerabilities and strategically disrupt them.

The Network's sole focus is defeating the illicit massage industry (IMI) — arguably one of the largest known forms of sex trafficking in the United States. They provide partners with data, intelligence, and tactics to disrupt trafficking in illicit massage businesses (IMBs). Their solution is to attack the business model because trafficking exists for only one reason: it makes money.

The diverse team behind The Network leverages skills honed in the intelligence community, data analytics, financial services, and victim service provision. They partner with local, state, and federal law enforcement, regulatory authorities, anti-trafficking service providers, data companies, and community-based organizations.

Watch the video to learn more��

https://youtu.be/ZxrsABP7np8?si=mg8rtdXLZk0He_dn

The Struggle: Survivors' Predicaments

When we at MHACC first came into contact with The Network team, we were stunned by the data and facts presented to us. Although most of us have never personally undergone such ordeals, the deeper we delve, the more we grasp the immense psychological torment that victims endure and the desperate efforts survivors make to rebuild their lives.

Immense trauma can completely devastate a person. Survivors often face a variety of mental challenges, including Post-Traumatic Stress Disorder (PTSD), depression and anxiety, substance abuse, and even suicidal thoughts. Victims frequently use psychological dissociation as a coping mechanism to escape the harsh reality.

Among Asian female survivors, all this becomes even more complicated. Influenced by a culture of shame and patriarchal values, the psychological issues triggered by trauma are often more severe, and survivors find it even more difficult to speak out and seek help.

Survivor Perspective (from Wang Yunxi):

Being trafficked felt like a black hole swallowed the night sky of my life. Shame, self-blame, and persisting memories ebb and flow in my mind. Depression and instability led to recurring digestive issues and illness. In the middle of the night, I still cry when I think about my experience.

When I take the subway, I still get scared when I see men with strange behaviors, sunken faces, and cold eyes. When my body aches, I never dare to go into a massage parlor for relief.

With the constant encouragement and guidance from the psychological counselor, I began to understand myself and resolved many doubts in my mind. I started paper-cutting, painting, knitting, reading, going to concerts, visiting museums, and walking in nature. Through psychological counseling, art, and a positive and healthy attitude towards life, the harm of human trafficking is leaving me little by little.

Support the Victim

Unlike Wang Yunxi, many survivors often have no choice but to return to a life of social isolation and self-imprisonment, as if stuck in a never-ending nightmare. This can be due to a multitude of factors, such as language barriers, low levels of education, and lack of job opportunities.

Therefore, to address these unique mental health needs of survivors, we require a comprehensive, trauma-informed, and culturally sensitive approach. This includes understanding and addressing complex trauma, focusing on social reintegration and issues of identity, as well as reducing the burden of shame and disgrace.

So, we call upon all sectors of society to intensify their focus on the issue of human trafficking. We need not just material support, but also an inclusive social environment where no one has to feel shame

Indeed, the responsibility to terminate this sweeping human rights disaster falls upon society as a whole.

"Every woman deserves a free and happy life."

“This is my story.” - Surviving the Illicit Massage Industry

Resources

If you have experience in the illicit massage industry and are interested in joining the Movement Building efforts of The Network, please fill out their contact form [ https://www.thenetworkteam.org/contact ].

Mental Health Association for Chinese Communities (MHACC) is proud to announce our collaboration with The Network to extend support to survivors. Here's what we are offering:

Emotional Support Groups for Survivors, provide safe spaces where survivors can find emotional backing and communal understanding, all in the language they are comfortable with.

We offer a mental health smartphone app designed specifically for the Chinese community. It's free to download and provides emotional support, resource information, breathing exercises, and emotion management features for those practicing self-care.

Confidential Mental Health Warmline, offers immediate crisis support and resource referrals, available 7 days a week in Mandarin, Cantonese, and English.

Call us at 1 (800) 881-8502 . You are not Alone!

Please share this helpline. It may be the lifeline someone needs.

View the original article in Wechat: https://mp.weixin.qq.com/s/c09wrslUkJHFaePPdC4zhQ

Written by MHACC

Sources：

https://www.usatoday.com/in-depth/news/investigations/2023/01/19/human-trafficking-laws-enforcement-impact-victim-experience/10392339002/

https://www.thenetworkteam.org/

https://youtu.be/ZxrsABP7np8

https://youtu.be/cDLl98jRe04?si=2ub3rlhlSW5j5olJ

屋菕唐人街安全資源博覽會 | Oakland Chinatown Safety Resource Fair | October 2023

Tue, 24 Oct 2023 19:27:12 GMT

Oakland Chinatown Safety Resource Fair 屋菕唐人街安全資源博覽會

（後有中文版）

The 2023 Lincoln Summer Nights series has ended, but Lincoln Square Park is still busy as always. This past Saturday at the park was the Oakland Chinatown Safety Resource Fair hosted by the Oakland Chinatown Chamber of Commerce, Oakland Asian Advisory Committee on Crime, and Friends of Lincoln Square Park. Several organizations like the American Red Cross, the BART Police Department, and the Oakland Fire Department were in attendance. There were many fantastic performances throughout the event including a Lion Dance and performances from the Toishan Traditional Dance Group, GA GA Dance Group, Sunshine Art Troupe, Ballroom Dance Performers, and Forever Yeung Music.

Aside from the fun and festivities, there was a lot of important information being handed out at the booths. The Oakland Fire Department also provided an earthquake safety presentation, demonstrating how to stay safe in an emergency. At MHACC’s booth, we handed out our flyers with information on our mental health resources and some Halloween-themed accessories, a fan favorite amongst the young children in attendance. Other booths included Asian Health Services, the Bureau of Alcohol, Tobacco, Firearms and Explosives, FEMA, Oakland Chinatown Improvement Council, and the Oakland Police Department, just to name a few. It was great to see so many local organizations coming together to provide all of these important safety resources, and we hope to continue to work together to build a safe community for all.

雖然 2023年度的林肯夏日之夜已經結束，但林肯廣場公園依然一如既往的熱鬧。上週六在這裡舉辦了奧克蘭唐人街安全資源博覽會，由奧克蘭唐人街商會、奧克蘭亞洲犯罪諮詢委員會和林肯廣場公園之友主辦。美國紅十字會、BART 警察局和奧克蘭消防局等多個組織出席了會議。活動期間有精彩的表演，包括舞獅、台山傳統舞蹈團、GA GA舞蹈團、陽光藝術團、國標舞、永揚音樂等的精彩表演。

除了歡樂和慶祝活動之外，展位上還分發了許多重要資訊。奧克蘭消防局還提供了地震安全演示，展示如何在緊急情況下保持安全。在 MHACC 的展位上，我們分發了心理健康訊息和萬聖節主題的配件，這是在場孩子們的最愛。

聯盟的陽光藝術團也表演了精彩的舞蹈節目：“太湖美”。陽光藝術團是聯盟在疫情下成立的一個項目，其目的在于豐富社區生活，增加社會參與感、獲得感和幸福感, 舒缓心中的焦躁緊張感。我們近期將會推出招生啓事，敬請大家留意。

其他攤位包括亞洲健康服務局、酒精、菸草、槍械和爆炸物管理局、聯邦緊急管理局、奧克蘭唐人街改善委員會和奧克蘭警察局等。很高興看到這麼多當地組織齊心協力提供所有這些重要的安全資源，我們希望繼續共同努力，為所有人建立一個安全的社區。

硅谷NAMI健行活動 | NAMI Walks Silicon Valley | October 2023

Sun, 15 Oct 2023 05:24:54 GMT

NAMIWalks Silicon Valley 10/7/23

Bright and early on a Saturday morning, MHACC gathered at San Jose’s History Park for the 2023 NAMIWalks Silicon Valley. After the morning registration was complete, the event kicked off with the opening ceremony. As people gathered and prepared for the walk, introductions were given, doves were released, and a women’s chorus performed a few songs. Following a few more opening remarks from board members of NAMI as well as a speech from keynote speaker Paraag Marathe, President of the San Francisco 49ers, the walk officially began, and hundreds of people set out on their journey. Some took the shorter one mile walk while others embarked on the longer 5k despite the heat. Not long after the start of the walk, the Lincoln High School Mariachi band gave a fantastic performance with a whole array of instruments and some great singing.

Meanwhile, MHACC and the team had their booth ready with its usual decorations, flyers, and prizes. Our booth was conveniently located next to History Park’s Chinese American Historical Museum, a reconstruction of the original Ng Shing Gung (Temple of the Five Gods) that served as a community center for the Chinese American community. As people completed their walk, many passed by the booth for more information on our programs and resources and to spin the wheel for a chance to win a prize. We gave out colorful bendy sticks, CalHope pens, coloring books, and Chinese good luck charms. Luckily, as the event wrapped up, we had the opportunity to visit the Chinese American Historical Museum and learn more about its history. It was a fun day, and it was great to see everyone there!

週六清晨，MHACC 的團隊成員聚集在聖荷西歷史公園，參加 2023 年 NAMIWalks 在矽谷的活動。上午的報名結束後，活動拉開序幕。大家進行了介紹，放出了鴿子，女子合唱團表演了幾首歌曲。在 NAMI 董事會成員致開幕詞以及舊金山 49 人隊主席帕拉格·馬拉特 (Paraag Marathe) 的演講之後，步行活動正式開始，數百人踏上了旅程。有些人選擇了較短的一英里步行，而另一些人則不管天氣炎熱仍選擇了較長的 5 公里步行。步行開始後不久，林肯高中流浪樂隊用各種樂器和美妙的歌聲進行了精彩的表演。

同時，MHACC 的團隊已經準備好了展位，並配備了通常的裝飾品、傳單和獎品。我們的展位位置便利，毗鄰歷史公園的華裔美國人歷史博物館，該博物館是對原始五聖宮（五神殿）的重建，曾作為華裔美國人社區的社區中心。當大家完成步行後，許多人經過展位來獲取有關我們的計劃和資源的更多信息，並轉動輪盤以獲得贏得獎品的機會。我們贈送了彩色彎曲棒、CalHope 鋼筆、塗色書和中國幸運符。幸運的是，隨著活動的結束，我們有機會參觀華裔美國人歷史博物館並了解更多關於它的歷史。這是有趣的一天，很高興見到大家！

殘疾人資源節 | Disability Resource Festival | September 2023

Wed, 27 Sep 2023 17:57:25 GMT

9/24/23 Disability Resource Festival at Ardenwood Farm in Fremont

（中文譯文在後）

The horn of an old train sounds as it departs Arden Station and arrives in Deer Park, located in Ardenwood Historic Farm in Fremont. It is a bright and sunny day, and hundreds of people have gathered to attend the 9/24 Disability Resource Festival. As booths finish setting up and attendees begin coming in, live music from the main stage lifts the energy up and prepares everyone for an eventful day. Among the thirty local community partners participating in the event, MHACC and its team can be seen in their bright green shirts. The booth is decorated with its usual golden poppies and Chinese paper lanterns, but this time a prize wheel, the newest addition to the booth, draws everyone in. With prizes like science kits, coloring books, stress balls, and candles to be won, attendees of all ages gather around for a spin. Meanwhile, those at the booth seeking information and resources have the opportunity to learn more about our support groups, the family-to-family education program, MiSunshine, UrSpace, and more. Before we knew it, we ran out of prizes, and the event was nearing its end. Thank you to the City of Fremont Human Relations Commission and Friends of Children with Special Needs for hosting this event and thank you to everyone who attended and stopped by the booth!

一列舊火車從阿登車站出發，抵達位於弗里蒙特阿登伍德歷史農場的鹿園時，鳴響了喇叭。

這是一個陽光明媚的日子，數百人聚集在一起參加9/24殘疾人資源節。當MHACC的攤位搭建完畢、與會者開始入場時，主舞台上的現場音樂振奮人心，讓每個人都為忙碌的一天做好準備。在參加這項活動的 30 家當地社區合作夥伴中，可以看到 MHACC 及其團隊穿著亮綠色的襯衫。展位上裝飾著慣常的金色罌粟花和中國紙燈籠，但這次展位上最新增加的獎品輪盤吸引了所有人，有科學套件、塗色書、壓力球和蠟燭等獎品可供贏取，各個年齡層的參與者聚集在一起旋轉著輪盤。同時，在展位上尋求資訊的人們有機會了解更多關於我們的支持小組、家連家教育計劃、MiSunshine、UrSpace 等的資訊。不知不覺中，我們的獎品已經用完了，活動也接近尾聲了。感謝弗里蒙特市人際關係委員會和特殊需求兒童之友主辦本次活動，感謝所有出席並駐足展位的民眾。

[NOT IN USE] 招聘信息/ Recruitment

Tue, 26 Sep 2023 21:40:47 GMT

招聘：心理健康暖線個案經理

Recruitment: Mental Health Helpline Case Manager

職位名稱：心理健康暖線個案經理

職位類型：全職/兼職

工作時數：每週 10-40 小時

薪資範圍：每小時 $26

主要職責：

接聽心理健康暖線，通過電話為客戶提供一對一諮詢、情感支持和危機干預
制定和執行客戶服務及個案管理計劃
進行個案家訪，與個人、家庭，和社區建立有效合作，協助互助組, 提供全面的心理健康支持服務
準備清晰、全面的個案記錄

資格：

必須會說流利的普通話或者廣東話
擁有心理健康或社會工作相關經驗和教育背景者優先
具備優秀的訪談和危機干預技巧者優先
對心理健康工作具有強烈的使命感和熱情
有青少年和老年人支持經驗者, 有互助組經驗優先
能夠應對高壓和異常客戶行為
以患者為中心和減少傷害的方法為核心理念

附加信息：我們將提供在職培訓。

如何申請：

請將您的簡歷和以下兩個問題的回答發送到 HR@mhacc-usa.org

請描述您在心理健康領域遇到過的一個最具挑戰的情況，以及您是如何處理的。您從這次經歷中學到了什麼？
您為什麼有興趣在心理健康暖線工作，以及您具備哪些品質使您適合這個角色？

Job Title: Mental Health Helpline Case Manager

Position Type : Full-Time/Part-Time

Hours: Flexible, 10-40 hours per week

Salary Range: $20 - $26 per hour

Primary Responsibilities:

Answer mental health helpline calls, providing one-on-one counseling, emotional support, and crisis intervention over the phone;

Develop and implement client service and case management plans;

Conduct home visits for case management, establish effective collaboration with individuals, families, and communities, assist self-help groups, and provide comprehensive mental health support services;

Maintain clear and thorough case records;

Qualifications:

Must be fluent in Chinese or Cantonese;

Preference given to candidates with an educational background and/or live experience in mental health or social work;

Experience with interviewing and crisis intervention techniques preferred;

Strong sense of mission and enthusiasm for mental health work;

Experience in supporting adolescents and the elderly is a plus;

Ability to handle stress and unusual client behaviors;

Adherence to patient-centered and harm-reduction philosophies;

Additional Information: On-the-job training will be provided.

How to Apply:

Please send your resume along with answers to the following two questions to HR@mhacc-usa.org

Describe a challenging situation you have faced in the field of mental health and how you handled it. What did you learn from the experience?
Why are you interested in working on a mental health helpline, and what qualities do you possess that make you well-suited for this role?

NAMI 加州年會 | NAMI California Conference | August 2023

Thu, 21 Sep 2023 23:33:19 GMT

2023 NAMI California Conference 8/23 - 8/25

Written by Brian

A sea of yellow shirts floods the California State Capitol in Sacramento as NAMI California kicks off its annual conference with Advocacy Day. Members from near and far have gathered here to advocate for mental health awareness, and more importantly, mental health action. Direct visits to local elected officials right in their offices ensured that NAMI California’s presence was felt and that its collective voice was heard.

Following the pre-conference events of Advocacy Day, the conference officially began the next day with an opening from President of NAMI Sacramento Isaac Gonzalez, Youth Mental Health Advocate Ella Cruz, and CEO of NAMI California Jessica Cruz. Armando Gonzáles aka Dr. Mondo, founder and CEO of Cheatcode, followed with an empowering speech that left a lingering buzz in the air.

With much to do, MHACC’s team split up to tackle as much as possible at the conference. While some managed the outreach booth, others attended meetings to discuss and learn about relevant topics like crisis response, self-care, criminal justice, and more. Q&A sessions titled “Ask the Doctors” offered a more in-depth insight into mental health topics like anxiety, mood disorders, schizophrenia, etc. from the perspectives of experienced professionals.

Day 2 continued with more Q&As as well as an afternoon of workshops, including one led by our very own Elaine Peng and Rachael Chan. Together, they discussed an important topic to MHACC: Addressing individual and community trauma under Anti-Asian hate. Other workshops during the day covered topics including mental health stigma, caregivers, self-advocacy, and more. Despite no shortage of work to be done, the conference ends up being quite a fun experience. With a group of like-minded individuals in pursuit of the same goal, sharing stories and learning things from one another made NAMI California’s 2023 conference one to remember.

NAMI 加州年度會議的第一日以倡導日拉開序幕，黃色襯衫的海洋淹沒了位於薩克拉門託的加州議會大廈。來自四面八方的成員聚集在這裡，倡導心理健康意識，更重要的是倡導心理健康行動。他們直接拜訪當地民選官員的辦公室，確保官員們感受到 NAMI 加州的存在，並聽到整個集體聲音。

繼倡導日的活動之後，會議於第二天正式開始，由 NAMI 薩克拉門托的主席 Isaac Gonzalez 、青年心理健康倡導者 Ella Cruz 和 NAMI 加州首席執行官 Jessica Cruz 致開幕詞。 Armando Gonzáles（又名 Mondo 博士）是 Cheatcode 的創始人兼首席執行官，他在隨後發表了一場充滿力量的演講，引起了熱烈的討論。

由於要做的事情很多，MHACC 的團隊在會議上分頭參加盡可能多的活動。有些人負責管理外展攤位，有些人則參加會議，討論並了解危機應變、自我照顧、刑事司法等相關主題。例如，題為「問醫生」的問答環節從經驗豐富的專業人士的角度更深入地探討了焦慮、情緒障礙、精神分裂症等心理健康主題。

大會的第二天繼續開展了更多問答以及一整個下午的研討會，其中包括我們MHACC的團隊，由 Elaine Peng 和 Rachael Chan 主持的研討會。她們提出了一個重要議題：如何解決反亞裔仇恨下的個人和社區創傷。當天的其他研討會涵蓋的主題包括心理健康恥辱、護理人員、自我倡導等。儘管有不少工作需要完善，但整個會議還是一次非常有意義的經驗。一群志同道合的人追求同一目標，分享故事，並互相學習，使 2023 年 NAMI 加州會議成為一次難忘的會議。

北加州華人文體協會運動會 | Nor-Cal Chinese Cultural and Sports Association Athletic Conference | August 2023

Thu, 21 Sep 2023 23:33:00 GMT

2023 Northern California Chinese Cultural and Sports Association Athletic Conference

The date is August 12, a bright and sunny day, and hundreds of people have gathered at Sequoia High School in Redwood City for the 2023 Northern California Chinese Cultural and Sports Association Athletic Conference. The event kicks off with the opening ceremony, with each team walking a lap around the track in their vibrant and colorful uniforms. Banners are held proudly, and booming chants can be heard from all around as teams prepare themselves for a full day of competition and festivities.

MHACC’s team can be seen wearing bright green shirts and waving colorful flags as they make their way around the track. Our goal at the conference was not to compete, but rather to spread mental health awareness and offer resources to attendees. Flyers, general information, and sports-themed stress balls were handed out, and several people stopped by the booth to chat and learn more. Although we did not bring home any medals, the event was a success and a win in our books. We hope to see you at the next one!

8月12日是陽光明媚的一天，我們聚集在雷德伍德城的紅杉高中，參加2023年北加州華人文體協會運動會。開幕式上，每支隊伍都穿著充滿活力、色彩繽紛的製服繞著賽道走一圈。當球隊為一整天的比賽和慶祝活動做準備時，橫幅自豪地舉起，周圍響起了震耳欲聾的口號。

MHACC 的團隊穿著亮綠色的襯衫，在賽道上揮舞著彩色旗幟。我們在會議上的目標不是競爭，而是傳播心理健康意識並為與會者提供資源。我們分發傳單、資訊和運動主題的壓力球，有些人在展位前停下來聊天想了解更多。儘管我們沒有帶回任何獎牌，但這次活動非常成功，是一次成功的活動，希望在下一場見到您哦！

林肯夏日之夜 | Lincoln Summer Nights | September 2023

Thu, 21 Sep 2023 23:32:31 GMT

Lincoln Summer Nights 9/14/23

With the intense heat of the summer months finally ending, September’s Lincoln Summer Nights was much more relaxing with just as much fun. This month's theme was a multi-cultural celebration of the Mid-Autumn Festival with activities like paper lantern making, elder story sharing, and performances from the Destiny Muhammad Trio and the Noble Towers senior dance troupe. Mooncakes and Korean songpyeon rice cakes were shared and enjoyed as a tradition during the Mid-Autumn celebration. And as usual, there was no shortage of loud and passionate karaoke.

MHACC's booth was right in the middle of all the action. We handed out flyers with general information about our support groups, education programs, and apps. We also gave out CalHope baseball-themed stress balls, science kits, and the always popular fidget bracelets. The kits from Science is Elementary included a compass, pencils, markers, and tape, as well as instruction booklets teaching the science of sundials. These kits are a great hands-on experience for young children to learn about various topics through fun and simple experiments. Overall, it was a fun and successful night for us, and we hope to see you in your costumes for October’s Halloween-themed Lincoln Summer Nights!

隨著酷熱的夏天終於結束，九月的林肯夏夜活動變得更加輕鬆，和充滿樂趣。本月的主題是多元文化的中秋節慶祝活動，包括紙燈籠製作、長者故事分享，以及命運穆罕默德三重奏和貴族塔高級舞蹈團的表演等活動。中秋慶祝活動期間，共享月餅和韓國鬆餅是一種傳統。像往常一樣，現場也不乏喧鬧熱情的卡拉 OK。

MHACC 的展位位於所有活動的中心。我們分發了傳單，其中包含有關我們的支援小組、教育計劃和手機軟件的資訊。我們還贈送了 CalHope 棒球主題的壓力球、科學套件和一直流行的手鐲。 Science is Elementary 的套件包括指南針、鉛筆、記號筆和膠帶，以及教授日晷科學的說明書。這些套件為幼兒提供了很好的實踐體驗，可以透過有趣而簡單的實驗來了解科學。總的來說，這對我們來說是一個有趣而成功的夜晚，我們也希望看到您穿著服裝參加十月的萬聖節主題林肯夏夜！

歌聲暢享2週年 | Sing A Song Anniversary | July 2023

Tue, 01 Aug 2023 15:42:40 GMT

07/29 歌聲暢享2週年慶祝活動

By Cami

7月29日晚，我們歡聚一堂，慶祝大家喜愛的《歌聲暢享》節目兩週年。在過去的兩年裡，這個節目帶給我們的不僅僅是旋律，還慰籍了我們的心靈，減輕了壓力。當晚的慶祝活動充滿了友情和歡樂，MHACC 執行長 Elaine、副執行長 Carole、趙老師、主持人 Claudia 以及眾多熱愛歌曲的朋友在一起聚餐，唱歌跳舞，陶醉在音樂的夜晚。
On the evening of July 29th, we gathered to mark the second anniversary of our beloved "Sing A Song" program. Over the past two years, this delightful initiative has provided much more than melody - it's offered comfort and respite, soothing our souls and alleviating stress through song. Our celebratory event was a harmonious mix of camaraderie and joy, with MHACC's Executive Director, Elaine, our Deputy Director, Carole, Teacher Zhao, our host Claudia, and numerous song-loving friends. Together, we shared a meal, belted out tunes during karaoke, and reveled in the music-filled night.

弗里蒙特街頭美食節 | Fremont Street Eats | July 2023

Mon, 31 Jul 2023 22:23:43 GMT

Fremont Street Eats 佛利蒙街頭美食節 07/28/2023

By Brian Ka

The smell of street food fills the air as food trucks gather for Fremont Street Eats, a weekly event held at the Downtown Fremont Event Center. MHACC and other booths arrive early to set up their canopies under the hot sun while the occasional cool breeze keeps everyone happy. As families, friends, and curious passerbys begin trickling in, the DJ starts the music and the fun begins. The small but lively event also features a variety of local vendors, from fitness and health to clothing and home design.

Partnering with Science is Elementary, a nonprofit which aims to provide science education to young students, MHACC and its team of staff and volunteers have prepared DIY science kits for kids to play with and take home. Throughout the evening, several groups of children stop by the booth to try out the science kits. With toothpicks, straws, pipe cleaners, and marshmallows, Regina, Rachael, Michael, and Cindy teach kids how to build little structures and test the strength of the various materials. At the end of each demo, the young builders take home their science kits filled with plenty of materials and instructions on other fun projects.

Besides the kits, MHACC also handed out baseball stress balls and contributed a self-care kit for the event’s raffle at the end of the night. As the event neared its conclusion and the energy seemed to fade, Michael, one of our volunteers, made a last second entry into the raffle and luckily won a prize! The team is all smiles after a successful and fun night at Fremont Street Eats.

空氣中瀰漫著街頭小吃的味道，餐車聚集在弗里蒙特市活動中心參加每週一次的弗里蒙特街頭美食活動。 MHACC 和其他展位早早到達，在烈日下搭起雨篷，偶爾吹來的涼風讓每個人都心情愉悅。當家人、朋友和好奇的路人陸續湧入時，DJ 開始播放音樂，歡樂開始。這場規模雖小但熱鬧的活動還包括各種當地供應商，從健身和健康到服裝和家居設計。

MHACC 及其工作人員和志願者團隊與旨在為年輕學生提供科學教育的非營利組織 Science is Elementary 合作，準備了 DIY 科學套件供孩子們玩耍並帶回家。整個晚上，孩子們在展位前停下來試用科學工具。雷吉娜、瑞秋、邁克爾和辛迪用牙籤、吸管、管道清潔劑和棉花糖教孩子們如何建造小型結構並測試各種材料的強度。在每次演示結束時，年輕的建造者們都會把他們的科學作品帶回家，裡面裝滿了其他有趣項目的材料和說明。

除了這些工具包外，MHACC 還分發了棒球壓力球，並為當晚活動的抽獎活動提供了一套自我護理工具包。隨著活動接近尾聲，活力似乎逐漸消退，我們的志願者之一邁克爾在最後一秒參加了抽獎，幸運地贏得了獎品！在弗里蒙特街頭美食節度過了一個成功而有趣的夜晚後，我們的團隊都笑容滿面。

林肯夏日之夜 | Lincoln Summer Nights | July 2023

Mon, 31 Jul 2023 17:22:58 GMT

Lincoln Summer Nights | 林肯夏日之夜 | 07/20/23

By Brian Ka

Lincoln Square Park in Oakland’s Chinatown transforms into a wild circus as Circus Bella and other performers including the Prescott Circus Theatre and the Sunshine Art Troupe gather for July’s Lincoln Summer Nights. MHACC and other local organizations have come together for an evening of good food, fun activities, and a grand circus. Families, friends, and community members are packed together as jugglers, acrobats, singers and dancers captivate the attention of the crowd.

Meanwhile, several booths set up by local Oakland organizations including the Oakland Chinatown Improvement Council and the Oakland Asian Cultural Center, surround the circus. At our booth, MHACC’s team handed out science kits from Science is Elementary to kids, and provided general information about our organization and available resources. It was a fun night for all and a great reminder of the strength and positivity of the community. With so many activities and familiar faces, we can’t wait to see you at the next Lincoln Summer Nights on August 10th.

奧克蘭唐人街的林肯廣場公園變成了一個狂野的馬戲團，貝拉馬戲團和包括普雷斯科特馬戲團劇院和陽光藝術團在內的其他表演者聚集在一起，參加七月的林肯夏日之夜。 MHACC 和其他當地組織齊聚一堂，度過一個美食之夜、有趣的活動和盛大的馬戲表演。家人、朋友和社區成員聚集在一起，雜耍演員、雜技演員、歌手和舞者吸引了人群的注意力。

與此同時，奧克蘭唐人街改善委員會和奧克蘭亞洲文化中心等奧克蘭當地組織在馬戲團周圍設立了幾個攤位。在我們的展位上，MHACC 的團隊向孩子們分發了“Science is Elementary”的科學套件，並提供了有關我們組織和社區資源的信息。這對所有人來說都是一個有趣的夜晚，也很好地提醒了我們社區的力量和積極性。活動如此豐富，面孔如此親切，我們迫不及待地想在 8 月 10 日舉行的下一屆林肯夏夜見到您。

痊癒之途 | The Road to Recovery | By John McManamy

Wed, 14 Jun 2023 09:32:19 GMT

「痊癒是找到一件讓你充滿生命力的事，並進行之。」

John McManamy 魏嘉瑩譯

編按： 寫作幫助 John 從憂鬱症的深淵中爬出，他的文章提醒我們，痊癒有許多不同的途徑。JohnMcMnamy 過去是擁有法律學位的財經記者，他出版了憂鬱症與躁鬱症的線上週刊。

關於重度憂鬱症，最糟糕的事情或許是無處可逃的難受。在一次、兩次、數次淪為憂鬱症的受害者之後，你幾乎知道它終會復發。雖然詳情不明，但相當確定當你睡著時，它會以與這相去不遠的方式悄悄來襲：「當你在被窩裡時，一隊 112 人的搬運工，帶著沈重的裝備躡手躡腳地潛進房間，拆掉幾道牆，在你床鋪的正下方鋪下五哩長的高速電車軌道。這是某種樂透的反面，上帝在終將發生的造訪中，獨獨挑中你。次日，你毫不知情地起床，只覺得大腦變成日本料理中從冰櫃魚列而出的壽司，它通過後腦杓消失在地平線之外；你的神智在火車鳴笛的都卜勒效應下漸漸模糊，交叉迴響的笛聲嘲笑著你的軟弱與愚昧。終於你找到一個新的腦袋裝到肩膀上，重新站起來，卻只為了被捷運，接著是電車擊倒，最後翻白肚躺平。現下是絕望的；街角的孩童和他的巧克力泡芙火車只要朝你的方向一望，便可以粉碎你殘存的大腦。」

回溯 1999 年初，我才剛從最糟的一次憂鬱症中倖存，依舊心有餘悸。我最先做的幾件事之一是爬出被窩到電腦前；網路對我來說是新鮮事，憂鬱症也是。我也漸漸承認自己的躁鬱症，它是我某方面已經知道一輩子，卻一直拒絕接受的事。我瀏覽一個接著一個的網站，讀到憂鬱症與躁鬱症這兩種疾病如何地具有毀滅性，但也發現它們都是可以治療的，而我在自己的痊癒中扮演主角。接著我發現個各式各樣的精神疾病留言版，在積蓄了勇氣之後，甚至開始回覆訊息。其後的幾個星期中，我發現某個頻受躁鬱症患者造訪的留言版特別吸引我。有人登出十個你知道自己得了躁鬱症的理由，我記得第十個理由是，如果你認為羅賓•威廉斯不應該再那麼懶散，你便知道自己得了躁鬱症。我隱約知道自己找到了某個棲息之地。

幾個星期之後，一個謎樣的留言徵求作家，我是個作家，我回應了。結果版主恰巧是 Suite101.com 的心理衛生編輯，也是一位躁鬱症患者，Colleen Sullivan。她正在找人寫關於憂鬱症的文章，我告訴她自己應該可以應付四篇文章。令人不敢置信的是，她並沒有就此斷訊，於是我在鍵盤坐下，開始打字：「憂鬱症並非字面所說，我們談論的是一種會佔領你的心智的情況，劫走你的尊嚴，剝奪生命給你的歡樂，把你留在水面下兩吋，人神共棄」。再回過神時，我已經變成網頁的憂鬱症編輯，在自己有了心得，下定決定時，一次寫一篇文章。這一切都和我的康復密切相關；在一個星期之內，我開始寫了三篇文章，下個星期再三篇，全都蓄勢待發，等著出擊。

當時我心裡毫不懷疑——自己有許多可寫。寫作幫助我從絕處逢生，對我來說，它是一項療程；如果我是個球員，我會投籃，如果是個園丁，會在戶外與牽牛花為伍。痊癒是找到一件讓你充滿生命力的事，並進行之。當我全速航行時，時間空間全都不存在；日頭自行落下，震耳欲聾的音樂轉為靜音，身邊熱氣騰騰的茶杯一分鐘後再拿起來已經像石頭一樣冰冷。經過六個月行屍走肉的生活，我再度開始寫作，真真正正地寫。雖然是在憂鬱症與躁鬱症的影子之下，但我還是寫著。我一次一篇文章，改寫著自己的生命。

本文獲得 NAMI 允許譯自”NAMI Advocate” Winter, 2003

Healings (PDF File)

YL 的躁鬱症經歷 | YL’s Experience with Bipolar Disorder

Fri, 09 Jun 2023 16:01:15 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

YL 在 2015 年 7 月 25 日 NAMI 華語項目課堂分享的故事

我是 YL，我有躁鬱症。躁鬱症是一種心理健康障礙，一個人的情緒會發生變化，從快樂變成悲傷，從悲傷又變回快樂，也可能介於兩者之間。有躁鬱症的人甚至會經歷極端的欣快與快樂情緒，接著又回到憂鬱狀態，這取決於是哪一種類型的躁鬱症，而且也可能出現在不同的情緒狀態中。我個人被診斷為第一型躁鬱症，也就是我會從極度快樂轉變為悲傷，或反之。

我第一次懷疑自己可能有問題是在我九歲的時候，甚至還沒被診斷出躁鬱症。當時我吃了一個人工水果捲，我跟我媽媽還有朋友說：「我感覺很亢奮，不像我自己。」我對人工色素反應不好。我也很難安靜地坐著。十一歲時我第一次被誤診為注意力不足過動症（ADHD）。ADHD 是一種影響九歲以上兒童在課堂上專注與安靜坐著的能力的疾病。因此，我被開了利他能（Ritalin）這種藥物，這讓我變得更亢奮，更難專心。

兩年後，也就是我十三歲的時候，在我看了凱薩（Kaiser）的醫生四次之後，我被診斷為躁鬱症。那時我從快樂到悲傷、又從悲傷到快樂的情緒變化已經太頻繁了。當時有個男生喜歡我，但我不願意跟他交往，他因此對我很不好。我媽媽舉了一個例子來說明我曾經的躁狂經驗：她說我本來可能成為一位芭蕾舞者，是她阻止了我。但那時我只是芭蕾初學者，並沒有我現在的多年訓練。

這些年來，我持續學習芭蕾舞。我有藝術家的氣質，這在有心理健康問題的人當中很常見。我的心理健康問題是躁鬱症，因此我也會經歷憂鬱週期，尤其是在月經來的時候。我的躁鬱症是在我第一次月經時，由荷爾蒙變化觸發的。大多數心理疾病存在於一個人身體之中，通常會在壞經驗或創傷事件之後顯現出來。

我的心理健康問題讓我在公立學校裡很難集中注意力，我也開始對那個喜歡我的同學行為失控。因為我不喜歡他，所以我被送往加州的一所治療性學校。所謂治療性學校，是為那些無法適應普通公立學校的兒童和青少年設立的。這類學校分成很多層級，從第 10 級（普通公立學校）開始，層級越高越嚴格，直到第 18 級，那相當於被鐵鍊拘禁的犯人團隊，甚至比青少年感化院還嚴厲。青少年感化院（也就是少年監獄）被認為是第 16 級。層級越高，對心理健康個案的管理與規範也就越嚴。

我個人被送往加州的第 12 級學校，接受日間治療。日間治療的意思是白天在學校上課，晚上回家與父母同住。由於公立學校無法提供我所需要的服務，所以學區支付了這所私立學校的費用。我還記得第一次看到這所私立學校時，覺得它環境平靜、氣氛輕鬆。

剛開始時，我很安靜、害羞，也非常乖巧。學校的職員與老師很難判斷我患的是什麼病。我也很難解釋自己的問題，那時我大多時候都是沉默的。我觀察四周，後來才慢慢對自己的病症有了深入了解。透過觀察與經驗，我發現自己如果攝取過多糖分，會先感覺冰冷，然後變得亢奮。之後，我需要喝很多水來排毒，避免變得過度亢奮。一旦變得過度亢奮，我就必須不停地走路，藉此釋放能量。我從學校學到了許多應對策略，直到今天我還在使用。

我學到的應對策略包括治療性的運動，例如像太空漫步一樣的散步來清空思緒。我也學會如何避免和不喜歡的人正面衝突，學會放下與重新開始。我還學會了如何忽略惱人的人。每個被送到治療性學校的孩子都有自己的原因，我所在的學校特別為那些無法在普通公立學校中守規矩、且患有心理健康問題的學生而設。

剛到學校時，我對自己的診斷毫無概念，之後才逐漸了解自己病症的來龍去脈。我就讀的加州這所學校，主要是為十一歲到十八歲的青少年設立的，但根據加州法律，有特殊需求的學生最長可就讀至二十一歲。我還記得十三歲時我對自己的診斷處於否認狀態，我覺得自己沒問題，我本來就很好，而且我不喜歡兒童精神科醫師開給我的藥物副作用。

我十三歲時開始在凱薩（Kaiser，一家私人保險機構）看精神科醫生。一開始那位精神科醫師很不友善，但後來我們建立了良好的關係。我直到十四歲時，在我所就讀的特殊心理健康學校裡，才真正開始理解自己的病症。我在媽媽、心理學家與精神科醫生的幫助下，學習了對自己病情的認識。我學到，在我身體不舒服或發燒時，我的思緒會特別混亂與模糊。

我也學會了自己會從躁狂（或極度亢奮）變成憂鬱（極度悲傷、整天想睡覺），也可能反過來。

我的躁鬱症是在我開始來月經時，因為荷爾蒙變化而被觸發的。當我攝取過多糖分、咖啡因，尤其是人工色素和人參時，我會變得非常亢奮。人參是一種草藥，具有刺激效果，會讓我特別「high」。在另一端，當我憂鬱時，如果喝含酒精的飲料，我會感到格外悲傷，情緒更加低落，甚至變得嗜睡。

我從小就能辨認出自己的躁狂狀態；但我是到了大約 21 歲成人之後，才學會如何識別自己的憂鬱週期。有時候我會悲傷到覺得自己什麼事都做不到。有些日子裡，我甚至悲傷到無法起床。

我患有躁鬱症，也可以說是一種情緒障礙。有些日子我感到快樂，有些日子感到悲傷，也有介於兩者之間的時候。回想我十四到十六歲時，我學會了接受自己有躁鬱症或心理健康問題的事實。我也學會了接受「不是一個正常人」所伴隨的社會汙名。畢竟，「正常」太無聊了 —— 誰想要當個「正常人」？我們每個人都有自己的優點與弱點。我也學會辨識自己何時是亢奮、何時是憂鬱。

我的亢奮與憂鬱是靠精神科藥物來控制的。我嘗試了很多種藥物，才找到適合自己的那一種。在這個過程中，我經歷了從體重增加到腹瀉，以及所有可能的過敏反應等副作用。根據我自己與心理健康問題共處的經驗，我想給大家的建議是：如果一種藥不適合，不要放棄，繼續嘗試，總有一天你會找到適合自己的藥物。對我來說，最終幫助我穩定情緒的是 Abilify（阿立哌唑），搭配 Hydroxyzine（羥嗪）來控制我過度焦慮的狀況。大多數人最終都能找到適合自己心理健康需求的藥物。

我的心理健康問題是躁鬱症，我學會透過藥物、有相同病症的朋友、精神科醫師與心理學家的支持來面對這些挑戰。我也非常幸運，有母親與姊姊這樣的家人給我支持。

不過，雖然我爸爸現在比以前更有同理心了，但他仍然無法真正理解我的病症，也無法在我最需要他時給予幫助。儘管如此，我還是很幸運，能夠從這麼多人那裡得到幫助。我希望其他人也能順利康復。直到今天，我仍然害怕哪一天自己會再度失去穩定。心理健康是一場終生的戰鬥，我們只能一天一天地走下去，期待穩定的到來。

A story shared by YL at the NAMI Chinese Program session on July 25th, 2015.

I am YL and I have bipolar disorder. Bipolar disorder is a mental health disorder where a person has an emotional differences one goes from happy to sad and sad back to happy and anywhere in between. A person with bipolar disorder can even go to an extreme elated and happy mood and back to a depression depending what time of bipolar disorder and the person can also be anywhere in between. I am personally identified with bipolar type I or I go from extreme happiness to sadness or the opposite way around.

I first suspected something was wrong even before I was identified with Bipolar Disorder when I was nine years old and I was eating an artificial fruit roll up. I told my mother and my friend that same day I feel hyper and not like myself. I personally do not handle artificially coloring well. I also have a hard time sitting still. I was at first at eleven years old misidentified as Attention deficient hyper active disorder. Attention deficient hyper active disorder is when a child over the age of nine years old has a hard time paying attention and sitting still in the class room. I was consequently put on Retalian a medicine that made me hyper and has a harder time concentrating.

Two years later at 13 years old I was indented by a doctor at Kaiser with Bipolar after seeing her for four times. I was happy to sad and sad back to happy one time too many and at the time I had the guy who liked me give me hell since I would not date him. My mother gave an example of my maniac experiences that I could have been a ballerina and she is the one who stopped me. I have not had the years of ballet training I do have know. I was a complete beginner in ballet at the time.

Over the years I continued my ballet and, I have an artistic temperament which is common in people with mental health problems. My mental health problem is bipolar so I also have a depression cycle when I start to feel sad especially on my period. My bipolar was triggered with hormones from my first period. Most mental health disorders are in ones body and become apparent based off a bad experiences or a traumatic event.

My mental health problem made it harder for me to concrete in public school and I started acting out with the guy who liked me in my class. I did not like this guy back so I was sent to a Therapeutic School in California. A therapeutic school is for children and teenagers who do not fit in their regular public school. The therapeutic school has many different levels ranging from a ten which is a regular public school and as the levels increase until a level eighteen which is the equivalent to a chain gang and beyond juvenile hall in structure, Juvenile Hall is or a children and teenagers prison is considered a level 16. The higher the level the more structure there are for mental health clients.

I personally was sent to a level 12 in California for day treatment. Day treatment is where one is in the school for the day and go back home to one parents at night. My school district paid the bill for the private school since the public school did not have the services required to handle me. I remember seeing the private school for the first time and I saw it was calm and relaxing setting.

During the beginning I was quite and shy and very well behaved. The staff and teacher had a hard time pin pointing my disorder. I also had a hard time explained my disorder back than was quite most of the time. I observed my surrounding and later on would learn insight into my disorder which I have today. I found the in sight my learning too much sugar gives me an icy cold feeling before I get hyper than I have to down a lot of water to flush out my system so I would not get hyper. Once hyper I would have to exercise off my hyperness by walking nonstop. I would learn from the school copping strategies for my disorder which I still use to this very day.

The coping strategies I learned were therapeutic exercise such as a space walk to clear my thoughts. I also learned to avoid and be no confrontational with people I did not like and learned how to let go and start a new. I also learned how to ignore annoying people. Everyone is sent to therapeutic school for a reason and in mine was especially for students with mental health clients who could not behave in a regular public school.

When I first arrived at the school I had no clue about my diagnosis and I would gradually learn a lot of insight of my disorder. The school I attended in California has been formed for young adults from the ages of eleven to eighteen though under California law a child can stay in a special needs school until they are twenty one years old. I remember at thirteen years old I was in denial about my disorder I thought nothing was wrong with me and I was fine the way I was and did not like the side effect of the medicines the children’s psychiatrist put me on.

I first started seeing a psychiatrist at Kaiser which is a private insurance at thirteen years old. The psychiatrist at first was very rude and mean but later on we would build quite a good relationship with my first psychiatrist. I had no clue what my disorder was until I reached 14 years old at my special school for mental health. I started learning my insight to my disorder at 14 years old from my mother and with the help of my psychologist and psychiatrist. I learned that sometimes my thoughts were confused and unclear at my worst especially when I feverish and physically do not feel well. I also

learned that I go from manic or hyper on top of the world to depression or feeling sad and sleeping all the time or the other way around.

My bipolar was triggered by my menstrual cycle or on the set of my period by hormones. I go all hyper on too much sugar, caffeine, and most especially artificial coloring and ginseng, Ginseng an herbal medicine is a stimulant that makes me particularly high. The other end of the spectrum for me with depression I feel particularly sad when I drink alcoholic beverages which make me sadder and feel depressed and make me sleep.

I could identify my manic side even as a child, I learned as an adult around 21 years old how to identify my depression cycle I would feel very sad and feel as though I could not accomplish anything. I would feel so sad that I could not even get out of bed some days.

I suffer from bipolar disorder or an emotional disorder some days I would feel happy other days sad and any where in between. Back to when I was 14 to 16 years old I learned to accept the fact that I had bipolar disorder or a mental health

issue I learned to accept the stigmatism of not being a normal person. After all normal is boring who wants to be normal since we all of us have our strengths and weaknesses. I also learned to identify when I am hyper and when I am depressed.

My hyperness and depression is managed with a psychotropic medicine. I had to try quite a few medicines before finding the right one getting the side effects from weight gain to diarrhea and every allergic symptom in the book on the wrong medicine. A piece of advice from my personal experience with a mental health issue is do not give up after one wrong medicine keep trying one will eventually find the right medicine for them . My correct medicine happens to be Abilify which helps to control my mood and keeps me stable with a combination of Hydroxzine when I am too anxious. Most people will eventually find the right medicine for their mental health issue.

My mental health issue is bipolar and I learned to cope with my issues with the support of medicine, my friends with my disorder, psychiatrist, and psychologist. I am also very lucky to have the support of my family such as my mother and sister.

Unfortunately though my dad has more empathy to me these days, but, he still does not really understand my disorder or when I need him most. I am lucky to have so much help from so many people with my disorder and I hope other people can have a smooth recovery too and I am till this very day dreading the day I become unstable again. Mental health issues are a life long battle we must take one day at a time hopping for stability.

走出黑暗:憂鬱症家庭的預防與治療 | Moving Out of the Darkness: Prevention and Healing for Families Facing Depression

Fri, 09 Jun 2023 15:59:24 GMT

 作者：William Beardslee, M.D.

魏嘉瑩 Chiaying Wei 譯

編注：William R. Beardslee 醫師是波士頓兒童醫院精神醫學部門的精神科主治醫師兼主任，以及哈佛醫學院兒童精神醫學的教授。他目前主導美國國家心理衛生研究院（National Institute of Mental Health, NIMH）贊助的「防治行動計畫」，目的為發掘當家長患有情感性疾患時，醫師輔助，家人為本，設計來加強孩子的恢復力與瞭解家庭的防治活動，可以產生何種效果。他著書《走出黑暗的房間：當家長得了憂鬱症時：保護孩子，鞏固家庭》，已婚，育有四名子女。

1970 年代末期，我開始和與憂鬱症奮戰中的父母們談話，一次又一次聽到他們說：「我們害怕自己的病已經對孩子造成無法彌補的傷害，卻沒有人幫助我們。」沒有孩子受到無法彌補的傷害，事實上，當父母親與精神疾病抗爭時，可以做許多事來增進家人力量和恢復力。我在過去二十五年中有機會和家屬們合作，發展及檢驗當父母親面臨憂鬱症時的預防之道。

簡單說來，如果你是一位患了精神疾病的家長，可以做許多事來幫助孩子。最近二十年神經醫學有許多卓越的研究注重在發展可塑性的概念上——亦即，成長中的嬰兒或孩童面臨身體疾病或腦部傷害時，擁有強大的彈性。當父母患有重度精神疾病時，可能也存在同樣的彈性。雖然當父母與精神疾病奮戰時，孩子們面臨些許升高的風險，但很多的孩子都可以安然度過。

最近我在工作人員和同事的協助下，為家屬和執業人員把這個課題的工作成果彙編成冊。在《走出黑暗的房間：當家長得了憂鬱症時：保護孩子，鞏固家庭》（Little, Brown and Company, 2002）裡，我們敘述了當父母親與精神疾病征戰，想幫助孩子時，可以採取的行動。

首先，父母親照顧好自己是很重要的。假如你是位患有精神疾病的家長，必須確定自己接受一位你能信任的人的照顧；今天，我們對一般精神疾患或特別是憂鬱症，擁有比以往都佳的治療。其次，要明白這些疾病確實會影響家人，尤其是孩子們；他們會掙扎想找出父母患病的道理，並且產生疑問。

父母也需要知道如何堅強起來，增進孩子的恢復力。父母可以從三個地方直接影響孩子的恢復力和健全：鼓舞他們的人際關係、鼓勵他們在家庭外面的活動及幫助他們瞭解父母的疾病。確定孩子不覺得有罪惡感，並且可以自在地在生命中前進非常重要。

我們的工作有大部分跟幫助家庭坦誠、公開地討論精神疾病有關，我們稱這個過程為打破沈默。幾乎所有我們合作的家庭都能進行成功的家庭會議，它包括計畫、分享資訊、確定沒人有罪惡感或覺得該為疾病受責，以及討論家人一同經歷的事件。家人們毋須自行努力，可以跟治療師、友人或如NAMI 一樣對家庭會議有經驗的家屬組織討論。

家長對家庭會議的時與地應該感到自在（見下列「家庭會議的計畫」），甚至或許應該演練要說的話。讓每個人覺得安穩，所有的問題，特別是家人一齊面臨的問題，獲得解答是很重要的。

在會議中，家長應該告訴孩子自己正在進行的治療，強調自己會為疾病負起責任；強調家庭的力量與記得大家共享的美好時光也很重要。假如家長是兩人，強調雙方如何合作，如何建立孩子的恢復力也是重點。下面的「家庭會議的進行」提出家人們覺得有用的行動。

我們特別擁有機會追蹤家庭和孩子們討論之後的情形，發現隨著時間，治療者可以從家庭中脫身，家人們能夠自行對話、自助，也發現孩子逐漸瞭解家長的疾病。我們還發現很多父母親得以挽回疏離的家庭成員，拾回宗教信仰，重新走入社區。他們如何對抗精神疾病，幫助孩子的故事充滿勇氣，交織成《走出黑暗的房間》一書。

與家人們合作無可避免地使我們革新醫療照護。在合作時，我們要求他們取得良好的治療，這引發我們與保險公司的對抗，以及為人們爭取所需的照護的長期奮戰。它帶領我們在兒童醫院成立「兒童心理衛生倡導中心」，這是第一次主要兒童醫療院所成立此種部門；它也引領我們更積極與 NAMI 這樣的倡導機構互動。在 911 事件後的混亂時期與經濟衰退下，掙扎於精神疾病的父母親們更顯脆弱，我們更有理由覺醒到，家人間的對話對促進痊癒有多重要。

家庭會議的計畫

1. 在會議前跟配偶一起決定討論事宜。

2. 也決定不予討論的事項。

3. 在危機之下時，不要進行以憂鬱症或家庭歷史為主題的談話。

4. 試著讓孩子們看到你和伴侶協力照顧他們，並且有具體的計畫。

5. 數次演練你要說的話。

6. 務必強調沒人該被責怪；這是一種疾病，家人們可以安然度過。

7. 告訴孩子你保護他們的步驟。

8. 計畫進行一次以上的談話。

家庭會議的進行開始之後：

1. 告訴孩子你採取的行動，例如進行治療、跟伴侶和他們討論憂鬱症，並試著陪在他們身邊。

2. 討論不尋常、令人不快及無可否認的事，幫助孩子找方法瞭解這些困難的經驗，如此他們才不會自責或覺得該為家庭的痛苦負責。

3. 幫助孩子們們自在地談論害怕的事，並直接說出他們的擔憂。

本文獲得 NAMI 允許譯自 “NAMI Advocate” Winter, 2003

精神疾病與家人 | Mental Illness and Family

Fri, 09 Jun 2023 15:56:54 GMT

魏嘉瑩 Chiaying Wei 編譯

譯註：2002 年秋季號的 NAMI 季刊《Advocate》裡，一如往常，有許許多多的好文章，包括精神疾病的相關政策、反污名的倡導、最新研究的資訊報導，以及病友或家屬的心聲等。其中有兩篇特別引人注意，一篇是從專家的觀點出發的《實際應用：憂鬱症和你們的關係》，作者為心理學家 Xavier Amador 博士；另外一篇是《倖存者：一位母親的故事》，為 Patricia Forbes 女士的人生經驗。雖然兩者各自從不同的角度出發，但談的都是精神疾病對患者、親友、和彼此間人際關係所造成的影響，以及他們如何能夠度過這個難關。事實上，兩篇文章甚至可以說完全地相互呼應著。希望家屬與病友們讀了之後，將獲得所需的知識與力量，家屬們不但可以面對所愛的人的精神疾病，也能同時照顧好自己；更希望每一個人都會產生信心，知道自己將可以度過這一切。 Xavier Amador 博士目前任職於全美精神疾病聯盟，主持其下的研究、教育與實踐中心；如果讀者對本文有任何批評指教或疑問，歡迎以中英文，利用電子郵件： mentalillnessandlife＠hotmail.com 與作者聯絡。

此外，值得一提的是，Patricia Forbes 女士表示，自從失去孩子之後，跟別人分享她的力量與希望，還有消除長久以來腦部疾患（亦即精神疾患）所承受的污名，已成為她的人生任務。實際應用：憂鬱症與人際關係 Practical Application: Depression and Your Relationships 「和患者生活在一起的人，也是罹患憂鬱症和焦慮症、恐懼症等其他情感性精神疾病的高危險群。」 Xavier Amador, Ph.D. 憂鬱症經常具有強大的破壞力；我們都知道臨床憂鬱症影響人的心情、睡眠、食慾，行動，甚至還有求生意志，卻不知道它對人際關係造成什麼樣的影響。

在婚姻關係裡，假如其中一方患有憂鬱症，以離婚收場的機率比沒被憂鬱症所困擾的婚姻高了九倍。這個令人難以相信的統計數據不單單指出臨床憂鬱症對人際關係可能的破壞性；比起一般人，憂鬱症患者和親近的人在相處時，面臨較多的壓力與衝突，爭執、誤解更是家常便飯。在這樣的情況之下，憂鬱症——以及憂鬱症所導致的性生活問題——成為伴侶們尋求諮商協助最常見的原因，一點也不令人吃驚；有大約 50%的憂鬱症婦女抱怨自己有嚴重的婚姻問題。憂鬱症患者的親屬常因為擔心、生氣，和精疲力盡的感受愈來愈嚴重，而受盡折磨；事實上，和患者生活在一起的人，也是罹患憂鬱症和焦慮症、恐懼症等其他情感性精神疾病的高危險群。

曾經身為臨床憂鬱症的受害者，我目睹過它如何使我愛的人身心俱疲，卻無力幫助他們，因為掙扎著想好起來對我來說就已經夠難的了。幸運的是，有技巧可供學習，幫助人們對抗憂鬱症的「連帶效應」，在維護重要關係的同時，也使患者可以好好地康復。

為什麼憂鬱症對人際關係如此具有殺傷力，甚至會波及患者身邊的人呢？試著想像一下，如果你覺得孤單寂寞，甚至很憤慨，因為太太好幾個星期以來都心情不佳，不想和你一起做任何事，當她要求你幫忙家裡內外的雜務時，你大概會露出不高興的樣子；她感受到你的憤慨，覺得不被支持，於是更無助，也更憂鬱，而這些反應又加深了你的寂寞以及憤慨。研究報告把這種互動稱之為憂鬱症的惡性循環漩渦，也就是患者的行為和你的反應不但沒有幫助憂鬱症減輕，反而使它加劇。這種惡性循環早期可能以數種不同形式發生，其中之一是，因為你對自己生太太的氣覺得有罪惡感，所以無法告訴她你的感受，她卻認為你不願意與她分享你的感受，於是你們倆之間的溝通開始產生裂痕。也可能你太直接表達自己的憤怒，反倒點燃另一半心中原來就已經一觸即發的導火線，使有建設性的討論變成不可能。我們都知道激烈的爭吵解決不了任何問題，但是卻沒有想到，它同時也不可避免地使兩人的憂鬱和絕望感加劇。這就好像兩個人一起跳舞時，一個人的腳步一定會影響另一個人的腳步一樣；當你們之間的關係發生問題時，極可能你早就已經加入這場憂鬱之舞了。

心理學家 Laura Epstein Rosen 博士跟我發現，憂鬱症患者的人際關係會經歷我們所謂的『憂鬱症適應階段』（stages of adaptation to the depression, SAD）。就像嬰兒從學爬到學走，經歷各個成長的里程碑一樣，人際關係在回應憂鬱症時，也會經過一連串的階段；也像嬰兒的成長一樣，SAD 會隨著每段不同的關係，在不同的時間發生，階段和階段之間並不一定有明顯的間隔。相同的行為模式可能會接連出現在不同的兩個階段中；就如同幼童雖然已經學會走路，但有時候還是會用爬的一樣。雖然可能發生倒退的情況，但原則上各個階段是依序發生的。每個階段中，你的行為決策都會影響憂鬱症本身的發展和你們之間的關係。

1. 發現問題在這個階段中，關係裡的其中一個，或兩個人同時發現彼此的相處出現問題；問題可能是新浮現的，也可能是舊問題的加劇，其範圍可能是兩人之間爭吵質與量的改變，及溝通的漸行破裂。

2. 產生反應對問題最初的反應有可能是有意識，也可能是無意識的——就像反射動作一樣；關係裡的一個人或兩人同時開始對問題產生建設性地或破壞性的回應。

3. 蒐集資訊蒐集和問題相關的資訊時，可以彼此討論，或徵詢他人對問題＊譯註：Laura Epstein Rosen 博士與作者合著有《當你愛的人得了憂鬱症》（ “When Someone You Love is Depressed” ）一書。何在有什麼看法。成功的資訊蒐集是明白憂鬱症如何導致，或促成問題的發生，避免對錯誤的線索窮追不捨；例如：「她對性生活沒興趣是因為有外遇」，「她整天躺在床上是因為自私和懶惰」，或「他會忘記是因為他不關心我」。

4. 解決問題在這個階段，蒐集到的資訊將形成新的行動計畫，使你比較不會對問題產生例如覺得被拒絕或受傷害等，基於反射性的回應；而有較多例如知道問題的成因是憂鬱症，並試圖解決等，出於思考過後的回應。假如行動的基礎建立在錯誤的問題上，亦即，兩人都沒認清憂鬱症是罪魁禍首，便會無法解決問題；如果正確地斷定出問題的根源是憂鬱症，將可以有效地解決在彼此關係裡發生的問題。

如果某個你愛的人正經歷著臨床憂鬱症，根據臨床經驗以及研究，我們建議你下列的基本原則：

y 盡你所能學習關於臨床憂鬱症的知識，並明白自己對於所愛的人生病有什麼反應，例如生氣、怨恨、恐懼等。

y 對自己和患者抱持合理的期待。（例如，你或許可以使你愛的人高興一些，但卻無法治好臨床憂鬱症。）

y 提供無條件的支持。（例如，盡可能經常地表達你的愛和支持。）

y 盡量維持你的生活習慣。（例如，不要擔心自己一點都不能讓對方單獨一個人，這樣你才能擁有社交生活、運動等。）

y 不要怕表達自己的感受——只要注意表達時用有建設性的方法即可。

y 不要把事情看成與個人有關。（例如，學著區分什麼事是由憂鬱症，而不是個人的因素造成的。）

y 同時為兩人尋求協助。

y 以團結合作，而非敵對的態度，一起努力對抗憂鬱症。在通過 SAD 時好好地運用這八個基本原則，將可以對你產生正面的影響，並且減輕憂鬱症所引發的負面連帶效應。

倖存者：一位母親的故事 Survival: A Mother’s Story Patricia Forbes

「假如說有一個例子可以清楚地詮釋無力感，那一定是努力想醫好所愛的人的精神疾病。」「比較有用的方法是，我也下水到她所在的地方加入她——只在她身旁跟著游就好。」多年以來，我一直天真地相信，愛可以克服一切困難，只不過，事情卻全然並非如此。

我是一個母親，養育了四個孩子，其中兩個還沒來得及找出這個世界對自己的意義，便失去了生命。這兩個我心愛的孩子都患了躁鬱症，儘管再怎麼努力，我還是無法幫助他們穿越降臨的烏雲。

女兒在十四歲時初次顯現生病的徵兆，兒子則是在離家念大學，半工半讀時，受到憂鬱症的襲擊。他的病看似比較輕微，只因為他在病發之前擁有較久的正常生活，並且明白我已經為了妹妹的病煩惱不已，所以想要保護我遠離他的麻煩。假如說有一個例子可以清楚地詮釋無力感，那一定是努力想醫好所愛的人的精神疾病。一個孩子生病十九年，另一個孩子生病十年；支撐我度過這段時光的，單純地只是希望：希望有上帝的幫助，希望有某個原因讓事情有所轉變，希望科學研究找到答案；使這些美好的年輕人們能擁有片刻的寧靜。多少次我祈求上帝免除孩子們的病痛，讓生病的人是我，只要祂放過他們，我願意承受所有痛苦。

雖然有時候事情看似穩定，有時我們能一起歡笑，不用說一切還是每況愈下。我的兩個孩子都很溫柔而且慷慨，擁有善良、開放、未經世故的天真，一種坦率，以及可以立即辨識出欺騙的深度。哥哥姊姊一直都很關愛而且支持他們，但歷經情況的時好時壞，我們所有人都精疲力竭——卻又無力改變——整個家庭也都付出了代價。我們沒有一個人知道怎麼做有用，但卻全部覺得就某方面來說自己有責任。

我包辦了所有奔波的工作：閱讀、跟專業人員交談、試著讓孩子們合作嘗試各種新的藥物、尋求所有在社區中找得到的協助。我加入了全美精神疾病聯盟在三個州裡的組織：我的故鄉德州，我住的科羅拉多州，以及女兒居住的亞歷桑那州。我們得到片刻的寬慰，我的希望也增強了；這持續地並不久，卻容許我有片刻喘息的機會。

醫生們很早就告訴我，要確保自己不要和所愛的家人一併落入絕望的深淵。為了度過難關，我需要養成某種防衛機制，設定界線，而我得度過難關，存活下去，才能為他們說話。身為母親，對我來說最難的一件事其實是一項簡單的事實，不像發燒，我無法治好女兒的病；她需要從專業人員那裡獲得第三者的協助，那和親情的影響力一點關係也沒有。醫生們建議我，精神疾病患者需要漸漸獨立自主，接受自己的病情，願意服藥，並且學習適應的技巧；待在某個可以讓他們百分之一百獨立的環境會最理想。不幸的是，這在我們家很難實現；為人母的天性讓我保護著他們。我懷著罪惡感奔忙著，但時間證明醫生是對的。

在結構完善的療養中心，以及之後的團體之家裡，女兒確實過得比較好。她內在的戰爭比較不那麼嚴重，似乎比較願意學習如何處理自己的疾病、學習適當的行為舉止、培養工作技能。有一段時間，她自己住在公寓裡，參加大學裡的課程；她的確試著努力，有那麼些時候，我認為我們會成功。但每一次我們看似讓每件事都各安其所時，結果總是好景不長。

從這個經驗，我學到接受和彈性兩個有力的教訓。我學會不絞擰雙手、不再哭泣、也不原地踱步，但我從不曾停止努力進行溝通。當女兒因為自己的情況，以怒氣衝撞著我時，我會告訴她：「我能體會你的憤怒，但是不接受你的言語暴力。我要告訴你，你想怎麼樣都好——生氣和挫折——，但是我希望你明白一件事：我不會離開；我是你的媽媽，我愛你，你別無選擇，完畢。」

每次哀傷漸漸轉變成讓人支離破碎的挫敗和悲痛時，我就得練習放手；把自己的哀傷和罪惡感交給上帝，學著不要被自己的情緒吞噬。在探究疑問的同時，我學會接受今日的「現狀」，面對找不出答案的問題；慢慢地，慢慢地，我學會找到一個限度，明白自己已經做了所有能做的事。不過那並不意味著我停止努力、關心、或嘗試，只代表我能夠把重擔從自己身上移開，不再試著一個人治好某人的沈痾。

在一次 NAMI 的會議裡，我聽到一位漂亮的女孩談論自己的精神疾病，她舉了一個很有用的例子，教人如何提供幫助。我從她那裡學到，就像小孩子學游泳一樣，我不能逼女兒，也不能代替她游。比較有用的方法是，我也下水到她所在的地方加入她―—不催她，不對她嘮叨，或試著找出事情的意義―—只在她身旁跟著游就好。當所愛的人患了癌症或心臟病時，人們會很好心，試著表現仁慈。腦部疾患卻以一種不同的方式，讓家人們遭遇嚴厲的折磨。無法信任狀況暫時的穩定，日復一日不知道接著會浮現什麼樣的問題——或者如何為我們愛的人處理這些問題——使得家庭生活承受著難以想像的沈重壓力；而為了某種理由，我們無法談論它，也無法一勞永逸地將之解決。

患著腦部疾病時，病人的行為將所有的人和所有的事都推了開來。但我們還是必須不停地嘗試，腦部疾病患者就像我們其他人一樣，是上帝的世界裡重要的生物。絕大多數的人都不明瞭他們所受的痛苦，以及他們有多需我們的體諒；似乎為了讓他們獲得這些東西，我們還得經過一番奮鬥。對其他為了相同問題每天苦惱的父母，我想說：「我也曾經經歷過這些事，但我真的存活下來了。事實證明每個孩子都是我最好的老師，他們教我逐漸獲得這些力量：我學會了一定程度的耐心、寬容、和堅持，以及如何保持韌性及希望。用任何其他的方法，我都不可能這樣學會這些事。你也可以。我伸手向身邊的擁有相同問題人求援；藉著不停地祈禱，跟別人分享力量，還有來自生命中支持我們的人所給予的鼓勵，我們一定能夠度過這一切。」

本文獲得 NAMI 允許譯自 “NAMI Advocate” Fall, 2002

Mental Illness and Family (PDF File)

我們的故事 | Our Story | By Grace Travinsky

Fri, 09 Jun 2023 15:48:18 GMT

MHACC 雙語部落格 Bilingual Blog

Scroll down for the English Version ⬇️

"我們的故事"

作者： Grace Travinsky

翻譯： Shirley Gauf

十二年前的一天，我在辦公室裡，突然接到我女兒Tanya 的電話，那時她是加州大學洛杉磯分校的大四學生。我有些驚訝在中午時分接到她的電話。 "嗨！媽媽！"她說："我的精神科醫生想要跟你說話"。Tanya 把電話交給醫生，我不知道發生了什麼事，我甚至不知道Tanya 在看精神科醫生。醫生告訴我她已經看Tanya 有六個多月了，Tanya 需要退學，回家治療，因為Tanya 被確診患上精神分裂症。

我的眼睛茫然地盯著辦公室的牆壁，單調的嗡嗡聲開始湧入我的頭腦。過了一會兒，我終於含糊地提出一個問題："Tanya 能夠完成她最後一個學期並畢業嗎"？

聰明、快樂、好學、富於創造性又充滿愛心— 我通常就是如此形容Tanya 這孩子。她有魄力，不斷拓寬邊界；她的幼兒園老師曾經告訴過我，Tanya 是她所教過的最有自信的孩子。到了高中時期，Tanya 表現得自信又獨立。在音樂方面很有造詣，是加州一級的田徑運動員，當選同學會的公主，學業優異並且有著活躍的社交生活。想像著她將成為未來的女比爾• 蓋茨，我曾是一個驕傲的母親。卻接到那通來自三千里以外，從現實上感覺彷彿更加遙遠的，意想不到的，可怕的電話。隨後的十二年來，Tanya 的生活發生了戲劇性的轉變和挑戰。因為她不能維持與人的聯繫，她的人際關係受損；由於長期服用各種藥物，她的體重忽上忽下；她得了二型糖尿病和第四期甲狀腺癌。

她和我一起住在三藩市的家裡，又與她在德克薩斯州的父親住過，後來跟我搬到紐約，曾住過政府支助的住房社區，現在與她的男朋友生活在紐約市的布朗克斯區。在這期間，她出入精神病院十多次。每次住院少則兩週，多則長達八個月之久。由於她的第一個家庭醫生漠不關心，導致她的甲狀腺癌到第四期才被診斷出來，儘管經過所有這些挑戰，Tanya 仍找到了力量，她能夠通過網路完成她的大學學業，現在正準備進入研究所繼續深造，同時她還在持續對抗甲狀腺癌。

她得到一群充滿溫情愛心的專業人士的幫助，包括她的精神科醫生、心理醫生、社工、輔導員和其他醫護人員。他們的支持的確獲得了非比尋常的結果；沒有他們，Tanya 不會有她今天的成就。

在Tanya 勇敢地面對精神分裂症的挑戰的同時，我們感到失落、無奈且沮喪。直到 Tanya 在三藩市的治療師提到一個稱為NAMI 的組織，我們才感到求助有門。但那時我的工作繁忙，排滿的日程不給我足夠的時間去參加互助團體或課程。直到2005年我們在紐約市落地生根後，我們終於進入紐約 NAMI 的大紐約分部。從那天起，我們一直參與這種不斷成長的活動，這對我們家每一個人的生活都產生非常積極的影響。

我的大女兒Nina 和我參加了NAMI 的家庭對家庭的課程，也加入家庭支持小組及各種研討會，

從而我們學到所有我們能學到的知識來盡力幫助Tanya。我們意識到，照顧和支持患有精神疾病的家庭成員，挑戰傳統智慧；我們學會瞭如何在不增加額外壓力的情況下更好地與Tanya 溝通；我們學會如何與Tanya 不起衝突地共度快樂又放鬆的時間；我們學會如何高度與Tanya 的醫療小組合作來幫助她康復。但最重要的是，我們瞭解了照顧自己的重要性，從而才能夠為Tanya 提供必要的愛和支助。

十二年後的今天，我們有不少的遺憾，但也贏得了很多的成就。難以想像生活若是另外一種情況又會怎樣，但重要的是，Tanya 和作為她的家人的我們，面對了挑戰而倖存下來。我們蛻變成一個更強壯的整體。我曾經噤默無聲，但現在我能出口傳達樂觀和希望的言語。我講 Tanya 的故事，我分享我的故事。即使你覺得太陽不會再升起，但聽了我們的故事，讓你感到還是有地方，有人可以為你在黑暗中提供光明，直到太陽返回。隨著遺傳研究的迅速進步，我滿懷希望，相信更有效的治療方法— 甚至治愈— 也會從地平線上升起。

注:Grace Travinsky 現任全美精神疾病聯盟新澤西分部(NAMI NJ)董事會成員

"Our Story"

Written by: Grace Travinsky

Translated by: Shirley Gauf

Twelve years ago as I was sitting in my office I received a phone call from my daughter Tanya, who was at the time was a senior at UCLA. I was surprised by the midday phone call from my daughter. “Hi Mom,” she said. “My psychiatrist wants to speak with you.”

Tanya handed the phone to the doctor. I didn’t know what to expect; I didn’t even know Tanya had been seeing a psychiatrist. that the doctor told me that she had been seeing Tanya for over six months.

That Tanya was going to withdraw from school and come home for treatment.
That Tanya had been diagnosed with schizophrenia.

My eyes stared blankly at the wall on the far side of my office and a dull hum began to flood my head. Eventually I was able to muster a question: “Will Tanya be able to finish her last quarter and graduate?” Bright, happy, loving, inquisitive and creative—that’s how I would describe Tanya as a child. She was driven and pushed the boundaries whenever she could. Tanya’s kindergarten teacher once told me that Tanya was the most self-confident child she had ever taught. By high school, Tanya was confident and self-sufficient. She was an accomplished musician, state-level track and field athlete, homecoming princess and who also excelled academically with an active social life. I was a proud mother imagining a future female Bill Gates in the making. Then out of the blue came that dreadful phone call from nearly 3,000 miles away and from a reality that seemed even further. In the dozen years since, Tanya’s life has taken dramatic turns and challenges. Her personal relationships have suffered as she has found it hard to maintain connections. Her psychotropic meds would work for a while but then seem to suddenly stop. Her weight would yoyo up and down and she developed type II diabetes and stage IV thyroid cancer—all consequences of those medicine cocktails.

She lived at home with me in San Francisco, with her father in Texas, then back with me in New York, then in supportive housing communities, and is now living with her boyfriend in the Bronx. These events all occurred in conjunction with about 10 psychiatric hospitalizations, which lasted as little as two weeks to as long as eight months. But through all of these challenges she has found strength. Despite the indifference of her first primary care doctor which led to a delayed diagnosis of her thyroid cancer until it was stage IV, Tanya was able to complete her undergraduate study online and is now preparing to enter graduate school. She has continued to fight back thyroid cancer.

The support she has received from a group of caring and compassionate professionals including her psychiatrists, psychologists, social workers, resident counselors, primary doctor, and other doctors has truly made the difference. Without them Tanya would not be here today.

At the same time as Tanya was bravely facing the challenges associated with schizophrenia, we felt lost, helpless, and frustrated. It wasn’t until Tanya’s therapist in San Francisco mentioned a group called NAMI that it seemed like there was somewhere to turn. But my hectic work schedule didn’t grant me and our family time to attend the support groups or classes. But when we landed in New York City in 2005, we walked right into the NAMI NYC Metro. From that day on, we have been involved in a relationship that has continued to grow and positively influence each of our lives.

My older daughter Nina and I took a NAMI Family-To-Family class, joined family support groups, and attended various seminars so we could learn all we could to help Tanya. We realized that to care for and to support a family member with mental illness defies conventional wisdom; we learned how to better communicate with Tanya without adding additional stress; we learned how to spend happy and relaxing time with Tanya without conflict; we learned how to best work with Tanya’s treatment team for her recovery. But most of all, we learned the importance of taking care of ourselves so that we could be around to provide the necessary love and support for Tanya.

Twelve years later we are here with lots of regrets and triumphs. It’s difficult to think about what life could have been. But what is important is that Tanya and we, her family, have faced the challenges, and have survived. We have emerged a stronger unit. Once left unable to speak, I now offer words of optimism and hope. I share Tanya’s story, I share my story, and I share our story to show that even if you feel like the sun will never rise, there are places and people that can provide you ray of light in the dark until the sun returns. And with the rapid advancement in genetic research, I am hopeful that more effective therapies—or even cures—are on the horizon too.

Grace Travinsky is now a Trustee At-Large on the NAMI NJ Board.

一位思覺失調者的故事，霍舒靜 | A Schizophrenic's Story, Katherine S. Fok

Fri, 09 Jun 2023 15:44:38 GMT

MHACC 雙語部落格 Bilingual Blog

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2012年12月，在感恩餐會上，我們聽到了一個令人難忘的故事，來自霍錫齡女士，她與偏執型思覺失調症（迫害妄想症）共處了42年，並在2013年的教育課堂上再次與我們分享了她的經歷。

1970年，我被診斷出患有偏執型思覺失調症，這距我在加州大學任職研究技術員才剛過一年，也是在我獲得微生物學碩士學位後的幾個月。當我在1970年7月，指導教授最終簽署我的論文時，我感到如釋重負，這意味著我已完成所有學位要求。從學校開車回工作地的路上，我內心幾乎要唱出來。

然而，即使還在學校時，我已經長期懷疑別人不斷批評我所做的一切。我很痛苦，卻無能為力阻止這些言語攻擊。我向父親和家人傾訴，他們只是試圖安慰我，鼓勵我專注於學業和工作。

到了1970年九月的勞動節週末（每年九月第一個星期一），在一次親戚的家庭聚會上，我突然無法停止地哭泣。我聽見他們批評我對父親的痛苦漠不關心。他們想要我將研究的秘密交給在中國共產黨工作的家人。隨著我開始哭泣，家庭聚會就此中止，其他人離開，我被留在表哥家中。

我表哥請了一位醫生來，替我打了一針。當時我相信這針劑能讓我在內心與FBI（美國聯邦調查局）溝通，我回憶起一生中遇到的所有人。我整整兩晚無法入睡。期間，我不斷聽見家人向我施壓，要求我交出研究機密，儘管他們根本不在我身邊。

我害怕家人會傷害我，便在一個清晨悄悄離開。最終，我來到了郵局，在那裡亂動打字機。後來醫護人員趕到，將我送上救護車，帶去州立精神醫院。

我當時認為自己卷入了一場間諜案。我清楚地感受到不同團體想從我這裡獲取「家族機密」，而這個機密對世界和平至關重要。三個主要陣營在爭奪這個秘密 —— 美國、共產黨以及聯合國。為了表明我對哪個陣營的傾向，我會用衣著顏色來表示：穿藍色代表美國，紅色代表共產黨，綠色代表聯合國。連我走廊的哪一側都很重要。走在右邊代表美國，左邊代表共產黨，中間則代表聯合國。如果我要走進左邊的房間，我就得繞一圈，讓那房間變成我右側，從右邊進去才行。

我每天所吃的三餐也有象徵意義。早餐代表「打破禁食（break fast）」，我要吃些什麼來表示我要「打破」與哪個陣營的關係；午餐是「launch（啟動）」，我吃什麼就是表明我要啟動的方向；晚餐則是「crazy for」，因為廣東話中「癲（din）」的意思是瘋狂，所以我得吃某些東西來表明我要將機密交給哪一方。

我的思想與行為都被這些衣著和食物的象徵意義佔滿了，讓我每天早上起床時覺得痛苦不堪，甚至不知該如何穿著或吃什麼才能表明我想留在美國。此外，我們還要參加會議，人們不斷要香煙，在我看來，那是「secrets（秘密）」的象徵。內心深處我其實知道，我根本沒有什麼「家族機密」可告訴別人，我感到恐懼。

期間，醫院嘗試了各種藥物。有的讓我皮膚過敏，有的讓我無法排尿，有的導致便秘……我以為他們在給我解藥，因為我有月經問題，我甚至懷疑自己被下毒了。

一個月後，我父親從香港來探望我。有傳言說他是來給我壓力，阻止我洩露機密。我在一位社工的辦公室與他見面。社工問我是否高興見到父親，我點了點頭。她叫我向父親表現出開心的樣子，我便走到他坐著的地方，彎下腰緊緊地抱住他。他全身僵硬，沒有回抱我。

我心頭一寒，內心出現了一個念頭：「他並不愛我，他只是來阻止我洩密的。」這念頭像一把刀刺進我心裡。從那一刻起，我對父愛失去了希望。

我繼續在衣著與飲食的象徵遊戲中掙扎了一段時間。後來，我實在太累了，心想：最壞的情況不過是他們要處決我。我決定放棄那些思考，停止以所謂「正確方式」穿衣與進食。結果什麼事也沒發生，醫院的生活照舊。電視上關於我間諜案的聲音也逐漸消失。我以為我終於被「清除」了。

父親在我身邊，而醫院也終於找到了對我來說比較合適的藥物，因此我得以出院。父親幫我在親戚家附近找了公寓，留下來照顧我。我找到了一份臨床微生物學家的工作，做了六個月後獲得美國居留權。之後，父親依我的要求帶我回了香港。

奶奶是所有孫子女中最疼我的。我在香港過得很愉快，在一所非學分的大學任教三年。奶奶在1975年過世，我因難以與繼母相處，決定回美國。另外，我任教的大學關閉了理科系，我也不想去附屬的中學任教。

當時我三十出頭，也開始想結婚、成家。那段期間，我一直按著香港一位精神科醫生開的藥服用，狀況穩定。但我與家人始終無法接受「思覺失調症」這個診斷，也不願相信我需要終身服藥。我沒有再諮詢精神科醫師，也自行停藥。不出一個月，我復發了，不得不再次住院。

有位好朋友對我父親說，信仰宗教或許對我有幫助。父親是一位虔誠的佛教徒，他寄了佛教書籍給我，我也閱讀並與他討論。但他總說我「抓不到精髓」。我漸漸感到厭倦。之後，我偶然看到一些基督教的小冊子，裡面寫著耶穌基督能夠幫助並醫治我。

也許因為我年輕時唸的是基督教學校，我很自然地接受了這個觀念，並開始向耶穌禱告求助。我開始感受到平安。我把祂當作朋友，對祂傾訴我所有的想法。

我開始閱讀大量基督教靈修書籍，以及基督徒精神科醫師Paul Tournier的書。在閱讀中，我意識到自己成長於一個保守、迷信的傳統大家庭，這和我的病有很大關係。

我因為母親在我八歲生日那天去世，心中充滿仇恨與罪惡感。許多家人認為我是「不祥之人」，甚至當面這樣對我說。失去母親的我，在大家庭中缺乏保護，經常遭受批評與閒言閒語。

當我逐漸理解這些時，心中非常痛苦與苦毒。我向耶穌傾訴。在禱告與閱讀中，耶穌鼓勵我「認錯並原諒他人」。我立刻寫信請求寬恕，但只有一位回信。

耶穌告訴我沒關係，祂已經原諒了我。但要我去原諒別人，卻非常困難。

我一次次對耶穌說：「這些事真的發生過，我怎麼可能原諒？」

祂提醒我祂在十字架上的犧牲 —— 為那些祂未曾犯下的罪。

我的罪，還有傷害我的人的罪，也包含在其中。

我還是無法原諒。

這些往事像晚潮般一再湧現。我痛苦得無法安息，常常哭著向耶穌求助。祂不斷提醒我：祂已赦免全人類的罪。

最後，我妥協了。我告訴祂：「我願意試著原諒，但你必須幫助我。」祂答應了。之後，每當過去的記憶再次浮現，我就提醒祂曾給我的承諾，心中的痛楚便會減輕。漸漸地，我可以平靜地面對過去。

藥物幫助我穩定病情，但副作用很強。一早醒來，我就覺得胸口像壓著一塊鉛，完全無法起床。我會縮成胎兒般的姿勢，禱告求耶穌幫我起身。好不容易起來後，我感覺自己有事要做，但又不知道該去哪裡。

我失去了專注力與記憶力。最糟的是，我心中有極大的恐懼。每天我都期待夜晚能快點到來，這樣我就可以躺下來，不再意識到這些副作用。然而，我經常凌晨三點就醒來，偷偷走到街上，在街頭遊走直到天亮才回家。

但自從我在「饒恕」中找到了平安，那些副作用也漸漸減輕了。

我想過獨立生活，自己養活自己。但我已離開專業領域好幾年了，要找到工作並不容易。

當親戚和朋友知道我正在尋找原本領域的工作時，他們對我說：「Katherine，妳要現實一點，妳已經復發兩次（其中一次是因為更換藥物不成功），妳應該知道自己無法再用腦力做那種工作。去找個超市的工作，或當家庭幫傭吧，為老年生活存點錢！」

但我不同意。我相信自己的腦力可以恢復。

於是，我去當服務生、上課考取房地產執照，並成功賣出一間公寓，也當過銀行職員。最終，我在一家生物科技公司找到一份入門級的工作，負責製作培養基與試劑。後來因為經費不足被裁員。

在教會弟兄姊妹與我自己的禱告下，我在三個月內又找到了薪資更高、職位更好的工作。這樣的經歷再次發生，我又找到另一份更好的工作。

最終，我在一家公司擔任研究助理超過九年，直到退休開始撰寫自己的故事。

我希望我的最後一位主管能為我的書寫推薦序。我將自己的故事告訴了他。他很驚訝，因為在我為他工作的九年中，他從未懷疑過我有精神方面的問題。他甚至說他也認識一些患有我這種病的人。

事實上，所有認識我的人都說他們完全看不出我有精神疾病。就連我的精神科醫生也說，他無法把我的康復歸功於自己。他說這是一個奇蹟。而我只能將一切歸功於耶穌基督。

我在第二家生技公司工作期間，再次自行停藥，又復發了一次。但這次在耶穌的幫助下，我恢復得很快。我終於接受了我的診斷，並接受自己必須終身服藥這個事實。耶穌選擇透過藥物來醫治我。正如我香港的精神科醫生說的：「這藥物就是你的大腦維他命，每天都要服用。」

總的來說，我可以引用一位牧師在廣播講道開場時常說的一句話：

「信靠耶穌，把結果交給祂。」

因為我信靠耶穌的醫治，我終於能過上一直渴望的獨立生活。

In Dec 2012, the appreciation potluck, we heard an incredible story from Katherine Fok 霍錫齡女士, who has 42 years of paranoid schizophrenic(迫害幻想症) and shared again in our Education Class 2013.

I was diagnosed with paranoid schizophrenia in 1970, just barely a year after I had worked as a research technician in a University of California campus. It was also a few months after I got my Master’s degree in Microbiology. I was relieved when my major professor finally signed my thesis in July, 1970 meaning that I had fulfilled all the requirements for my degree. I almost sang within me all the way driving back from my school to my place of work.

However, for a long time even when I was in school, I suspected people had been criticizing on everything that I did. I was miserable but could do nothing to stop people from their verbal attacks. I complained to my father and family members, they only tried to comfort me and encourage me to concentrate on my studies and work.

Then, on Labor Day weekend (the first Monday of September) 1970, I started to cry without stop at a family gathering at one of my cousin’s. I heard them criticizing me for my unconcern of my father’s sufferings. They wanted me to hand over the secrets of my research to the family who was working for the Chinese Communist Party. As I started to cry, the family gathering broke up, leaving me to stay at my cousin’s house.

My cousin had a doctor come and gave me an injection. I believed then that the injection could cause me to communicate with the FBI within my heart, and I went through in my memory all the people I came across in my life. I could not sleep for two nights. In the meantime, I continuously heard my family members pressuring me for the secrets of my research even though they were not in my presence.

I was frightful that my family was going to harm me, and sneaked away early one morning. Finally, I ended in a post office, meddling with their typewriters. The medics came and took me in an ambulance to the State Hospital. I finally was taken to a state mental hospital.

I had the idea that it was an espionage case for me. I was conscious of different groups of people trying to get a family secret from me, which was important for the world’s peace. There were three major groups contesting for the secret- The U.S., the Communists, and the United Nations. To indicate my preference for each group, I would have to dress in blue for the U.S., red for the Communists, and green for the United Nations. Then, the side of the corridor I walked was important also. If I walked on the right side, I was going to the U.S., the left side was for the Communists, and the middle was for the United Nations. If I walked into a room on the left side, I would have to walk around, so that the room would be on my right side such that I would enter it on the right side.

The meals I ate each day had meanings too. Breakfast meant to ‘break fast’. I needed to eat something to indict from what group I wanted to ‘break fast’ from. Lunch meant ‘to launch’. I had to eat something to say what I wanted to go for. Dinner meant ‘crazy (in Cantonese ‘din’ meant crazy) for’. I then had to eat something to mean which group I wanted to give the secret.

My thoughts and activities were so occupied with all the dress code and meals that I found it miserable to get up in the morning to do the right thing to say I wanted to stay in the U.S.. Besides, we had meetings, and people kept asking for cigarettes, which to me meant ‘secrets’. Deep in me, I knew I had no ‘family secret’ to tell anyone. I was frightened.

In the meantime, the hospital tried all different medications on me. Some gave me rashes, some gave difficulty in urination, some gave me constipations….. I only thought that they were trying some antidote on me as I had menstruation problems and I presumed that I was poisoned.

My father came to visit me from Hong Kong about a month after I was hospitalized. Rumors were that he came to pressure me not to tell the secret. I met him at one of the social worker’s office. The social worker asked if I was glad to see my father. I nodded, and she told me to show my father that I was happy to see him. I walked toward where he sat and bent and hugged him tight. He only stiffened and would not touch me in returned. My heart frozen and the thought “he didn’t love me but just came to stop me from telling the secret” was like a knife thrust deep into my heart. From then on, I lost hope for my father’s love.

I struggled with dress and meal for a while. I felt so tired that I decided to give up trying with thoughts that the worse was that they might put me to death. I stopped trying to dress and eat what I considered the correct way. Nothing happened, and life in the hospital remained the same. The voices projected from the TV about my espionage news gradually faded. I presumed that I finally was cleaned.

With Father here, and they had found a reasonably right medication for me, the hospital released me. Father found an apartment for us closed to one of the cousins and stayed to take care of me. I found a job as clinical microbiologist and worked for six months before I got my U. S. residency. Father then took me back to Hong Kong as I requested.

Grandmother loved me above all the grandchildren. I had a pleasant time in Hong Kong. I taught in a non-credited college for three years. Grandmother passed away in 1975 and I decided to return to the U.S. as I found it difficult to live with my step-mother. Besides, the college where I taught closed the Science Faculty and I did not want to teach high school annexed to that college.

Being in my early thirties, I thought of marriage and raising a family. I had been staying good with the medication found by a psychiatrist in Hong Kong. All the time, my family and I would not accept the diagnosis of schizophrenia and that I had taken the medication for life. I did not consult a psychiatrist and stopped my medication. Within a month, I had a relapse and had to be hospitalized again.

A closed friend told my father that it would be to my advantage that I took on a religion. Being a fervent Buddhist, my father sent me books on Buddhism. I read and discussed with him. He always said that I did not get the essence. I started to get tired of it. Then I came across some Christian booklet and got the idea that Jesus Christ could help and heal me. Maybe because I went to Christian schools when young, I readily accepted the thought and started to pray to Jesus for help. I began to find peace. I took Him as a Friend, and told Him all my thoughts.

I began to read a lot of Christian inspirational books and books by a Christian psychiatrist, Paul Tournier. In my readings, I discovered that my upbringing in an old-fashioned, conservative, and superstitious extended Chinese family had a lot to do with my illness. I had a lot of hatred and guilt because my mother passed away on my eighth birthday. Many family members considered me a ‘jinx’ and often openly told me so. Also, without a mother in an extended family I was unprotected from many of the criticisms and gossips. When I came to realize this, I was bitter and pained intensely. I told Jesus that. In my prayers and readings, Jesus exhorted me to ask for forgiveness and to forgive. I readily sent letters to ask for forgiveness, but only one replied. Jesus told me that it was all right for He had forgiven me. However, it was difficult to forgive. Again and again I told Jesus that all had truly and actually happened to me, how could I forgive? He reminded me of His death on the Cross, for sins that He had not committed. My sins and the sins of those who hurt me were included. I was not able to forgive.

The past came back to me like the evening tides for a long time. The pain was intensive and I could not rest. I kept crying to Jesus for help. He kept on reminding me of His forgiveness for all mankind. Finally, I yielded and told Him that I was willing to try but He had to help me. He promised. The past kept recurring, and each time I reminded Him of His promise and the pain subsided. Gradually I was able to face the past with peace.

Medication had help to stabilize me, but it had a lot of sided effects. As soon as I woke up in the morning, I felt a heavy piece of lead sitting on my heart and I could not lift up myself to get out of bed. I would curve into a fetal position and prayed for help to get up. When I finally got up, I felt I had somewhere to go, but I did not know where I wanted to go. I lost my concentrations and memory. The worst was that I had tremendous fear within me. Each day I look forward to night when I could go to bed and be unconscious of all these side effects. However, I often would wake up at three in the morning, and sneaked out to walk the street until the sun came out and went home. But since I found peace in forgiveness, all these side effects gradually subsided.

I wanted to be independent and self-supporting. I had been away from my field of work for a few years. It would be difficult to find a job. Some relatives and friends when they knew that I was looking for job in my field said to me, “Katherine, be realistic, since you had two relapses (I had a relapse because of an unsuccessful change of medication) you should know that you cannot use your brain for the kind of job you want to. Go and find a job in the grocery store where it is not so demanding for your brain, or find a house working job and save up for your old age!” I could not agree with them and believed that I could regain my brain power.

I had then worked as a waitress, took classes and got a real estate license and sold a condominium, worked as a bank clerk. Finally, I found an entry- level job in a biotech company making media and reagents. I then got lay-off because of lack of fund. With prayers from fellow church members and myself, I found a job with higher pay and position within three months. This happened again and I also landed in a higher pay job and better position. I ultimately worked as a research associate for more than nine years before I retired to write my story.

I wanted an endorsement from my last supervisor of work for my book. I told him my story. He was surprised, for all the more than nine years I worked for him, he said that he never suspected that I had a mental problem. And he knew some people that had my kind of problem also. In fact, all the people I came across told me that they never could tell that I had psychiatric problem. Even my psychiatrist said that he could not claim any credit for my well-beings. It is a miracle to him. I can only thank Jesus Christ for everything.

I had another relapse when I took off my medication again while I was working at my second biotech job. I recovered quickly from that with Jesus’ help. I finally accepted my diagnosis and that I had to have medication for life. Jesus chooses to heal me using medication. Like what my psychiatrist in Hong Kong said that my medication is my brain vitamins. I have to take it daily.

All in all, I can say with what a Pastor said in the beginning of his broadcast sermons, that “trust Jesus, and leave the consequences to Him.” I trust in Jesus’ healing power, and so I can live an independent life as I have always wanted.

兒童和青少年心理健康 | Child and Adolescent Mental Health

Fri, 24 Mar 2023 21:13:24 GMT

MHACC 雙語部落格 Bilingual Blog

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當某些心理疾病的症狀在兒童或青少年時期出現時，若能及早接受正確的治療，通常效果會更顯著。以下是美國國家心理健康研究院（National Institute of Mental Health）整理的兒童與青少年的心理健康警訊徵兆列表。

若年幼的兒童出現以下情況，可能有助於進行心理評估與治療：

• 經常發脾氣或長時間處於強烈易怒狀態

• 經常談論害怕或擔憂的事情

• 無明確醫療原因下，頻繁抱怨胃痛或頭痛

• 動個不停，無法安靜坐下來（除非是在看影片或玩電子遊戲時）

• 睡眠過多或過少，經常做惡夢，或白天看起來很睏

• 對與其他小孩一起玩沒有興趣，或在人際互動上有困難

• 學業表現困難或成績突然下降

• 因為害怕發生壞事而重複某些動作或一再檢查東西

若較大的兒童或青少年出現以下情況，可能有助於進行心理評估：

• 對曾經感興趣的事物失去興趣

• 精力低落

• 睡眠過多或過少，或整天看起來很疲倦

• 越來越傾向獨處，並避免參加朋友或家庭的社交活動

• 過度節食、過度運動，或害怕體重增加

• 有自傷行為（如割傷或燒傷皮膚）

• 吸菸、飲酒或使用毒品

• 與朋友或獨自從事高風險或具破壞性的行為

• 有自殺的念頭

• 出現精力異常高漲、活動力增加且睡眠需求明顯減少的時期

• 認為有人要控制自己的思想，或聽到別人聽不到的聲音

若您注意到孩子出現上述情況之一，建議及早尋求專業的心理健康評估與協助。

資料來源： https://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health

Symptoms of certain mental disorders often present themselves in an individual's childhood or adolescence, and the earlier one receives the correct treatment, the more effective it will be. Below is a list of childhood and adolescent warning signs extracted from an article by the National Institute of Mental Health.

Young children may benefit from an evaluation and treatment if they:

Have frequent tantrums or are intensely irritable much of the time
Often talk about fears or worries
Complain about frequent stomachaches or headaches with no known medical cause
Are in constant motion and cannot sit quietly (except when they are watching videos or playing videogames)
Sleep too much or too little, have frequent nightmares, or seem sleepy during the day
Are not interested in playing with other children or have difficulty making friends
Struggle academically or have experienced a recent decline in grades
Repeat actions or check things many times out of fear that something bad may happen.

Older children and adolescents may benefit from an evaluation if they:

Have lost interest in things that they used to enjoy
Have low energy
Sleep too much or too little, or seem sleepy throughout the day
Are spending more and more time alone, and avoid social activities with friends or family
Diet or exercise excessively, or fear gaining weight
Engage in self-harm behaviors (such as cutting or burning their skin)
Smoke, drink alcohol, or use drugs
Engage in risky or destructive behavior alone or with friends
Have thoughts of suicide
Have periods of highly elevated energy and activity, and require much less sleep than usual
Say that they think someone is trying to control their mind or that they hear things that other people cannot hear.

If you notice that your child exhibits any of the above symptoms, it is recommended that you seek professional mental health assessment and assistance as soon as possible.

Source: https://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health

彭一玲的故事 | The Story of Elaine Peng

WCAdmin@marketamerica.com (Market America WebCenters) — Thu, 14 Apr 2022 16:01:27 GMT

MHACC 雙語部落格 Bilingual Blog

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「美國華裔精神疾病聯盟」負責人彭一玲，從病患家屬成為推廣精神健康服務的義工，幫助許多和她有同樣境遇的華人走出困境。（記者周喆／攝影）

義工彭一玲：精神疾病早發現可治癒

記者周喆

2016年1月24日

精神健康在華裔社區往往是比較禁忌的話題。家人遇到精神疾病時經常不知道如何與病患交流、哪裡可以求助。來自中國大陸的「美國華裔精神疾病聯盟」負責人彭一玲以自己家人的經歷出發，也向專業人員求助學習，從病患家屬成為推廣精神健康服務的義工，幫助許多和她有同樣境遇的華人走出困境。

記者問：妳有沒有精神健康專業方面的教育或者工作背景？

彭一玲答：完全沒有。我從中國大陸移民來美，在廣州和香港都居住過。以前從事進出口貿易工作，2005年開始在美國定居，做教育方面的工作。但是沒有接觸過精神健康方面的東西。

問：那麼，是怎樣開始進到精神健康社區裡頭？

答：那要從我先生的過世說起。我先生不是正常情況下去世。2012年他從美國回中國，不到一個月就在旅館裡出了意外。先生的死對我打擊很大。那時我精神差到連上車時要先邁哪一隻腳都搞不清楚。女兒曾對我說：「媽媽，如果爸爸還在，他絕不希望看到你現在樣子」。

過來人走出幽谷

問：後來是怎樣走出先生去世的陰影？

答：他走了以後，我又遭到更大打擊：我女兒發病了。我自己也出了精神問題。有一次我坐朋友的車在高速公路上行駛。突然就覺得朋友開車太快，我受不了，要他開慢點。朋友已經將車速降到安全極限，我還是覺得他太快。我當時完全失控，臉色慘白，冷汗直冒。

朋友趕快把我送到醫院。經過檢查沒有發現身體有問題。我就意識到我可能精神出了問題。我要從困難中走出來，就要先過自己這一關，要敢於向專業人員求助。我接受治療後，確實狀況逐漸穩定。

本來我以為自己扛一扛也就扛過去了。後來發現還是需要專業人員的幫助。聽到很多抑鬱症病患訴說別人根本無法理解體會他們痛苦感覺，確實是這樣的。我希望大家能知道，在專業人士幫助、家庭理解支持下，最困難的一段一定能過去。只想靠自己「精神振作」起來，那是不現實的。

問：女兒後來得病也與她爸爸過世有關嗎？

答：是的。後來回想，我女兒當時已經有一些跡象。她連續十幾天都失眠，於是自己向學校輔導員和校長求救，說自己可能因爸爸過世受影響。學校方面只是讓她多運動鍛鍊。大家都以為事情就這樣過去了。沒想到過了七、八個月，我女兒就真的發病了。

我當時意識到，女兒發病的很多症狀都與我先生相似。我先生喝了20多年的酒，酗酒很嚴重。但以前我沒有意識到這屬於精神健康的問題。我先生生前從來沒有接受過精神健康治療。

後來，女兒的情況很嚴重，必須要進醫院治療。第一個醫生就對我說「你女兒的病症可能是遺傳的」，並問我們家的相關病史，包括我先生的酗酒史。我告訴醫生，我們一直懷疑我先生的死與酗酒有關，他死的時候旁邊就是酒瓶。

早發現減少遺憾

問：先生去世和女兒發病讓妳有了哪些改變？

答：當時我很內疚，覺得自己太無知了，根本不知道先生可能有精神疾病，也不敢往這方面聯想。我先生是非常優秀的人，根本沒想到他會有這方面的問題。我女兒後來也說：「如果我早一點在爸爸還在的時候發病，我們就能救爸爸」。

回想起來，先生在世時已經有很多跡象，從大學時就開始了。但是20多年過去，沒人知道他身上發生了什麼事情，真的是很不應該。我一直都在反省，為什麼從來沒有從精神健康方面去想過他的問題。

那時我覺得普及精神健康知識太重要了。從2013年我開始接觸全國精神疾病聯盟（NAMI）。那時真是很困難，女兒經常要進醫院。她是很優秀的女生，因發病而改變很大，我也一度覺得沒有希望。我也不知道怎樣去處理女兒的事情。

剛好那時看到NAMI的家庭輔導課程，就去報名。透過上課才明白，原來精神健康問題是一種疾病。這種病找對正確的治療和藥物非常難，需要很長時間。如果中途放棄治療，會產生很多問題。社會上有些悲劇就與此有關。

問：女兒現在情況好很多了吧？

答：是的。現在她就像個正常孩子，能正常溝通。這是從那一次她的一句話開始的。

有一次我正在後院做園藝。女兒在我後面說：「媽媽，你為什麼不戴手套？」聽她這句話，我頓時淚流滿面。因為知道，我的女兒又回來了。

別人可能覺得奇怪我為什麼會有那樣的反應。因為我先生酗酒，我和女兒兩個人一直相依為命。她對我照顧得非常好。她很小的時候，有時我晚一點回家，她都會說：「你為什麼不打個電話回來，妳不知道別人會擔心嗎？」那時她才九歲。那些話本應該是媽媽對孩子說的。

以前我工作很忙，一周要工作七天。周末早晨她都給我做好早餐。她就是這樣表達著對媽媽的愛意。但是自從發病之後，她就沒有再照護我。所以那天她那樣一句看似很普通的話，我就知道女兒又回來了，她用的那些藥物在起作用，讓她又變成我以前知道的那個女兒。

精神疾病有藥醫

問：你覺得社會對精神疾病的觀念需要作哪些改變？

答：社會上確實對精神疾病有些偏見，覺得病患很可怕。其實它就是一種病，因為腦部病症而導致病患行為改變。大家身體有病就會去醫治，腦裡有病怎麼就不醫治呢？

你看我們辦活動照片上那些女生都很漂亮吧，她們都是病患。如果有效控制，大家就應該鼓勵他們，只要保障治療，他們就是正常的，什至比別人還優秀。如果歧視他們，給他們貼上某種標籤，就適得其反。

有一次我在醫院裡看到女兒無法正常走路，真覺得天要塌下來了。後來透過上課知道，這是因為她服的藥物副作用引起肌肉張力不平衡，可以用其他藥物來緩解。可見治療過程中某些症狀不必緊張，有辦法解決的。

問：你是通過在NAMI上課而成為義工的？

答：是的。成為義工後，受過很多訓練。通過培訓發現，華人對精神健康真的所知什少，我自己就是很好的例子。20多年來我先生一直覺得自己很了不起、無所不能。但有時他又非常消極，什麼都不願意做。這其實就是很典型的躁鬱症症狀。但當時我們都不知道。如果那時他得到專業幫助，就不會發生後來的悲劇。

靠服藥回復正常

問：你在NAMI做義工幫助過很多華人病患，有沒有比較難忘的經歷？

答：作為義工，當然希望自己的工作有成效。有一對夫妻，家庭關係很糟。太太經常為一點小事與丈夫吵架。但男方從來沒想到過他太太可能有精神方面問題。他們來找我們聯盟求助，說明他潛意識裡已經感覺到有問題。我就建議他們去找專業醫師檢查。

他們聽從建議去找精神科醫師。他太太開始服藥治療，三個月後家庭關係就有明顯改善。我很開心，告訴他們應該慶幸，因為知道問題出在哪裡，不像我不知道我先生的問題在哪裡。知道問題就去解決，是非常好的。但大多數家庭都不知道問題出在哪。

前不久還有一對夫婦的女兒發病，十幾天不吃東西。後來連水都不喝，奄奄一息。我們受過培訓都知道，這情況可啟動5150法案，報警啟動求助。但是那位先生堅持認為不是精神方面的問題。他們對向警察求助非常抗拒，覺得警察是專門抓壞人的。

專業人員也無法說服他們，轉向NAMI求助。後來我跟那位太太通了兩個小時電話，終於說服了她。我說的最重要一句話就是：「你們報警求助不是害女兒，而是為了要救她。她的生命體症已經很低，不能再拖延下去」。她馬上讓他丈夫打急救電話。結果我們這邊通話還沒收線，那邊急救人員已經到了。她女兒也得救了。

我們從支援小組那裡也得知道很多例子。常遇到病患抗拒服藥，不願去治療。我女兒也有這樣經歷。家人應該怎樣去幫助他們？有很多竅門要學。說服他們服藥能幫助回復到正常生活，對方通常都會願意。

還有位你見過的Frank先生，他們一家因兒子的病而遭受很大痛苦。夫妻最初到NAMI來求助時，頭都是低著的，講話也很消極，對孩子的未來完全茫然。我們讓他們知道，兒子的病可以慢慢控制，家長要改進溝通技巧。同時也要明確自己對兒子的希望是什麼。一年半下來，他們的家庭有了明顯改變。大家都能夠溝通，朝著同一目標去做。

看到病患臉上的笑容和恢復對生活的信心，就是我做義工的最大動力。

Elaine Peng, Director of Asian Community Programs of National Alliance on Mental Illness Alameda County South(NAMI ACS) with her own family's experiences, helps to promote mental health services and becomes a volunteer. She has helped many people in the Chinese community out of the same situation.

Zhou: Do you have any formal education or professional background in mental health?

Peng: No, not at all. I emigrated from China. I had lived in Guangzhou and Hong Kong before. I worked in the trading industry. In 2005, I moved to America to start my new life working in the education field. But had never been in contact with mental health issues.

Zhou: Then why did you start working in the mental health community?

Peng: I have to start with the passing of my husband. In 2012 he left the States to go back to China. Less than a month he died under abnormal circumstances. I was devastated and so upset that I don’t even know what I was doing. My daughter said, “If dad was here, he definitely would not want to see you like this.”

Freeing and extricate from a sad situation

Zhou：How did you get yourself out of this shadow of darkness after the passing of your husband?

Peng: After my husband passed away, I got another blow – my daughter got sick. I also realized that I have some mental health issues. One time, when my friend gave me a ride on the freeway, I suddenly felt that my friend was driving unbearably fast. I was all pale and sweaty, I told her to slow down but she told me she was driving at the speed limit. So she took me to the hospital. After the physical exam, nothing was identified. However, I realized that I may become mentally ill. I told myself, if I am going to overcome this, I need to be strong and seek help from the professionals. After I got the help I need, my illness got under control. I did think that if I could hang in there for a little while, I may be able to overcome it. But finally realized that professional help is very important. I heard stories that many people that have depression said that no one can understand the pain they go through, I found this to be true. I hope everyone knows that with the support from family and with professional help, you can overcome this difficult period. Just by battling on your own is not going to work.

I thought if I could hang in there for a little while I may overcome it by myself. But then, I realized that there was no way without help from the professionals.

I heard a lot of mental patients saying that no one on earth can understand how miserable they feel. I felt the same way when I didn't feel well. But at the same time, I hope to stress one point that with the help from professionals, with the understanding from your family members, you will overcome it. Don’t battle on your own when you can get so much support from the others.

Zhou: Was the illness of your daughter related to her father's passed away?

Peng: Yes, she started having symptoms after her father passed away. She couldn't fall asleep for 2 weeks. She was smart enough to realize there was some wrong about hers, so she contacted the counselor and the principal of her school. She thought perhaps her sleeplessness was due to the passing of her father. The school told her to exercise more so she will be tired enough to get some sleep. 8 months later when everyone started to think that the whole thing was over, my daughter became severely ill.

I realized that there were so many similar symptoms between my daughter and my husband. My husband masked his depression with alcohol over 20 years, however, I have never realized the fact that this kind of behavior is related to mental illness. My husband had never undergone any of mental illness treatment when he was alive.

Later on, the condition of my daughter became serious. She had to stay in the hospital. The first doctor told me that my daughter has inherited the illness from her father. He asked about our family history which included my husband’s alcohol abuse. I told the doctor that I was had often doubt about my husband's death that it was somehow related to the alcohol abuse because the wine bottle was sitting right next to him when his body was found.

Early detection, lessen regrets.

Zhou: What has changed you since the death of your husband and your daughter getting ill?

Peng: I felt guilty because of ignorance. I had no idea that my husband was suffering from mental illness and I am not willing to consider that side of the problem. My husband was a brilliant man so I would never even thought of him as having a mental problem. My daughter told me that, If we could have identified the illness before the incident happened, we could have had the chance to save him.

Thinking back, the symptoms already started when he was in the university. 20 years have passed and no one even knows what has happened. It’s a shame. I kept reflecting, why didn’t anyone ever think that his problem was mental health related.

Starting from that time, I realized promoting the knowledge of mental health is so important. Since 2013, I started working with NAMI. It was very hard for me at that time because my daughter was in and out of the hospital. She is an excellent girl student, her illness changed her a great deal. The illness changed her a lot. I was desperate because I didn't know how to handle the whole Situation.

In the meantime, I saw an advertisement for a NAMI family counseling course so I joined the session. After taking the course, I learned how to identify mental illness and finding the right medicine to tackle the problem is really difficult and time-consuming. If the person gives up in the middle of the treatment, it would cause a lot of problems. Many tragedies happened because the patients didn't have enough support.

Zhou: How is your daughter now? Is she better?

Peng: Yes, she acts normal and we can communicate like we used to do before.

That was the time when I was gardening and she came from behind and asked me why I was not wearing gloves. Hearing her saying something as simple as that but yet it is so like her before, my tears flowed down my face because I realized that my daughter is back!

Some people may wonder why I would have that reaction. My daughter and I have always supported each other ever since my husband’s alcohol abuse.

My daughter took good care of me! When she was very young and I came home late, she would say to me like: “Why didn’t you call?” “ Do you know that I would worry about you?” She was only nine and she said these words like a mother to her child.

I used to be busy at work. And have to work 7 days a week. My daughter would prepare breakfast for me on weekends, that's how she expresses her love for me. But after she was sick, she could not take care of me anymore. So when she showed her concern about me not wearing gloves. I knew that her medicine was taking in effect, my daughter was back again.

Mental illness is treatable with the right kind of medicine

Zhou: Do you think the concept of mental illness on society needs to be changed?

Peng: There is some bias toward mental illness in society. Some people may be terrified of mental patients. Actually, it is only an illness, the behaviors of people changed only because the illness affects their brain. We go to the doctor when we feel physically ill, it should be the same when the brain is ill.

When you look at the photos of our events, the girls are all beautiful. They are all mental patients but and their sicknesses have been properly controlled. Everybody should show their support towards these beautiful girls to that has overcome their illnesses. They are all brilliant as long as they undertake proper treatment. Discrimination creates a negative label effect which will only make the situation worse.

Once at the hospital, I saw my daughter couldn't walk properly, I felt really nervous. After taking the NAMI course, I learnt that it was because the side effect of the medicine she was taking made it difficult for her to control her leg muscle and balance when she walks. But the problem can be solved with other medicine. This tells us that we don't need to be too nervous about the malfunction during the treatment, it can be solved.

Zhou: Did you become a volunteer after you take the NAMI classes?

Peng: Yes, after becoming a volunteer, I took a lot of training. With all the training programs, I have learned that most Asians has very little knowledge about mental illness. I, myself is a good example. During the 20 years, my husband felt that he was flawless, but at the same time, he was also pessimistic. He was not willing to do anything. If he had the chance to get help from doctors, it would not end in tragedy.

Taking medicine can help a person resume back to a normal life

Zhou: Since you volunteer at NAMI for many years with many Chinese families, are there any memorable experiences?

Peng: As a volunteer, I certainly hope that what I am working on will have a positive effect. For example, there was a couple, they had bad relationships because the wife tended to take on a fight about some little things. Her husband never thought of a mental problem. Until the time they came to seek help from NAMI, he stated said that deep down inside, he felt something unusual was happening. I advised them to take the mental assessment with the psychiatrist.

They listened to my advice and his wife started taking medicine. 3 months later, there was a significant improvement in their relationship. I was delighted and told them they were very lucky. Because they had sought help from the professionals, not like in my case. It was a good way to try to find the problem and to solve it. But most of the families don't know what their true problem is.

Not long ago, there was a family, their daughter became sick. She could not eat or drink for more than 10 days, she was dying. Through the training programs, we all know that we can activate the 5150 act to call the police. However, the husband insisted that it was not about the mental problem. He resisted contacting police because he thought the policemen were "supposed to catch illegals".

When the professionals couldn't persuade them, they turned to NAMI. Then, I talked over the phone with the wife for 2 hours, I finally persuaded her. The most important thing I told her is that "You are trying to help your daughter when you call the police. What you do will never harm your daughter. You need to save her as soon as possible because her vital signs is becoming very weak. There is no time left." She made her husband call and the emergency personnel arrived and saved their daughter’s life.

We went through a lot of cases from the support group. We often come across patients who were unwilling to undertake treatment. My daughter had a similar situation before. There are a lot of skills for their family members learn in order to assist them. To persuade them taking medicine will help their loved one go back to their normal life, with this reason, most of them will be willing to do so.

Also, there is Mr. Frank that you have already met before. His family was suffering because of his son’s illness. When the couple came to NAMI to seek help, they always kept their heads down, you can literally tell the unhappiness from their talks. They felt hopeless for their son's future. We let them know that in fact their son's illness can be controlled. Parents need to be under control step by step, Parents need to improve their communication skills, they need to stay focus on what is best for their son. One and a half year later, there was improvement within their family, they all can communicate effectively again with the same goal.

Seeing the smile on the patients face, seeing them regain their confidence in life, are my motivation of being a volunteer.

遲志華女士的照顧者心路歷程 | Jean Lee (Chi Zhihua)’s Journey as a Caregiver

WCAdmin@marketamerica.com (Market America WebCenters) — Tue, 12 Apr 2022 16:03:00 GMT

MHACC 雙語部落格 Bilingual Blog

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危機應變小組

珍珍從屋裡走到街上

“你可以駕車送她去醫院”

“叫救護車好嗎？”

“用不著。珍珍同意你帶她去。”我跟著他們走進房裡，看到她穿著睡褲。面帶笑容，化裝過的眼線已經模糊了。

”你要去那個醫院？“ 輔導員問珍珍

”ALTA B.“

”但妳屬於Kaiser.“ 我提醒她。

”你就帶她去ALTA B 吧。她有權選擇。“ 輔導員說。

”那就麻煩你打電話告訴ALTA B 急救部門。我們這就去。“ 我請求他們。

珍珍上了我的車。真高興她合作。

”謝謝你讓我送妳去醫院，省了一百塊錢。“

我看她笑容消失了。一臉愁相，有了幾根白髪。才三十出頭。心裏一陣酸意。可憐的孩子。

約開了一半路程。

“我要去Oakland Kaiser, 我可以走路去。” 她在看手機。

“不可以這樣。ALTA B 在等我們。”

“我要去Oakland Kaiser。” 聲音很堅強。

“也好。我們先去ALTA B. 告訴他們一下，然後再去Oakland,”

我試著留住她在車上。她打開車門要下車。車在開著。不好，天色正黑，人海茫茫。她若下車，我怎麼跟踪她？絕對不能讓她下車。我知道她力氣大，不能用臂力抓住她。我右手抓住她背包，左手開車。希望不要有紅燈。有紅燈，一下子，車一停她就跑了。

“不要抓住我背包，鬆手！” 我頓覺抓對了東西。天助我也。千萬不要鬆手。

“鬆手。” 她吼。

我夜色朦矓中看到醫院Emergency 牌子。開過去。下了車，大力拍玻璃門。

“Help please.幫幫我." 我大叫。

裡面幾個工作人無動於衷。聽不見？

我再大力拍玻璃門。死不放背包。但知道珍珍站在我身旁。是因為背包嗎？她不跑掉。

一個人開門我走進去。看見一堆人朝著我們過來。

”請不要讓她跑掉。“ 我央求。

”我們不能強迫她留下來。“

”是A市Crisis Team 和警察叫我們來的。“ 他們不理採。

”那我打電話給A市警察，叫他們告知你細節！“

我撥了號碼。 A市警察接了電話。

”剛才是你們叫我送女兒來的。來ALTA B 急救。我們已在這裡。麻煩你跟這裡人講好嗎？“

”現在妳們在Berkeley 市。你要和Berkeley 警察聯絡的。我們這市管不著了。“

天啊！這節骨眼上，還這般麻煩！

”我現在要和Berkeley 警察聯絡。請你們幫忙看著我女兒“ ”她患有精神病，別叫她跑了。“ 我小聲地告訴護士。

”我們會看著她。“

另外一個人說，命令著：

”你要挪車。你的車停在Emergency. 這是急救車停的地方！“

”好，我去挪車。這背包最重要，千萬別給我女兒。“

”你放在那桌子下面。“

其實我可以拿著女兒的背包去挪車的。當時只想到若女兒拿了背包一定跑掉！千萬不可把背包給她！

我一面挪車一面打電話給Berkeley 警察。說明一切後，

”我們什麼也做不到。“ 女警察說。

算了。我埋怨了她幾句。我另找別人。平日都有連絡的阿白可幫忙。我腦海裡記著他的手機號碼。

”阿白。珍在ALTA B 急救室。請你連絡急救室，告知珍的病情。最重要的是千萬別叫珍溜開。“

阿白知情不必多講。他也合作。

上天助我，很容易地找到停車地方。

當我回到急診室時，見不到珍珍。

”我們已把她送進裡面等著看醫生了。背包在這裡。“

我鬆了口氣。再跟先生連絡。

”森林，一切都好。在ALTA B，你下班來時拿點吃的給我，我又餓又累。“

我坐下來休息。護士問我要不要進去陪珍珍。

”算了，我疲倦極了，不想她看到我這副能量的樣子。“

一位中年黑女人從病房走出來大叫，把手裡拿著的水瓶朝地下一扔，滿地是水。跟著個大約六，七歲的小女孩嚇的大哭。守門人把她趕到急診室外。天色黑黑招來了一堆人圍著看。幾個守門人站在一起，笑著，嘲笑的眼光看著這情景。太多的事情我可以幫忙這人間。護士又來問我要否進去陪女兒。

”我想靜一下。我先生馬上就來了。“ 趁機會打個電話給珍的心理輔導員。珍每星期見她一次。正通話中。又有一個電話打進來。是珍珍她說：

“媽你拿著我的包嗎？”

”是的，你在那裏？“

”我在街上。“

“你怎麼出來的？我沒看到妳。”

“我從旁邊的門出來。”

“你現在在那條街上？”

“在羅卜住的那條街。”

“在那裡等我不要走開。”

我告訴在等待的心理醫生，珍在街上，我要尋找她。怕誤會我問護士一下。

“請進去找我女兒，她似乎已經從側面出來了！“

只見那護士轉身跑進裡面，又跑出來，一臉恐慌地往街上跑。我跟著她。

”你去那裏找珍？“

”看她是否在這個胡同裡。“ 護士又跑回急診室告訴守門人珍珍不見了。有幾個人很著急的進進出出。我現在知道珍在外面街上是真實。

”我去找珍，請放心。“ 我找到車，朝羅卜家的方向馳去。天太黑沒街燈。找不到羅卜住的街。

”你怎麼還沒來？“女兒催了。

”我找不到他家。這裡有7-11.在這見好嗎？“

”好，拿我的包包來。“ 又通了幾次手機。我倆終於見面了。

”餓不餓？“

”午飯也沒吃。“

”我們去吃飯，就在附近。不開車。“

”我還要買藥。“

”吃過再說。“

亂了一陣子忽然想起了森林。

快連絡上了他。

”我在醫院看不見你們。“

”你快回家吧。不要等了。我們很好。回家後我再告訴你細節。“

看著女兒吃相知道她真是餓了。我要照顧她到什麼時候？

"你把我的皮包帶子都弄斷了。是掛在脖子上的。我的脖子大概也弄破皮了。” 沒完沒了。

***給車撞了

早飯完畢，領著女兒狗走路去作工，約一半路程時看見對面有陽光，就決定到對面走，走了幾步，突然有股大力量，我即刻大跌倒在街中央，耳邊聽到玻璃碎聲，奇怪我以前跌過是因路不平，這次沒有路不平？眼角看到一個大橘紅色車。一位中年女人走到我旁邊。

“Are you ok?"她問。手裡拿著手機。

“我打電話叫救護車？”

“怎麼回事？”

“我沒擦玻璃，早上露水，我看不見，當我發現你時，你就在我車旁邊。”

“你的車撞我了？”

“是的。打電話給救護車？”

”不必。請把我扶到路旁。我在路中間。“

她扶我去路旁坐下來。

”請把我的書和紙張拿過來。“ 她沒理會。

我看到路旁有個人停下車在打電話。

”東方女人。。。坐在那。。。“

”Are you ok?" 另一位路過男人問。

“狗朝這個方向走了”

“啊狗，請你去找他。快點。” 我驚到忘記了狗。

這男人去找狗了。撞我的女人問

“什麼樣的狗？”

“黑色小的。”

“什麼名字？”

“猶大”

“那種狗？”

“不知，女兒的狗。”

她去找狗，朝相反方向走。

“猶大，猶大，”小聲地叫。心想這種聲音根本找不到狗。

也不管她往那個方向走，放棄她。

眼見警察車。救護車也來了。

“量血壓。”

“不必。我沒事。”

“請站起來，走走看。” 我費力站起來，一拐一拐地走。

“有事，看你不能走。”

“我沒事。請幫忙找狗。狗丟了。我乖女會瘋的！”

“你寧願找狗也不上救護車！”

“我沒事。”

我趁機快打電話告訴內子目前情況。

“記下對方電話。車牌。。。”

女警走過來。

“請你們到我花店看。狗是否在那裡！”

我知道你和花店。沒問題。 “

”再請一位送我回家。看看狗有沒回家。“

感覺上又等了一段很長的時間。

女警問我

”坐警車後面好嗎？“

”我的榮幸。

我幫著女警找到我住處。沒有小狗踪影。

謝過女警。我自己開車去女兒住處。

停了車張望過去門口沒狗兒。糟了！順便下車走過去看看。

看見小矮狗兒站在門口望著我。呆呆地。

”你這個不忠心的狗，看見我有難自己跑了。不留在我身邊！以後沒有steak 吃了“ 我小聲說了牠。心裏感覺萬幸找到了牠。

忽覺要小解，等不了，褲子全濕了。

不到一個小時，又要小便，說來就來，褲子又濕了一次。

Crisis Response Team

Zhenzhen walked out of the house and onto the street.

“You can drive her to the hospital.”

“Should we call an ambulance?”

“No need. Zhenzhen agreed to go with you,” said the counselor.

I followed them inside. She was wearing pajama pants, smiling, though her eyeliner had smudged.

“Which hospital do you want to go to?” the counselor asked her.

“Alta B.”

“But you’re under Kaiser,” I reminded her.

“Just take her to Alta B — she has the right to choose,” the counselor said.

“Then could you please call ahead to Alta B’s emergency room and let them know we’re on our way?” I asked.

Zhenzhen got into my car. I was relieved she was cooperating.

“Thanks for letting me drive you. We saved a hundred bucks.”

Her smile vanished. Her face grew somber, and I noticed a few strands of white hair. She’s just in her early thirties. My heart sank. Poor girl.

We were halfway there when she said, “I want to go to Oakland Kaiser. I can walk from here.”

She was looking at her phone.

“You can’t just leave. Alta B is expecting us.”

“I want to go to Oakland Kaiser.” Her voice was firm.

“Okay, we’ll check in at Alta B first and let them know, then we can go to Oakland.”

I tried to keep her in the car. Suddenly, she opened the door while the car was still moving. It was dark outside, and there were lots of people around. If she got out, how would I follow her? I couldn’t let her run off.

She’s strong — I knew I couldn’t hold her physically. So I grabbed her backpack with my right hand while steering with my left. I prayed for no red lights — if the car stopped, she’d be gone.

“Let go of my bag!” she yelled.

At that moment, I knew I had grabbed the right thing. I couldn’t let go.

“Let go!” she screamed again.

In the dim light, I saw the hospital’s Emergency sign and drove straight there. I jumped out and banged on the glass doors.

“Help! Please help me!” I shouted.

Inside, the staff seemed unresponsive. Couldn’t they hear me?

I banged again, harder, still holding her backpack. Thankfully, Zhenzhen was still beside me — maybe because of the bag?

Someone opened the door. I went in as several staff members approached.

“Please don’t let her leave,” I begged.

“We can’t force her to stay.”

“But the A City Crisis Team and police told us to come here,” I explained.

They ignored me.

“Then I’ll call A City police and have them speak with you!”

I called them.

“Didn’t you just tell me to bring my daughter to Alta B Emergency? We’re here now. Can you please inform the staff?”

“You’re now in the city of Berkeley. You’ll need to contact the Berkeley police. We’re out of jurisdiction.”

Really? At a time like this?

“I’ll contact the Berkeley police now — please just watch my daughter!”

“She has a mental illness. Please don’t let her run off,” I whispered to a nurse.

“We’ll keep an eye on her,” someone replied.

Then another person said, somewhat rudely,

“You need to move your car. It’s parked in the Emergency zone. That’s for ambulances!”

“Okay, I’ll move it. Just make sure my daughter doesn’t get her backpack.”

“You can put it under that table.”

I could’ve taken the backpack with me, but all I could think was — if she got it, she’d run. I couldn’t let that happen.

While moving the car, I called Berkeley police and explained everything.

“We can’t do anything,” a female officer said.

Fine. I grumbled a bit, then called someone I knew — Mr. Bai, a reliable contact.

“Mr. Bai, Zhenzhen is at Alta B Emergency. Please call them and explain her condition. The most important thing is: don’t let her leave.”

He understood immediately and agreed to help.

Luckily, I found parking quickly. When I returned, Zhenzhen was no longer in the lobby.

“We brought her inside to wait for the doctor. Her backpack is right here.”

I sighed in relief and called my husband.

“Senlin, everything’s okay now. We’re at Alta B. When you get off work, can you bring me something to eat? I’m exhausted.”

I sat down. A nurse came and asked if I wanted to go in to be with Zhenzhen.

“No, I’m too tired. I don’t want her to see me like this.”

Just then, a middle-aged Black woman came storming out of the ER, shouting and throwing her water bottle to the ground. Water spilled everywhere. A little girl nearby started crying. The guards pushed the woman outside. It was dark, and a crowd began to gather.

Several guards stood there, laughing and watching, mocking the scene. So much pain in the world — I wished I could help more people.

The nurse came again.

“Do you want to go in and be with your daughter?”

“I’d like a moment to rest. My husband’s on his way.”

I took the chance to call Zhenzhen’s therapist — they meet weekly. While on the phone, another call came in — it was Zhenzhen.

“Mom, do you have my backpack?”

“Yes. Where are you?”

“I’m on the street.”

“You got out? I didn’t see you leave.”

“I went out the side door.”

“Which street are you on?”

“Rob’s street.”

“Stay there. Don’t move.”

I told the therapist that Zhenzhen had left, and I had to find her. I checked with the nurse:

“Please go check inside. I think my daughter left through the side door!”

The nurse ran inside, then back out — panicked — and took off toward the street. I followed.

“Where are you going to look?” I asked.

“To see if she’s in the alley.”

She ran back in to alert security that Zhenzhen was gone. Several staff members rushed in and out.

Now I knew for sure — Zhenzhen was out on the street.

“I’ll go find her — don’t worry.”

I got in my car and drove toward Rob’s street, but it was dark, with no streetlights. I couldn’t find the right one.

“Why aren’t you here yet?” Zhenzhen asked.

“I can’t find the house. I see a 7-Eleven. Can we meet there?”

“Okay. Bring my backpack.”

After a few more calls, we finally met.

“Are you hungry?”

“I haven’t eaten lunch.”

“Let’s go eat — somewhere nearby. We’ll walk.”

“I still need to pick up my meds.”

“We’ll eat first.”

Amid the chaos, I suddenly remembered Senlin.

I reached him.

“I didn’t see you at the hospital.”

“Head home — don’t wait for us. We’re fine. I’ll tell you more later.”

Watching Zhenzhen eat, I could tell she was starving.

How long will I need to care for her?

“You broke my purse strap. It was around my neck. I think you scraped my skin.”

She kept going on and on.

Hit by a Car

After breakfast, I was walking the dog to work with my daughter. Halfway there, I saw the sun shining on the other side of the street, so I crossed. A few steps in, a strong force hit me, and I fell hard in the middle of the road.

I heard glass shattering.

Odd — I’ve tripped before from uneven roads, but this wasn’t the case.

Out of the corner of my eye, I saw a large orange-red car.

A middle-aged woman approached, holding her phone.

“Are you okay?” she asked.

“Should I call an ambulance?”

“What happened?”

“I didn’t wipe the windshield — there was morning dew. I couldn’t see. By the time I noticed you, you were right next to my car.”

“Your car hit me?”

“Yes. Should I call an ambulance?”

“No. Please help me to the curb — I’m in the middle of the road.”

She helped me sit on the curb.

“Please bring my books and papers.”

She didn’t respond.

I saw a man nearby making a call.

“Asian woman… sitting over there…”

“Are you okay?” another man asked as he passed.

“The dog ran that way.”

“Oh no! Please help me find the dog — quickly!”

I was so shocked I forgot about the dog.

The man went looking.

The driver asked,

“What kind of dog?”

“Small and black.”

“What’s the name?”

“Judah.”

“What breed?”

“I don’t know. It’s my daughter’s dog.”

She walked off in the opposite direction, softly calling,

“Judah, Judah…”

I thought — she’ll never find him like that.

Then I saw a police car. An ambulance arrived.

“Let’s take your blood pressure.”

“No need. I’m fine.”

“Try standing. Walk a little.”

I struggled to stand and limped a few steps.

“That’s not okay — you can’t walk properly.”

“I’m fine. Please help find the dog. If we lose him, my daughter will go crazy!”

“You’d rather find the dog than ride in the ambulance?”

“I’m fine.”

I quickly called my husband and explained the situation.

“Get her phone number, license plate…”

A female officer approached.

“Come with me to my flower shop — maybe the dog went there.”

“I know your shop. No problem.”

“And please have someone drive me home — maybe the dog went back.”

It felt like a long wait.

The officer asked,

“Are you okay sitting in the back of the patrol car?”

“It’d be my honor.”

I helped her find my house. No sign of the dog.

I thanked her and drove to my daughter’s place.

No dog in sight.

I got out just in case — and there he was, standing at the door, looking at me blankly.

“You disloyal dog! I was in danger and you ran off instead of staying with me! No more steak for you,” I scolded quietly.

But deep down, I was just thankful he was safe.

Suddenly, I had to pee — couldn’t hold it. My pants were soaked.

Less than an hour later, it happened again.

親愛的陌生人 | Dear Stranger | By Diana Chao

WCAdmin@marketamerica.com (Market America WebCenters) — Tue, 12 Mar 2019 17:00:13 GMT

親愛的陌生人 | Dear Stranger

Diana Chao | TEDxTeen

趙東妮十年級的時候，創辦了非營利組織Letters to Strangers陌生人來信，為全世界感到抑鬱和無助的人提供求助的機會，現在已經有兩萬多人響應，L2S發展成為一個全球性的校園心理健康倡導的力量。這一切都開始於趙東妮的親身經歷。

When Diana Chao was in 10th grade, she founded the nonprofit organization Letters to Strangers (L2S) to provide a way for people around the world struggling with depression and helplessness to reach out for help. Now, over 20,000 people have responded, and L2S has grown into a global force for youth mental health advocacy on school campuses. It all began with Diana Chao’s personal experience.