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Pete Earley |
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"How
would you feel Dad, if someone you loved killed himself?" |
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I
was rushing my college age son, Mike, to an emergency room when he
asked me that question. He was seeing secret messages in bumper stickers
and experiencing rapid mood swings. When we reached the hospital,
I felt a tremendous sense of relief. The doctors there would know
what to do! |
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Four
hours later, a doctor finally appeared and after briefly questioning
Mike, declared there was nothing he could do to help him. Mike was
convinced that he wasn't sick and he refused to take anti-psychotic
medication. Because the doctor did not believe Mike was an "imminent
danger" either to himself or others, my son was turned away even
though he was clearly delusional. |
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During
the next forty-eight hours, Mike decompensated. Only another parent
can really understand how agonizing it is to stand by and watch your
child slip further and further into a mental abyss. I tried, of course,
to intervene. I told Mike that his anti-psychotic medicine would help
him think more clearly. But he told me there wasn't anything wrong
with the way he was thinking. I tried to show him that he was having
delusions, but he disagreed. Finally, I begged him to take his pills.
"Please, please, just do it for me!" But he wouldn't. "I'm
not sick," he kept repeating. After hours-and-hours of exhausting
conversations, I demanded that he take his medication or leave the
house. That threat only made the situation worse. Afraid of what might
happen to him on the street, I backed down. The next morning, when
Mike caught me spiking his breakfast cereal with his medicine, he
became enraged. |
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Forty-eight
hours later, Mike was in police custody. He had slipped outside one
morning and broken into a house to take a bubble bath because he felt
dirty. Luckily, the homeowners were out-of-town. It took six officers
to subdue him. Mike was charged with two felony crimes. |
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Uncertain
what to do, I contacted the National Alliance on Mental Illness (NAMI),
the nation's largest, grassroots mental health organization, and a
volunteer there urged me to read Dr. Xavier Amador's book, I Am
Not Sick, I Don't Need Help! |
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When
I did, I was amazed. Just about everything that I had done to help
Mike had been wrong. Rather than calming the situation, my actions
had driven a wedge between Mike and me. I had not Listened to him,
not Empathized with him, certainly not Agreed with him and finally
had not formed a Partnership with him. Those are the four guiding
principles behind LEAP, an acronym that Dr. Amador has coined to help
teach parents and others how to better communicate with their mentally
ill loved ones. When I was arguing with Mike, I had felt frustrated
and overwhelmed. In Dr. Amador's book, I found a simple to understand
blueprint for parents, siblings, children, and friends to follow.
While I was reading Dr. Amador's book, I also realized I was not alone.
Others had faced the very same situation that I had encountered with
Mike. |
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I
discovered that Dr. Amador's advice came from years of experience
as a clinical psychologist. His academic and professional credentials
were impressive. He had served as a professor of psychiatry at Columbia
University, as director of Research at NAMI, and director of psychology
at the New York State Psychiatric Institute. He had worked as an NBC
News consultant, appeared on countless television news shows, been
quoted regularly in the media, and had been called on by the National
Institute of Mental Health, Veteran's Administration, and U.S. Justice
Department for advice. Dr. Amador also had served as an expert witness
in high-profile cases, including the Theodore Kaczynski "Unabomber,"
trial, the Elizabeth Smart kidnapping, and the Zacarias Moussaoui
"Twentieth Hijacker" case. |
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But
it was another tidbit from Dr. Amador's background that really caught
my eye. His brother, Enrique, has schizophrenia. This was important
to me, because it meant Dr. Amador not only had professional experience,
but also a personal stake in his research. One of the reasons why
he had developed LEAP was to help him find ways to better understand
his own brother. |
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Eventually,
my son was sentenced to two years of probation and during that period,
Mike followed the rules. He attended therapy, participated in group
sessions and took his medication. But several months after Mike's
court imposed sanctions ended, signs of his illness began to resurface.
I was stunned when I discovered that Mike had stopped taking his medication.
Despite everything that we had gone through, he had, once again, quit
taking his pills. My first impulse was to confront him. How could
you do this again? Haven't you learned anything? But my wife
reminded me of Dr. Amador's book. Using LEAP, she was able to work
out an agreement that soon had him back on his medication and into
treatment. |
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In
this new edition, Dr. Amador updates his groundbreaking book. He explains
how "unawareness" of a mental illness is a symptom
brought on by the disease. It is not a choice that an ill person makes.
He gives practical advice about how families and doctors can bridge
the gap created by the federal Health Insurance Portability and Accountability
Act (HIPAA) that frequently prevents loved ones from being informed
and involved in treatment. He summarizes state commitment laws, using
simple to understand terms to explain the legal complexities. Since
releasing his first book, Dr. Amador has delivered more than more
than 300 lectures and conducted hundreds of LEAP workshops. He has
taken information from those sessions and added it to this edition.
These include model scripts that suggest specific phrases to use and
NOT to use. Being able to refer to these passages is much like having
Dr. Amador in your hip pocket. |
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The
needs of every individual who has a mental illness are unique. But
regardless of that person's specific problems, the basics that Dr.
Amador teaches help readers improve their communication skills, help
develop trust, and help turn combative situations into cooperative
ones. |
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One
night while Dr. Amador was autographing books, a man approached him
empty handed. He had left his dog-eared copy at home, he explained,
but had stood in line anyway because he wanted to shake the hand of
the doctor who had, as he put it, "given me my son back." |
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I
feel the same way. |
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| Pete
Earley is the author of Crazy. A Father’s Search through
America’s Mental Health Madness. He is
a former investigative journalist for the Washington Post
and the author of several New York Times best-selling books. |
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