Sunday, August 31, 2008

Battling stigma as well as mental illness

Battling stigma as well as mental illness

By David Riley/Daily News staff
MetroWest Daily News
Posted Aug 30, 2008 @ 10:34 PM

If Cindy had a heart ailment, a doctor might have sat her down and walked her through her options for treatment.

Battling mental illness, she says she was locked in a state hospital and told by a staff member she would be lucky if she ever got out.

If she broke a bone, Cindy might have gotten a cast, crutches and a little patience at home.

Grappling with bipolar disorder, post-traumatic stress and substance abuse, her husband said she was lazy and her treatment was just "a vacation."

For decades, most health professionals have accepted that mental illnesses are legitimate, serious medical problems. But for many who suffer from them, they often remain a source of shame and ridicule, and for the public, a cause for fear, suspicion or misunderstanding.

"It's just slow for people to realize it's a real illness," said Iris Carroll, director of Programs for People, a Framingham agency that helps people to recover from mental illness and succeed. "I see it definitely changing, but not fast enough."

Four clients at Programs for People, who agreed to speak with the Daily News without giving their full names, say stigma against the mentally ill is alive and well in many aspects of their lives.

Mark, who was hit by a truck in December, says he believes his diagnosis with mental illness led a doctor not to take his wishes seriously and forego surgery he requested on his badly broken leg.

"I didn't have anybody to sign or advocate for me," Mark said.

For Melissa, her struggles with depression and post-traumatic stress cost her ties with most of her family and wreaked havoc with jobs.

"I feel like people don't understand," Melissa said. "I'm labeled like you should get it, or you should have known better, so snap out of it."

Cindy said she was called a "nutcase" when she called her son's school to iron out a problem with a teacher. She said she encountered bias within the mental health system itself, where her own goals often seemed an afterthought to some of the people treating her.

"We want guidance," said Cindy, "but we also want a voice."
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