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Bipolar II - Outed by Catherine Zeta-Jones

First, let me say I am not ungrateful. Nor do I hold any animosity toward Oscar-winning actress Catherine Zeta-Jones. As a matter of fact, I applaud her for allowing her battle with Bipolar II to be made public.

Shortly after Ms. Zeta-Jones announced her battle, ex-Disney child star Demi Lovato (Sonny with a Chance) recalled her three month stay in a residential treatment center, where, during treatment, she discovered some of her past actions could be directly related to being bipolar. She has spoken openly about it in an upcoming People magazine interview.

So, what is that annoys me? Simple. That it takes Catherine Zeta-Jones and Demi Lovato to suffer from the disease, in order for it to be discussed openly. Hopefully bringing about education and understanding of the disease for those that don’t understand it. As well as for those who are living with it.

I have said this before and I will say it again, “Mental illness is the bastard child of healthcare”.

But she’s not famous.
My wife is one of those unsung sufferers of mental illness. The psychiatrist, who treated her after her first visit to the Marquette General Behavioral Health Adult Psychiatric Unit in 1998, discussed with us that Katy suffered from a condition being bandied about at the time as 'Bipolar II'.

She explained that the concept of the long-held standard of the bipolar diagnosis was sort of heavy-handed. That there was a growing school of psychiatrists, psychologists and therapists who believed there were certain degrees of bipolar disease.

For those in the business of treating mental illness, Bipolar II represented a tier of the disease which presented itself with the ups and downs of the manic/depressive pattern, but showing more regular and shorter highs and lows than the normally accepted Bipolar disease demonstrated. It is important to remember I am not a doctor (but I play one in the bedroom) and am relaying to you the explanation of the disease as I remember it.

In denial.
Sure, everyone knows it’s out there. Mental illness, oooooohhhh scary. But no one really wants to own up to it. The people needing the most help are the ones who can’t, don’t or won’t get it. Those patients needing the new medications (broadcast ad nauseum everywhere), therapy and hospitalization are those who can’t afford it, don’t know about it or their insurance covers just enough to make it an economic hardship.

And lets be truthful, the almighty dollar, or lack thereof, is a driving force when individuals and families are making decisions on getting care, finding therapists and filling much-needed  prescriptions. The decision made oft times is, simply put, going without.

Anecdotal, but true.
Why do I know this? A better question would be, “How do I know this”. Because I’ve been there. On the front line. Supporting my wife. Who, for 20-plus years, has been battling against a foe that knows no boundaries. It’s important to remember, mental illness crosses over all the lines. Class. Economic. Age. Race. Gender.

Most importantly, mental illness doesn’t care if you have good insurance or not.

With the flood of commercials hitting the airwaves and pages of newspapers and magazines touting new medications to combat mental illness, the lion’s share of the those needing such medications and treatment never get them. Without access to good insurance, especially with a low co-pay prescription rider, it’s hard to scrape together the 250 to 400 dollars necessary for the newest anti-depressants hitting the market.

Remember, these drugs, unlike antibiotics, may be necessary for months, even years to be effective in the treatment of mental illness. Even the generic drugs can be out of reach for many sufferers, particularly if many are prescribed at the same time.

No one should suffer from mental illness, diabetes, cancer or any number of diseases, without support. No one should be left behind when they can’t afford their care. But it happens. Every day. But I digress.

Mental health needs a check-up.

Where we stand today.
Sufferers today need access to more psychiatrists. Psychiatrists who aren’t seeing a client list of several hundred patients. Doctors whose limited quality time is spent prescribing medications without the benefit of a lengthy, honest discussion with their patients about the progression of their illness.

In Michigan’s Upper Peninsula, where my wife and I live, there are but a handful of psychiatrists available to a population of approximately 300,000, spread across an area of 16,500 square miles. Most of these doctor’s are centrally located in Marquette, MI which is 72 miles east of where we live.

These mental illness practitioners must rely on the notes of therapists and psychologists who forward their observations in the hope the doctor will actually have time to pore over them before meeting the patient and prescribing said medications.

This needs to change. How? I don’t know. If we can’t fix health care as it stands today, it will be a moot point. But maybe now, with the openness of high profile personalities Catherine Zeta-Jones and Demi Lovato, a dialog of sorts will begin. But, it needs to be discussed honestly, fairly and compassionately.

As Whoopi Goldberg’s alter ego Fontaine would say, “I’ll buy your bull-shit. How much?”