| NEWS
"Preventing
Suicide "
The National Journal - On-line edition, September 2005
Recovery Inc.
For those who have been battling mental illness and need added
support with their struggles in everyday life, Recovery Inc. may
be the answer. It is one of the first self-help groups, founded
at the Neuropsychiatric Institute of the University of Illinois
Research and Education Hospital by the late Abraham A. Low, M.D.
As a neuropsychiatrist, Low was tired of seeing the same patients
over and over again who seemed to never recover. They would be treated,
exit the hospital, then cycle back into treatment.
Low is one of the first to use cognitive behavior tools for recovery.
Cognitive behavior seeks to identify and correct thinking patterns
that can lead to troublesome feelings and behavior.
The same tools Low used in 1937 are used today in Recovery Inc.
Someone may be reluctant to attend a meeting where the text is 68
years old, as was Sarah, a Recovery Inc. member. Walking into that
meeting two years ago, she said that she felt uncomfortable and
anxious. As members read from the text she thought, how could this
possibly relate to me, an independent modern woman? Today she knows
that the thearpy of Recovery Inc. is a timeless one because it deals
with human behaviors that everyone has.
Sarah attended the first meeting after a coworker invited her.
The coworker was a Recovery Inc. group leader who suffered from
anxiety and thought Sarah could benefit from being a part of the
group.
Her coworker could not have been more right. Depression and bipolar
disorder run in Sarah’s family, so when she first recognized
her symptoms of manic depression and her chemical imbalance in high
school, she thought it was normal. After getting married and having
her daughter, Sarah experienced postpartum depression. Then she
sought help from a psychopharmacologist and therapists, who helped
her depression and anxiety.
But Sarah always had suicidal thoughts, but had never acted on
them until after experiencing problems in her marriage and losing
her job at the same time. Looking back, she says that she didn't
want to die. Just in that one moment she thought, "I wouldn't
have to struggle with everyday existence."
So one night when she and her husband went to bed, she snuck away
into the bathroom. She locked the door and overdosed on her medication.
Sometime during the night, her husband realized his wife was behind
the locked door and kicked it down and called an ambulance.
After getting her stomach pumped, Sarah spent two weeks in the
hospital, then was transferred to another facility. Her insurance
wouldn't pay for further treatment, so she was back into the realm
of everyday life.
Sarah returned to Recovery Inc. after her suicide attempt and decided
to commit to it. After attending numerous meetings, Sarah now says
that Recovery Inc. is something you "have to practice. If you
do it halfheartedly, it won't work."
As a person with depression and anxiety going into a meeting, you
may feel that everyone is judging you, but everyone in the meeting
is in the same position you are, Sarah said. It is not like the
atmosphere where a patient rambles to a doctor. Meetings are peer
led, and group leaders are members too.
Meetings take place once a week and locations have sprung up all
over the world, including Ireland, Wales, Mexico, Puerto Rico, England,
Israel and Canada. The meetings are a safe place for people who
are helping themselves and are helping one another.
The format is very structured and starts with reading Dr. Low's
book or listening to tapes of his lectures. Then members give examples
of their symptoms. At Recovery Inc. the main focus is not on the
diagnosis, but on the symptoms members have. The language used to
give the examples of symptoms follows a specific format in order
to take the emotion out of the example.
In Recovery Inc., words are an important part of the recovery process.
Members are encouraged to walk through their past experience, not
relive it. Finally members tell the group how they would have reacted
in the same situation before they had come to Recovery Inc. After
the structured portion of the meeting, members have the opportunity
to talk freely about the meeting itself or any other issues they
may have.
Through the Recovery program members learn how to change the way
that they react to people and situations in which they have no control
over in everyday life. Members will learn how to manage their negative
thoughts, feelings, and behaviors, which lead to mental and physical
stress symptoms.
After two years, Sarah still attends Recovery Inc. meetings. There
are times when she forces herself to attend because she just doesn't
feel like it. After sharing with others during the meeting, she
has a feeling of relief that makes attending Recovery Inc. worthwhile.
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Single,
But Not Alone Anymore
"As a single parent in my 30's, I want to make people of my
generation aware of a wonderful organization, which has helped me
immensely. Only recently, since discovering Recovery, Inc., has
my life become meaningful, which allows me to anticipate a hopeful
future. Previously my life had mainly consisted of a never-ending
battle just to maintain my sanity. Also, I hope to introduce the
Recovery training program into the school systems so my kids and
their generation will be able to avoid the misery that I have experienced
in my life.
"As a child, I grew up in a family consisting of my father,
mother, an older brother, and a younger sister. Our family moved
around the country quite a few times. When I was 7 years old, my
mother committed suicide. Later on when I was a young teenager,
dad remarried, and then the family moved to Europe. While I was
living in Europe my mental health deteriorated to the point that
I needed to be hospitalized several times. Returning to the United
States, I was able to complete high school; however, as a young
adult, my life became chaotic with episodes of deep frustration
and disappointment leading to disillusionment and an acute sense
of insecurity.
"Although I attempted to complete college several times, I
was unable to stay long enough to graduate. I drifted from one unrewarding
job to another; never staying long enough with any one to establish
a career. Hoping to find some stability and security, I married
twice. Both marriages ended in divorce leaving me alone with two
children to raise. Throughout this long period beginning in adolescence,
when I was first hospitalized, until just a couple of years ago,
I have had a long struggle to maintain any semblance of good mental
health.
"As a child, beginning with the tragic death of my mom, I
always had a troubling sense of alienation and isolation. It was
difficult for me to make friends. I displayed the typical teenage
rebellion, but my disruptive behavior was more intense and prolonged.
My life consisted of a campaign of emotional battles with my parents
and the outside world. The ways that I used to fight these battles
were weapons of belligerency. When asked or told to do things that
upset me, I would go on the offense by creating an intense, emotional
confrontation of accusations and disrespect.
"At times, when I felt that I was losing a major battle, I
would retreat by running away from home. Unable to find sympathetic
friends to comfort me during these battles, I turned to promiscuity.
In between these episodes of emotional upheaval, I would sometimes
experience brief periods of unexplained euphoria, which put even
more strain on my emotional system rather than comforting me.
"When the family was relocated in Europe, I found out that
I could no longer continue to function using the emotional tactics
that I had been using previously. The underlying fear and anger
of the past became so frequent, and so very intense that panic and
emotional paralysis set in, forcing me to be hospitalized. Until
just a couple of years ago, my life consisted of going from one
emotional breakdown to another.
"Periodically my emotions would be so out of control that
I would totally panic and crash into an emotional wall of fear,
anger, and depression. My thinking became so irrational, so disoriented,
that suicide seemed to be the only option to find peace of mind.
Finally, after going through a number of suicide attempts, I acquired
some emotional stability through subsequent hospitalizations, therapy
and effective medication. I was stable enough to realize and accept
the fact that I, like millions of other people, am a nervous person.
This acceptance enabled me to see that I needed to actively work
at acquiring and maintaining good mental health. I realized that
I needed to practice good mental health to be able to raise my two
girls. Then I discovered Recovery, Inc.
"I have discovered that my thoughts were actions of uncontrollable
behaviors. By golly, it is called a SYMPTOM! My psychiatrist gave
me a label. Gee, I am a NERVOUS PERSON! Supportive people could
relate to my thoughts, feelings and actions. Wow, there are MEETINGS.
Amazingly, there are TOOLS and a four-step example to follow. It
is a miracle. Coping skills and practice can make a difference in
my life and others. I continue to survive and look for a better
tomorrow. I opened my closet and released myself from the bondage
of stigma.
"The Recovery mental health self-help group helps me to take
charge of my emotions rather than being controlled by fear, anger,
or depression. By attending weekly meetings, I have learned to accept
myself and to accept the idea that I can rid myself of the harmful
thinking and attitudes that had caused me so much pain in the past.
"People of all ages can benefit from Recovery because it provides
a firm structural foundation that is most forgiving when mistakes
are made. Another thing about the method is that it talks directly
to you and then teaches you to talk self-assuredly to yourself.
When I first joined my Recovery group, I learned that millions of
other people have the same harmful thinking and attitudes that cause
people to bring so much agony into their lives. Through the Recovery
training, I am now able to tell myself that I have a choice -- I
don't have to always be fearful. I don't have to be continually
angry. I don't have to suffer debilitating bouts of depression.
"Recovery, Inc. is not a miraculous cure for mental health
problems. Life most certainly can and will be stressful at times.
I can still get fearful, angry or feel empty but now I have the
means -the Recovery tools - to change those distressing
feelings. Using my Recovery training, I am now able to recognize
that these feelings are merely the result of insecure thinking and
attitudes.
"I have learned how to change my thinking from harmful, threatening
feelings to secure thoughts. The Recovery mental health support
group certainly has changed my life for the better. Now I am able
to experience the joy of raising my two girls, and receive the love
and friendship of my family and friends."
Jennifer Englehardt's story as told to
Mark Winterbottom.
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