Free Depression or Bipolar Disorder Monitoring Program Available to Consumers

Free Depression or Bipolar Disorder Monitoring Program Available to Consumers

Consumers with depression or bipolar disorder, being treated by a primary care physician, may benefit from additional monitoring by a trained pharmacist.

The program is seeking participation by consumers with depression or bipolar disorder. The program is funded by a grant funded by the Montana Department of Health and Human Services and is free to consumers. Patients receive a complete review of all of their medications, education brochures, and monitoring for the effects of their illness. All information collected is sent back to the primary care physician for review and interpretation.

To qualify, consumers must be on four or more medications, which can include over the counter or herbal medicines. Medications are not provided. Trained pharmacists are currently available in Billings, Roundup, Kalispell, and Lewistown or by Skype.

For more information please call Carla Cobb at 406-670-3722 or Dee Holley at 406-896-8805.

A Teacher's Suicide: Lessons Learned

Suicide is often seen as the tip of the iceberg. When Mr Ruelas', a Los Angelos teacher, died by suicide last week, it is acknowledged that the motives are far from clear. However some have associated Mr. Ruelas' love of teaching, his despair about the recent release of teacher performance ratings and his shame at being listed as a "less than effective" teacher compelled him to take a fatal jump. I also have the experience losing someone I love to suicide and searching for answers that can bind my anguish. My mother killed herself when I was four years old and as a child psychiatrist, mother, daughter I spent 18 years asking the impenetrable question of "Why?"

The lessons learned for those of us who lose someone to suicide is that it is usually a complex set of events, biological, cultural, conscious, unconscious motives. In ninety percent of suicides there is an underlying mental illness that exacerbates how someone responds to an immediate crisis whether it is a loss of a job, a divorce, the vicissitudes in life that can leave us bereft. In "psychological autopsies" when researchers interview friends and family, someone often has suffered from depression or bipolar disorder.

When someone is depressed and suicidal they can often have lethal misperceptions. Their desperate misery can be fueled by the faulty logic that their problem is permanent and that ending their life is the only solution. If I had climbed next to Mr. Ruelas on the remote forest bridge, the kind of metaphorical outreach that I do with my patients in my office, I would have counseled him in the words of Galway Kinell in his poem to a suicidal friend, "Wait, Wait for now, the need for new love is faithfulness to the old." I would have asked him to look at the evidence that a bad report card can permanently derail a career or can he recognize that this is the "faulty logic" of depression. When someone is suicidal they can see themselves as a perceived burden and that they will not be missed.

The aftermath of Mr. Ruelas' death is a stark reminder that none of us are expendable. As an extension of Mr. Ruelas' love for his students, I want each of them to get the message that depression is a treatable illness. We have life sustaining support to help those in their darkest hours find another way.

Blog by: By Nancy Rappaport, M.D - A Teacher's Suicide: Lessons Learned