A Dangerous Mental Health Condition**

It has to be reiterated that most people diagnosed with a psychiatric illness pose no danger to others, or themselves. The majority of this population desire a well-adjusted mental health.  As positive as that reality is, we have to understand various causations in that small percentage who do become dangerous.  It’s an unpleasant subject many refuse to look at, with several media pundits unwilling to have honest discussions, talking around the issue as though if it’s left out of the conversation no one will notice.  However, until society does focus on “mental” instability and “dangerousness”, the world won’t see a reduction of this brand of criminality.  The following are several items which deserve analysis.*

  • Sudden Stoppage of Medication.  A lion pouncing on someone when it hasn’t eaten for a few days. It’s analogous to the patient who may become dangerous when they suddenly stop taking medication.  These pills are strong and take several weeks to gain traction to reduce symptoms associated with the condition.  Thus, it’s a shock to the brain when the medication is no longer in the system, which may result with the patient spinning out of control mentally.  If they wish to cease taking medication, they should inform the psychiatrist to gradually receive lesser dosages over a period of time, until they are no longer on the psychotropics.
  • Lack of Guardian.  Families have to take the initiative in getting a conservatorship when they believe a member is irresponsible in caring for their mental health.  The patient has to report to this guardian on a daily basis before proceeding with usual activities.  It’s a form of neglect, regardless the age of the patient, to allow them to enter society with an unprepared mental health.
  • Alcohol, Illegal Drugs p. 1.  A patient is setting themselves up for a mental thunderstorm when combining these substances with their mental health condition whether they’re using psychotropics, or not.
  • Alcohol, Illegal Drugs, p. 2.  The individual who begins with a healthy psychology, then starts abusing these substances, automatically has a mental illness, even if they don’t have schizophrenia, mood disorders, and other psychiatric conditions associated with a chemical breakdown from using drugs.
  • Lack of Positive Coping Mechanisms. This skill set is important for everyone, especially the patient who has to remember that disappointments are a part of life.
  • Ordinary Citizens. Failing to call the police when they observe someone they wholeheartedly believe may pose a danger to society.  Even if police can’t do anything: We have to wait until something actually happens, there’s a paper trail about the individual they can refer to.
  • Deep-Brain Injury.  An individual could begin with a healthy psychology, then experiences a deep-brain injury.  Not everyone in this category is dangerous, although some may result with a level of dangerousness (i.e., ASPD Level 2).  They have to be monitored on a regular basis with a host of evaluations because of personality changes.
  • A Blow to the Head, but not Deep-Brain Injury.  A patient may experience personality changes, temporarily, which have to be monitored on a regular basis with a host of evaluations.
  • Congenital Brain Malfunction. The individual has to be supervised on a regular basis by family (i.e., conservatorship), psychiatrists, and physicians.
  • The Lack of Workplace Personality Assessments.  The employer who refuses this instrument for the pre-employment screening could face unbelievable liability.
  • The Psychological Board. A compulsory standard Duty to Protect and Duty to Warn doctrines are required in all states and districts, instead of both doctrines in some regions, one or the other in separate regions, and the incredibly vague language nurturing confusion.
  • The Clinician.   If they fail in whatever current Duty to Protect/Duty to Warn responsibilities, they have created a series of events they will regret forever.
  • Police Officers.  Most are a community’s best friend!  They have incredible challenges which couldn’t have been recognized when joining the Police Force because of increased responsibilities.  An officer never wants to pull the trigger unless it’s absolutely necessary, and most never fire their guns.  They wish to return to their families at the end of an exhausting day.  However, if an officer fails to respond when the clinician informs them in their Duty to Warn capacity, they should turn in their badge and find a different area of employment.

Conclusion

A safer world becomes prevalent only when an honest dialogue about mental health begins, with additional entities becoming more involved, instead of believing it’s someone else’s problem.

*There are always unknown causations waiting to be discovered.

**Not every dangerous person has a mental illness.

 

Vikki

The Trayvon Martin Case and Pathologies

There are several elephants in the room.  Let’s explore them.

Pathologies:

  • History Revisited.  Since the 1980’s, there’s been a culture, a mindset, a philosophy, which has swept over American youths: Rap/Hip-Hop–The music, drugs, language, clothes, weapons, drive-by shootings, and horrific gang initiations. Fortunately, not all young people subscribe to the ideology.  Those who have live in juvenile detention facilities, then moved into adult prisons.
  • Personal History. The deceased was suspended from school repeatedly, used drugs, wanted a gun, engaged in physical altercations, and used abominable language towards and about others.   Why wasn’t he under the care of a psychiatrist?
  • Societal Menace. The question isn’t Why did George Zimmerman get out of his car, but instead Why was the deceased outside during evening hours in the first place without parental supervision? 
  • Skill Deficiencies. Because the deceased lived in a crime-ridden neighborhood, and wasn’t under parental supervision, constructive skills to defuse situations would have gone a long way. When confronted by Zimmerman, the deceased merely had to say Talk to my father.
  • Limited Worldview. Parents have to socialize their children beginning at a young age, getting them into the world, where they become involved in activities with diverse groups.  The process needs reinforcing until adulthood.   Youth will experience a stunted personal development if parents fail to provide this necessity. Clearly, the deceased only knew his front and back doors.
  • Rachel Jeantel.  Only her former educators can address if she’s an example of voluntary illiteracy.  She and the deceased were contemporaries on so many levels.
  • Irony. People nurturing conflict, making threats, engaging in physical and verbal altercations against others because of this case, are unwittingly participants of the culture which has permeated American society for over thirty years.  They, too, can be considered societal menaces.
  • Playing the victim. It’s one thing to be a victim, and another to play the role.  When a victim regains their life and engages in constructive pursuits, society respects them. Society doesn’t respect the victim. Society feels sorry for the victim.  In fact, when the role is played too long, society views the individual with contempt.  Respect and sorrow are mutually exclusive entities.
  • Acceptance. Many parents have buried offspring from gang violence.  Where are the mass demonstrations in the hundreds of thousands across America every year?
  • Acceptance. Many parents have buried offspring from gang violence.  Where are their voices in Congressional hearings, demanding clothing lines and music labels associated with the culture get shut down?
I look forward to your comments.

 

Vikki