A Searchlight Soul

by

JC Schildbach, LMHC

Chester Bennington completed suicide by hanging on Chris Cornell’s birthday, just over a month after Chris Cornell completed suicide by hanging on the 37th anniversary of Ian Curtis’ suicide by hanging.

For those unfamiliar, Bennington was best known as the lead singer of Linkin Park; Chris Cornell was best known as the lead singer of Soundgarden; and Ian Curtis was best known as lead singer of Joy Division.

Now, Linkin Park’s music makes me want to grind my teeth, spit, and curse—and not in a good way. And I never got into Joy Division beyond owning a ‘greatest hits’ collection for a few years as an undergrad. I am, however, a big fan of Soundgarden, as well as another of Cornell’s bands, Audioslave—not such a big fan that I ever made it to a concert. But, living in Seattle, I would see members of the band at other bands’ shows around town in the way back of the early 90s.

cornell dark

How would I know?  Cornell from ‘Fell on Black Days.’

I have no idea if Cornell’s suicide was related to Curtis’ beyond coincidence. But Bennington’s was directly connected to Cornell’s. They were friends, and, from what I understand, Bennington took Cornell’s death particularly hard. Both Cornell and Bennington had struggled with addiction and mental health issues during their lives.

But the takeaway shouldn’t only be that a life marbled with addiction and mental health issues leads to suicide. That makes it too easy for people to distance themselves from suicide, its causes, and our potential susceptibility to its draw.

In the wake of a loved one’s death, thoughts of suicide can arise or increase, and suicide attempts climb.

In the wake of a loved one’s death from suicide, those thoughts and those attempts climb significantly higher.

There are those who have criticized Curtis’, Cornell’s, and Bennington’s suicides by pointing out that they had achieved success, or had spouses, friends, children…all of which should have somehow prevented them from committing suicide, much less having thoughts of such.

That’s a natural impulse—to want to point out why we never would have killed ourselves in similar circumstances. But it’s also false comfort.

Just try to imagine finding yourself in a space where money, success, and a loving family can be discounted as not providing enough impetus to go on living. Imagine finding yourself in a space where you actually feel the people who care about you most will be better off without you. Imagine being so deep into that thought process that you can’t find your way out—that it seems completely logical—that suicide actually seems like the only rational decision.

I could get into explanations of survivor guilt, or what grief can do to people, or the impact of knowing that a friend reached the conclusion that suicide was an appropriate response to the world around them–a world that you were part of.

But I’d rather you think on how declaring yourself immune to something, insisting you are completely separate from some problem, is the first step to blocking your understanding of that problem…or worse, blocking your compassion toward others affected by that problem. You can feel for the families and friends of those who complete suicide without feeling the need to condemn the dead. That condemnation does nothing to help the grieving, or anybody else, least of all you.

 

 

 

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Yes, Breitbart, 33,000 People ARE Killed with Guns Each Year

by

J.C. Schildbach, LMHC

There is absolutely nothing controversial about Hillary Clinton’s claim that, in the United States, “We have 33,000 people a year who die from guns”–except maybe to those who don’t understand how words and numbers work.

Yet, AWR Hawkins, breitbart.com’s “Second Amendment Columnist,” posted a “Fact-Check” column, titled “No, 33,000 Not Killed with Guns Each Year” following the third presidential debate, claiming that Clinton deliberately inflated the CDC numbers of firearm deaths by adding in suicides. This is not the first time Hawkins has posted similar complaints.

What Hawkins fails to do is explain how suicides by firearm somehow fall outside of the “33,000 people a year who die from guns.” Certainly, Hawkins must understand that somebody who uses a gun to kill him/herself is dead, and did use a gun in order to die—making that person someone who ‘died from a gun.’

Using Hawkins’ preferred language of people “killed with guns each year” still doesn’t change anything. A person who commits suicide with a firearm still was, in fact, killed with a gun.

suicide-gun-mouth

Hawkins also strikes out by putting the phrase “gun violence” in quotation marks, saying that the use of that phrase (which Clinton did not use in the quote he complains about) somehow plays into Clinton’s strategy of fooling the public. But, again, killing oneself with a firearm does qualify as “gun violence”–first of all, because it involves an act of violence; and secondly, because it involves a gun. Or you can reverse that so the gun is first and the violence is second—still doesn’t change anything.

I don’t want to get into speculation about things that Clinton didn’t say, but perhaps if she had used the phrase “gun crimes” or had referred to murders using guns, then Hawkins would have a better argument. But Clinton didn’t. So Hawkins doesn’t.

And, in case you’re wondering, the 33,000 figure is dead-on. Here’s a chart, showing the CDC numbers of gun deaths for the years 2010 to 2014 (2014 being the most recent year statistics are available) clearly showing that gun deaths have reached well above 33,000 per year for 2012, 2013, and 2014, and averaged 32,964 per year for the five-year period.

avg-gun-deaths-2010-to-2014

A handy chart of CDC statistics on gun deaths, lifted from Everytown for Gun Safety at  https://everytownresearch.org/gun-violence-by-the-numbers/

Now, I get that gun-loving Americans, including the Breitbart crowd, don’t like to believe anything negative about guns. They also don’t like to believe that they may, at some point, end up so distraught, or so deep in the throes of mental illness, that they might use their guns on themselves, and/or their family members or other loved ones—or perhaps even neighbors or random strangers.

By pushing the suicide statistics aside, or pretending they ‘don’t count’, Hawkins ignores a harsh reality here: that people who own guns tend to kill themselves with those guns far more than they kill an intruder in their home, or otherwise defend themselves from the big, bad, scary world out there. People who own guns kill themselves with those guns more often than criminals use guns to kill innocent citizens; and more frequently than ‘gang violence’ leads to gun deaths.

There is also considerable overlap in the “murder/suicide” category—where gun owners kill their significant others, family members, co-workers, or random strangers, prior to turning their guns on themselves. And because guns are such a quick and effective killing tool, the decision to use them in an act of violence on loved ones or oneself is often impulsive—a few too many bad days in a row, a bad argument following a few too many beers, or even a partner deciding they want out of a relationship, and the gun comes out as the ultimate way to put a stop to whatever is so aggravating.

As for mental illness, Hawkins’ argument becomes even less convincing in the face of all the clamoring about how we don’t have a gun problem in the U.S., but we have a mental health problem. Of course, people who make such an argument are usually talking about the mental health issues of mass shooters. Yet, if we (properly) view suicide as a mental health issue, then the numbers of firearm suicides become that much more disturbing. Gun owners kill themselves at a rate roughly twice as high as the rate of gun murders. That’s a vast mental health issue that’s not being addressed, and that is being exacerbated by guns.

Yes, I know that many of the people who want to argue in favor of guns like to point out that people who commit suicide will find the means to do so, even if you take their guns away–an argument which is demonstrably false in terms of overall lethality. There are many ways to map out the evidence showing this falsehood, including the high rate of suicide by firearm–roughly 50% of all suicides in the U.S. are completed using guns. Another way to conceptualize the difference in suicide methods is to compare suicide completion rates using firearms relative to suicide completion rates using other methods. For instance, plenty more people survive suicide attempts by overdosing on pills than survive suicide attempts using guns.

Those who are willing to brush off the connection between firearms and suicide also sometimes argue that suicide is a matter of personal freedom—of being allowed to end one’s life when one chooses. I will say that I’m not completely opposed to people being able to end their own lives on terms they choose. However, I’ve learned enough to know that people are least equipped to make that decision quickly, impulsively, or while in a deep depression (among many other factors). Very few people attempt suicide while they are thinking in the clearest of terms, or making a rational decision based on a comprehensive review of the facts.

Depression and many other forms of mental illness are notorious for their association with cognitive distortions, aka, “thinking errors”—misinterpreting the world around one, the impact one’s actions have on others, and the view other people have of one (again, among many other factors). As I’ve pointed out before, the idea that a gun keeps one safe is, itself, a cognitive distortion. The suicide-by-firearm statistics make that clear.

There is also, perhaps, a great irony here, in that Hawkins believes he is advocating for gun ownership, when the “mental health” approach to suicide prevention involves removing the means for suicide. That is, safety planning for suicide prevention involves taking away those means most likely to be used in a suicide attempt, while the person at risk for suicide gets treatment.

So, how do we address the mental health problems associated with guns and suicide? Take the guns away, at least until the person moves beyond risk for suicide. Of course, mental health treatment is not predictive. Risk factors can be weighed, and support systems assessed, but given the ease with which a person can use a gun to end her/his own life, a dip back into depression, a few more bad days, a drift away from regular engagement with one’s (positive) coping skills, and the risk can escalate once again.

Hawkins thinks he is supporting gun rights by poo-pooing the statistics on firearm deaths in the United States. But what he is actually doing is pointing out that suicide is twice as big a problem, where guns are concerned, as murder is. His solution is to pretend the people who commit suicide with guns aren’t really people who “die from guns.”

At base, he is arguing that people who commit suicide with guns aren’t really people…or perhaps aren’t really people who deserve the support to go on living.

 

New Year’s Resolutions 2016

by

J.C. Schildbach, LMHC

In years past, I put my (mostly self-deprecating) resolutions out into the world via fairly constrained social media channels, with limited commentary, where those who encountered them would likely have some idea of what I was talking about. But, since plenty of the people reading this (or rather, the teeming tides of people who could potentially read this) don’t know me personally (unlike most of the tiny trickle of people who actually will read this) I figure some explanation is probably in order. Plus, a list of five short items, presented as a blog post, hardly qualifies as making an effort.

Baby New Year

Resolution 1: Be less informed.

This might not sound like a particularly noble goal. But given that we are under a constant barrage of information, I, like Donald Trump, feel the need to put up some walls. See, I don’t even have to explain that wall comment, because of the useless information we cannot avoid. Of course, knowing about Donald Trump’s litany of offensive statements is, I suppose, important, in that his stupidity is impacting the attitudes and behavior of like-minded idiots—and it’s usually good to be aware of the relative threat level posed by idiots. So, bad example, I guess.

Resolution 2: Take better care of my toenails.

I’m not entirely sure how I’ve made it this far in life without developing a better plan for addressing the menace that is my rapid-growth, super-strength toenails. Generally speaking, I don’t bother to cut them until I’ve, yet again, found myself having to carefully extract the threads of a frayed (by my toenails) sock from the gnarled, cracked, and dangerously sharp tangle of keratin protruding from the ends of my lower phalanges. It’s something of a wonder my wife hasn’t bled out in the middle of the night just from brushing against the things while sleeping.

Resolution 3: Read books, not Internet comments sections.

This is probably self-explanatory as a basic concept. But I’ve developed an unhealthy addiction to reading the comments sections following articles on the Internet—despite knowing exactly what those comments sections hold in store. It has gotten so bad that, even when websites have made it rather complicated to find the button to bring up the comments section, and take inordinate amounts of time to load the comments, I will squander precious minutes of my dwindling time here on Earth to gain access to those comments, even when much more rewarding reading material is immediately at hand. Heaven help me.

Resolution 4: Enjoy what I ingest.

I am extraordinarily blessed to have access to a wide variety of foods, from wonderful nearby restaurants, to farmers markets, specialty shops, and ‘international’ grocery stores, to fruits and vegetables we grow in our own yard. My wife, daughter, and I all know our way around a kitchen—or at least how to follow a recipe. Yet, a great deal of the time, I treat eating like an annoying task to get out of the way in order to avoid passing out in the middle of whatever else I’m doing. I will pause in front of the pantry to choke down a small stack of saltine crackers in order to stave off my hunger and save the time it would take me to microwave and eat last night’s leftovers. (Just now, I would’ve gone to the refrigerator and eaten a couple slices of deli ham if M hadn’t brought me a surprise platter of food). I’m not quite at the point where I think I need to count how many times I chew each bite–but that doesn’t sound like a bad ‘eating mindfully’ exercise for me.

And finally…

Resolution 5: More pretty bows?

It’s something of a tradition for me to include a hair-based resolution each year. Now, I could argue that that’s already been addressed (sort of) by that toenail resolution, given that hair and toenails are basically made up of the same thing—but I’m not sure if my adoring fans are willing to make that leap. I could go really basic, like resolving to get my hair cut at reasonable intervals. But that’s no fun. And anyway, I like the sound of “more pretty bows” as a kind of mission statement. I’m not sure exactly what I mean by that—take a little more time to pretty things up a bit? Imagine the world as if everyone had pretty bows in their hair? I’m not going to actually start wearing pretty bows in my hair, even though I have been known to sport a tiara in public. I guess I have a year to figure out just what I mean by this and to put it into action (or not).

new year me

Happy New Year!

2015 Resolutions in Review

by

J.C. Schildbach, LMHC

Before I can get to that hope-inspiring, joy-filled, forward-looking task of announcing my New Year’s resolutions for 2016, it’s tradition to take a measured look at the progress made toward the resolutions of the past year.

Typically, I would have completed the task of reviewing last year’s resolutions on New Year’s Eve, but I’m starting off the New Year a day behind already, so that I can quickly dispense with any resolve to finally get on top of things.

Typically, I also would have only done this through multiple postings on other forms of social media. But, out of resolve to be ignored more efficiently across multiple social media formats, I also decided to squeeze a blog post out of it. After all, I was going to put in the work one way or the other.

father time

So, without further ado, here’s how I did with my resolutions for 2015.

Resolution 1: I resolve to increase awareness of body image issues, and promote positive body image by championing Unitard Tuesdays (UniTuesdays) at workplaces across America.

Okay, I totally overplayed my hand at this one. I’d only been at my current job for two months at the beginning of 2015. HR shut this down before I even made it into the building that first, bright, shining Tuesday of 2015. But now that I’ve got a bit more experience under my belt—a belt I won’t be wearing with my unitard—it would potentially be a good time to revisit this issue. However, I no longer work on Tuesdays. Guess I’ll have to leave this on the back burner a bit longer.

Resolution 2: I resolve to establish the ultimate matrix for determining whether a ‘Men’s Rights’ Internet account or website is a parody account, or actually intended to be serious.

I plunged into this resolution by mapping out a research strategy. By my second research session, and the seventh or eighth website comments section, I realized that comedy, much like rationality, is highly subjective. At any rate, I had to admit that I couldn’t handle that level of hilarity/unhingedness in my life. Sorry, world.

Resolution 3: I resolve to thoroughly clean the master bathroom at least once this year; the main bathroom–no promises.

A resounding, if qualified, success. I thoroughly cleaned the master bathroom at least twice during 2015, just not all at the same time. You know—sink and mirror now…toilet and floor some other day…shower yet another day. I also fully lived up to the “no promises” aspect of the resolution as it relates to the main bathroom.

Resolution 4: I resolve to get over my aversion to ‘returning’ or ‘reciprocating’ high-fives. I feel it’s completely reasonable for me to not want to engage in high-fiving anybody. I just don’t like the awkwardness of leaving anybody hanging.

An abject failure. Aversion still solidly in place. On a somewhat more positive note, though, I managed to completely avoid all but four situations wherein a high-five was expected of me.

And finally–Resolution 5: I resolve to develop some wicked-cool comb-overs and/or stock up on Ronco spray-hair–y’know, just in case.

In hindsight, it feels like I set myself up for failure here. I mean, who would’ve thought that 2015 would be the year that the hair of male presidential candidates—including an incomparable, but structurally unsound, comb-over–would become a bigger topic than the hair of female presidential candidates—especially since the election isn’t until November of 2016? That said, I did not make any investment in the Ronco spray-hair, and remained pretty conservative with the comb-over styles. If I were to compare my comb-over style to the current batch of presidential candidates, it’s pretty much a Ted Cruz, but with the basic appearance of a Carly Fiorina.

Well, it sure feels great to take stock of all that’s happened, or not happened, in the past year. The unexamined life and all that…

Stay tuned for my slightly late resolutions for 2016, and Happy New Year!

Guns Don’t Kill People. Stickers Kill People!

by

JC Schildbach, LMHC

For decades, “Guns don’t kill people, people kill people,” and “If guns are outlawed, only outlaws will have guns” did the job of letting tough guys/tough gals let everyone know that they viewed more gun violence and the threat of gun violence as the number one solution to gun violence.

But, with the Internet opening us up to increasingly contentious arguments with complete strangers, and with gun violence reaching into more and more corners of American life—claiming the lives of children at school, moviegoers, and people coming together to worship, to name just a few, the National Rifle Association (NRA) had to get more creative in promoting their simplistic ideology that guns are always the answer.

After all, how do you sell mass murder to people? How do you continue to convince people that guns are the answer to guns? How do you adapt the idea of mutually assured destruction—so effective in the global arms race—to the micro level, getting people to think it’s a great idea right in their homes and neighborhoods?

Well, you come up with more dumb slogans that are effectively meaningless, mostly untrue, and promote the continued stockpiling of weapons among the decreasing percentage of American homes where people actually keep guns.

Just read any comment thread on any article about gun violence or gun control, and it’s guaranteed you’ll see the tried and true “outlaws” and “guns don’t kill” slogans in there right alongside the NRA’s other branding strategy updates: killers will find a way to kill even if they don’t have guns; we just need to enforce the laws that are already on the books; Chicago has strict gun laws/high gun violence; mental illness is the problem, not guns; and so on.

One of the latest buzz-concepts is that “Gun Free Zones” are the problem, not guns. Put that little “gun free zone” sticker in the front window of a business or school, and it will attract mass shooters like fruit flies to old fruit.

Of course, just like every other NRA-sponsored motto, it defies logic, and isn’t actually true in any demonstrable way.

First of all, let’s take a quick look at the origins of the “gun-free zone” campaign. Of course anyone arguing on an Internet comments thread could look up the “Gun-Free Zone Act of 1990”—say, on Wikipedia which shows how completely stupid the “gun-free zones kill” argument is, but why bother knowing anything when it’s so much easier to get angry while being completely wrong?

Beware citizen!  Steer clear of this sign or you might get shot!

Beware citizen! Steer clear of this sign or you might get shot!

Basically, the act was put in place 25 years ago to keep high school students from bringing guns to school and shooting each other. Sounds pretty reasonable. Of course, gun lovers jump off at that point and say it didn’t work.  Kids are still shooting each other.  And, of course the only way to make sure kids stop shooting each other is to make sure more kids have the means to shoot each other.

Yet, as much as it may or may not have kept little Bobby from sneaking a gun into school in his Incredible Hulk backpack, one thing that the Gun-Free Zone Act did NOT do was prevent armed security personnel—and other authorized parties—from carrying guns in schools. In other words, gun-free zones are not actually gun-free. Ideally, they are free from guns in the hands of people who are not supposed to have them—just like the rest of the entire country.

That is to say, The Gun-Free Zone Act, and all of its attendant signs and window-stickers, was a politically-motivated band-aid measure that really didn’t do anything except make a few bucks for businesses that print signs and stickers.

Before the Gun-Free Zone Act, it was illegal for kids to bring guns to school and shoot each other. After the Gun-Free Zone Act, it was still illegal for kids to bring guns to school and shoot each other. The big change was that after the passage of the law, kids could get in lots and lots of trouble for bringing a gun to school, even if they didn’t actually get around to shooting anybody with it.

Due to other situations of gun violence, like mass shootings in post offices and office buildings, numerous business officials, and government bodies also decided they would declare their workplaces “gun-free zones”—basically meaning that employees were not supposed to be packing heat at their cubicles, or while stocking shelves, or sorting mail.

Somehow, though, we’ve gotten to the point where the NRA, and all of the people who parrot the NRA talking points, apparently think it is somehow unreasonable to prevent, say, junior high kids from bringing guns to school, or to keep Jerry in accounting from having a loaded weapon tucked in his waistband while he microwaves his Hot Pocket in the breakroom.

Despite the proliferation of numerous “gun-free zone” signs and stickers, schools and businesses were still free to have armed security personnel on site. And, thanks to “concealed carry” laws, which exist in several states, and often contain provisions to explicitly allow concealed carry in gun-free zones, plenty of people can actually take their guns into “gun-free zones.”

And lets be clear. Umpqua Community College—the latest site of a well-publicized mass shooting, if I get this posted before another one happens—was NOT a gun-free zone, as so many pro-gun folk are claiming. That is, concealed carry is allowed on the Umpqua Community College campus, so long as people are legally allowed to have their guns with them via concealed carry permits.

Still, there are plenty of pro-gun folk, even those who are aware that concealed carry is allowed on the Umpqua Community College campus, who inexplicably–even immediately after acknowledging that concealed carry is allowed on the UCC campus–cannot stop claiming that UCC is a gun-free zone. Apparently, allowing guns in a gun-free zone is not enough to appease some people.

Perhaps what the NRA is pushing for, with it’s blame-the-gun-free-zones campaign, is to allow open carry in schools, and everywhere else.

But what the NRA is actually demanding is the removal of gun-free zone stickers and signs. After all, the NRA has already crafted and passed many laws that have rendered the gun-free zone laws moot.

Sure, plenty of mass shootings, and just plain old shootings have happened in areas that were labeled “gun-free zones,” just like numerous shootings have taken place in areas with no such labels.

But there is zero evidence that any mass shooter ever chose a target specifically because it was labeled a gun-free zone.

And despite the frequent existence of “good guys with guns” in the very same locations where mass shootings take place—whether those are labeled gun-free zones or not—there has not been some sharp increase in citizens preventing mass shootings as the number of guns has proliferated in the United States, or some great reduction in the number of mass shootings as mass shooters get scared away at the possibility that there might be people with concealed carry permits on hand.

In other words, as much as the NRA pushes the idea that more people with guns means that mass shootings will be stopped, there are still a huge number of mass shootings, and just plain-old shootings, taking place in the United States. As much as the NRA has succeeded at establishing more concealed carry and open carry laws, the shootings haven’t stopped, or even decreased.

But it’s so much more convenient to for the NRA to launch polly-wanna-cracker slogan campaigns to its ready audience of parrots than it is for the NRA to engage in any substantive reform of laws that might actually improve the safety of all the “good guys with guns,” as well as those of us who really don’t feel the need to keep guns.

Of course, the NRA exists to provoke gun sales, not to concern itself with public safety.

In fact, the good folks at the NRA have gotten so desperate to distract the American people, that they are blaming an ineffectual band-aid law for gun violence.

So, let’s do it. Let’s take down all of the “gun free zone” signs and stickers tomorrow. All of them. Everywhere. And let’s repeal the gun-free zone laws. They’re nothing but a symbol anyway. It won’t do one stinking thing to stop gun violence, just like taking down the Confederate flag did nothing to stop gun violence.

But maybe we can shut down the talking point about gun-free zones a little quicker.

Then all the people who are suddenly so fixated on stickers and signs as the source of gun violence can get back to working on all those fixes for the mental healthcare system.

No, Swimming Pools Are Not More Dangerous Than Guns

by

JC Schildbach, LMHC

With summer coming to its official end in a few days, we can all breathe a sigh of relief. Less time spent around swimming pools means less chance that swimming pools will kill us—because swimming pools are more dangerous than guns—right?

I hadn’t heard this particular claim from the pro-gun embracers of NRA misinformation until fairly recently. But, then, after a bit of poking around on the Internet, there it was—turning up in all kinds of discussion threads, with no citation of the information source, and rapidly morphing further and further from the truth to the point where pro-gun folks were saying only that ‘Swimming pools are more dangerous than guns’ or ‘More people die in swimming pools than from guns.’

Repeat a lie often enough, and people (who don’t bother to look into the facts, and who like the sound of the lie) will repeat it along with you.

With a few well-spent minutes with the latest Centers for Disease Control (CDC) statistics, I quickly realized that the claim was completely false.

Now, if you want to say that more U.S. children, age 14 and under, die from drowning than die from being shot, that is actually true. Of course, this is something like saying more U.S. children, age 14 and under, die from drowning than from heroin overdoses.  More nine-year-olds go swimming than are shooting up or packing heat.

However, once you add in the next age-based demographic group, which is 15- to 24-year-olds, the total number of deaths by drowning is easily eclipsed by the total number of deaths by firearm.

For a quick comparison of the 2013 CDC statistics:

Age 14 and under, deaths by drowning: 625

Age 14 and under, deaths by firearm (intentional and otherwise): 408

Age 15 to 24, deaths by drowning: 501

Age 15 to 24, deaths by firearm (intentional and otherwise): 6085

So, by including those people over the age of 14 in the statistics, the numbers skew undeniably toward guns being much more dangerous than swimming pools. Including all age groups in the U.S., there is a total of 3,391 drowning deaths to a total of 33,169 deaths by firearm.

Also, keep in mind that drowning does not only include swimming pools. It includes all drowning that is non-boating-related. Anybody who drowns in a bathtub, a lake, a river, an ocean, or any other body of water is included in the statistics. So, really, swimming pools would appreciate it if you would quit blaming them for all of the drowning deaths.

But, even if the statistics weren’t so blatantly obvious in spelling out the relative danger of guns versus drowning, the assertion of the relative danger of swimming pools versus guns is, on its face, rather stupid.

For instance, I could not pick up a swimming pool and walk into a school, a movie theater, or a church, and start drowning people with it.

Similarly, when a woman asks her estranged husband for a divorce, there’s something of a greater threat that he will get a gun, shoot her, all their children, and himself, than there is that he is going to drug any of them and pitch them into the backyard swimming pool. And, in case you hadn’t thought about it, a big chunk of those homicide-by-firearm statistics for the 14-and-under crowd involve fathers murdering their families.

We can even use the pro-gun folks’ favorite (albeit highly unlikely) scenario of a home invasion to show the ridiculousness of weighing the threat level of swimming pools versus guns. Your front door is kicked in, and three men storm in—shoot them (with the gun you keep at your side at all times in your home, just in case anybody kicks in your front door), or try to lure them into the swimming pool?

Just by the stationary nature of swimming pools, it’s relatively easy to steer clear of them, as well as most other bodies of water. But with the NRA pushing for everybody to have access to guns everywhere and at all times, concealed or open carry, who knows when you’re going to find yourself dealing with some Frank Castle wannabe or an aspiring Dylann Roof–who, by the way, thinks he’s one of the good guys with guns?

I suppose I could throw a bone to the pro-gun folks and say that in terms of accidental deaths, there are more deaths by drowning than deaths by accidental discharge of firearms across all age categories. Those totals—drowning: 3,391, accidental discharge of firearms: 505. Even if we add in the 281 deaths by firearm that may or may not have been intentional, deaths by drowning win by a pretty hefty margin over accidental and possibly-accidental deaths by firearm.  Still, a swimming pool, even in your own backyard, is less likely to be involved in the death of a family member than a gun you own, especially when you factor in the extreme number of suicides by firearm—21,175. Again, the swimming pool (or, I should say, bodies of water) could have an edge on killing your kids who are still under the age of 14, but after that age, the gun surges ahead by thousands.

Okay—I know that actually citing statistics with pro-gun people is about as useful as, say, asking my dogs to brush their own teeth. In fact, I can easily imagine the pro-gunners reading the paragraph immediately preceding this one and taking it as evidence that swimming pools are, in fact, more dangerous than guns. But I included it anyway, so that the overall picture is hopefully clearer, and so that any readers will have all the information they need to refute anyone who wants to claim that swimming pools are deadlier than guns.

But, if actually trying to provide information in a verbal argument becomes rather difficult, I put the information into some memes you can readily share. Just drag and drop to your desktop, and you can copy them into any comments-section argument where the swimming pool stats come up.

Here’s effort number one:

Pool_and_Gun_Long_form

So, that was a bit wordy. Trying to be factually accurate in short format is kind of tricky. Let’s try that again.

Pool_and_Gun_Next_longest

Well, that was definitely better for brevity, but lets make it even simpler.

Pool_and_Gun_short_form

Or, you could take the quick and rude approach.  But be careful.  Gun lovers can be very sensitive.

Pool_and_Gun_rude

Happy (and safe) swimming!

It’s World Suicide Prevention Day: Do You Know Where Your Mental Health Is?

by

JC Schildbach, LMHC

Just before I sat down to write this, around 8 p.m. my time, I lit some candles and placed them in the windows of my home–as was requested by the organizers of World Suicide Prevention Day–a small gesture that maybe nobody will notice–but a sign of solidarity nonetheless.

One might ask, ‘Solidarity with whom?’

With those who have died by suicide?

With those who have lived through a suicide attempt?

With those who have been impacted by the suicide of an important person in their lives?

How about just plain everybody?

None of us are immune to suicide, or the impacts of suicide.

A great many of us like to believe we’re immune.

But our mental health is not made up of absolutes.  It is not a simple either/or option: mentally healthy or mentally ill.

Suicidality itself exists on a scale of ‘definitely not going to happen today’ to ‘working on it right now.’

And perhaps the more we think we’re immune to issues with our mental health, the more we fail to recognize when we might be tilting toward trouble.

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Take a big enough hit to your self image–loss of your job, loss of a spouse or signficant other; maybe add on a string of other bad occurrences–financial troubles, illness, the death of a loved one; mix in a few too many drinks and easy access to means, and who knows what might happen?

More than half of the 40,000+ deaths by suicide in the United States each year involve a gun.  How many of those do you suppose were the result of, say, long-term depression, versus a fairly quick unravelling of the deceased’s sense of self, and a lack of knowledge about how to identify and utilize available support systems?  How many of those were a booze-fueled ‘screw it’ to a really bad month, or week, or day?

Of course, when one believes one is immune to such problems, when those problems arise, one will be that much less likely to seek out help.

I don’t want to give the wrong impression.  Many people who die by suicide have been struggling with mental illness for the bulk of their lives.  Many of them have made multiple attempts before they finally die by suicide.

But there are also plenty who die by suicide because they are overwhelmed by circumstances, and have no real idea what to do.  They have never given thought to what to do, or who to turn to.  They do not want others to think of them negatively–perhaps the same way they have thought of others in similar circumstances.

So we need to recognize that we’re all travelling on the same continuum, that we’re all forever in flux, rather than believing we are in two separate camps that will forever remain apart: the mentally healthy and the mentally ill.  Otherwise, we potentially block ourselves off from the need for compassion.  It’s much easier to look away when we can say, “Not me.”

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So maybe those candles will go unnoticed, or maybe not.

And at least they’re flickering away against the darkness of “Not me.”

Welcome to Me (and My BPD?)

by

JC Schildbach, LMHC

How important is it that movies and television shows get “academic” concepts right?

Sure, superhero movies, action flicks, and even horror movies routinely violate the laws of physics to create interesting visual sequences, and frequently make up pretend science-y explanations for strange phenomena.

But what about when the academic concept is a mental health diagnosis that is supposed to be central to a character’s actions?

Okay, there are numerous representations of people with mental illness in television and film that are just as ludicrous as, say, toxic chemicals causing superpowers, a plague of giant ants, or an out-of-shape ex-cop (or really anybody) outrunning an explosion.

So what about when the academic concept is a mental health diagnosis that is supposed to be a driving force behind all of the main character’s actions in a film that is comedic, but with serious intent? It would probably behoove the movie-makers to get that right? Right?

In Welcome to Me, written by Eliot Laurence, and directed by Shira Piven, Kristen Wiig stars as Alice Klieg, a lottery-winner who decides to channel her newly-won millions into a sort of variety show all about herself, ostensibly due to the effects of her Borderline Personality Disorder.

Wiig, to her credit, plays a fairly credible person with traits of Borderline Personality Disorder. And the film does not shoot for a lot of cheap laughs or cheap thrills at the expense of those with mental health issues (of course, feel free to disagree with me on those points all you want).

Unfortunately, the film botches some really big clinical points in a really big way.

Spoiler alert!  Spoiler alert!

The first truly jarring error is when Klieg describes her history of mental illness (to a TV audience assembled for an infomercial on nutritional supplements). She says, “When I was 16, I was diagnosed with Manic Depression. In my 20s it was called Rapid Cycling Bipolar Disorder. Now it’s just called Borderline Personality Disorder.”

Excuse me?

Now, it’s true that “Manic Depression” was once the common term for Bipolar Disorder. But “rapid cycling” is a modifier or course specifier for Bipolar Disorder that generally means a person is having abbreviated episodes of depressive and manic states that are running fairly close together. And by “fairly close together” I mean four or more episodes of mania, hypomania, or depression in one year—not “mood swings” multiple times a day.

As the good people at PsychEducation explain, once mood shifts get close enough together, they can become indistinguishable from relatively normal emotional states. Bipolar Disorder is not just some condition of simple emotional lability or emotional dysregulation, although plenty of people use the term “bipolar” incorrectly in this fashion (hopefully not anyone who is actually diagnosing and treating people, though).

Emotional dysregulation is, however, a common component of Borderline Personality Disorder. It is also relatively common for people who are ultimately diagnosed with Borderline Personality Disorder to have been incorrectly diagnosed with Bipolar Disorder prior to the Borderline Personality Disorder diagnosis.

So, if Klieg, had said “First I was diagnosed with Manic Depression, which is now called Bipolar Disorder. Then they diagnosed me with Rapid Cycling Bipolar Disorder. Then they determined the appropriate diagnosis for my condition is Borderline Personality Disorder,” then the explanation would have made a great deal more clinical sense.

As it is, Klieg’s dialog implies that Borderline Personality Disorder is just the new name for Bipolar Disorder. This is completely wrong.

Klieg (played by Kristen Wiig) intrudes on her own skit, startling the actors and the audience.

Klieg (played by Kristen Wiig) intrudes on her own skit, startling the actors and the audience.

Another major problem with the film is the portrayal of the treatment that Alice is receiving from Dr. Daryl Moffet (played by Tim Robbins). It’s troubling enough that Dr. Moffet repeatedly mentions the brand-name drug Abilify—in the sense that a movie about a person with a mental illness essentially uses dialog as a form of pharmaceutical product placement. But what’s even more disturbing is that Borderline Personality Disorder is not itself treated with medication.

Sure, plenty of people diagnosed with Borderline Personality Disorder are prescribed various medications to address other things they might be dealing with, like anxiety, depression, or poor impulse control. They may even be prescribed mood stabilizers depending on the severity of their emotional dysregulation, or anti-psychotic drugs, depending on the severity of their thought disturbances. But the personality disorder itself is not going to respond to a specific drug.

No doubt, plenty of people suffering from Borderline Personality Disorder would love it if there were a drug that would make all their symptoms go away.  Different forms of ‘talk therapy’–most notably Dialectical Behavior Therapy (DBT) developed by Dr. Marsha Linehan–can help people with the disorder develop coping skills to address the various fears, emotional disturbances, and behaviors that are common to the disorder, much better than any pill or cluster of pills is going to manage the range of symptoms.

Beyond the issues of medication, there is a scene where Dr. Moffet tells Klieg that he tried to have her put on a psychiatric hold because he thinks she is a danger to herself. Surprisingly, and probably just to get in a bit of expository dialog, Klieg has to ask him what a psychiatric hold is—despite the ongoing implication that Klieg’s decision to stop taking her medication will lead her to be forcibly hospitalized–an implication that wouldn’t generally exist if such a thing hadn’t happened previously.

Perhaps even more surprising is that Moffet thinks Klieg has done something to warrant psychiatric detention. I can’t imagine there are many places where wasting one’s lottery winnings on a self-indulgent TV talk show would be seen as evidence of being a danger to oneself, even if one is doing things like illegally broadcasting phone calls during that show, or otherwise slandering people. But, really, the people running the TV show should have been aware of the legal problems in all that, and should have put a stop to it.

Still, Klieg’s having gone off her medications is a theme throughout the movie, and one which causes great alarm each time someone hears her speak of it—as if the other characters really know what she is being medicated for, and with, and what the obvious, disastrous consequences will be. It is a theme that culminates in a scene, where Klieg dazedly takes a nude stroll through a casino, apparently in some psychotic, or perhaps dissociative, state. She has to be subdued by cops and hospitalized.

And while such a situation is arguably possible for a person with Borderline Personality Disorder, such occurrences are not generally core features of the disorder, and portrayals of such are certainly not going to contribute to greater understanding of the disorder, particularly when they are shown as a natural consequence of not taking one’s medications—I mean one’s Abilify.

Overall, Moffet’s connection to Klieg is largely unexplored. Mostly he just harps on her about how she should get back on her medication—I mean her Abilify. When he (rightly) gets irritated at her for including him in her TV show, Moffet terminates his services with Klieg, by simply handing her a list of other providers.

One would think Dr. Moffet would, at the very least, try to make sure Klieg was actually in contact with another provider, after trying to process with Klieg about how she violated what should have been some clear boundaries, and why he cannot continue to treat her. Given that a fear of abandonment is a core component of Borderline Personality Disorder, and that self harm, suicidal thoughts, and suicide attempts are common among people with Borderline Personality Disorder (in fact, it would have been much more clinically accurate for Klieg to end up in the hospital due to a suicide attempt or self-harm episode after feeling abandoned by her best friend, and her treatment provider, and possibly lashing out at them, than due to a psychotic episode—or whatever that was—from quitting her medications), Moffet’s ‘here’s-a-provider-list-and-a-few-snippy-comments’ therapy termination seems grossly incompetent.  Due dilligence anyone?

And while I’m not advocating for depicting people with a particular mental illness in some format that allows viewers to check the symptoms off a list—that’s ‘disorder of the week’ TV-movie territory—the portrayal of Klieg suffers from being too timid in presenting her struggles. While Klieg is fairly off-putting to many of the people in her life, the filmmakers seemed wary of making her too off-putting. For the most part, she really only lashes out at people from her past through skits on her television show, while recklessly upsetting those around her by being self indulgent or impulsive. The filmmakers tried to keep Klieg quirkily unpleasant, in the kind of realm where one might believe that the right medications can keep her likable enough.

It strikes me, though, that the particular diagnosis is largely unimportant to the story, particularly considering how botched the presentation of the diagnosis-specific information is, and how the “off her meds” theme plays out. The film would have worked just as well (or just as poorly, depending on one’s view) knowing that Klieg was in treatment, and on medications, without having to name a particular psychiatric problem. I don’t think the movie would have suffered if, rather than naming any specific disorder, the characters referred only to Klieg having been in therapy, or hospitalized, or on medications. Hell, without the specific diagnosis of Borderline Personality Disorder, the repeated mentions of Abilify might have been at least slightly less problematic.

At the very least, avoiding the naming of a diagnosis could have provided grad students and armchair psychologists with an exercise in identifying possible diagnoses and rule-outs. As it is, I suppose the film could at least provide valuable material for discussion about whether the Borderline Personality Disorder diagnosis seems correct, the kinds of errors Dr. Moffet makes, and about the need to make sure that clients and the people comprising their support system understand their diagnoses and treatments—that whole ‘psychoeducation’ piece that therapists are supposed to do.

Of course, I suppose having a character with a non-specified mental illness would open up the filmmakers to other complaints—such as portraying people with any old form of “mental illness” as psychotic and needing to be on medications, lest they burn through millions of dollars producing a TV show and end up running around naked in public—rather than suggesting that such a problem is specific to lottery winners with Borderline Personality Disorder.

All that said, I didn’t hate the movie.  I adore Kristen Wiig.  And, like I said, she does a credible job with the material.  The movie also mostly avoids the more exploitative angles of both comedies and dramas involving people with mental illness.  It’s just that they could have had a much richer story if they hadn’t relied so heavily on the medication angle.  Coping adequately with Borderline Personality Disorder takes a great deal of personal work, not just popping a pill–I mean, an Abilify.

And one last thing. I noticed that there was no clear indication from the credits that anybody had been consulted about the accuracy of the Borderline Personality Disorder information. So, I just wanted to float it out there that I’m willing to accept some of that Hollywood money in order to go over scripts and make sure they don’t make a mess out of their clinical details.

*Welcome to Me is currently available streaming on Netflix and Amazon.com, as well as in a variety of other places.

Another Round: American Roulette

by

JC Schildbach, LMHC

Pour another round.

Put another round in the chamber.

And let’s play another round of American Roulette.

Dizzy?  Go ahead and get off.

Dizzy? Go ahead and get off.

I’m not talking about felt and chips and all that. I’m talking about American Roulette—where we add more and more rounds, to more and more chambers, in more and more guns, point them all at our own collective head, squeeze the collective trigger, then act all surprised when anybody dies.

Then as the bodies are cooling, we start in on a round of all our favorite follow-up games.

Of course it starts with a round of “America’s Next Top Mass Murderer.” This is where media outlets decide what becomes a national story. It’s a complex formula, involving body count, victim age/status, and location. We have so many shots fired so often, in so many places, that we just can’t let any old killings grab hold of the public imagination.

Hell, the public doesn’t have enough imagination to keep up.

Adult males getting gunned down in the “bad part” of town—doesn’t rate unless there’s an insanely high body count. Okay, that’s pretty much true of any killings in the “bad part” of town.

Nightclubs—the same.

Men wiping out their families? Pffbbt! We’ve grown surprisingly numb to the idea of an “estranged husband” gunning down his wife, kids, and maybe a few additional members of his extended family. But moms gunning down their families? That just might work.

Schools—you can maybe get some traction there, although college shootings are getting pretty passé, as are high schools. Elementary schools—still pretty damn shocking.

Churches—those rate pretty high.

Movie theaters—those practically ARE churches.

So, how about grocery stores? public parks? malls? restaurants? Maybe a library or a museum? How about a nursing home? But, really, I have to defer to the experts for how to rank all of those.

Then, once we’ve determined that a mass-shooting is heinous enough to warrant a spot in the public imagination, we move to a round of “Wheel of Blame,” sponsored by the good, pro-murder folks at the National Rifle Association.

Really, it’s just another form of rigged roulette—38 spaces on the spinning wheel, at least 30 marked “mental health” or “mental illness.” When we get lucky, the wheel stops on one of the random spots marked with something we can really get mad at—like racism, or pop culture, or some “foreign” religion.

Because when the wheel lands on something we can get mad at, then we can do something symbolic in lieu of doing something that might actually lower the body count—like take down a flag that hasn’t had any business being associated with any part of ‘the government’ in the 150 years since that cluster of slavery-supporting traitors failed in their effort to destroy the Union. Or we can blame some movie, or some TV show, or some rock star for inspiring a murder spree. Or we can yell at the President to bomb ISIS, or to stop talking to Iran—because that will fix problems right here at home, where we like to kill our own.

Of course, the Wheel mostly lands on “mental health” or “mental illness” and we don’t have to do anything except say “fix the mental health system”—as if there is some magical way to grant psychotherapists the ability to pluck out those who are going to commit mass murder, plop them into a treatment program, and prevent them from ever getting their hands on all the readily-available guns and ammo out there.

But remember that when you spin that Wheel of Blame, you absolutely must avoid the spaces marked “guns”—those spots just go to the house—instant bankruptcy. Go ahead and say guns and lax laws that allow easy access to guns had a role in gun violence. You’ll get nowhere. Our gracious NRA sponsors, the politicians and media they own, and the screaming devotees of the Cult of the Shiny Metal Bang Bang will all see to that.

And even though it’s gotten pretty tired and unnecessary, we’ll run another round of “Not the Time”—wherein such insightful luminaries as draft-dodging, teen-loving, rock-n-roll has-been Ted Nugent, along with other NRA pets, can tell us that now is not the time to talk about gun control—not in the wake of such a tragedy—as they question the patriotism of anyone who would politicize the deaths of people killed by guns—oops, I mean killed by people with guns—oops, I mean killed by bad people with guns.

What’s so great about “Not the Time”—even though it’s getting really tired—is that we’re almost never more than a few days away from a mass murder, even if we are more than a few days away from a mass murder that really caught the public’s attention.

Oh, hey!  Now give it up for a round of our newest game show: “Open Carry Chucklehead Brigade”—y’know, that trending ritual where gun enthusiasts decide to go stand outside recruitment centers, or in malls, or near schools, or wherever the latest killing took place, brandishing their big, long weapons out of some bizarre sense that such behavior is supportive of those who are suffering the aftermath of gun violence. Hey…uh…guys…we’ve all been talking, and…uh…nobody feels safer because of your presence. For most people, a group of sweaty guys standing around with big guns does not look like safety. It looks like a meeting of the local chapter of the Future Mass Murderers of America.

I know there are plenty of rounds of plenty of other games I’ve left out—like the obligatory round of “False Equivalencies” (people die from using cars, and knives, and dental floss, and ice cream, and…), and the round of “Enforce The Laws That Already Exist” (as if the NRA hasn’t already made sure that most of those laws have no teeth), and the round of “There Are Already Too Many Guns Out There to Fix the Problem” (got it–too tough, don’t try!). But, damn! Those games are getting so dreadfully boring.

So, where were we?

Oh, yeah—pour another round.

Somebody else is picking up the tab.

Or maybe you are.

What? Me Network?

by

JC Schildbach, LMHC

A few weeks back, as a favor to a friend, I was invited (compelled?) to speak with a small group of victim advocates—county employees who serve as a kind of official support system for those people directly impacted by a crime. The topic: sex offenders and sex offender treatment.

I agreed to the meeting several months prior, when I was still working directly in the field of sex offender treatment. Having moved away from that field, I hadn’t exactly been immersed in relevant information. As ‘luck’ would have it, though, the Josh Duggar situation provided plenty of focus on issues of law and treatment regarding sex offenses, and an easy access point to discuss much of the involved information.

I had not prepared an actual presentation–the kind with Powerpoint slides, and handouts. Rather, the victim advocates sent me a number of questions via email, and I spent the allotted hour attempting to provide straightforward answers. As with any specialized field, though, nuanced and complex answers are far more the norm.

A quick sampling of some of the (paraphrased) questions and the (overly simplified/incomplete) answers:

Q: What are recidivism rates for adult offenders versus juvenile offenders?

A: Much lower than most people think, in both cases.

Q: Is treatment for offenders a “one size fits all” program, or is it tailored to the specifics of the offender and the offense?

A: There are standardized “assignments” and program requirements, but, as with any form of therapy, it works best when the particulars of the people involved are taken into consideration.

Q: Do you see a lot of commonalities among offenders?

A: As with any ‘diagnosis’ or behavioral category, there are going to be a great many similarities—or those points where behaviors, and justifications for those behaviors, share many similarities—for example…

The lunch hour actually went by pretty quickly. And, despite feeling a bit nervous about providing accurate information without delving into boring details, nobody fell asleep. (Which reminds me, I promised to email some information about various psych tests, which I never did—and I also meant to ask about doing a quick once-over of my friend’s notes to make sure I hadn’t misspoke or inadvertently conveyed any muddled or inaccurate information).

At any rate, the lunchtime meeting was a good refresher about how necessary, and how difficult, it can be to properly ‘network’ within one’s chosen field. It’s quite easy to sit back and complain that people know so little about the specialization you’ve devoted a great deal of your working life to, without doing anything to address that lack of knowledge.

Happy face mad

Of course, it can be extremely difficult breaking through all the noise and confusion to relay one’s own specialized understanding of specific issues, or to have the patience to let the specialized knowledge of others in.

After all, we can all get bogged down in our day-to-day life. And going to trainings or other networking opportunities can feel like just another professional obligation—more about checking a box on a form, than about gaining knowledge and understanding that can truly help in one’s ability to help others—not to mention, the opportunity to meet and connect with other people who are potentially valuable allies and resources.

Still, I suppose we all have our fair share of networking disaster stories.

Take, for example, the time that I went to a breakfast fundraising event for the King County Sexual Assault Resource Center as a special guest of the Seattle Archdiocese (damn, that sounds important, doesn’t it? But, truth be told, I was actually the ‘plus one’ to my boss’ invitation as a special guest of the Seattle Archdiocese). Anyway, after the program of speakers, ranging from local media luminaries, to elected officials, to experts in the field of sexual assault treatment, to the families of sexual assault victims, as the time arrived for everyone to mingle and/or make a quick getaway to avoid mingling, I managed to upend a glass of water, which drained directly into the chair where I was sitting. Mingling in wet pants—not really a comfortable experience, or a good way to convey anything you want other professionals to remember about you.

Beyond various faux pas, I think many professionals go to trainings and seminars with those colleagues we already know—potentially insulating and isolating ourselves from other attendees. Whatever your impressions of people in the mental health field, plenty of us are actually introverts who find crowds and forced socialization to be extremely draining. For some, the same skills that make us effective in a one-on-one or group session, or even a phone-based intervention—such as being able to focus not only on a person’s words, but the whole of what people are communicating non-verbally—can make it very difficult to just mingle in a large crowd.

There is also the potential for fumbling when you’re on the ‘turf’ of some other specialization. I mean, imagine how potentially uncomfortable it can be when you work in the field of sex offender treatment, and are attending a conference for providers who treat the victims of such offenders. Ultimately, the goals are the same—to reduce the impact of such trauma, and combat the underlying causes of such offenses—but you’re definitely working different sides of the same street.

There are also several forms of specialization that can reach into most other areas of treatment—substance abuse, personality disorders, suicidality, and on and on. No practitioner has the ability to become truly well-versed in every possible situation they encounter. Ideally, though, they will learn enough to recognize when they need to refer out, and how to recognize the signs of those areas with which they aren’t particularly familiar.

I suppose this is all weighing on me a bit heavily, as I have my licensure renewal coming up, and need to make sure I have all of my trainings in order. I’ve done plenty of trainings, and perhaps a whole lot more personal study, over the past few years, but not all of that counts for official training credits.

On top of just staying abreast of one’s own field, and finding trainings of interest that fit one’s schedule and budget, the state instituted a requirement that all counselors have to have training in how to deal with suicidal clients at regular intervals. I’m trying to approach this positively. I get the reason for its necessity (although the real reason for the change in requirements had to do with previous problems in the state’s credentialing process that allowed people with little-to-no education in mental health to call themselves “counselors”—which led to multiple tragedies and other less-than-ideal outcomes).

Still, having worked in suicide prevention for years makes the requirement a bit redundant for me. I know and respect many of the people conducting the trainings, and certainly learn from them each time I have occasion to encounter them. But as a general topic area, I could be brushing up on or exploring other areas where I haven’t already spent years of professional focus, particularly given that the trainings are aimed at practitioners who aren’t particularly sturdy in their suicide prevention/intervention skills.

Mental Health practitioners are also required to take regular ethics trainings—I suppose for those therapists who can’t remember not to force their own views on people, not to run around blabbing about their clients, and not to sleep with their clients.

That said, I will look to make the most of my remaining trainings, try to be pleasant and sociable, and pay attention so that I might actually gain some new insight. And I vow not to be one of those terrible bores who offers up one’s own experiences during question-and-answer periods, just to show how knowledgeable one is, rather than actually seeking information from the experts providing it.

And perhaps I should just schedule one of those suicide prevention trainings ASAP—or maybe after I cast about a bit to see if any of my friends in the field have been blowing off that training too, and want to go along.