The Media, the Madness, and Me

Videocam shows police saving a man about to jump in the river. This bit of news flashes across my phone and it got me thinking. The mass media and Hollywood sensationalize mental illness. It happens most when they cover mass shootings to the high profile suicides and homicides. Mental illness should not be viewed for someone’s entertainment unless there is some way it engages a lesson in trying to lesson suicides or educate about symptoms. Even so, every mental illness presents itself differently in different people.

No one realized that I struggled with mental illness when I worked full-time at a newspaper on the Connecticut shoreline fifteen years ago. Not my editors nor my coworkers nor my colleagues nor my sources. Diagnosed with bipolar disorder in college, when my symptoms resurfaced, there was no one to recognize what they were, least of all me. Back then, I didn’t know myself as well or how my illness manifested. Everyone loved the stories I wrote for the paper but no one could explain my behavior. One day, thinking that they were going to fire me, I walked in and quit. My resignation did not end my battle with mental illness. The right medications, therapy and some nuturing professors in graduate school saved me among other things.

Virginia Tech happened years later while I was in graduate school. I wrote an editorial for a Chicago paper condemning the shooter but recognizing that he needed help, and praising groups like Active Minds for raising awareness about mental illness among students so these types of things don’t happen again.

Then, came Sandy Hook. I watched how the media covered the carnage in that elementary school. I watched as they condemned the shooter but never really explained the mental illness behind such an act. There were explanations needed. Things left unsaid lead to misconceptions, and ultimately prejudice. I was left aghast at the relatively little coverage paid to the mental health issues of first responders on that day.

I recently watched the Netflix series 13 Reasons Why about a girl’s suicide and how it affects a community. As much as the creators were trying to help, they actually sensationalized teen suicide by making it into a game. Brian Yorkey, of the Broadway play Next to Normal, was one of the writers. I find this unbelievable because the play, which I saw at Theaterworks, was an excellent example of skilled acting portraying mental illness. My coworker at the shoreline newspaper covered a suicide of a young woman in high school while I worked there. Certainly, this Netflix series was an affront to the pain this young woman’s family and friends went through as well as all the other teen suicides that have happened. In most cases, suicide is caused by depression or other mental illnesses.

Depression, bipolar, schizophrenia, anxiety and other illnesses are no game. They are real diseases fought by real people. Although, stable and on meds, I fight the repercussions of my actions during my illness every day as well as discrimination and prejudice. We are not some lone jumper or the “craziness” of WWE. We are people struggling first with our daily lives and then, with our thoughts, minds and moods. You can’t over-simplify our conditions.

I’m not saying everyone should come out about their struggles on 60 Minutes. But more stories must be done describing accurately these conditions and the treatments for them. It is hard to find these sources because so many voices go unheard due to fear and discrimination. There needs to be a normalization in our society of what we feel. We need to come to a place of compassion for those who struggle and give them our respect, decency and dignity.

Next to Normal: A play about illness and its consequences

next to normal

I saw a production of Next to Normal this weekend at Theaterworks Hartford. This play examines the life of a woman with post-partem bipolar disorder and how her illness affects every person in her suburban family.

Winner of three 2009 Tony Awards, including Best Musical Score and the 2010 Pulitzer Prize, Next to Normal was composed by Tom Kitt and Brian Yorkey wrote the lyrics. Rob Ruggiero directed the play with musical direction by Adam Souza. A six piece live band accompanied the cast as they sung their lines.

The main character Diana played by Christiane Noll has been having hallucinations of what we learn later in the play is her dead infant son materializing as an 18-year-old, played by John Cardoza. Her husband, Dan, played by David Harris, portrayal throughout the play of frustrated support. Maya Keleher played Natalie her 16-year-old daughter who feels neglected and ignored by Diana’s illness. Nick Sacks plays Natalie’s very loyal stoner boyfriend.

While the storyline focusses on Diana’s story, the artistic direction of Ruggiero allowed the personal stories and struggles of each character in the play to shine through. This is a play about relationships as much as it is about mental illness and how these illnesses affect a whole family.

“The play successfully shows what triggers mental illness and how an individual and the people around them live in the world with that illness,” said Eric Ort, associate director. “Diana is a person first not a label, someone one can empathize with, humanitizing it.”

The play is intensely acted, mostly acting through song. In addition to singing well, Noll acts out manic and depressive states accurately. The scenes between her and her doctor played by J.D. Daw were intense and realistic as someone with bipolar disorder might question their need for treating it with a drug regiment.

While humorously making fun of drugs and their side effects, this play I do not feel is anti-medication. It ends on a hopeful note that maybe Diana will choose to take charge of her life.
Theaterworks  extended its run of Next to Normal through May 14, 2017. For more information about the play in general, visit www.nexttonormal.com.

You can help too. No amount is too small.

May is Mental Health Awareness Month. To celebrate I will be run/walking in a 5K to help NAMI-CT. NAMI-CT offers support groups for people with mental health conditions as well as monitors legislative activity at the state level on mental health policy. They also educate schools and parents on mental illness. I wrote their annual report a few years ago. This is a cool organization and I hope you’ll help me if you can. I’ve included a link to my fundraising page below. I sincerely understand if funds are tight for you, readers. But if anyone out there wants to forgo that morning coffee and support a great cause, no amount is too small. All your donations will go directly to NAMI-CT. I have been training for this 5K for over a year now with strength training and running on the treadmill and outside when weather permits. I will think of all my readers as I run/walk this event. And, as I said on Facebook, anyone who donates will receive a personalized poem from me on the topic of their choice. You can contact me through this blog’s contact page to give me their email so I can send it to you.

https://fundraise.namict.org/fundraise?fcid=924128

Part 1: Bipolar and Dating

It’s a big conundrum. When can you start dating after being diagnosed? For me, I seriously started dating the man I would marry 15 years after getting diagnosed. Sure, I had had haphazard relationships all along throughout my twenties. But I knew myself and I knew my illness by the time I became serious about a man. This will differ for everyone. I recommend seeking therapy for a few years after you are diagnosed to get to know yourself and your illness. Your illness will come and go throughout your life so it is important to understand how you react and realize that the person you date or get into a long-term relationship with will also have to get used to the idea. I would tell your date in the beginning about your diagnosis but don’t get too messy about the details at first. Just lovingly, approach the topic and see how they react. If the reaction is supportive and positive, you know you can proceed in this relationship. If the person gives you grief, acts prejudiced or gives you typical shit like “does this mean you’re good in bed,” consider dropping him or her. You don’t need someone else’s negativity in your life.

Then, there are the times when they feel they have to watch you take your meds. It might be after a relapse or just a sudden burst of emotion on your part. My husband does not like me to express my emotions openly with him or anybody else. I’m someone who experiences the spectrum of emotions on a daily basis, even if I am on my meds. I am constantly explaining to him that I am experiencing real emotions and not a clinical mania or depression—that’s what my meds are for. If someone asks to watch you take your meds, politely explain that this is humiliating and you wouldn’t watch them take meds for a physical illness. Honestly, it’s like watching someone go to the bathroom.

I dated a fellow bipolar back in college briefly. While it was fun experiencing the highs together, we ultimately both ended up hospitalized. Relationships are too hard when both people have mental illnesses. There are so many nuances one must consider in a relationship that it is better to have one stable person to help chart the waters. A good movie to watch about the failure of bipolar relationships with other bipolars is Touched with Fire written by Paul Dalio, a fellow bipolar himself.

Mental Health for the Jet Set

I have never been eligible to work a corporate job. I don’t have an MBA or a JD or a long line of work experience that got me to a certain level of expertise. What I do know is about mental health and self care through the truest kind of experience: lived experience. I know what’s true because I’ve lived through it, I’ve walked the path and came out on top. Someday I’d like to work with an organization or corporation to develop a guidebook on mental health for their employees. For now, these simple ideas on how corporate types can practice positive mental health are my solution.

Don’t Just Sit in Your Cubicle

Get to know the other people in your office. You’ll spend enough time working in a cubicle to know it gets lonely. Without getting too personal, find out how they spend their weekend or whose reached the next level of Candy Crush.

Let Human Resources Know What’s Going On

If you have a diagnosed condition, you might consider confiding in HR. HR can get you the appropriate accomodations you need and serve as intermediary between you and supervisors.

Try a little exercise

Walking at lunch, attending a yoga class, or simply stretching away from your desk can help change your perspective and your attitude.

Take a few deep breaths

Try simple meditation exercises at your desk. Close your eyes and just breathe.

Seek professional help

Call a therapist, or a medical doctor, if you think the problem might be biochemical.

Life after Disclosure: One Woman’s Decision to Fight

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When Kathy Flaherty dropped her biochemistry thesis at Wellesley College due to anxiety and depression, her life took a new trajectory.

After graduation, she applied and was accepted to Harvard Law School. But it was not long into her tenure at Harvard, when her manic symptoms surfaced and she was hospitalized and given the proper diagnosis of bipolar disorder. When she got out of the hospital, she decided to disclose her condition by putting Council of Former Patients of Mclean Hospital on her resume. The public interest advising office suggested she reconsider this move but she resisted.

“As far as I was concerned, if somebody didn’t want me to work for them because of that I probably wouldn’t want to work for them anyway,” said Flaherty. “I decided to disclose because I honestly couldn’t imagine living any other way. I didn’t really put a whole lot of thought into it.”

Her third year of law school she read an article in the student newspaper about another student who was clearly stuggling with mental illness and bothering people in the dorms.

“This offended me so greatly that I wrote an op-ed in the law school newspaper and came out of the closet,” she said. “People praised me for doing it but for me it was just the right thing to do.”

While getting to live honestly about her condition, she faced her discrimination when she applied for admission to the Bar in the State of Connecticut. Already a member of the Bar in two other states, she wanted to be a member in her home state where she intended to live and practice. Her admittance to the Connecticut Bar was delayed for a year and a half. It was delayed because there was a series of questions on the application that asked about specific diagnosis and treatments within a five year period of taking the Bar.

“The discriminatory beliefs were just as pervasive in the legal community as they were in the general public.”

After a number of meetings with the local committee, she met with a group on the state level. They eventually decided to admit her to practice conditionally. This meant every six months on a certain day of the month her doctor would have to write a letter saying she was compliant with treatment. If the letter arrived late, it never did, she would get a call on the day of the month asking where it was.

“It was a very frustrating process but one I put up with because I wanted to be in the Bar. I didn’t think the questions were appropriate,” she said.

The result of a previous lawsuit, the questions used to be worse. Over time, the questions have gotton better. They focus more on conduct. “But the old questions were worded in such a way that if I answered yes that I had received mental health treatment, they made the automatic assumption that because I had a diagnosis that I was a potential danger to clients,” Flaherty said.

“Those [Bar examination] questions are detrimental because they discourage people from getting help they might need,” she said.

In 2010, the Bar changed the rule so that the questions had to be asked with compliance to the Americans with Disabilities Act.

Flaherty now works at the Connecticut Legal Rights Project (CLRP) where she worked her way up from intern to Executive Director over time. CLRP Inc. came about in 1990 after settling a lawsuit brought by patients in the once three big state hospitals, two of which were closed. The patients were represented by the CT ACLU and was settled in what’s called a consent decree. As part of this decree, the state gives them money to help people who face discrimination in housing.

“This is a truly great job for me,” she said. “I get to represent people in my community. When somebody talks about being locked up against their will, when I say I understand what you feel, I actually really mean it because it happened to me.”

Flaherty also is vice chair of the CT Keep the Promise Coalition. KTP was formed after the state shut down two big hospitals and promised to reinvest the savings into community based services and never kept that promise. Flaherty spends much of her time with others lobbying the Connecticut state legislature.

Her secret to wellnes: running. She’s run 5ks, 10ks, a few half marathons, and one marathon. She participates in Run 169 Towns, where one runs a race in each town, and is two thirds of the way through Connecticut.

“I am slow but determined. If I start a race, I will get to the finish line eventually,” she said.

Toivo Center Brings Mind/Body Practices for Mental Health to Connecticut

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There’s a place nestled within Hartford’s south end where holistic health meets mental health. Toivo, meaning hope in Finnish, exists as open space inside a store front where healing magic begins. No one is turned away because of race, age, religion, culture, sexual orientation and income level. Mental health diagnosis labels do not matter here and one can participate whether one has a diagnosis or not. “Meditation and yoga are for everyone,” said Hilary Bryant, yoga instructor and Holistic Health coordinator at Toivo.

Toivo is a project of Advocacy Unlimited, an organization started in 1994 to provide education programs about advocacy for people with mental illness.

“This is about breaking barriers having people separated from each other come together and heal,” said Linda Lentini, general manager at Advocacy Unlimited.

Lentini facillitates programs at the Toivo center as well as on inpatient psych units.

“A lot of people have never been introduced to mind/body practices simply because of limited funds,” she said.

Through funding from the Connecticut Department of Mental Health and Addiction Services (DMHAS), Lentini brings mind/body practices to two psych units in Hartford and Bridgeport for about one hour a session. When patients are released, they can come to Toivo and continue if they want.

The Toivo center on Franklin avenue offers workshops and classes in meditation, yoga, nutrition, fitness, walking/running groups, support groups, writing, aromatherapy, qi gong, chair yoga, Zumba, and a Sydan circle. The Hearing Voices Network meets regularly in their space too.

Trained in aromatherapy and healing trauma, Lentini offers two workshops at Toivo. One is on beyond anger and violence and the other is based on author Brene Brown’s book the Gift of Imperfection. In April, she’ll be trained by Louise Hay in a You can Heal your Life workshop and will soon be able to offer this to people.

Toivo was founded by Deron Drumm, executive director of Advocacy Unlimited. Drumm saw a world where mental health consumers received services but were dying 25 years younger than others because of weight gain, diabetes, and medication side effects.

“He wanted people to take ownership and learn ways to heal themselves,” said Kelvin Young, director of Toivo.

At first, the center started out small with one or two in the classes but word of mouth grew the classes to 15 participants and more. Young and Bryant presented Toivo at health fairs, mental health organizations, community organizations and on social media. This helped grow the idea for Toivo as a healing space.

“Toivo gives people the tools they need to utilize when they are in emotional distress,” said Young.

Bryant said “There is a shift in the mental health system in Connecticut where people need the holistic approach. We need to do more. It is important people take responsibility to engage minds and nourish souls.”

The neat part of Toivo is everyone who works for Toivo connects with the people attending classes through their own shared experiences.

Bryant spent her teen years in “a state of deep sadness and lack of self-love”. She was in and out of psych units, halfway houses, and outpatient programs struggling with an eating disorder and self-harm issues. After multiple suicide attempts, things shifted and she found yoga.

“The challenge for me is to quiet my mind and be in my body,” Bryant said.
Young came to Toivo from a different perspective. His experience of depression and anxiety caused him to reach out to substances including cocaine and heroin.

“I dropped out of high school, was arrested, was on probation and in and out of treatment,” said Young.

Young went to prison four times. It was his last time in prison that he made the choice to change. He was a father of a daughter now and getting older and did not want to show her this kind of life. He learned about the transformative powers of meditation and yoga and gave it a try. He came out and wanted to give back what he had learned. That’s why he’s now director of Toivo.

Toivo’s classes suggest a $5 donation, but one can pay what they can or nothing at all. To find out more about Toivo Center, click www.toivocenter.org.

The Obsessions of My Compulsions

There’s something lucky about air tracing certain numbers over and over on the exact day they appear on the calendar. There’s something not cool about being seen on video at a town meeting you’re reporting on for a newspaper fingering your eyebrows as if their static gives you a cosmic high, an infinite orgasm. You’ve never been one to judge people unless they do something rude to you but in tenth grade at an arts camp you rub your hands up against a wall every time you have an encounter with the camp cook. He’s actually a nice man who let you play his guitar it’s just there’s something weird/gross about him you just can’t name. Actually, it’s not about him at all. It’s about me.

Around the same time in my youth that my bipolar symptoms were surfacing, I was privy to strange, obsessive thoughts that might have been obsessive compulsive disorder. I’ve never spoken to anyone about these thoughts until now on this blog. The OCD symptoms comes and goes with me and it’s never been completely disabling. But when I experience a periodic onset, I have trouble getting the thoughts to stop.

I don’t see the need to bring this up with my psychiatrist. I have learned cognitive behavioral techniques from many therapists that I also use to combat my obsessive brain. I also find meditation and yoga work well for me in calming my mind down in one of these states. It’s not about controlling my thoughts; it’s about letting them go. If I am in the middle of a repeticious cycle of pen twirling or air writing, I put the pen down and lean into meditation. I chant let it go while my eyes are closed over and over until the original compulsion passes. Once I open my eyes again, I am free of those thoughts. Sometimes I do this activity a few times over the course of a day.

In high school, I thought I had AIDS. I didn’t actually have the disease but my mind became obsessed that I would blurt out to someone “I have AIDS.” This became an endless obsession to protect my reputation at school that I would say the wrong thing to people. Public speaking became a nightmare. I dealt by turning inward and to my close circle of friends. It inhibited me from truly particpating in school activities because I was afraid of what my mind would blurt out. It’s almost an internal Tourrette’s.

Writing helps me sort out the truth between the thoughts in my head and what’s really happening, what I am experiencing. Keeping a journal of freewriting that no one will read in a composition book helps me self-diagnose when these onsets are occuring. Just like when I keep a mood chart and journal for my bipolar symptoms, this allows me to see when these thoughts are occuring and their duration. It also forces me to see what is real and what isn’t. Stress triggers them as much as idleness when I have been periodically unemployed. However, they’ve been most pervasive when I was working full-time.

This is not to say that my job is the trigger. I like what I do and do it well. I have found ways to minimize these thoughts when they come up and make their occurance very infrequent. These thoughts have forced me to slow my manic brain down and focus on one thing at a time. I pay detailed attention to copy editing and it has forced me to see how the details make up the larger picture.

Author Melody Moezzi Talks about Mental Health and Muslims

First ran on the International Bipolar Foundation’s blog

I interviewed Melody Moezzi, an Iranian-American bipolar Muslim feminist activist, an attorney, a writer and author of the award-winning books War on Error: Real Stories of American Muslims and Haldol and Hyacinths: A Bipolar Life. She blogs for BP Magazine as well as the Huffington Post and Ms. We talked about Moezzi’s latest book Haldol and Hyacinths and Muslims and mental health.
AZ: Why did you write Haldol and Hyacinths?

MM: I basically wrote the book I wished existed when I was diagnosed with bipolar disorder. The memoirs I was reading after I was diagnosed were great but most of them were written by white women and I didn’t fully relate to their experiences and I think there are a lot of us who are already living a bipolar existence culturally speaking so the diagnosis isn’t just a clinical one. For me, it was something that just became really obvious that this has been my cultural experience all along.

There’s a very clear distinction…that’s something I have always experienced and there is obviously a huge distinction when it comes to clinical bipolarity. I’m not saying my cultural experience caused my clinical one but I am saying I saw as a writer it as a metaphor that was pretty glaring that I couldn’t ignore and I didn’t want too.

I’ve been very blessed but at the same time I know most people do not have the same experiences that I do and have been lucky enough to have had.

AZ: What was your experience as an Iranian-American in the mental health system?

MM: I was lucky because both my parents were physicians so class also plays into this. I was lucky I had them stand up for me and my family support in general. My best friend growing up is a psychiatrist so I was lucky to have her. I’ve had a lot of advantages that other people don’t have yet still the experiences I had in the hospital were definitely different. I pray as a Muslim so there was one facility where every time I prayed it was a sign of hyper-religiosity. I was praying three times a day. But they kept considering it hyper-religiosity. Any Christian who is praying is not getting that. There’s data that proves faith can be incredibly helpful in recovery. For me, it wasn’t necessarily seen that way and I don’t think there was an overt discrimination on that end but it defintely colored the perception that I was overly religious because it was a religion that they didn’t understand.

AZ: How was your faith helpful in your recovery?

MM: I found faith incredibly helpful in my recovery. I’m of the belief that people with certain psychiatric conditions have a lot of problems that other people don’t have. But a lot of us are what I interrpret as being spiritually gifted. There’s a disconnect between seeing this condition of bipolar disorder type 1 as being a gift but also seeing it as a clinical curse. I treat it and I know it needs medication. I know how to treat my condition. I’ve always been the kind of person that knew where I came from and knew there was something greater than me. I’ve had two mystical experiences one was during a manic episode and the other one was during what probably was a hypomanic episode but it wasn’t diagnosed at the time. I’m really grateful for those experiences. I also see that some people can have trouble reconciling that expecially with the Western medical establishment. They have a lot of trouble accepting that something can be both clinical and spiritual. But that’s been my experience. It took me a long time to accept both sides of that because I’m science oriented. I believe in the power of medicine. I know that medication is necessary in my case but I see it as being a kind of spiritual gift as well.
AZ: What was it like writing a memoir and being vulnerable?

MM: What’s hard for me is that my first book was about young Muslim Americans and I did fear that because I had come out as I had tried to break stereotypes around what it meant to be Muslim, particularly Muslim American. I didn’t want people to think she’s Muslim so she’s crazy or she’s crazy because she’s Muslim [when writing Haldol and Hyacinths]. I wasn’t keen on this about myself as someone who has been an activist since I was a kid I couln’t really experience what I did in the hospital and see the way the American mental health system works and just be silent and not do anything aobut it. I think the best way to do something about it is to share your story. That can be scary. For me, it turned out what I needed to do and I’m glad I did it. But I don’t doubt for a second that doors have been closed because I am so public about having a mental health condition. I don’t doubt for a second that there have been doors which have opened because of it.
AZ: What mental health barriers face Muslims today?
MM: I think there is a greater stigma in the Muslim community that even if you have access to care you might not seek it. Within a lot of different faith communities there is this impression that you can pray your way out of mental illness as opposed to any other illnesses that need to be treated. There are also some people who have the perception that not only are they not like other illnesses that it is some sort of punishment or some sort of curse. Like I said, I see it as being the opposite in being a spiritual gift. Look at the mystics of the world… I’m writing a book right now about Rumi. Rumi was reciting poetry and singing out loud in public. I don’t doubt that someone like him would have been thrown in a psychiatric hospital if it were a different time and a different place. I see people who have minds who work differently as people who have access to different levels of consciousness that might not be convenient to the world we live in right now but that doesn’t make those levels of consciousness any less true.

MM: I think part of it is once you belong to any vulnerable group or a group that is often misrepresented it becomes harder to seek help. Data shows that racism and other isms affects our mental health. We need it more than ever right now yet we are least likely to seek it because of the fact we don’t want to be further discriminated against. As an Iranian American Muslim woman and a feminist, there are enough reasons for people to discriminate against me and then for me to be public about having a mental health condition gives people another reason. That is why people in the Muslim community are hesitant to seek help and within our faith community surveillance is a problem. It’s easy to say someone is paranoid but then there is the reality that the NYPD was actually infiltraiting mosques. That’s a scary reality that has been proven. It’s not paranoia when they are actually out to get you. I think that’s the position that most Muslims find themsleves in.
AZ: What would make more Muslims feel comfortable about seeking treatment?

MM: I think what have to happen is first of all it would have to come from our own communities. My hope is that more Muslims go into the fields of psychology, psychiatry and neurology. The one thing I worry about is the white savior…nobody can fix it for us. We have to do it within our own community. Not that there aren’t white Muslims but within different Muslim communities we don’t need people coming in from the outside saying this is what mental health is and this is how you treat it. I think we need to look from within. For example, the past few years I spoke at the Muslim Mental Health conference which I think is a fantastic initative that has helped enormously in getting mental health conditions more accepted in the Muslim community. Initiatives like that led by Muslim psychiatrists and psychologists then it suddenly makes a difference. You don’t feel so nervous revealing to your community that you have some sort of mental health condition when there are people who are prominent in your community who are saying not only is there nothing to be ashamed of but it’s something that you deserve to get treatment for.
AZ: What mental health issues do refugees face and how can we help them?

MM:The refugee situation and I don’t say refugee crisis because the way that we paint the picture makes a big difference. Certain members of the media has painted the picture about refugees in Europe is that there a crisis, they’re a problem. I think they are a huge opportunity. I think there are people who are desperate to get out of war torn countries, often war torn countries because Western countries have caused those problems. You can’t divorce the fact that the US and the UK have been so involved in spreading wars in the Middle East and then you have all these refugees. It’s no surprise that this would happen. I think it’s really important in terms of mental health issues to have members of the community leading effort and others being allies. It’s really important to have members of the community helping who speak the languages of the people who are refugees. I’ve seen people come in and trying to help a situation and making it worse because they don’t understand a certain culture or language.

MM: A lot people fail to understand the trauma that comes with that kind of experience. Whether someone develops PTSD or not, there’s a great deal of trauma associated with it, for even the youngest. I was born in the United States but as I watch the stories of these refugees, I relate to them in a way from a perpective of transgenerational trauma that has nothing to do with the personal experience I remember but everything to do with the personal experience my family has had while I was young. I think of those children being born in refugee camps and I wonder what there experiences will be even if they’re given asylum. They still need support and services and mental health is huge when I talk about support. Suicide is a huge risk.