When I wrote the blog about Major Hasan, the soldier who went on a rampage at Fort Hood I received a tremendous amount of response decrying my belief that the man might have a mental illness.  Most responders believed he was a “Muslim terrorist” and that mental illness had nothing to do with his act.

With yesterday’s accused “Pentagon Attacker,” Joseph Bedell, the link seems more clear cut. His family had struggled for years to get him into treatment.  But, as so often is the case unless he displayed an obvious threat to himself or others, they were limited in what they could do to help.  Even the law officer that stopped him for a moving violation in Texas could tell he needed to be in a hospital, but he wasn’t able to get him admitted. Mr Bedell was a threat to himself and others and no one paid attention.

There were so many red flags.  Like so many people in our country he was agitated with our government.  Like so many of us that are tired of the activities or in-activities of our legislature, he was frustrated and angry.  But, unlike most of us, he wasn’t able to contain his anger and acted out in the most savage way he could. 

As an advocate for people with mental illness, his tragic story reminds me once again how far we need to go when it comes to treating our fellow human beings that are suffering from brain disorders.  Inflammatory rhetoric and inexcusable callousness does not further growth as a species and can have a devastating effect on some of our most vulnerable.   Compassion and understanding have positive effects. Pushing those living with mental illness aside and pretending they don’t exist, that they are “terrorists,”   or that they are someone else’s problem has consquences.

Discrimination against people with mental illness is all too prevalent, but what does someone do when someone in your family is being stigmatized by their own family members? 

A member of the family, we’ll call him the Father, was diagnosed with schizophrenia approximately fifteen years ago, but it wasn’t until this week that his sister was given that information.  They live across the country from each other and and don’t see each other often, but the sister has always know that her brother was “quirky.”  She knew he was brilliant and that he had scored very high on a IQ test while in high school and always considered him a genius.  Over the last several years she often wondered if her brother had a mental illness diagnosis, but no one else in the family thought it possible.  That is, no one besides her sister-in-law who finally shared the information after living with him for over twenty years and raising a family. 

The sister, who believes that mental illness should not be kept in the closet and needs to be spoken about feels frustrated and saddened by her brother’s family’s inability to share openly an illness that needs to be discussed.  It is the first step in reducing stigma.

All that can be done  is to encourage the family to be open.  This is an issue that they must come to grips with on their own, but here are some suggestions (some from the www.nami.org website) to anyone interested in reducing mental illness stigma. 

Use of Language is Most Important

•  Protest usage of single words like “crazy” “psycho” “wacko” or “loony” unless they refer directly to individuals struggling with mental illnesses or to the illness itself.
•  ”Schizophrenic” to describe a split decision made by Congress or any organization has become part of our cultural language. However, its misuse is being heard and corrected by many in the public arena.
•  Protest calling a person a “schizophrenic”: NAMI policy calls for PEOPLE FIRST: people, persons, individuals with a mental illness, schizophrenia, bipolar, clinical depression, OCD, panic disorder.

Above all else, get educated and know that mental illness, like any other illness is a biological disorder;  it can be successfully treated and recovery is more than possible, it’s probable.  Ignorance has caused people to abandon their family members and encouraged the person with the diagnosis to isolate themselves. 

Just like a person living with cancer or diabetes, a person with mental illness needs support and acceptance from their family and friends. 

There is a genetic predisposition, so everyone in the family needs to know what the symptoms and “red flags” are.  Sometimes is takes years, even decades before a person is diagnosed.  It is proven than the earlier a person receives treatment, the better the outcome.

Encourage our legislators to treat mental illnesses with parity so that insurance coverage is equal for mental illnesses with physical illnesses.

Bottom line is we need to accept people for who they are, with or without any illness and be there to support and encourage them as equal human beings.

It’s already starting…..including right here on the Tucson Citizen site……..the man, Major Nadil Malik Hasan was “crazy.”  If you have read any of my blogs before, you know how important it is to me to try and create a world where people living with mental illnesses do not feel stigmatized and one of the first steps is to stop using horribly discrimating terms like “crazy” or “crazed.”  Yes, I agree that someone who goes on a rampage killing 12 people and wounding at least 31 others is not of sound mind, but why don’t we take a look at why this happened? 

If you believe, as I do, that mental illnesses are illness just like any other, than why was this man, who supposedly treated other people with brain disorders, not receiving treatment himself?  Did  anyone not notice how he was struggling?  According to the “God Blogging” post on this site, NPR interviewed others at Walter Reed who said he was. 

Which brings us back to the same problem, the same issues that continue to plague people with mental illness and their families.  Because of the stigma, because of the inattention by our health care system that doesn’t think the mind is part of one’s physical health, because of an overburdened mental healthcare system, because people suffering from a mental illness can feel isoloated and abandoned by their support structure, people with diagnosable brain disorders are falling through the cracks.  One again, as President Obama called this tragedy, “a horrific” catastrophe has occured in this country.

Who knows what was going on in Hasan’s head……Certainly listening to war stories from our returning Veterans experiencing Post Traumatic Stress Disorder was not an easy thing to do, but why is it that no one saw the signs, especially when he was set to deploy at the end of the month? Maybe Major Hasan will be able to shed some light on our questions.