Madness in the Streets

Here’s the latest from Practicing Mental Illness:

This week a man with bipolar disorder was threatening people, including police officers, with a knife. The officers shot him, he died, and my city of Philadelphia is suffering for it. Unfortunately the story reported by most media focuses more on the fact that the man was black and the officers were white than on the fact that the man was dealing with a mental illness and the officers were unprepared to diffuse the situation. I wrote this editorial for the website Broad + Liberty:

The death of Walter Wallace, Jr is a tragedy. A tragedy of mental health, not of race.

Last night, knowing what was to come throughout the city, I went to bed sad. Seeing the video on the TV this morning, I am still sad. A man I have much in common with was killed in a police shooting, and the significant story has been lost in a melee of riots and looting.

What could I possibly have in common with Walter Wallace? I’m a white man in my 50s who lives with his family in one of Philadelphia’s nicest neighborhoods. The helicopters buzz incessantly overhead and the sirens wail by but, so far at least, the violence has raged blocks away.

But this time especially that rage is misplaced. This summer this scene played out over the deaths of unarmed blacks by police officers. This isn’t a case of that at all.

Walter Wallace had bipolar disorder for which he was under doctor’s care. So do I. He took medication for his condition. So do I. Like Mr. Wallace my experience with bipolar disorder has led me to make some very poor decisions and to engage in some very reckless behavior toward myself and toward others. Mr. Wallace was taken by an episode that left him threatening and aggressive to both the people he loved and anyone who might have crossed his path.

This is a familiar situation for many of us with bipolar disorder. The police called to encounter us are afraid and often untrained on how to handle a psychotic break. The result of the encounter between Mr. Wallace and the police is common enough that in the textbook Manic Depressive Illness by Goodwin and Jamison it is described as “suicide by officer.” The authors’ research shows that this may be a contributor in over 50% of all police shootings.

Twice on Monday officers were called to Mr. Wallace’s address for domestic disturbances. He was known to be a man with very challenging behavior. Why, on the third call, were the officers not accompanied by a mental health worker? I’m sure the officers were asking that very question.

I know two high-ranking police officers who for years have lobbied for mental health workers to accompany their patrolpersons on exactly this type of call. For years they have had their requests shelved. In the battle against mental illness the police have played a caring but desperate role. They try, but they’re trying without the training and assistance that they have long requested.

However, they are trained very well on what to do when a person with a knife who will not listen to repeated requests to put it down lunges toward them or anybody else. Mr. Wallace, surely acting without reason, did exactly that. For that reason alone, not racial bias, the officers responded with deadly force.

The protests started immediately and the riots and looting followed shortly thereafter. But everyone misses the point. Walter Wallace, Jr died because of the difficulty we as a community have accepting, treating and coping with mental illness. Anyone carrying signs and bullhorns to the 18th precinct or TVs from the Walmart in Port Richmond who protest that this shooting is reflective of anything else is twisting the narrative to suit their own agenda and missing the opportunity to begin an earnest discussion about mental health and the criminal justice system.

The response by activists and thugs to this tragedy masks some facts about mental illness, specifically bipolar disorder, that should be above the fold and in the lead story today. 18% of people with bipolar disorder take their own lives. 26% receive mental health services in prison. 60% of the rest are unemployed. And yet when treated with medicine and therapy 85% of people with bipolar disorder are able to thrive with level moods and a positive purpose in life.

From these facts we can begin a conversation about economic and racial disparities in mental healthcare. Instead we have a city of boarded up stores, early closings, and misplaced rage irresponsibly fueling a flame of disruption over issues that do not apply to this case.

Walter Wallace, Jr is dead and I am sad. I can say, “There but for the grace of God go I.” We can properly mourn and even honor the life of Mr. Wallace by focusing on the real story here. But other people have other demands to make, and other people have sneakers to steal. More marches about race are certain. More looting will follow. Once again, the voice of those with mental illness will go unheard.

Politicians and Mental Illness

Last week I wrote about the irresponsibility of clinicians who, without assessing him, have declared the President mentally ill. However, there are and have been politicians who have, and are sometimes even open about, their own experience with mental illness. What can we learn from them and what are the limitations of people with mood disorders who want to lead? Read about it on the blog here.

Meditation

Sitting quietly focusing on the breath doesn’t work for everyone. Although they’re a part of practice, some people can’t get beyond the daydreaming and the wishes to be doing anything else. Some turn to apps, but I don’t think they’re good for much more than relaxation. An alternative you may want to try is open-monitoring, or bare attention meditation. It’s sort of like sitting and listening to things. Only you do it with deep focus, always conscious of what your attention encounters and rests on. And you can do this surprising thing with your hands. If you stay curious it’s certainly not boring. Here’s a little lesson: