No instant remedy for mental illness; no instant cure for Trumpism

From The Hill, (10/14/17): Psychologists march through NY to call for Trump's removal

Let's talk about President Trump's mental stability -- or lack thereof.

It's too easy to label Trump as crazy. He may be unstable. He may be dumb, as is old prof at The Wharton School called him the other day. He may be an asshole.

But the name-calling concerns those of us who deal with mental illness on a daily basis. I am a normal guy. But I do have a case of depression handed down by generations of Irish peasants. I live in the suicide capital of the nation. Depression has many roots.

Our daughter is severely mentally ill. As I write this, she is on a 72-hour psych hold at a Colorado hospital. She went in for an ECT treatment. The docs were alarmed by her mutterings during the treatment, so thought they should keep an eye on her through the weekend. This is not unusual. Millions of Americans get put on these holds every year. A mentally ill person might be brought into the local ER. Maybe he was sleeping in an alley. Maybe he was yelling obscenities at a policeman. Maybe she tried to commit suicide and someone intervened. Many reasons. Your local ER crew would tell you stories, if they could. Mental illness is a problem everywhere. Lest you think otherwise, here are some handy stats provided by the National Alliance for the Mentally Ill (NAMI):

Approximately 1 in 5 adults in the U.S.—43.8 million, or 18.5%—experiences mental illness in a given year.  

Approximately 1 in 25 adults in the U.S.—9.8 million, or 4.0%—experiences a serious mental illness in a given year that substantially interferes with or limits one or more major life activities. 

People in the throes of a mental health emergency may get held in one of the four mental health rooms at CRMC Hospital. They may be transferred to Behavioral Health at CRMC East. They may be held for 72 hours, as the law allows. They may be held longer. Some go to the Wyoming State Hospital in Evanston. Others are transferred to community mental health centers such as Wyoming Behavioral Institute in Casper. Others may go to a local halfway house managed by Peak Wellness. There are options. Families often are stuck trying to figure out the health care system, especially whether treatment is covered by insurance. Or not. For family members caught in the insurance maze, life may come to resemble some of the worst scenes from "Brazil" or a short story by Kafka. Our health insurance system is a nightmare. Trump and his cronies are making it worse. What can one say about an unhinged leader attempting to snatch insurance from the ill and mentally ill? You need to call on literary and celluloid references for something like this. We find ourselves in the midst of a cataclysm. We turn to poetry and books for solace and possibly some answers. This is a marvelous time for creative people. A bad time for the mentally ill.

Alas, art will not save us. Civic engagement is what's needed. Your mentally ill family member is too busy negotiating the health care maze to be much help. The rest of us need to act for ourselves and one other person that we care about. Speak up. Write letters. Go to city council meetings. Vote, please vote. We dug ourselves a hole. A "Snake Pit," if you will. A black hole. Darkness at noon. Bedlam. All these references apply to America's current unsettled state.

Let's not call Trump crazy. Our system has experienced a nervous breakdown. We are the cure.