mental illness developed in college

<p>The University may not be permitted to make an official notification to the parents, but the big U is comprised of many individuals who can make an informal call just as a humane, compassionate thing when a student is clearly in trouble. I don’t mean episodal things, or minor things, but when someone is truly having a breakdown of sorts. </p>

<p>There is a book, “We Heard the Angels of Madness” , that tells a story very similar to that of the OP. This situation does happen more frequently than many think.</p>

<p>These are the tough years for kids who are morphing into adulthood. Many of them will enter a period of “madness”, and somehow regain their footing. Others will find that it is a lifelong affliction of various degrees that has to be dealt with constantly.</p>

<p>I agree. But the only person that should be called is the person listed as the emergency contact person. </p>

<p>That person is the person that the student selected as the one who is best suited to handle the knowledge of an emergency, has the knowledge of who in the family to contact, and is the one the student wanted the university affilates to contact. Nobody else. Not the Dad that is paying tuition. Not the nosy Auntie who is in everybody’s business. The emergency contact person and only them. The emergency contact person may or may not be the students parents.</p>

<p>A true breakdown of sorts is a good reason to call the emergency contact number. We had a guy on the floor who locked himself in a study room and refused to come out because he was having a bad day. You can bet the emergency contact person was contacted.</p>

<p>I had no idea this was common. Our family knows a guy who was brilliant but went over the edge mentally when in college or grad school & has never been “right in his mind” or able to live independently since. He had a signed blank check he was trying to mail to the president a while back but his parent took it away & prevented it from being mailed. </p>

<p>We know a young woman who returned from college at an OOS U that is very well regarded & wouldn’t leave the house for a very long time thereafter. She finally agreed to complete her degree at in-state U. She’s now contemplating going to grad or law school (I think it’s a horrible idea, but she’s toying with it). She has steadfastly refused to talk about what caused her to return from college, unwilling to communicate and no one has any idea what might trigger a relapse. When she called me about going to law or grad school, I gave her my honest thoughts, but I really hope she doesn’t do this to herself. Her family is ambivalent about this.</p>

<p>These are very difficult situations, and really, everyone here is making good points. </p>

<p>Quote: the big U is comprised of many individuals who can make an informal call just as a humane, compassionate thing when a student is clearly in trouble.</p>

<p>It does seem impossible to believe that someone wouldn’t recognize a “breakdown of sorts.” You imagine that the parents would be able to help. Really, unless a parent (or anyone) has prior extensive experience with symptoms of mental illness, it’s easy to miss. Think of the kind of behavior that is tolerated, even celebrated in the dorms: staying up all night, partying with alcohol and all manner of substances, being “wild” or “the life of the party.” Things would have to be very severely amiss for most people to think some behavior was out of the ordinary.</p>

<p>Some mental illnesses show up as rude behavior, or meanness, or over-sensitivity, or talking fast, or talking about fantastic things, or just “youthful exuberance”. Most people will just think that the person is a jerk, or is excited/enthusiastic, or a good story-teller, or just likes to party. Even with parents who live with a person, it’s easy to miss, you’re thinking, wow, when did my kid become such a jerk, or why is he so lazy or argumentative or when did he start drinking so much…? And with boys and some girls, they don’t tend to tell their parents much. So, usually, it’s not until the kid is literally saying he’s seeing things that aren’t there, or they’re standing on the edge of the roof, or they’ve already slit their wrists, that even the parents can figure out that there is an emergency here.</p>

<p>And it’s true, the privacy laws and “rights” for the mentally ill can be tragic in some cases. They have a right to be crazy, to refuse medication. The college has to follow the laws. And by the way, if the student does get sent to the psych ward, privacy rights prevent the ward from even confirming to the parents or anyone that the kid is there, unless the patient agrees to sign a release. Try accomplishing that with a psychotic patient. Good luck.</p>

<p>I’m going to guess that training in this area for RA’s is limited to suicide prevention and knowledge of the privacy laws. Otherwise, kids are left to their own devices, and rightfully so, if you think about it.</p>

<p>One thing parents can do is tell your kid that if you need a dime from me for college, you will give me all passwords for academic purposes (grades, e-services), and you will sign this release regarding medical/psychological info just in case some emergency arises. But be reasonable, and don’t freak out over birth control pills or treatments for STD’s. Also, be a “friend” on facebook, keep up with myspace or whatever, for clues as to what’s going on. So if grades start going south, or a TA is emailing your kid “no, you can’t have a break on the late assignment again” that you’ll have somewhat of a heads up.</p>

<p>Sadly, it really isn’t that the people at the college don’t care. It’s just a very difficult situation, and the privacy laws can really stand in the way of helping both student and parent.</p>

<p>cptofthehouse,</p>

<p>Your post #121 is of the first order.</p>

<p>“The University may not be permitted to make an official notification to the parents, but the big U is comprised of many individuals who can make an informal call just as a humane, compassionate thing when a student is clearly in trouble.”</p>

<p>Finally, good sense in this thread. I agree… and it seems that the student’s health was gradually deteriorating according to the description of the mother.</p>

<p>I haven’t read the entire thread so I don’t know if this was mentioned, but to the original poster, schizophrenia.com has a wealth of information and a parent/caregiver section that is very useful as far as learning about strategies that have worked for others who have no insight into their illness. One parent convinced the son that medication could help his “sleep problem” and the son was willing to see the pyschiatrist and get on medication with no insight into the actual illness. This was the start of his recovery. There are a lot of hopeful stories out there – severe cases turned around with the right combo of medications. I just wanted to say, if it hasn’t been said, that the popular study aids so prevalent in college – Adderall, Ritalin, etc. – can cause psychosis. This is a fact. Those who may be predisposed to psychosis are at great risk if they use these drugs. I don’t think campus health centers have a good understanding of this and I think doctors prescribe these medications without proper screening – just on the student’s say-so that he is unable to concentrate, focus, etc.</p>

<p>““The University may not be permitted to make an official notification to the parents, but the big U is comprised of many individuals who can make an informal call just as a humane, compassionate thing when a student is clearly in trouble.””</p>

<p>While this is true, the lifestyles of people at universities combined with the OP’s son’s paranoia means it’s very likely that no one noticed how he was deteriorating. </p>

<p>Even if his former friends bumped into him on campus and noticed his changed appearance they wouldn’t be in a position to realize he was mentally ill. There are lots of students who take up eccentricities on campus. In addition, paranoid people – particularly smart paranoid people – can give reasonable sounding excuses for odd behavior, and the paranoid person isn’t likely to share with others how to contact their next of kin. </p>

<p>More than likely he isolated himself from friends, who probably went on with their lives figuring he’d fallen in with a different crowd or was busy with studies or ECs. </p>

<p>Professors may not have known him at all. It may have been the first semester that they ever taught him, and if he stopped going to class, they may never have had a chance to get to know him. Given the size of some schools’ classes, it is virtually impossible for profs to know students unless the students do things like go to office hours, something that a paranoid student was unlikely to do.</p>

<p>The closest comparison I can give in real life would be if your next door neighbor had a psychotic break, you would not likely know unless the neighbor did something obviously bizarre or dangerous at a time that you could witness it.</p>

<p>Wow. I was gone for a few days and lots of conversation…ok trying to think of how to respond and help clear up any questions. </p>

<p>First-I DO NOT BLAME THE SCHOOL!! Mental illness is tough on everyone and hard to see. I guess I wish his friends would have seen the changes and called us saying wow he is struggling. Knowing how he was though, he had probably pushed them away or just isolated himeself so much that they didn’t think much about him. Heck they are kids. There was no RA. Adults struggle with these issues when their friends change…is something wrong? Am I being too pushy, invading privacy?</p>

<p>My S was an incredibly bright, motivated, independent student. He had attended our public U nearby almost exclusively senior year in hs and handled himself fine. He had handled his schedules for years on his own. He was someone who was sooo ready to be on his own. While in hs he read a book that struck a chord in him, met the harvard prof who wrote it, then was discussing career choices in email for months with him. Enough…just to give you some idea of where he was when he left for school…</p>

<p>We talked to him frequently but typically initiated by us. He would be friendly but he was always busy and we spoke for 5 minutes at a time. His first year he lived in a dorm and we got to know the roomie and family. Second year he lived in a co-op. It was a series of 3 br apartments that opened up onto a common area. We really didn’t get to know the kids there much as we typically saw him when he came home soph year and we lived 7 hours away.</p>

<p>He fell apart after we spent tons of time with him winter break of soph year. I did talk to him frequently. He would seem ok but rushed. He ended up dropping all classes but one that spring but it’s not like anyone tells you that. We didn’t know. </p>

<p>When he came home we were frankly too stunned, shocked, appalled and overwhelmed to deal with the school. I can guarantee he did NOT go to the health center. He has since been diagnosed as paranoid schizophrenic. The last thing he would do was trust strangers (or friends probably for that matter).</p>

<p>Onset of schizophrenia is described like this:
"In some people, schizophrenia appears suddenly and without warning. But for most, it comes on slowly, with subtle warning signs and a gradual decline in functioning long before the first severe episode. Many friends and family members of people with schizophrenia report knowing early on that something was wrong with their loved one, they just didn’t know what. </p>

<p>In this early phase, people with schizophrenia often seem eccentric, unmotivated, emotionless, and reclusive. They isolate themselves, start neglecting their appearance, say peculiar things, and show a general indifference to life. They may abandon hobbies and activities, and their performance at work or school deteriorates.</p>

<p>The most common early warning signs of schizophrenia include:
Social withdrawal, Hostility or suspiciousness, Deterioration of personal hygiene
Flat, expressionless gaze, Inability to cry or express joy, Inappropriate laughter or crying,
Depression, Oversleeping or insomnia, Odd or irrational statements, Forgetful; unable to concentrate, Extreme reaction to criticism, Strange use of words or way of speaking". </p>

<p>Part of what we have going against us I feel is because he is so smart, he has been able to hide some of this when he felt he needed to. Even when he says he is fine and nothing is wrong and he doesn’t need a doctor or meds, he has to be aware how he appears to others. </p>

<p>We have come to the conclusion after 3 years that he will definitely NOT get better on his own. He may show flashes of himself but it does not mean he is getting better (that’s hard to accept). We involuntarily committed him in March. Basically it was a disaster of a system where each system involved failed to share info with the next. He escaped (with no coat in 40 degree weather) just as he was told he would have to stay and was found after 6 hours (11PM) 8 miles away. That may have been the high point. </p>

<p>We are now going to court to try to get Mental Health power of attorney. </p>

<p>My family is kind of a mess. I have gained weight, house is a mess. My husband is the one mainly involved with my S as he is able to be the least emotional and he is very analytical and thoughtful. He handles the emotion from our S the best…not taking it all so personally. I have lots of trouble with that. It’s hard to deal with when he calls me a fat b**** and I have spent the whole day doing things either for or with him. Our lovely 17 year old D is able to get away more and is outgoing smart and athletic. She I think spends her time protecting me and being 17. She has anger about it but is dealing pretty well. She will get away in a little over a year which is great for her…sad for us.</p>

<p>Lastly, we have done NAMI family workshops, read everything we can get our hands on trying to find our S in a book. I have gone to counselors, attended support groups, taken S to doctors briefly when he would agree to go. I wrote to Oprah telling her she should do stories on this and how prevalent it is. </p>

<p>I got a PM from a person going through something similar saying they don’t feel sad and I should not feel that way. We go through the cycles of grief over and over as we are constantly adjusting to each change. Sadness is dominant with me. I do feel hopeful, but we are truly struggling.</p>

<p>Kdos, we’re all thinking of you, supporting you and wishing for the best for you, your son and the rest of your family.</p>

<p>Be easy on yourself. You’re holding up wonderfully in a difficult situation. At this time, you may not have the mental energy to make sure you eat the right weightloss diet or to keep your house sparkling clean-- and that’s OK. I hope you can carve out time for yourself, maybe go for a nice walk once a day, or meet friends for coffee, or join a book club, or something not related to your son. </p>

<p>And grief is natural, nothing to apologize for. You have experienced, and are experiencing, a loss, the loss of the healthy son you thought you had. Of course you’re sad. You will take as long as you take to go through the grieving process. Thank you for sharing your story here, so others in similar situations know they are not alone.</p>

<p>“Even when he says he is fine and nothing is wrong and he doesn’t need a doctor or meds, he has to be aware how he appears to others.”</p>

<p>I’m not sure that’s true. The lack of insight is part of the illness. You need to find a way to get him on medication, to stick with it, and the insight will come. Can you get him to a good psychiatrist on the pretense that the doctor visit is for another reason (i.e., sleep issues, or something physical that he doesn’t mind seeking treatment for), then get all the background info (everything you know or have observed) in writing to the doctor beforehand. If you can somehow get your hands on the medication, I would even go so far as to put it in his food without his knowledge or consent. It’s the only way he will get better, and from what I understand from others who have been through this, it may be a long process of trial and error before you will find the right combo that works. But once that happens, the improvement can be dramatic.</p>

<p>“Even when he says he is fine and nothing is wrong and he doesn’t need a doctor or meds, he has to be aware how he appears to others.”</p>

<p>“I’m not sure that’s true.” </p>

<p>I say that because he can be different when someone else is around. I am not saying for days on end, but he can tone it down. I guess this is just like anyone. You put on your best behavior for company. ? Not sure.</p>

<p>No, he will need to take his medication for life, unless a medical doctors changes the prescription.</p>

<p>The problem with mental illness is the medication (sometimes) can control the illness, then the person stops using the medication, then the illness returns. But once the illness returns it is too late to start taking medication again, because the illness makes the person not think properly or straight.</p>

<p>I think it will be a lifetime of medication for him. He can be very successful on medication but it will be necessary.</p>

<p>““Even when he says he is fine and nothing is wrong and he doesn’t need a doctor or meds, he has to be aware how he appears to others.””</p>

<p>He is probably aware that he seems odd to others, but that doesn’t mean he thinks that his behavior is wrong. He probably thinks that he needs to protect himself from people who may “misinterpret” (his view) his behavior.</p>

<p>BIG TREES this is what I posted-
“Even when he says he is fine and nothing is wrong and he doesn’t need a doctor or meds, he has to be aware how he appears to others.”</p>

<p>This is what I meant-" even when my S says he is fine and nothing is wrong. When he says he doesn’t need meds or a doctor, he has to be aware how he appears to others".</p>

<p>I know he will need meds forever. That is one of the biggest issues of course. Lots of people suggest putting it in his food, tricking him. Lots of issues with that, one is that he needs meds forever so he needs to buy in. I cannot follow him around for 50 years making his food for him and putting it in his food. He needs to see
A-I am sick B-meds will help C-I am better because of meds D-keep talking meds
Sounds so simple!</p>

<p>Northstarmom-good point!</p>

<p>One thing to consider is whether drug use is involved, too. When I was a military psychologist, I got to see the connection between drug use and psychosis because we got urine drug screens on patients who were hospitalized for mental illness.</p>

<p>In many cases – particularly with the ones around your S’s age-- cannibis and other drugs were found in their drug screens.</p>

<p>I also saw patients who were let out on day passes after their psychotic symptoms had abated. Some came back delusional, and in some cases, urine screens indicated they had used drugs while on their passes.</p>

<p>It may be that some people are predisposed to psychosis if they become involved with drugs that may be benign for other people.</p>

<p>So that’s something to keep in mind even if your son insists he doesn’t use drugs.</p>

<p>I just wanted to tell you that I am very moved by your story, (literally to tears), and that it sounds like you are doing the very best that you can. Sending you hugs and support.</p>

<p>^that’s a good point because some studies are starting to show that people who are predisposed to schizophrenia or other mental illnesses are more likely to experience a “break” after using marijuana, which is typically considered to be a pretty harmless drug by the average college student.</p>

<p>However, there’s no telling if drug use causes mental breakdowns, or if those predisposed to mental breakdowns or suffering from breakdowns are simply more likely to use drugs as a form of coping or self-medication. Furthermore, even the marijuana studies introduced the caveat that although marijuana appeared to have at least quickened the onset of certain mental illnesses, it wasn’t clear if/when the users would have developed the mental illness no matter what.</p>

<p>It’s always better to be safe than sorry, though, and certainly habitual drug use has a host of negative effects.</p>

<p>nsm</p>

<p>I can pretty safely say he is not using as he doesn’t leave the house without my husband or me. He sees no friends and talks to no one but us. Actually as I reread that-that is enough to make anyone have problems!! :-)</p>

<p>The marijuana connection for those at risk (genetically predisposed) is widely acknowledged. Many studies support this. Also, ADHD stimulant meds (Adderall, Ritalin, etc.). I keep mentioning this because I don’t think enough college kids and parents are aware of the serious psychosis risk with ADHD meds and they are so prevalent on all campuses. Kids (without any diagnosis) always have access to these from friends and I doubt they understand this very real risk.</p>