Category: mental health

Finding Happiness

by Abigail Conley

In the Spring 2018 semester, Yale launched their most popular course ever, “Psychology and the Good Life.” It was a course on happiness, and enrollment skyrocketed. A quarter of Yale students enrolled in the class, and the institution struggled to meet the demands from such a large enrollment. Dr. Laurie Santos developed the course to help address rising rates of depression, anxiety and stress among students. The course was so popular, it was soon launched on the online learning platform Coursera as “The Art of Happiness.” 

I signed up for the class out of curiosity. It’s free unless you want the certificate of completion. Of course I wanted the certificate of completion, so I paid an extra $49 to get a piece of paper at the end. (Hey—maybe it counts for CEUs!) I should mention that I wasn’t particularly unhappy going in. Taking a class on happiness seems to imply that the student must be unhappy. I’m more of a taking-a-class-inherently-makes-me-happy person. 

Within about 2 weeks of starting the class, I had one major take-away not named in the class: being part of a church will make you happier. It will make you happier according to science, not just some pastor. It will make you happier even though being the Church is hard right now. It’s hard as institutions struggle through the time before resurrection. It’s hard as we face what seem like insurmountable social justice issues. And yet, time and again, polls also report that people who are part of a faith community are happier and live longer than those who are not part of a faith community. Now there’s easily accessible data to name why.

Here are some of the things I learned will actually make you happier in a way that transforms your life:

  • Stop worrying about stuff.
  • Practice gratitude.
  • Meditate.
  • Be socially connected.
  • Keep a regular sleep schedule. 

Most any of us who show up to church occasionally realize that church helps us cultivate all of those things. If you can walk or bike to church, you will manage to hit every single thing that will make you happier, clinically speaking. 

I preach often about the gifts of the church, the Christian community gathered. I love the story of Pentecost, when the Holy Spirit becomes a normal, expected presence with the gathered church. That presence is a break from the occasional and extraordinary presence with the prophets, when a word from the Lord might be rare. 

And yet, it is a little shocking to be reminded that the church has a profound gift to offer just by existing like most of our churches do. We pass an offering plate each week and say, “You have enough to give away. Trust us.” We take time to name what is good and what is difficult and hold it in a space with other people. We do it on a day traditionally known as Sabbath, and keep saying that holding space for rest matters. And even when we gather with people who are so very different from us, we find people who will check in on us and love us and show up in wonderfully unexpected places. 

In this class, we were also challenged to take on one of these habits. For success, we were even asked to tell someone else our goal. It was for a finite period, with a clinical measure of success before and after. Part of the point is that it’s so difficult to make a significant change like the things named. We don’t naturally choose what is good for us. Again, not really a surprise to church people.

I am reminded that one of the most profound gifts of all is that the Church, with all its imperfections, keeps going along, reminding us to worry less about our stuff, to be grateful, to pray, to honor Sabbath, to show up—even if it’s just to be together. In our case, it is not an art that one person cultivates, but a faith we continue to hold onto for the promise of something better for our world. Happiness is only the tip of the iceberg. 

“No One Cares About Crazy People” Spotlights Our Fractured Mental Health System and One Family’s Battle with Schizophrenia

guest post by Kathryn Andrews, a member of the Southwest Conference’s Widening the Welcome Committee and Desert Palm United Church of Christ

“What if you raised a child who grew up sunny, loved, and loving, perhaps unaccountably talented, a source of family joy, only to watch that child slowly transform in adolescence into a mysterious stranger, shorn of affect, dull of gaze, unresponsive to communication – and perhaps worse?” This is one of wrenching questions author Ron Powers asks in “Nobody Cares About Crazy People,” the story of his schizophrenic sons.

The book is more than a chronicle of one family’s struggle with a serious mental illness. It also serves as an indictment of our national approach to dealing (or not dealing) with mental illness. As Powers recounts, mental hospitals began to appear in the early 19th century, including Philadelphia Hospital, which charged admission to view the insane residents in its basement. In 1841, Quaker Dorthea Dix discovered that violent criminals were sharing jail cells with persons with mental illness in Massachusetts. She devoted the rest of her life to lobbying for dedicated care outside of the penal system, and by 1890 thirty-two new asylums were in place. Yet even with these reforms, individual care and treatment at the overflowing asylums was hard to come by.

President Kennedy took steps to address this overburdened system by signing the Community Mental Health Act (“CMHA”). The legislation, crafted in consultation with psychiatrists and health executives, was aimed at releasing 560,000 patients from state-run asylums to 1,500 new community health centers around the country. The hope was that new “wonder drugs” like Thorazine would enable this population to navigate the outside world and become productive. The CMHA liberated 430,000 patients by 1980, but a combination of factors thwarted the transition to community care.

Over the ensuing decades, budget pressures diverted funds that could have supported the CMHA centers. Meanwhile, Congress passed the Medicaid act, which prohibited federal reimbursement to states for psychiatric patients in state hospitals. The act’s objectives were to encourage patient release from such institutions and to prod the states to assume responsibility for care and treatment costs. The states, however, showed little interest in taking the reins. Without the community follow-up care envisioned by the CMHA, many became chronically ill, homeless, or incarcerated. The upshot was that many of these persons did not become “de-institutionalized” but rather traded one institution for another as the U.S. penal system replaced the mental hospital.

Although American mental health care remains haphazard and chaotic, Powers takes heart from the progress made in researching the causes and treatments of mental illnesses. New research has identified 128 gene variants likely to be involved in the abnormal brain development seen in schizophrenics. The research also reflects that environmental factors likely influence the onset and degree of the disease. Meanwhile, advances are occurring in magnetic resonance imaging, and psychotropic medicines can regulate serotonin and dopamine, which affect behavior.

As the Powers family learned too late, some antipsychotic medicines can be taken by the “depot” method of periodic injection. This method eliminates the need for self-administered oral dosages and ensures consistent medication. This consistency becomes critical when a patient develops “anosognosia,” the false conviction that nothing is wrong with the patient’s mind. Anosognosia caused one Powers son to abandon his medications and end his life just shy of his 21st birthday. The other son survived and lives near his parents.

For the author, the future of mental health care for his surviving son and others with mental illness, “will depend upon whether Americans can recognize that their psychically troubled brothers and sisters are not a threat to communities but potential partners with communities for not only their own but their community’s regeneration. . .. The mentally ill people in our lives, as they strive to build healthy, well-supported, and rewarding lives for themselves, can show us all how to reconnect with the most primal of human urges, the urge to be of use, disentangling from social striving, consumer obsession, cynicism, boredom, and isolation, and honoring it among the true sources of human happiness.”