My Bipolar Disorder was difficult to manage with medication alone. My Psychiatrist told me about a device that was waiting for FDA approval.
In 2005 the Vagus Nerve Stimulator was approved by the FDA and my doctor had all the information ready to send to my insurance company.
The first time insurance denied the device. Here’s how I got insurance to approve. I wrote a letter explaining what my life was like and how it controls my life and in time the possibility of suicide.
A VNS device looks much like a pacemaker with two leads that attach to your vagus nerves, sending signals to the brain to relieve your depression.
The surgery doesn’t take long, but getting used to the device turned on takes a while.
When you are talking the device makes your voice sound weird but only when the device is sending signals to the brain.
When I had my surgery, no one had seen one implanted which meant the Gallery was full of other doctors. My doctor got to see my boobs, that had to settle in.
After you have healed the device is turned on at a low level so you get used to the feeling of the device working. Then we turned up the level until we found what we thought was the right setting.
I kept it on for years but finally admitted it wasn’t working and had it turned off.
The only pain involved is initial surgery.
I thought this device would change my life but it didn’t work out that way.
These are the notes I made on 12/30/05
Received a letter today from the insurance company, they approved.
I can’t wait to call my Psychiatrist to tell him the news and to get my surgery date rolling.
2005 has been a rough year but this news is my beacon of hope.
The greatest news all year.
Unfortunately, I was in the percentage of people that the device didn’t work.
I am waiting to hear about new treatments but nothing new for my mental illness.
The FDA approved the Vagus Nerve Stimulator in 2005 and I was fortunate enough to get approval for it. It’s implanted in my upper left chest, looks like a pacemaker, and the lead wires attach to my Vagus Nerve. I prayed the device would deliver a miracle for my Bipolar Disorder but that was not the case. After several years of adjusting the stimulation, my doctor and I made the decision to turn it off. Almost 20 years later it has become painful and I plan to have it removed this Fall.
The technology has advanced with implants showing better results. I don’t plan to have another implanted but I did find the research on non-invasive VNS devices very interesting. I am researching several brands and will purchase one that vets out. What I find most interesting is the non-invasive devices can help with many other conditions like anxiety, pain, stress, and even migraines. I could use help in many of the areas they tout.
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Last updated on July 24th, 2024 at 11:22 am
The human body is a complex and intricate system, with various nerves and pathways working in tandem to maintain optimal health. Among these nerves, the vagus nerve stands out as a key player in regulating numerous bodily functions. Thanks to recent advancements in medical technology, a non-invasive vagus nerve stimulation device has emerged as a breakthrough in the field of medicine. This device has the potential to revolutionize the treatment of various health conditions and enhance overall well-being.
Understanding the Vagus Nerve and Its Functions
The vagus nerve, also known as the tenth cranial nerve, is the longest and most vital nerve in the human body. It extends from the brainstem to various organs, including the heart, lungs, and gastrointestinal tract. The vagus nerve plays a crucial role in regulating essential bodily functions such as heart rate, digestion, and respiratory function.
But what exactly is the vagus nerve, and how does it carry out its functions? Let’s dive deeper into the fascinating world of this remarkable nerve.
The Role of the Vagus Nerve in the Human Body
With its extensive reach and influence, the vagus nerve acts as a communication channel between the brain and various organs. It carries signals that control the parasympathetic nervous system, which is responsible for rest and digestion functions. This means that the vagus nerve helps to slow down heart rate, stimulate digestion, and promote relaxation.
But that’s not all. The vagus nerve also plays a role in modulating inflammation and immune responses. It has been found to have anti-inflammatory effects, helping to regulate the body’s immune system and reduce excessive inflammation. This connection between the vagus nerve and the immune system opens up new possibilities for treating inflammatory diseases.
The Connection Between the Vagus Nerve and Various Health Conditions
Research has shown that abnormalities in vagal nerve activity can contribute to the development and progression of various health conditions. For example, chronic pain has been linked to dysfunctional vagus nerve signaling. By understanding and targeting the vagus nerve, researchers hope to develop new treatments for chronic pain that go beyond traditional pain medications.
Depression and anxiety disorders are also closely tied to vagal nerve activity. Studies have found that stimulating the vagus nerve through techniques like vagus nerve stimulation (VNS) can have a positive impact on mood and reduce symptoms of depression and anxiety. This has led to the development of VNS as a potential treatment option for individuals who do not respond to traditional antidepressant medications.
Migraines, too, have been linked to vagal nerve dysfunction. The vagus nerve is involved in pain modulation, and abnormalities in its function can contribute to the development of migraines. By understanding the role of the vagus nerve in migraines, researchers are exploring new ways to prevent and treat these debilitating headaches.
Furthermore, the vagus nerve’s influence extends to inflammatory diseases. Inflammatory bowel disease, rheumatoid arthritis, and other conditions characterized by excessive inflammation have been associated with vagal nerve dysfunction. This connection has sparked interest in developing therapies that target the vagus nerve to regulate inflammation and potentially provide relief for individuals with these conditions.
As we continue to unravel the mysteries of the vagus nerve, its importance in maintaining overall health and well-being becomes increasingly evident. By understanding its functions and connections to various health conditions, researchers are paving the way for innovative treatment approaches that could improve the lives of millions.
The Evolution of Vagus Nerve Stimulation (VNS) Therapy
Vagus nerve stimulation (VNS) therapy has been used for decades as a treatment option for certain conditions. Traditional VNS involves the implantation of a device that delivers electrical impulses directly to the vagus nerve. While effective in some cases, this invasive approach has limitations and potential complications, leading researchers to explore alternative methods.
The Traditional Approach to VNS
In the past, VNS therapy involved the surgical implantation of a device that connects to the vagus nerve. This device typically delivers mild electrical impulses to modulate the nerve’s activity. However, the invasiveness of this method poses risks such as infection, nerve damage, and complications related to device placement.
Despite these risks, the traditional approach to VNS has shown promising results in the treatment of epilepsy and depression. Studies have demonstrated a reduction in seizure frequency and improved mood in patients who underwent VNS therapy. However, the limitations and challenges associated with invasive VNS have prompted researchers to explore less invasive alternatives.
The Limitations and Challenges of Invasive VNS
Despite its positive outcomes in certain cases, invasive VNS therapy presents several challenges. The necessity for surgical implantation limits its accessibility and increases the potential for complications. Additionally, adjusting the stimulation parameters requires medical intervention, making it less flexible for patients who may benefit from personalized treatment regimens.
Furthermore, the invasiveness of the traditional VNS approach may deter some patients from seeking treatment. The fear of surgery and the associated risks can be a significant barrier, especially for individuals with comorbidities or those who are more risk-averse. As a result, researchers have been actively exploring non-invasive or minimally invasive alternatives to VNS therapy.
One such alternative is transcutaneous VNS, which involves the application of electrical stimulation to the skin overlying the vagus nerve. This non-invasive approach eliminates the need for surgical implantation, reducing the associated risks and complications. Transcutaneous VNS has shown promising results in the treatment of various conditions, including migraine, depression, and chronic pain.
Another emerging technique is minimally invasive VNS, which utilizes a smaller, less invasive device for nerve stimulation. This approach involves the placement of a tiny electrode near the vagus nerve, allowing for targeted stimulation without the need for extensive surgery. Minimally invasive VNS offers a middle ground between traditional invasive VNS and non-invasive alternatives, providing a balance between effectiveness and safety.
As researchers continue to explore and refine VNS therapy, advancements in technology and medical understanding are driving the evolution of this treatment modality. The development of novel devices, improved stimulation parameters, and a better understanding of the underlying mechanisms are all contributing to the expansion of VNS therapy options.
In conclusion, while traditional VNS therapy has been a valuable treatment option for certain conditions, the limitations and potential complications associated with invasive approaches have prompted researchers to explore alternative methods. Non-invasive and minimally invasive techniques are emerging as promising alternatives, offering improved accessibility, reduced risks, and increased flexibility for personalized treatment. As the field of VNS therapy continues to evolve, patients can look forward to more effective and safer options for managing their conditions.
The Advent of Non-Invasive Vagus Nerve Stimulation (nVNS)
Non-invasive vagus nerve stimulation (nVNS) has emerged as an exciting alternative to traditional VNS therapy. This innovation allows for the stimulation of the vagus nerve without the need for surgical procedures or implantation.
The vagus nerve, also known as the “wandering nerve,” is the longest cranial nerve in the body. It plays a crucial role in regulating various bodily functions, including heart rate, digestion, and inflammation. Traditionally, vagus nerve stimulation (VNS) has been used as a treatment option for conditions such as epilepsy and depression. However, the invasive nature of VNS therapy has limited its accessibility and acceptance.
nVNS offers a non-invasive solution to harness the therapeutic potential of the vagus nerve. By utilizing mild electrical stimulation, nVNS can activate the vagus nerve and modulate its activity, providing a promising avenue for the treatment of various health conditions.
The Science Behind nVNS
nVNS operates on the principle that mild electrical stimulation can activate the vagus nerve and modulate its activity. By placing electrodes on the skin over specific nerve pathways, nVNS devices deliver targeted electrical impulses, stimulating the vagus nerve indirectly. This non-invasive approach has shown promising results in clinical trials
Research has demonstrated that vagus nerve stimulation can have a profound impact on the body’s autonomic nervous system, which controls involuntary functions. By modulating the vagus nerve’s activity, nVNS can influence heart rate, blood pressure, and even the release of neurotransmitters in the brain.
Furthermore, studies have suggested that nVNS may have anti-inflammatory effects. Inflammation is a key component of many chronic diseases, and by reducing inflammation through vagus nerve stimulation, nVNS could potentially offer a novel therapeutic approach.
The precise mechanisms through which nVNS exerts its therapeutic effects are still being explored. However, the growing body of research indicates that this non-invasive technique holds great promise for the future of medical treatment.
The Design and Function of nVNS Devices
nVNS devices consist of a handheld stimulator with attached electrodes. When applied to specific areas, such as the neck or tragus, these devices deliver precisely calibrated electrical impulses. The stimulation triggers a response in the vagus nerve, which can have therapeutic effects on various health conditions.
One of the advantages of nVNS devices is their portability and ease of use. Patients can conveniently carry the handheld stimulator with them and apply the electrodes whenever needed. This flexibility allows for on-demand stimulation, enabling individuals to tailor their treatment according to their specific needs and symptoms.
Additionally, nVNS devices are designed to be user-friendly, with intuitive controls and adjustable settings. This ensures that patients can easily customize their stimulation parameters, optimizing the therapy’s effectiveness and comfort.
As the field of nVNS continues to advance, researchers and engineers are exploring innovative ways to enhance device design and functionality. Efforts are being made to develop smaller, more discreet devices that can be worn comfortably throughout the day, allowing for continuous vagus nerve stimulation without disrupting daily activities.
Moreover, advancements in technology are enabling the integration of nVNS devices with smartphone applications and wearable devices. This integration offers the potential for real-time monitoring and personalized treatment plans, further optimizing the therapeutic benefits of nVNS.
In conclusion, non-invasive vagus nerve stimulation (nVNS) represents a groundbreaking development in the field of medical treatment. By providing a non-surgical and easily accessible alternative to traditional VNS therapy, nVNS holds immense potential for improving the lives of individuals with various health conditions. With ongoing research and technological advancements, the future of nVNS looks promising, paving the way for a new era of personalized and effective medical interventions.
With its ability to modulate the vagus nerve’s activity, nVNS holds promise in revolutionizing various areas of healthcare. From chronic pain management to mental health treatment, this innovative approach has garnered attention and sparked excitement among researchers and medical professionals alike.
The Impact of nVNS on Chronic Pain Management
Chronic pain is a widespread and challenging condition that can significantly impact a person’s quality of life. Traditional pain management approaches often involve pharmacological interventions, which may come with unwanted side effects and limited efficacy. However, studies have shown that nVNS can provide effective pain relief by modulating the vagus nerve’s activity.
The vagus nerve, a major component of the parasympathetic nervous system, plays a crucial role in pain perception and inflammation. By targeting this nerve through non-invasive nVNS, it is possible to reduce inflammation and alter pain perception, offering a non-pharmacological approach to pain management. This opens up new avenues for individuals suffering from chronic pain, providing them with a potential alternative or complementary treatment option.
nVNS and Mental Health: A New Frontier
Mental health disorders, including depression and anxiety, affect millions of people worldwide. While various treatment modalities exist, there is a constant need for innovative approaches that can enhance therapeutic outcomes and minimize side effects. nVNS has emerged as a potential game-changer in the field of mental health treatment.
Research has shown that nVNS can modulate the vagus nerve’s activity, influencing neurotransmitter release and mood-regulating pathways. By doing so, it offers a novel and non-invasive approach to mental health treatment. This exciting development has the potential to transform the lives of individuals struggling with mental health disorders, providing them with a new frontier of hope and possibilities.
Furthermore, the non-pharmacological nature of nVNS makes it an attractive option for individuals who may be hesitant or unable to tolerate traditional medication-based treatments. By harnessing the power of the vagus nerve, nVNS opens up a world of potential for personalized and targeted mental health interventions.
As research continues to unfold, the potential health benefits of nVNS become increasingly evident. From chronic pain management to mental health treatment, this innovative approach holds promise in revolutionizing the way we understand and address various health conditions. With its non-invasive nature and ability to modulate the vagus nerve’s activity, nVNS offers a glimpse into a future where personalized and effective treatments are within reach for individuals worldwide.
The Future of nVNS in Medical Technology
As the field of medical technology continues to advance, researchers are exploring additional applications and potential benefits of non-invasive vagus nerve stimulation (nVNS). This innovative therapy has shown promise in various areas of healthcare, and ongoing research is shedding light on its potential to revolutionize personalized medicine.
Ongoing Research and Potential New Applications
Researchers are actively investigating the effects of nVNS on various health conditions and exploring its potential to improve outcomes. One area of focus is epilepsy, a neurological disorder characterized by recurrent seizures. Preliminary studies have shown that nVNS may help reduce the frequency and severity of seizures in some patients, offering a new avenue for managing this challenging condition.
Another area of interest is migraines, debilitating headaches that can significantly impact a person’s quality of life. Early research suggests that nVNS may provide relief for migraine sufferers by modulating the activity of the trigeminal nerve, which is involved in the development of migraines. This non-invasive approach could offer a promising alternative or complement to existing treatments.
Inflammatory diseases, such as rheumatoid arthritis and Crohn’s disease, are also being explored as potential targets for nVNS therapy. These conditions involve an overactive immune response, leading to chronic inflammation and tissue damage. By stimulating the vagus nerve, nVNS may help regulate the immune system and reduce inflammation, offering a novel approach to managing these complex diseases.
Furthermore, researchers are even investigating the potential cognitive enhancement effects of nVNS. By stimulating the vagus nerve, nVNS may modulate brain activity and improve cognitive function. This could have implications for conditions such as Alzheimer’s disease and age-related cognitive decline, where maintaining cognitive abilities is crucial for maintaining independence and quality of life.
The Role of nVNS in Personalized Medicine
One of the most exciting aspects of nVNS is its potential to be tailored to individual patients. With adjustable settings and personalized parameters, nVNS therapy can be optimized to meet each person’s unique needs. This personalized approach has the potential to enhance treatment effectiveness and improve patient outcomes.
For example, the intensity and frequency of nVNS stimulation can be adjusted based on the severity of symptoms and individual response. This flexibility allows healthcare providers to fine-tune the therapy to achieve the best possible results for each patient. Additionally, the ability to remotely monitor and adjust nVNS devices further enhances the personalized nature of this therapy, allowing for real-time optimization and improved patient convenience.
Moreover, the integration of nVNS with other medical technologies holds promise for personalized medicine. By combining nVNS with wearable devices, such as smartwatches or biosensors, healthcare providers can gather real-time data on a patient’s physiological responses and customize nVNS therapy accordingly. This integration could lead to more precise and effective treatment strategies, tailored to the specific needs of each individual.
In conclusion, the emergence of non-invasive vagus nerve stimulation devices represents a breakthrough in medical technology. By harnessing the power of the vagus nerve, these devices offer new possibilities for the treatment and management of various health conditions. The potential benefits of nVNS in chronic pain management, mental health treatment, and other areas are particularly promising. As further research unfolds and technology continues to advance, the future of nVNS holds great potential for revolutionizing personalized medicine and improving the lives of countless individuals.
Tortured by Lyme disease, a young man killed his friend and himself. He is not alone.
by Mary Beth Pfeiffer, Trial Site News
For decades, Lyme disease physicians have seen a small share of late-stage patients with symptoms far beyond the physical ravages of a tick bite.
These patients, estimated to be 1 percent of chronic Lyme psychiatric cases, manifest brain disorders so intractable that they become violent, even homicidal.
Now, a new article in the science journal Heliyon validates these observations and reveals possible mechanisms driving them. It tells the horrific story of a 32-year-old man whose tickborne infection at age 14—one of several—went unrecognized until it was unresponsive to treatment.
Failed by short-course antibiotics that mainstream medical guidance swears by, he descended into substance abuse, as many chronic Lyme patients do, to ease his anxiety, depression, and physical pain. READ MORE
A patient with psychiatric manifestations of Lyme depicted his pain in this painting. He would later commit suicide. (Photo by permission of Dr. Robert Bransfield.)
(Note: The important work discussed in this article came about because the family trusted the Lyme Disease Biobank with this young man’s body. Furthermore, Bay Area Lyme Foundation funded this research. Click here to learn more about the biobank.)
I have never heard of the psychiatric manifestations of Lyme but can certainly understand it. When your body is invaded and attacked every minute causing severe pain in many areas of the body, understand the feeling of losing your mind. The Lyme Spirokeetes set up house in my brain, eating away at my memory, and balance and causing havoc on my entire body. No amount of pain medication can give relief, it’s non-stop. Thank goodness it’s a very small percentage of Lyme patients that are affected by Psychiatric Manifestations.
I wanted to let you all know I’ve recently launched a video podcast called Champions of Resilience. It’s a transformative channel where we delve into the inspiring stories of individuals who have triumphed over adversity. On my web page you’ll find the links to my most recent episodes, a little bit about the show and why … Continue
Congrats to Amy, no doubt she will continue to advocate and inspire others as she has me for many years.
Hello Advocates, Happy Minority Mental Health Awareness Month! In 2008, the U.S. House of Representatives officially declared July as Bebe Moore Campbell National Minority Mental Health Awareness Month. Bebe Moore Campbell was a mental health champion who used her experience to highlight the profound impact that culture, community and connections have on mental health. Minority Mental Health Awareness Month is crucial for many reasons:Health Disparities: Minority communities often face significant disparities in mental health care, including limited access to services, lower quality of care, and higher levels of stigma associated with mental health conditions. Raising awareness helps address and reduce these disparities. Stigma Reduction: Many minority communities experience higher levels of stigma surrounding mental health conditions. Awareness initiatives can help break down these barriers, encouraging individuals to seek help and support without fear of judgment or discrimination. Cultural Awareness: Mental health awareness in minority communities promotes the need for culturally sensitive care. It emphasizes the importance of understanding cultural differences and tailoring mental health services to meet the unique needs of diverse populations. Advocacy and Policy Change: Highlighting the specific mental health needs of minority communities can drive advocacy efforts and inform policy changes aimed at improving mental health care equity. For example, this may include funding, more inclusive programs, and systemic changes that strengthen support for BIPOC individuals. Fast Facts:Asian American and Pacific Islanders: Non-Hispanic Asian American adults are the least likely population to receive mental health treatment for their mental illnessIn 2022, only 36.1% of Asian adults with mental illness received treatment9% of Asian Americans are not fluent in English and limited availability of culturally appropriate mental health care creates a significant barrier when trying to access careBlack/African Ancestry Communities:In 2022, only 37.9% of non-Hispanic Black or African American adults with mental illness received treatmentProvider bias, whether implicit or explicit, and lack of cultural sensitivity often results in misdiagnosis and inadequate treatmentWhen expressing symptoms related to mood disorders, Black people are more likely to receive a misdiagnosis of schizophreniaHispanic/Latin Americans: Nearly half of Hispanic and Latino young adults ages 18-25 with a serious mental illness do not receive treatmentAccording to the Kiser Family Foundation, in 2022, 18% of nonelderly Hispanic people had no form of health insuranceCompared to the U.S. average of 50.6%, approximately 39.6% of Hispanic or Latino adults with a mental illness receive treatment each yearBebe Moore Campbell used her voice to pave the way; what an honor it is that advocates like you and I have the opportunity to keep her legacy alive by continuing to advocate for a more inclusive, equitable, and effective mental health care system that serves all individuals, regardless of their background or identity. With gratitude,The NAMI Texas Public Policy Team Source material and further information can be found on NAMI National’s 2024 Bebe Moore Campbell National Minority Mental Health Awareness Month Toolkit.————————————————————————————————————————————–P.S. As I transition out of my fellowship with NAMI Texas, I want to take a moment to express my gratitude to each and every one of you. It has been the honor of a lifetime being a part of the NAMI Texas Team and the community of incredible advocates that it encompasses. Having the opportunity to be in conversation and spaces with such passionate, driven and welcoming advocates like you is truly an indescribable feeling. While I will no longer be on staff, I have every intention of staying engaged with NAMI Texas and all of you. Thank you for your kindness, support and willingness to share your stories with me over the last two years. You have made an everlasting impact on me, and I am so thankful for that. With love and gratitude,Hannah
Staff Spotlight: Meet NAMI Texas’ New Peer Policy Fellow!Join us in welcoming our newest team member, Christine Busse! Christine joined NAMI Texas as a Peer Policy Fellow in July 2024. She holds a master’s in social work from the University of Texas at San Antonio and a Bachelor of Science in Behavioral Neuroscience from St. Edward’s University. Her professional journey includes nearly four years as a Registered Behavior Technician, providing Applied Behavioral Analysis (ABA) therapeutic services to youth with special needs. During her graduate studies, she honed her research and data analysis skills as a Graduate Research Assistant on the Bexar County Fostering Educational Success project, evaluating programs supporting foster care alumni. She gained valuable policy experience through internships at the National Association of Social Workers – Texas and the Hogg Foundation for Mental Health, actively participating in the 88th Texas legislative session. Most recently, Christine served as the Planning and Policy Coordinator at the Texas Homeless Network. These diverse roles provided Christine with strong experience in mental health and substance use policy, education, and behavioral health workforce challenges. She developed expertise in policy research, strategic advocacy, and legislative processes. As a lifelong Texan and Lebanese American with lived experience of mental illness, Christine is passionate about bridging the gap between research, policy, and lived experience to enhance effective mental health policies and support systems. She is committed to fostering community resilience and well-being to build a stronger, healthier Texas for all. NAMI National’s #Vote4MentalHealth Pledge Mental health impacts nearly all aspects of our lives. And at NAMI, we advocate on a wide range of policy priorities, from health care to criminal justice to housing and beyond. No matter the topic, we know that mental health matters. Your vote in the upcoming elections matters, too. Every elected official – from the president and Congress to county commissioners and city councilmembers – has influence on issues impacting people affected by mental health conditions. That’s why it’s so important to understand how voting impacts mental health. Take the first step: click the following link to pledge to #Vote4MentalHealth this November.NAMI won’t tell you who to vote for. We encourage you to research candidates on your ballot, decide what issues are most important to you, and cast your vote this election season. July 2024 Health and Human Services Report:Behavioral Health Advisory Committee FY 2023 Annual ReportSenate 2024 Interim Legislative Charges: Notice of Public HearingThursday, September 5, 2024, at 9:00amSenate Finance Committee (E1.036)Mental Health Services and Inpatient Facilities: Monitor the implementation of Senate Bill 30, 88th Legislature, Regular Session, with regard to appropriations made for expanding mental health services and inpatient facilities across the state. Report on the progress of inpatient facility construction projects. Assess and report on the effectiveness of spending on mental health services. You can view the full hearing agenda, here. Wednesday, September 18, 2024Senate Health & Human Services Committee (E1.012)Children’s Mental Health: Review care and services currently available to the growing population of Texas children with high acuity mental and behavioral health needs. Make recommendations to improve access to care and services for these children that will support family preservation and prevent them from entering the child welfare system. Access to Health Care: Evaluate current access to primary and mental health care. Examine whether regulatory and licensing flexibilities could improve access to care, particularly in medically underserved areas of Texas. Make recommendations, if any, to improve access to care while maintaining patient safety. You can view the full hearing agenda, here.You can review the list of Interim Charges in its entirety, here. House 2024 Interim Legislative Charges: Notice of Public HearingWednesday, July 31, 2024, at 10:00amYouth Health & Safety, Select (E2.014)Update: the originally scheduled July 7th, 2024, hearing was cancelled due to Hurricane Beryl. The committee will meet to hear invited testimony only on the following interim charge: Behavioral Health Services for At-Risk Youth: Evaluate programs and services currently available to children and families that are either involved with, or at high risk for becoming involved with, the foster care and juvenile justice systems. Study the current barriers for accessing community-based behavioral health services for children with intense behavioral health needs, with an emphasis on ensuring that parents do not have to give up custody of children to gain access to services. If you would like to submit written comments related to the above charge you may do so until the hearing is adjourned by visitingthis link. You can view the full agenda for the July 31st hearing here. You can review the list of Interim Charges in its entirety, here. Public Policy Platform Development Input Our 2025-2026 Public Policy Platform surveys have concluded. Thank you much for your time and input on these important matters! We could not do this work without all of you. Stay tuned for our Public Policy Platform which will be published in the fall. NAMI Texas Conference: Celebrating 40 Years of Hope and HealingEvery year, NAMI Texas hosts an Annual Conference and Awards Celebration. These events bring together individuals living with mental illness, family members, professionals, and the general public to highlight the latest updates in the mental health field, exchange information, and celebrate the year’s successes. With exciting keynotes, informative workshops, a lively exhibit hall, Continuing Education Credit, networking opportunities, and special surprises, the Conference has something for everyone. This year, we are celebrating 40 Years of Hope and Healing. We could not be more excited to be bringing the Conference to West Texas. All Conference events will be held in the heart of bustling downtown El Paso, primarily in the beautiful El Paso Convention Center. There are many nonstop flights to El Paso from major Texas airports. The local Affiliate in the area, NAMI El Paso, is eager to welcome Texans from across the state. We hope you will join us in November for this extra special celebration! Early Bird Ticket Sale Alert! Purchase your ticket today in order to take advantage of the early bird ticket special! These discounted tickets will be available through September 1st, 2024. Click this link to purchase. 2024 NAMI Texas Annual Conference Call-for-Presentations! All topics related to mental health are welcome, but the Conference Planning Committee has identified the following 4 thematic categories of particular interest: 1.) Children, Youth, & Families, 2.) Underserved Populations, 3.) Criminal Legal System, and 4.) Innovation and Creativity. For further details and to access the form, check out the call-for-presentations webpage. The deadline to submit a workshop proposal is August 2nd, 2024. NAMI SMARTS Classes Grassroots advocacy is about using your voice to influence policymakers and make a difference. Turn your passion and your lived experience into advocacy for mental health with the NAMI Smarts for Advocacy training. NAMI Smarts for Advocacy will enhance your advocacy skills and help you shape a powerful and personal story that will move policymakers. NAMI Smarts for Advocacy gives you step-by-step tools and the hands-on practice you need to feel confident and ready to make a difference. The NAMI Texas Public Policy Team does not currently have any classes scheduled. Be sure to keep an eye on our calendar for forthcoming classes.
If you have anything you would like to share with NAMI Texas advocates in these emails, please send the information to policy.fellow@namitexas.org
– Hannah Gill and the NAMI Texas Public Policy Team
Mental Health in the MediaA look at the Texas mental health workforce shortage“Today, 246 of Texas’ 254 counties are wholly or partly designated by the federal government as “mental health professional shortage areas,” and that’s in a state where roughly 5 million people do not have health insurance. This has had a particularly dire effect in rural, border, and frontier counties in Texas, as some regions might have only one mental health professional or none. If you look at the raw numbers, we don’t have enough providers, even if they were evenly distributed,” said Alison Mohr Boleware, the Hogg Foundation for Mental Health policy director.” Sherman PD teams up with Texoma Community Center on mental health co-response team“The Sherman Police Department and Texas Community Center have teamed up to make a mental health co-response program. TCC Assistant Director of Care Coordination, Tori Dyess, said the program was made possible through a grant. “We reached out to Sherman Police Department, and decided to collaborate to create a team that was embedded with them,” Dyess said. The TCC has qualified mental health professionals stationed at the police department seven days a week, from 10 a.m. to 10 p.m. The program’s goal is to get effective mental health care to those in crisis faster.” Employment may be key to veterans’ mental health, UTEP study finds“EL PASO, Texas (KVIA) — A new study authored by two University of Texas El Paso researchers is showing employment may be key to emotional wellbeing for veterans. The study was published in the June issue of scientific journal ‘Stress and Health’. The researchers looked at 517 veterans experiencing mental health conditions such as depression, anxiety, and post-traumatic stress disorder. According to the study, employment correlated with positive emotional wellbeing in veterans struggling with their mental health. The study also said unemployed veterans were twice as likely to experience depression.” Gov. Abbott Announces 7 New State Hospital Projects, Including $1B+ for Two in North Texas“Seven new state hospital projects—including new ones in Wichita Falls and Terrell—have been announced to better serve people in need of inpatient psychiatric services.Gov. Greg Abbott said the Texas Health and Human Services Commission (HHSC) projects are funded by $1.5 billion approved by the Texas Legislature in 2023 to expand, renovate, and build new facilities across the state.” How many people are receiving mental health treatment in Texas “More than 5 million American adults were receiving mental health treatment at a state-monitored mental health facility in 2022, according to a report from the Department of Health and Human Services released in April, an increase from last year. However, access to treatment can largely depend on where someone lives or what kind of insurance they have. More than half of adults receiving treatment lived in just 10 states, as many Americans lack access to mental health care.”
NAMI Texas is a nonpartisan nonprofit organization dedicated to improving the quality of life of all individuals living with mental illness and their families. Please visit our website at NAMITexas.org for more information. Help support our advocacy efforts by donating to NAMI Texas at https://namitexas.networkforgood.com/
So much has happened since I did the last Health Update in 2023. I have to say that I’m feeling much better since my Psychiatrist stopped my Prozac and started me on Trintellex. It wasn’t something he suggested but after talking to my Therapist who has several patients on it, I requested he call it in. July 4th was the efficacy date but I started to feel so much better long before. It does have nausea and vomiting as common side effects and I did experience them but felt comfortable they would pass and they did. I feel better mentally than I have in over 5 years and I’m taking it all in.
I’ve been working in the yard, on my outdoor and indoor plants, and cleaning the house the right way, the way my Grandparents taught me. I started on a project and cleaned around the area until I wore out. It feels so good to do the job right and not half-assed.
I’ve bought many new indoor plants and have enjoyed repotting them. I even bought a Bonsia to try my hand at and have finally mastered succulents.
I also bought a new larger bird feeding station and a squirrel feeder. The squirrels are enjoying the corn cobs and staying away from the other feeders. Now I get to see birds of all types enjoying the feeders which makes my day.
My eye doctor’s appointment was way overdue and my readers weren’t cutting it so I now have a new pair of glasses that specifically address my nearsightedness.
On the more difficult side, many of you know I had a nervous breakdown after watching a series about gang violence and the trafficking of women. I had watched the two prior seasons without a problem but season three was brutal. When the woman who had been trafficked had nowhere to go, she went back to the man who broke her. I lost it, my husband had never seen that side of me. It was followed by severe nightmares and I had a PTSD meltdown, it was very disturbing and the nightmares have continued just not every night. It also brought up several triggered memories that I had forgotten about. Luckily the memories didn’t bring up pain and were passing thoughts.
I’ve recently written about my trip to the ER thinking I was having a stroke. Luckily it wasn’t, it turned out to be my Esophagus issues getting inflamed and the pain and spasms were in the sternum area which is why it felt like it was my heart. My Gastroenterologist has added a new medical that is working. I was not taking my Protonix every day because my Neurologist put the fear of God in me about the drug. I know better than to listen to another doctor, the way to stay healthy is to discuss any questions with the doctor who prescribed the medication. I would never let another doctor mess with my medication for my Bipolar Disorder but like I said we put the fear of God in my on what the long-term effects would cause me.
This is a good lesson because many medications are not meant for long-term use however that doesn’t mean you fall into that category. As my Gastroenterologist said it is about quality of life. I found out the effect on my life and all the pain and vomiting caused by not taking my Protonix properly and I won’t go down that road again.
I’m still seeing my worthless Psychiatrist and after my appointment this week I plan to change doctors. In the DFW area Psychiatrist, frown on anyone who changes doctors regardless of the reason and that is why I’ve stayed for a year. I saw my previous Psychiatrist for 32 years and that should speak for itself. I have a highly respected doctor in mind, just haven’t made contact with him. That is why I plan to ask my current doctor to schedule our next appointment four months out and that will give me time to get set up with the new doctor.
That’s the highlights and lowlights of my health over the past year.
Thank you for all the great feedback on the Blogger Highlight series, I’ve enjoyed meeting each blogger and sharing their site with you. This week we highlight Shedding Light On Mental Illness.
Amy and I have followed and supported each other for many years, she has helped me through some dark times and Amy understands firsthand how Bipolar Disorder can affect your life. Her life is one of great accomplishments such as being an Olympian and a successful speaker and yet she has faced the demons of Mental Illness. If you’re looking for motivation and inspiration her blog is the place to go.
“Shedding Light on Mental Health” is a compassionate and informative blog dedicated to breaking stigma and providing support for those navigating the complexities of mental health. Through years of mental health coaching, advocacy and speaking, I lean into my experiences and knowledge to help inform and educate my readers. Thanks for reading!
Amy is an Author & Olympian.
In January 2023, I began an 11 month journey to write a book about my experiences with mental health challenges. Almost everyday I wrote to finish a manuscript and ultimately had a book available on Amazon called Unsilenced: A Memoir of Healing from Trauma. I found the entire writing process to be unexpectantly be very empowering.
Here’s an excerpt from my book: “I had to come to terms with each piece of my past. From the sexual assaults, which wreaked havoc with my life, to the interactions with the criminal justice system and a near death experience. One event was quite a bit to cope with, but layered together, it was a lot to process. I tended to focus on one small piece at a time. Healing and grieving weren’t a linear process. The memories ebbed and flowed. I researched and found many stories of people who had struggled. Their stories shined a light for me that gave me hope I could fully recover too.”
Unsilenced
Unsilenced: A Memoir of Healing from Trauma is a deeply moving story of one woman’s journey through trauma’s unexpected, devastating effects and her ultimate recovery. Amy Gamble’s Story will leave the reader optimistic that even the darkest days can lead to bright outcomes.
I’ve been slowing down the past 6 months by working hard to stop multi-tasking and be in the moment, listen, and communicate clearly. My new medication is at full power, I’m feeling better than I have in over 5 years, and taking in every minute. I’ve kickstarted my indoor and outdoor plants, and have been repotting those who are long overdue. I’m a plant and flower person and treasure my outdoor standbys that come back every year. I am testing my skills to revive a Gardenia plant.
I had the same amount of time before but it was spent aimlessly on health crises, new diagnoses, unstable mood, and Infusion Treatments. I was not able to mentally or physically do it.
My favorite Rose
This idea started when I looked at the number of posts I’ve written since 2014. The numbers show I am slowing down, and it feels great.
Here’s a quick look at the numbers
2014 25
2015 1,031
2016 4,812
2017 5,984
2018 7,041
2019 21,414
2020 52,466
2021 45,619
2022 42,787
2023 23,814
2024 as of June 18th 14,312
I’m proud of the post I’ve written and at 61 years old next month, I’m glad I got in touch with what is important to me, and slowing down is important for my ongoing health issues, Bipolar Disorder, Cognitive Impairment, and Immune Disorders. Above all my Mental Health.
Thank you to all who have visited my blog over the years, it’s been a wild ride, you’ve seen me grow as a person, shared my health struggles and all that life has brought my way for 10 years. Your posts and connections have opened my mind, warmed my heart, reinforced what is important and you have filled my life with joy. I don’t plan on stopping, just writing at my own pace, not my uber-driven mind. You can look for more posts on travel, art, and photography.
Peter the Great in St Petersburg Square
Hoofs up means they lost their life in battle, my friend Gavin taught me.
Many if not most prescribed medications require a ramp-up period called efficacy, this is the time it takes for the medication to reach a therapeutic level.
For example:
I started Trintellex several weeks ago for my ongoing depression. The Prozac wasn’t working any longer which is common when you take a drug for a long time. The efficacy of Trintellix is 6-8 weeks, during this period you can experience common side effects and they often subside once the drug reaches efficacy. It’s important to track these symptoms but it’s not always time to call your doctor. Never stop taking medication before talking to your doctor, stopping medication abruptly can send your brain into a tailspin. If you can’t wait to hear back from your doctor, go to your nearest ER for help ASAP. It may save your life.
The most important side effects to be aware of are adverse side effects, which are the worst side effects that can be deadly and require immediate attention. It’s easy to forget the side effects after reading the prescribing instructions the first time so I keep them handy.
The past week I was overcome by nausea and vomiting and thought I was getting sick. After reading the prescribing instructions again I was reminded that those are common side effects, not ones to be alarmed about. I have experienced sparks in the brain as the medication reaches efficacy, like crying, returned energy, improved cognition, and feeling better overall.
All medications including over-the-counter items still have side effects, especially for children.
Always call your doctor if you are concerned about anything, not just medication side effects.
My Bipolar Disorder was difficult to manage with medication alone. My Psychiatrist told me about a device that was waiting for FDA approval.
In 2005 the VNS device was approved by the FDA and my doctor had all the information ready to send to my insurance company.
The first time insurance denied the device. Here’s how I got insurance to approve. I wrote a letter explaining what my life was like and how it controls my life and in time the possibility of suicide.
A VNS device looks much like a pacemaker with two leads that attach to your vagus nerves, sending signals to the brain to relieve your depression.
The surgery doesn’t take long, but getting used to the device turned on takes a while.
When you are talking the device makes your voice sound weird but only when the device is sending signals to the brain.
When I had my surgery, no one had seen one implanted which meant the Gallery was full of other doctors. My doctor got to see my boobs, that had to settle in.
After you have healed the device is turned on at a low level so you get used to the feeling of the device working. Then we turned up the level until we found what we thought was the right setting.
I kept it on for years but finally admitted it wasn’t working and had it turned off.
The only pain involved is initial surgery.
I thought this device would change my life but it didn’t work out that way.
If you care for someone with Bipolar Disorder, know the basics about the illness and side effects. You’ll learn as you go. It’s important that you don’t keep asking how they’re doing; that will stress them out. You will have to up your game to catch the nuances of body language and conversations.
Different types of Bipolar Disorder.
There are three types of bipolar disorder. All three types involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, irritable, or energized behavior (known as manic episodes) to very “down,” sad, indifferent, or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.
Bipolar I disorder is defined by manic episodes that last for at least 7 days (nearly every day for most of the day) or by manic symptoms that are so severe that the person needs immediate medical care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depressive symptoms and manic symptoms at the same time) are also possible. Experiencing four or more episodes of mania or depression within 1 year is called “rapid cycling.”
Bipolar II disorder is defined by a pattern of depressive episodes and hypomanic episodes. The hypomanic episodes are less severe than the manic episodes in bipolar I disorder.
Cyclothymic disorder (also called cyclothymia) is defined by recurring hypomanic and depressive symptoms that are not intense enough or do not last long enough to qualify as hypomanic or depressive episodes.
Until the doctor gets the medication balanced, you might have to take a medication for a month or longer to see if it works; if not, the doctor tries another. Changes in medication will continue until the Psychiatrist finds the right mix of medication. I went through many drugs in the beginning because I’m treatment-resistant, which means many medications do not work on me. It’s important to note that over time, medication can stop working, and the Psychiatrist has to find another medication. I’m currently taking a cocktail of 6 different medications.
In the 32 years since I was diagnosed, I’ve experienced rapid cycling, mixed features, hypomania, and depression. The most difficult for me to manage is rapid cycling. One minute you feel great, and 15 minutes later depressed. This is a very unstable time. Make sure you let your Psychiatrist know about your rapid cycling.
If possible, find a Psychopharmacologist over a Psychiatrist if you can find one. The difference is that a Psychopharmacologist spends extra years of education focusing on how medication and the brain work. It can be difficult to find one.
I thought my doctor didn’t like me for a long time. Over time, I learned how to talk to him, and now he’s like family. You don’t have to like your doctor if they listen and share details about the drugs and answers to your questions, and you trust them, keep them as your doctor.
Personal Experience
The backstory starts with the DEA, which is limiting the amount of medication each pharmacy receives each month. This is an experience I have been dealing with for the past year. This month, my pharmacy only had 25 pills, and I had to wait 3 weeks for a refill because they had not received a shipment. Pharmacies are NOT making these rules. Get to know your pharmacist; they may be able to help you through this crisis. Don’t take your anger out on the Pharmacy. Until the DEA backs off, this problem will continue.
Here’s one of the challenges I face. One medication is what I call my anchor medication. This past month, it took 3 weeks to get my medication in stock. In those 3 weeks without the medication, it is no longer in your system. After going three weeks without the medication, my body has to start over. So far, I have not been able to see if it works because I can’t take the medication long enough to work.
My new Psychiatrist is cutting my Xanax to 3 per day, not the 4 per day that I have been taking for so long. The bottom line is I’m in withdrawal as my body adjusts to only 3 a day. You stack that on top of the problems with refills; it’s frustrating. This means my anxiety is higher during certain hours when I don’t take my Xanax. It’s a very addictive medication,and one of the worst withdrawals I’ve been through.
It’s important to have someone that you can reach out to if you need help.
This happened two evenings ago due to my anxiety being very high. To better communicate, you can say certain words to help them understand where you are at and when you are falling into depression or higher than a kite.
I was so truly happy, and I haven’t been happy in so long. I was soaking in every moment because my mood could change. Feeling joy in my heart felt so good, and I didn’t want it to end.
My husband said I was jacked up, and I said I knew. The key word here is I KNOW. For me, that means I know and am keeping tabs on your mood. If it’s a problem after that, I’ll let you know.
I went upstairs to get ready for bed, and when he came into the room, I continued the conversation in a combative way. I was jacked and angry, raising my voice much higher and even pointing my finger at him. I could not believe what was coming out of my mouth and my behavior. In the last 22 years, we’ve had a handful of fights.
We have established words to use when my mood changes and is concerning. When he tells me I’m jacked up, the keyword is I KNOW, which means I’m keeping an eye on it. When I’m feeling suicidal, I let him know. This is how we communicate about my Bipolar Disorder when he observes a behavior change.
If you are newly diagnosed, be patient. When you start the journey, it can be rough and frustrating.
Don’t obsess over your new diagnosis; learn the basics of your illness and symptoms for now. The most important thing I can say is to only read about your illness or symptoms of Bipolar Disorder from trustworthy websites. When you read anything else, you risk getting the wrong information. It’s critical to read a respected source. Right now is not the time to read the wrong information. On my website, there is a pull-down menu called Organizations That Can Help. There, you can find resources under Mental Illness. In the beginning, you may feel overloaded; remember this is a long journey.
I was kindly gifted a copy of Manic Man, How to Live a Successfully with a Severe Mental Illness by Jason Wegner and Dr. Kerry Bernes from Soraya Nair, Managing Editor at Cherish Editions for a review. Thank you, Manic Man was another great read from Cherish Editions.
Because this review was done many years ago I’m not able to make the changes to the layout that I would like to.
Lives with a severe mental illness, Bipolar Disorder 1.
Dr. Kerry Bernes B.Ed., M.Sc., Ph.D., R.Psych., ABPP Board Certified in Clinical Psychology (American Board of Professional Psychology)
Blurb
His courageous story begins with a glimpse of Jason’s normal life before the hypomanic stage of his illness kicks in. The mania starts when he tries the dangerous psychedelic drug LSD and takes off a few weeks later in Tanzania. He is in a full-blown manic episode while in Africa, and his behaviours and journaled thoughts demonstrate this. Weeks of mania continue after he returns from Africa until he is tricked into an ambulance and taken to the hospital’s emergency wing. He would be hospitalized in the acute psychiatry ward for 57 days, but his journey to improved mental health had just begun.
To lift Jason out of his severe depression, his psychologist Dr. Kerry Bernes developed “The Octagon of Life,” which represents the eight areas that Jason needed to focus on to rebuild his life. He shares this model in Manic Man, too.
Reviews:
“Jason gives an inside look into his brain during his mania, depression and recovery. It helped me to learn more about the bipolar disorder, as well as mental health in general. Thank you for sharing your story and breaking the stigma surrounding an invisible illness.”
“A must read for anyone who knows anyone going through a mental health crisis. Very well written. Thank you for writing this book.”
My Thoughts
I completely understand where Jason is coming from because I was diagnosed with Bipolar Disorder 1 at 19 years old. Being in a Manic in a state is hard to describe. You have firm beliefs that are not reality, they are grandiose, supernatural, and intoxicating. So intoxicating you don’t want the feelings to stop even when you realize how sick you are.
Jason was like a train going full steam with no brakes, ideas and thoughts coming at him like the changing of slides in a hand projector. They say is the higher you are the harder you fall and Jason fell hard.
He spent 57 days in a Phsychaitrict hospital after his parents intervened on his behalf when his behavior became so erratic they grew concerned for his wellbeing.
During his stay in the hospital, Jason learned about this illness, began to come to terms with his behavior, and started medication which is essential for Bipolar Disorder patients.
I highly recommend this book to anyone who has a friend or loved one with Bipolar Disorder, it will give you first-hand insight and you can’t get anywhere else. If you think someone has Bipolar Disorder this is a good book to help you better understand the signs and symptoms.
Cherish Editions
Cherish Editions is the self-publishing division of Trigger Publishing, the UK’s leading independent mental health and wellbeing publisher.
We are experienced in creating and selling positive, responsible, important and inspirational books, which work to de-stigmatise the issues around mental health, as well as helping people who read them to maintain and improve their mental health and wellbeing. By choosing to publish through Cherish Editions, you will get the expertise of the dedicated Trigger Team at every step of the process.
We are proud of what we do, and passionate about the books that we publish. We want to do the very best for you and your book, holding your hand every step of the way.
This is a must see video. Jeremy Forbes shares great information to help you have a real conversation with a friend or love one. I did not see the twist coming, he’s a Survivor.
Staff Spotlight: Meet NAMI Texas’ New Peer Policy Fellow! Join us in welcoming our newest team member, Christine Busse! Christine joined NAMI Texas as a Peer Policy Fellow in July 2024. She holds a master’s in social work from the University of Texas at San Antonio and a Bachelor of Science in Behavioral Neuroscience from St. Edward’s University. Her professional journey includes nearly four years as a Registered Behavior Technician, providing Applied Behavioral Analysis (ABA) therapeutic services to youth with special needs. During her graduate studies, she honed her research and data analysis skills as a Graduate Research Assistant on the Bexar County Fostering Educational Success project, evaluating programs supporting foster care alumni. She gained valuable policy experience through internships at the National Association of Social Workers – Texas and the Hogg Foundation for Mental Health, actively participating in the 88th Texas legislative session. Most recently, Christine served as the Planning and Policy Coordinator at the Texas Homeless Network. These diverse roles provided Christine with strong experience in mental health and substance use policy, education, and behavioral health workforce challenges. She developed expertise in policy research, strategic advocacy, and legislative processes. As a lifelong Texan and Lebanese American with lived experience of mental illness, Christine is passionate about bridging the gap between research, policy, and lived experience to enhance effective mental health policies and support systems. She is committed to fostering community resilience and well-being to build a stronger, healthier Texas for all. 
NAMI National’s #Vote4MentalHealth Pledge Mental health impacts nearly all aspects of our lives. And at NAMI, we advocate on a wide range of policy priorities, from health care to criminal justice to housing and beyond. No matter the topic, we know that mental health matters. Your vote in the upcoming elections matters, too. Every elected official – from the president and Congress to county commissioners and city councilmembers – has influence on issues impacting people affected by mental health conditions. That’s why it’s so important to understand how voting impacts mental health. Take the first step: click the following link to 
Public Policy Platform Development Input Our 2025-2026 Public Policy Platform surveys have concluded. Thank you much for your time and input on these important matters! We could not do this work without all of you. Stay tuned for our Public Policy Platform which will be published in the fall. 
NAMI Texas Conference: Celebrating 40 Years of Hope and HealingEvery year, NAMI Texas hosts an Annual Conference and Awards Celebration. These events bring together individuals living with mental illness, family members, professionals, and the general public to highlight the latest updates in the mental health field, exchange information, and celebrate the year’s successes. With exciting keynotes, informative workshops, a lively exhibit hall, Continuing Education Credit, networking opportunities, and special surprises, the Conference has something for everyone. This year, we are celebrating 40 Years of Hope and Healing. We could not be more excited to be bringing the Conference to West Texas. All Conference events will be held in the heart of bustling downtown El Paso, primarily in the beautiful El Paso Convention Center. There are many nonstop flights to El Paso from major Texas airports. The local Affiliate in the area, NAMI El Paso, is eager to welcome Texans from across the state. We hope you will join us in November for this extra special celebration! Early Bird Ticket Sale Alert! Purchase your ticket today in order to take advantage of the early bird ticket special! These discounted tickets will be available through September 1st, 2024. Click 
![Manic Man: How to Live Successfully with a Severe Mental Illness by [Jason Wegner, Dr. Kerry Bernes]](https://m.media-amazon.com/images/I/514vXptgEmL.jpg)
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