Right Words, Right Time, can offer Hope

I was the keynote speaker this week for the newly-renamed Child and Family Guidance Center, in Connecticut, celebrating 85 years of support and guidance in the area.

Speaking about the importance of early detection, and also of the lasting effect of the "right words at the right time" from providers who are aware of the effect of mental illness on the entire family, I saw a number of heads nodding in agreement. There are so many, still suffering in silence, embarrassed to talk about an medical illness that happens to affect the brain of someone they love.

One provider, a 25-year veteran social worker called "Helen" in my book Ben Behind his Voices: One Family's Journey from the Chaos of Schizophrenia to Hope (Rowman and Littlefield, coming Summer 2011) answered one of my questions with a sentence that has comforted and inspired me for years. I wonder if she knows how much I lived on that one sentence?

My son Ben had been living for almost five months on the state's "transitional living floor" after his fifth hospitalization that year. I'd had to make him homeless in order for him to qualify for a bed in a supervised living home. The wait for this bed was long and frustrating, and Helen had called me in to her office to brainstorm ways to help Ben get out of the limbo that is transitional living.

After an emotional meeting (Helen had been kind enough to ask me "so how are you and your daughter doing with all this?" - which few providers ask - and I had sobbed through my answer), I asked Helen, "How do you do this job? How do you deal with case after case of ill clients, sobbing relatives, and the paperwork of this system?"

I'll never forget Helen's answer. She handed me another tissue, looked at me with warmth and respect, and said "I'll tell you how I do it. And Why. It's because I love to see people get better."

People get better? I thought. That's possible? There's a chance for a better future here?

Helen was right,too. No, it's not perfect. Ben's life as I'd imagined it when he was a child is not in the cards right now. But - he's flying with us to Madison, Wisconsin for a family trip tomorrow. His self-talk is actually controlled enough to no longer frighten flight attendants. He has been - knock wood - stable for almost four years. He is in college, and handling a part-time load realistically and well.

Can it go away if he goes off meds for two days? Sure. But today - wow. His life is better than it was, so much better than I'd feared. Thank you, Helen, for giving me hope when it hardly seemed possible. I hope my book can do the same for others.

Publication Progress, Ben Behind His Voices

so... we are getting the most complimentary letters from publishers who "wish they could publish" Ben Behind His Voices: One Family's Journey from Chaos to Hope. With one out of every four families affected by mental illness, isn't there a strong need for a story that provides hope, resources, and speaks to the power of love in recovery?

What do you think? some of these comments:

"It's very moving but a very tough sell."

"Thanks for thinking of me for this. I have a soft spot for stories of this kind and found the writing wonderful. "

"I would love to read more--in fact I'm ready to buy the book and can't wait until you find
a publisher...."

"Thanks so much for sending me BEN BEHIND HIS VOICES by Randye Kaye. How chilling it is to read of Ben’s struggle with schizophrenia—Randye expertly relates the horror that undoubtedly comes with a phone call from your son’s school informing you that he thinks he’s having a nervous breakdown. The strength and love in coping with this illness, especially between Ben and Ali, are both obvious and amazing.
While I did admire elements of this proposal, I’m sorry to say that in the end, I wasn’t confident I could break this project out on a large scale in a crowded market."

meanwhile, collecting some great quotes for the back cover!
“Ben Behind his Voices reminds us that schizophrenia is an illness, but not necessarily an identity. It movingly depicts the difficulty and the importance of recognizing, accepting, and managing the symptoms of this disorder.”

John H. Krystal, M.D.
Robert L. McNeil, Jr. Professor of Translational Research
Chair, Department of Psychiatry
Yale University School of Medicine

Ben Behind His Voices - further out of the shadows

Claire Gerus, my wonderful literary agent can be contacted at cgerus@comcast.net. The original titles of this memoir represent some of the changes we've gone through as a family since its original draft as To Hell and Half way Back, and first revision as No Casseroles for Schizophrenia: Family Lessons on the Journey to Acceptance. Present title: Ben Behind His Voices: One Family's Journey through Schizophrenia to a New Normal .

And, indeed, the "new normal" remains in progress - but there is happy news.  One of the reasons I wrote this book is to provide a vision of hope for families devastated by mental illness.  Many of the chapters spell out, all too realistically, the years of confusion and chaos, with sidebars of information I wish I'd had before Ben's diagnosis.  And we all know that recovery is hardly a straight, predictable road. But - recovery is possible, with a combination of realistic expectations and persistent watchfulness and hope.

Before the symptoms emerged in  mid-adolescence, one of Ben's most endearing qualities was his way with children - warm, insightful, loving. He was a sought-after babysitter and remarkable tutor.

We lost all that under the illness for many years.  If you have gone through this in your family, I don't have to explain this any further.  But - Ben is still there, indeed, behind his voices, and he is emerging from the shadows more and more, with each day he stays on his meds.  This week I got to observe him teaching an art project to pre-schoolers (a homework assignment for a college class he's taking). I saw, for the first time in years, reminders of the patience, creativity and understanding he used to have with kids.

It is possible.  It's not perfect, but it's possible.

Why the title "Ben Behind His Voices""? Excerpt from Introduction

why? because Ben is still in there, struggling to connect through the chaos of senses gone haywire, or sometimes dulled by the meds that keep him out of the hospital, in his brain.

Introduction - 2010

My son Ben knows the lyrics to every song I’ve never really noticed on the radio. He’s the one who teaches to me to appreciate the poetry in songs by Led Zeppelin, Pink Floyd, and Eminem. He’s my favorite companion for performances of Shakespeare in the Park, because just at the point when I’m starting to think why don’t they just speak English already?, he invariably whispers something like, “Wasn’t Shakespeare a genius, Mom? Listen to the music in the way he wrote those lines.” Shame on me.

Ben loves nature, children, fantasy video games, helping others, the Indianapolis Colts, Thanksgiving with the family, and vegetarian Thai food. He made the Dean’s List at college last semester. He kills at Scrabble. He has offered to counsel my best friend’s nephew, who is still lost in the world of drug addiction.

Ben is 27 years old. And – oh, yes – he has paranoid schizophrenia.

Ben is not “supposed to” care about others - that's one of the symptoms of schizophrenia. But he does. He is full of love, and we're grateful for his presence. Our family has learned to live in the moment; there are, thankfully, many moments to treasure these days. But it wasn’t always like this, and we know, all too well, that tomorrow could bring more change. Still, we have found hope and love that we once thought might be lost forever.

When Ben was hospitalized five times in 2003 – the height of his crisis period - for symptoms of this illness, no one in my life really knew how to react. No one showed up with casseroles at our door– especially not by the third or fourth hospitalization. People don’t really know what to do, how to support the patient and the family. Unlike a physical illness like a broken leg, there’s no timetable for recovery from something like schizophrenia. There’s no sure moment of getting better. There is no cure; there is only management. As is also true with cancer, there’s always a chance for recurrence after remission. But unlike most cancers, the patient’s very soul seems to be affected by mental illness. The organ it affects is the brain, and that’s the window to our personality, perhaps to our soul. People are frightened of mental illness; they’re uncomfortable visiting someone on the psych floor. The family feels isolated, stigmatized, and often very alone. But there is hope. Ben is in recovery. He is not “cured”, but he can be kept in careful balance. He is part of our family. He is worth knowing. He deserves to be understood and accepted, just like anyone with a more visible disabilty.

Every morning and evening, Ben takes medication to keep his brain in balance. He doesn’t agree that these meds do anything to help him, even though if he stops taking them he winds up back in the hospital within days. All he knows is that they make him feel mentally cloudy and physically exhausted. Ben tells me that he feels like a blanket has been thrown over his mind when he’s on his medication; he loves the initial feeling of clarity and energy that comes if he stops taking it. I know that this euphoria lasts only a day or so, but by the time Ben’s brain has raced past that first phase, he’s too symptomatic to realize that anything’s wrong. He generally just thinks that “people are treating him differently” for some reason. Sure we are. When Ben shifts focus to his inner world, and we try like hell to bring him back to us.

Without the medication that restores the chemical balance in Ben’s brain, he has to fight to remain connected to what’s happening around him instead of within him – and the strain of that effort is heartbreakingly apparent. Ben wants, with all his heart, to prove that he doesn’t need the medication that we know has brought him back to us – at least halfway back.

opening chapter, the book

This post updated January 28, 2011 - because the "right publisher" has come to us! Rowman and Littlefield will publish Ben Behind His Voices: One Family's Journey from the Chaos of Schizophrenia to Hope in August of 2011! Thanks to Claire Gerus for repping this, and to R&L for believing in it. Please go to www.randyekaye.com to sign up for updates on the book, or join the facebook group Ben Behind His Voices, the book.

Back then I wrote:
The right publisher will help bring hope and understanding to the many families – one out of every four, in fact – who live with mental illness every day.

A young man stands before you. Diagnosis: Schizophrenia.

Is the situation hopeless? No. Is his life worthless? Absolutely not. Is he about to pull out a gun and begin shooting? Despite what the media would have you believe, the answer is still no.

Did his family stand by, helpless and confused, as he fell into pieces bit by bit in ways they could neither understand nor control? Well - yes. Unfortunately, yes.

But is recovery also possible? Can the broken parts be pieced back together? Also – with education, support, acceptance, and love – yes. YES.

I will post excerpts from the book here on this blog, so that others may begin to hear the story. If you want to know more, please follow.

This is from Chapter One:

It’s the night of the Great Northeast Blackout, August 2003. I sit in the ER waiting room, watching my son Benjamin, 21, recently diagnosed with paranoid schizophrenia. He stares at his feet, mumbling to himself, possibly to voices only he can hear and whose existence he always denies. Ben glances up at me now and again, his lips in a faint smile but his eyes clouded and unreachable, and then returns to his inner conversation. Suddenly he looks up once more, this time to address the elderly woman seated in another hard plastic chair across from him, coughing violently.

“Excuse me, ma’am, are you all right?” Ben asks.

The woman smiles. “Yes, son, I’ll be OK. Thanks.” She takes a sip of bottled water; her coughing calms. Only then does Ben abandon the battle to stay focused on the outside world, and give in to the voices. Not until then does he return to his own internal world of psychosis. This, I can tell, is a relief for him.

He’s still in there, I thought. He is worth saving.

This was to be Ben’s fifth admittance to the psych unit in six months. It also marked the beginning of his recovery - and the start of my family’s road to acceptance of his illness. No Casseroles for Schizophrenia outlines that journey, from the bewildering and ultimately terrifying arrival of symptoms, through the crises of psychosis and hospitalizations, and finally to the “new normal” of recovery and hope.

Schizophrenia is arguably the most misunderstood mental illness; certainly no one comes to your door with casseroles when your child is hospitalized with this illness, especially after the first time it happens. But a person with schizophrenia is a person still worth loving – and that love helps immeasurably on the journey to recovery and acceptance.

All is not lost.

Beyond Trauma

I had the pleasure of presenting with Linda Appleman Shapiro, author of Four Rooms, Upstairs: A Psychotherapist's Journey Into and Beyond Her Mother's Mental Illness, last week at the library in Ridgefield, CT. Each time I tell Ben's (and our family's) story, I see at least one face in the audience that seems to open with relief: Can we really talk about these secrets? Is mental illness really not the source of shame I've been assuming it is?

Yes, let's talk. A mental illness is just that: an illness. It is no one's fault. It just is.

Great books for practical advice:
When Someone You Love Has a Mental Illness by Rebecca Woolis
I'm Not Sick, I Don't Need Help - Xavier Amador - great info, "system" doesn't always work, but helps understanding greatly
and - believe it or not, for basics - there are "dummies" books for schizophrenia, bipolar, etc.

What familes need:
Support
Education
Acceptance (Letting Go)
Reality check, Respect, Resilience
Communication
Hope - and, yes, Humor

It spells SEARCH.
My son Ben is living a very worthwhile life, filled with love, even with paranoid schizophrenia. Even so, my expectations have changed. It is a new normal. R for reality...

No Casseroles for Schizophrenia

If you are dealing with a mental illness in your family, this blog's for you.
My memoir, Ben Behind His Voices:One Family's Journey through Schizophrenia to a New Normal (formerly titled No Casseroles for Schizophrenia) is represented by Claire Gerus, cgerus@comcast.net. I am a NAMI Family-to-Family teacher and trainer in Connecticut, and professional speaker. My son, Ben, is 26 years old and was diagnosed with a severe case of paranoid schizophrenia about 5 years ago, after many years of confusion for our family during the gradual onset phase. The purpose of the book is to (a) tell the story of Ben's onset, crisis and recovery - especially recovery. All is not lost. Ben's life is worth living, he is worth loving; (b) get the subject - and stigma - out of the closet and into the open air where it can be discussed and, eventually, accepted; (c) provide hope, and some guidelines, for families; (d) educate providers as to what the family experiences when mental illness strikes - increase empathy and respect for the family as well as the person who has the illness. Oh, yes, and attract the right publisher to my literary agent, who believes in this book as much as I do.
Randye Kaye, rep. by Claire Gerus,
cgerus@comcast.net.