Illuminating the Facts About Behavioral Health and Rising Above the Stigma
[Reader Discretion Strongly Advised: this article discusses the sexual assault of men and boys and may not be appropriate for readers under the age of thirteen, it may also be triggering for those who have experienced similar trauma. Resources and reading recommendations follow the article.]

This article came into being after a conversation with another man who had experienced sexual trauma during childhood. Throughout my life I have met other men who have similar stories of sexual assault and abuse, some of these men experienced their sexual trauma at the hands of men and others at the hands of women. While we should not turn our attention away from women and girls who experience the same kinds of sexual assault and abuse that is discussed in this article, we should not allow men and boys to continue to be invisible, ashamed, and unheard when it comes to this type of trauma.
When I use the term “male” in this article, I am referring to any age range, so that it includes children, adolescents, and adults. The terms “victim” and “survivor” are sometimes held in disdain by boys, teens, and adult men who have experienced sexual assault at some point during their childhood, adolescence, and adulthood. Though the connotation attached to these words is often one of sincerity, it is perceived subjectively by some who believe that through calling themselves victims or survivors, they are in fact furthering their own victimhood and empowering their attackers and abusers. I wish to acknowledge this and make clear that the terms are used in this article solely for the purpose to differentiate between attacker and the attacked for the uninformed casual reader, and that the words are not intended to perpetuate the state of victimhood nor to gauge the severity of the incident by deeming one a survivor.
I think it’s incredibly important that we understand the meaning of the terminology used in this article so that we are all of a unified mind. The terms “sexual assault” and “sexual abuse” have varying definitions depending on federal, state, and even local government interpretation. Though I will give generally accepted definitions for these terms so that we can all understand the topics discussed in this article, please understand that not all legal entities may agree with these definitions, especially in matters relating to criminal prosecution.
Sexual assault typically refers to the use of the victim’s body in a sexual manner against their will, including in situations where they cannot give permission due to age or due to their state of consciousness – being inebriated, intoxicated, or intellectually/developmentally disabled. Acts that could fall under this category include molestation such as the groping or touching of genitals and anus or forcing the victim to use their hands, feet, mouth, genitals or any other body part to grope or touch the perpetrator’s genitals, anus, other body part or other object. Sodomy, which includes oral and anal rape of the victim, also falls under the category of sexual assault, regardless of the object used in penetration. Forcing the victim to engage in sexual activity with another victim also falls under this category.
The term “sexual abuse” can include all of the things previously mentioned, but also includes behavior that does not directly involve the physical use of the victim’s body in a sexual manner. An example would include parents forcing their son to observe his parents engaging in intercourse or other sexual activity, or forcing him to view pornographic material, or the parents issuing verbal threats of sexual assault. Other behavior that can be defined as sexual abuse includes a parent forcing their son to undress in front of them or in front of other adults, or forcing the son to bathe or shower with the parent or in close proximity or view of the parent or any other adult. I keep referring to parents in these examples because 91% of all sexual abuse against children is committed by people children know and trust, primarily their parents.
According to the advocacy group Protect Our Defenders, in 2018 nearly 37% of reported sexual assault and rape victims in the U.S. military were men. According to the Centers for Disease Control and Prevention, four-million men experienced sexual violence in the year 2014 alone. In general, 1 in 4 men will experience some kind of sexual violence at some point in their lifetime, and 1 in 12 men will experience contact sexual violence by someone they identify as an intimate partner. In the United States, 1 in 6 boys will be sexually abused at some point during their childhood and 1 in 20 will be sexually assaulted before the age of 18, according to the Crimes Against Children Research Center. Of the men who have reported being raped, 1 in every 4 stated that the event occurred before the age of ten.
Most people would find these statistical data surprising as the narrative in the news and media compels us to believe that only women are victims of sexual assault and prolonged abuse, not just in the military but in the U.S. as a whole. When people learn that boys and men are sexually assaulted, the conclusion is drawn that the victims must be gay and that the perpetrators must also be gay.
This is another perpetual and cultural narrative given by society that does not reflect the data in cases of reported sexual assault against men and boys. Most cases of sexual abuse on boys and teens under the age of sixteen is perpetrated by self-identified heterosexual (straight) men, and about 15% of perpetrators are, in fact, women. If you include cases of men and boys over the age of 16 who were victims, that percentage of female perpetrators rises to nearly 40%.
In some cases the attack occurs where the victims are made to penetrate the attacker, this type of sexual assault against boys and men accounts for nearly 7% of assaults or abuse. In 2014 alone, more than 800,000 men reported being victims of this kind of sexual assault. It can be baffling for people who have never been sexually assaulted or abused to understand how men can be forced to penetrate another person, but it can be made clear when one better understands the male anatomy. Being sexually aroused is not relative to the situation or environment in which a boy or man finds himself. Even under duress, fear, or discomfort, erection and orgasm can occur against one’s will.
This may seem like a phenomenon or oddity, but unwanted or unexpected arousal is commonly experienced by most boys, especially during puberty when they can also experience unwanted ejaculation, and it also happens to some male victims of sexual assault and sodomy. This is true regardless of the gender of the attacker or the sexual orientation of the victim. Erection and orgasm are automatic physiological involuntary responses and do not occur by conscious choice. To learn more about this anatomical process, I recommend this LivingWell article.
This experience of getting an erection and even experiencing ejaculation and orgasm during a sexual assault or sodomy does not mean the victim likes it or wants it to occur. I will be returning to this topic further into my article, but I want to make it blatantly clear to readers and victims that experiencing these processes during a single attack or prolonged abuse is not uncommon and is not the victim’s fault and is not an indication that they enjoyed it.
As someone who previously worked in peer support with individuals who reported forms of sexual assault or abuse as one of their adverse childhood experiences, I can advise that it is not uncommon for these victims to later grow into adolescence and adulthood and find themselves intentionally watching films with scenes containing sexual violence or viewing rape-based pornography. This has been reported to me by male and female victims, and by persons who experienced the sexual assault or abuse at various times in their lives, such as childhood, adolescence, and young adulthood. In some situations, the individuals have reported seeking role-play scenarios with their intimate partners where they act out sexual assault and rape.
This may sound unusual to outsiders, but I have found this to be rather common among victims. I’m not sure the field of psychology has a definitive answer for why victims put themselves into situations where they relive their trauma, but it’s my personal opinion that doing so as an adult, allows them the opportunity for control. Something that was withheld from them during their traumatic experience.
I’ve had conversations with other mental health professionals about this topic and whether or not engaging in this behavior is healthy. Once again, I can’t say that psychology has a definitive answer because it really depends on the many factors at play, such as the person’s goals and whether or not they feel safe with their intimate partner and have established boundaries and identified safe words. Part of that would be having a conversation about their trauma with their partner and why they would like to have this type of role-play sexual experience. It may be the case that reliving their traumatic experiences in the safety of their home with a trusted, patient, and loving partner is a necessary step in their recovery process. It may be a pathway for them to open that door to talking about and exploring what they experienced and how they are now in control of what happens to them and their body.
Male-on-male sexual assault almost always involves a heterosexual (straight) male or group of heterosexual (straight) males attacking another male who may be gay, bisexual, or straight. According to data from various sources noted at the end of this article, anywhere from 94% to 98% of all male perpetrators of sexual assault and abuse against victims of any gender, self-identify as heterosexual (straight). What sexual orientation the victim is often depends on the environment and the circumstances surrounding the attack.
Other types of assault and abuse occur when males are congregated in large enough numbers where personalities clash and social order or hierarchy is challenged. These types of attacks are about power, dominance, and sometimes revenge. A single straight male, or a group of straight males in instances of gang rape, will attack the victim who is seen as a threat to social standing either because he’s another alpha male or due to his popularity. It can also be over such issues as loyalty or the desire for subjugation. This type of attack rarely has anything to do with sexual intimacy, but with asserting dominance and control over a perceived rival or dissident.
You may find it difficult to believe that a male or group of males who are straight could sodomize another boy, however, you have to understand that this particular type of sexual assault has nothing to do with sexual attraction to a person, it is about sexual attraction to power, dominance, and sometimes even violence itself. These males are not turned on by the physical appearance or attractiveness of the victim, or by the fact that he’s biologically male, but by their control and dehumanization of the victim who represents another male in a position of power or prestige or in some other manner feels threatening to the perpetrators or that is believed to need to be put in his place or know his role. This is why it frequently happens during hazing rituals in team sports and in fraternities.
It’s the forced removal of that power and control, the forced vulnerability and perceived weakness or inferiority and shame that they are inflicting on the victim and their perceived dominance over him that sexually arouses the perpetrators. The stripping of manhood or manliness is the intended goal in these types of crimes and it can happen at any point throughout a boy, teen, or young man’s life. These types of incidences have occurred in schools, locker rooms, on field trips, at frat houses, on college campuses, at family gatherings, and religious events. Sometimes these attacks involve anal rape wherein one or more perpetrators penetrate the victim with their penis or they use objects as replacements. Commonly used objects include broom handles, toilet plunger handles, dildos, and other penis-shaped objects. In a nationally reported 2015 high school rape case, several teenagers used a pool cue stick to sodomize a fellow team member.
This type of male sexual assault also occurs frequently in prisons for the same reasons, with an estimated 70,000 men experiencing rape in U.S. prisons each year, perpetrated by both fellow inmates and corrections staff. Accounting for almost 22% of all rapes that occur in the United States annually.
The idea that you can break another male by taking his “manhood” through sodomy is not a new concept. Tracing history back thousands of years reveals that ancient civilizations practiced this behavior regularly during conflicts. It was not unusual for prevailing combatants to sodomize their captured opponents as a way to break their will to keep fighting. This act wasn’t reserved just for the battlefield, the humiliation continued into cities and villages under siege. Any man or boy old enough to swing a sword, was subjected to the same demoralizing sexual assault to show dominance and strip away any sense of pride or will to resist. These types of same-sex rape are even discussed in the Bible.
The most common instance in which male-on-male sexual assault is practiced, includes sexual attraction, impulse, interest, or curiosity towards a resistant, unknowing, or confused victim. This sexual experience can be brought on either through manipulation and coercion or by force. When sexual advances are denied or rejected, a perpetrator may force his desires on another male, who may or may not even be interested in the same gender, or even be old enough to understand what is happening. This type of forced sexual assault may include sodomy, forced masturbation, or oral sex.
Every year some 60,000 American children are sexually abused and 91% of the abusers are family members, teachers, friends, or someone else the child knows. Of those who are sexually abused, 33% are abused by another juvenile under the age of 18.
According to the Crimes Against Children Research Center, those who are abused are 9x more likely to grow up and become involved in illegal activity:
The resulting consequences of childhood and adulthood sexual abuse on males are staggering. Those who report having experienced sexual abuse, report long term symptoms such as:
These symptoms can occur immediately following a male-on-male sexual assault and last decades or for a lifetime if the victim does not seek professional help. Based on the research, it is generally accepted by the psychology industry that many victims never seek help or report the incident(s), hindering the data available on just how widespread sexual assault and abuse is on boys and men. Based on reporting statistics, men who experience sexual abuse as children will refrain from telling anyone for 20 years on average.
There are three main causes that prevent reporting of the assault/abuse and reluctance to seek professional help, these are:
The denial mentioned here is multi-faceted. A victim may feel so strongly about the incident that they compartmentalize the event and the emotions attached to it – pretending as though it never happened. This type of denial is the result of a collection of responses, from fear of facing the incident to humiliation that it occurred in the first place.
Even when a victim reports the incident to their parents or other loved ones, there may be a denial by those he is confiding in. A denial that the event “could” have or has happened, especially when the alleged perpetrator(s) are family members or family friends, which is often the case. The perpetrator or sexual predator may have also deployed a strategy called grooming or predatory grooming, wherein they have built a relationship with the victim, this is especially common with children and teens.
This grooming process also often coincides with various circumstances the victim may be experiencing that are quickly picked up on or perceived by the perpetrator. Grooming is one of the most prominent and frequently implemented methods of attracting, seducing, or building trust with a victim and therefore is profoundly important to understand so that sexual assault and abuse can be prevented!
Sometimes children, teens, and adults suffering from or struggling with behavioral health issues, whether we are talking about a mental health condition or a substance use disorder, become victims not just of the things they are struggling with, but also of other people who take advantage of them in their vulnerable state.
Sometimes individuals with a mental health condition or a substance use disorder (formerly known as addiction), find themselves in very difficult situations where they become extremely vulnerable to outside influence, persuasion, manipulation, coercion, psychological or physical abuse, among other things. This is compounded when they are also desperate for something they want or need, particularly when that thing is an illicit substance that they have become dependent upon.
Grooming is a process by which a person says and does things to attract another person to them, which heavily revolves around building trust, favor, and gratitude, but eventually leads to manipulation, coercion, and even threats and blackmail if the victim attempts to separate themselves from the “groomer.”
Part of this grooming process often includes money, gifts, favors, and other methods of flattery. Not everyone who finds themselves on the receiving end of this grooming process is oblivious to what is taking place. Some have even purposefully put themselves onto the groomers radar because they like the attention, not realizing the attention will eventually lead to their sexual assault and abuse.
However, the majority of people who find themselves being groomed are often unaware, especially in the beginning. Typically they are looking for belonging, direction, support, attention, connection, a change or a new start. Victims of grooming are often young, likely due to the fact they are less guarded, less cautious, less experienced, and less likely to perceive themselves as potential victims. Though plenty of adults can be the victims of grooming, most are usually under the age of 21 and unfortunately can even be very young children in cases of pedophilia.
Those who are groomers are almost always older than the victim, most of the time drastically older, which they use to their advantage. They are typically financially better off than the victim, can provide a financially stable support system, give them shelter, guidance, employment, food, expensive gifts, the list goes on and on.
Due to the fact that grooming victims are young and often troubled or struggling with their mental and emotional states, they can be easily manipulated, especially if the manipulative behavior includes money, objects, or substances the victim wants or believes he needs. The more the victim wants or believes he needs what the groomer is offering him, the more easily and deeply manipulated he will become.
Unlike power-predators who often seek victims they hate or are jealous of, groomers almost always target individuals they are sexually attracted to, but the victims sexuality is less important as the groomer still gets what they want through the control of manipulation, coercion, and above all else making the victim feel as though they are indebted to the groomer. Groomers are attention seekers and love to feel wanted/needed.
Aside from physical attraction or substance use, they may also look for boys or young men who appear to be poor, less educated, rebellious, reckless, socially rejected, troubled and struggling, abandoned, lonely, without purpose or direction in life, or are homeless.
This grooming process almost always culminates in requests for sexual favors. These sexual favors are rarely divulged early in the grooming process, but are withheld until the victim has built a sense of trust and dependence on the groomer. Long enough to where the groomer feels as though the victim will not say “no” to the groomer’s request, even if the request makes the victim uncomfortable.
For example, the victim may be a 14-year-old heterosexual boy and the groomer a 44-year-old homosexual man, and after a few months the groomer may make a request for photos of a sexual nature if he believes the “relationship” has been built strongly enough that the victim would reluctantly oblige with some reassurance and encouragement. Remember that at this point the groomer has already likely spent significant amounts of money on the victim, has gone through great lengths to build a bond with them, and so the victim will likely feel indebted to the groomer, becoming far more likely to oblige his requests – even if they feel weird to the victim.
If the victim does deny the request, the groomer may resort to guilt or even blackmail, especially if the groomer aided the victim in any kind of illegal act, such as manufacturing, distributing, or using controlled substances. From this point forward things can take a very dark turn, culminating in sexual extortion and exploitation. This behavior is very similar to what’s known as “baiting,” but may also be referred to as “fishing” or “hooking.” This strategy is more akin to catfishing than it is to grooming.
Instead of building a relationship with the victim in person, baiters will catfish victims online, getting victims to send text messages of a sexual nature, nude photos of themselves, and videos of the victim performing sexual acts. Concealing themselves behind a screen and creating fake profiles on social media and communication apps, these “baiters” trick victims into believing they are someone else – someone the victim is not threatened by and even sexually attracted to. This method rarely ends in physical sexual assault, but is still sexually abusive and leads to a very traumatic experience for the victim. You can learn more about this type of online threat by reading my article on the topic, The Darkest Corners of the Cyber World: Sexual Predation and Exploitation.
For male children and adults who have experienced sexual assault or prolonged sexual abuse, therapy is recommended and encouraged. This treatment may include talk therapy, medication, and it may even include group therapy or support groups if the victim is a teen or adult, but the process of opening up for victims will not be easy and may take time. In some cases, post-traumatic stress disorder (PTSD) or other forms of mental health conditions and substance use disorders may play a role and additional treatment options or specialized therapy may be required to work through the trauma.
If you or someone you know is experiencing sexual violence of any kind:
RAINN National Sexual Assault Hotline: 1-800-656-4673
Additional assistance can be attained from the National Sexual Violence Resource Center
For more information on the prevention of child sexual abuse, the Children’s Bureau of the Administration for Children and Families of the U.S. Department of Health and Human Services produced a short PDF with important tips for parents.
Additional resources for this article and the data it contains were collected from:







[Disclaimer: this article is not intended to treat or diagnose any mental or behavioral health condition, nor is it a replacement for the advice or treatment from medical or psychological professionals, this article has been provided for the sole purpose of bringing attention to a topic that is far too often invisible]
Updated August 5, 2021
If you or someone you know is experiencing a mental health or substance use crisis, please access my immediate assistance resource page. A comprehensive listing of online and phone resources and services is also available.

Calling to me in the distance, I can hear them all say my name. Reaching out from the past, from moments that used to be. I drift beyond the precipice of wakefulness, I let go of my consciousness and slip behind the veil.
There is a brisk coldness in here, the pitch black swallows the light that broke through behind me, and I am left to walk blindly through the dark. Events and people of yesteryear play out in the distance, auditory memories of joy and pain.
I can hear laughter, a voice that is young and vibrant, I think it’s me, the old me when I was still innocent. There are other voices, repeating themselves like a recording, replaying conversations I once heard and once had.
I remember them, I remember those walks, those car rides, those late-night heart-to-hearts. These memories have smells, scents of summer, autumn, winter, and spring.
They smell like apple crisp, of coffee and cigarettes. They smell strong like perfume and hairspray, but also soft and sweet like angel food cake baking in the oven. They smell like fresh cut hay, cattle and pigs, manure, damp clay, and feed sacks of grain. They taste like cream soda and trail mix, like hard candy, and fruit punch. They smell like fish and taste like DQ milkshakes, and feel like car rides home in a 69 Chevelle.
I follow them to remember, to feel them again, I reach out into the darkness, I want to feel them all again…
The pitch black is transcendent, taking me to places illuminated in memories, projected like film strips, holograms of what once was my life, now lost to a time and a place I cannot return to, too faraway to go back to.
Other smells permeate, triggering flashes of days gone by, sensations of sun and heat, the touch of soil and grass, the humming of cicadas, the taste of french toast, of curly fries and homemade BBQ sauce, of dry spaghetti and parmesan cheese, and Lipton instant iced tea.
I can feel objects in my hands, things that have now claimed meaning they never had before, things made of plastic, things with colorful buttons and cords, of toy animals, trucks, and tractors. Action figures with swords and bows, cups and dishes, and a yellow brush with frazzled bristles.
Voices call out louder and I leave behind these memories in search of others, my senses invaded with triggers, I can smell burritos, chili and dinner rolls, I can taste chocolate milk, nasty carrots and old peanut butter, I can feel tiny pieces of gravel between my finger tips, I can hear the ping of an aluminum bat making contact with a softball, I can smell the leather of worn out baseball gloves, the smell of incense, the taste of wine, and the sight of flickering candles.
I can feel cold wood on my palms, the hexagonal shape of No.2 pencils, the smell of chalk, a used rubber eraser, of markers, I can hear the bell ring at recess, and I can smell the awful odors of a school bus ride home.
I hear voices here too, young voices I once knew, from a girl on the school bus who once made me listen to that Faith Hill song “This Kiss” while we literally kissed in the backseat, I can taste our shared McDonald’s McFlurry the one with the tiny M&Ms, I can taste purple Skittles – her favorite, and see Zero brand candy bars – also her favorite, I can hear her speak, I can see into her blue eyes, those beautiful blue eyes that would close for the last time just a few years later.
I can hear the swishing sound of track pants that everyone seemed to own, and I can feel the soft cotton of those blue sweat pants I wore every week because I hated the feel of denim jeans, I can smell sweat and deodorant, I can see him, that guy I had a crush on before I even knew that sort of thing could happen, I can remember what it felt like when neither of us were watching where we were going and bumped into each other in the cafeteria, turning just in time to make face-to-face contact. I pretended like our lips touching was the grossest thing ever, but actually I liked it.
In another direction I can hear the scuffling of dried leaves caught in autumn’s wind, I can smell them rotting, I can smell walnuts, acorns, and baking pecan pie. I feel the slimy insides of pumpkins on my hands and I can see flickering lights inside Jack-o-lanterns. I can hear high-pitched voices shout “Trick-or-treat” and the sound of candy being tossed into colorful plastic buckets.
I can smell doe pee and dirt, frying bacon, eggs, and deep fried fish and potato slices. I can smell beer and cigarettes, I can see people shuffling playing cards and wearing orange hats and vests, camo and flannel, I can feel early morning walks in the cold, I can hear birds chirping while watching the sunrise. I can taste chili with saltine crackers, I can smell chicken nuggets, and taste birthday cake.
Attracting my attention further in, is the sight of a table cloth with plates and silverware, the smell of baking turkey tempts me closer, I can hear the sounds of a parade on the television, the sounds of an electric carving knife. I can taste mashed sweet potatoes with melted marshmallows on top – my favorite, and I can see stuffing in a large dark green bowl. I can see white and dark orange bowls across the table with many other things like corn, buttery mashed Russet potatoes, gravy in a pitcher, and canned gelatin cranberry sauce cut into slices, I can smell dinner rolls baking, smell pumpkin pie baking, and I can see red Jello jiggling in a square container.
Wafting from elsewhere in the dark I can smell candles of spruce, fir, cedar, and pine. I can see twinkling lights of red, blue, green, and yellow. I can hear cassette tapes playing Christmas carols sang by the Chipmunks, I can taste green-dyed wreaths made of corn flakes and melted marshmallows, I can taste sugar cookies shaped like bells, stars, Santas and snowmen. I can taste balls of peanut butter mixed with crushed graham crackers covered in chocolate, and squares of fudge with a walnut on top.
I can hear “Silent Night” and “Joy to the World” in the echoing walls of a church, I can hear wrapping paper being torn asunder in the living room of my childhood home, I can see the flashes of cameras, I can taste egg nog, I can see outside the dining room window where snow is falling so heavily and piling up so deep that I could jump into it and just disappear.
Glistening like stars twinkling far away, my eyes are seduced by tin foil covered chocolates in the distance, nestled inside colorful baskets with shredded slips of green plastic. I can see colorfully dyed hardboiled eggs, I can smell baked ham and pineapple, I can taste potato salad, candy coated malted balls in blue, yellow, pink, and white, and I can taste pineapple upside-down cake.
These are only a few of the things hidden away here in the twilight of memory, they are mental photos and recordings of a place that still exists along the arrow of time, but is too far behind for me to return to. A version of me is still back there though, living in each of those moments, frozen along the filmstrip of my childhood, forever young and forever innocent.

According to the American Psychiatric Association Foundation, employees with depression miss on average 31.4 days per year and an additional 27.9 days of unproductivity when they report for work, but are unable to focus due to the symptoms of depression.
Various studies show that 30% – 50% of all adults in the U.S. will experience mental health issues at some point in their lifetime. It’s estimated that 20 million Americans currently have a substance use disorder and that 7.9 million have mental health issues and a substance use disorder such as alcohol and drug addiction.
According to the World Health Organization, depression and anxiety alone, globally costs one trillion per year in lost productivity. This number is expected to reach six trillion by 2036. Globally, more than 300 million people (18% of which are in the U.S.) suffer from depression, many of which have some form of anxiety.
Negative work environments can lead to physical and mental health issues, substance abuse, absenteeism, and financial losses due to lost productivity.
The World Economic Forum proposed five responses to these issues:
Cost-benefit analysis research on strategies to address mental health, concludes net benefits. Every dollar put into enhanced treatment for common mental disorders such as anxiety, results in a return of four dollars.
The Anxiety and Depression Association of America reports that only 36.9% of those who suffer from anxiety ever seek treatment.
The Substance Abuse and Mental Health Services Administration (SAMHSA) conducted a national U.S. survey that was published in 2014, revealing that anxiety, depression, and substance use disorders are the most common mental health issues.
In an August 2013 article published in the Journal of the American Medical Association by the Institute for Health Metrics and Evaluation and 125 other contributors, titled The State of U.S. Health, 1990-2010: Burden of Disease, Injuries, and Risk Factors, neuropsychiatric disorders are the leading cause of disability in the United States.
The World Health Organization has declared depression the leading single cause of disability globally, and the National Institute of Mental Health has declared this single disorder the leading cause of disability in Americans aged 15 – 44 years.
According to a study published in February 2015 in the Journal of Clinical Psychiatry, employees with major depressive disorder costs the U.S. economy more than $200 billion each year, and 50% of those costs are incurred on the employer. That exceeds the total economic costs of heart disease, stroke, cancer, and obesity.
The Depression and Anxiety Journal of the Anxiety and Depression Association of America (DAJ/ADAA) reported in 2010 that 1/3 of the costs incurred by employers from employees with these types of mental health issues are a direct result of lost productivity. In 2010, the DAJ of the ADAA published another study showing that reduced productivity of depressed employees had capital costs of $2 billion per month in the U.S.
More than 50% of those suffering from moderate depression and 40% of those suffering from severe depression, never seek treatment.
According to three separate studies, there is a direct connection between suffering from physical illness and mental illness, in that one often leads to the other, what is known as comorbidity or multi-morbidity (British Medical Journal BMJ Sept. 2012; Journal of American Medical Association – Psychiatry Oct. 2007; The King’s Fund Think Tank 2012).
This comorbidity doubles or even triples the costs of treatment according to a 2014 report by the American Psychiatric Association in conjunction with Milliman Inc.
A study published in the Dialogues in Clinical Neuroscience (2007), those suffering from depression were twice as likely to develop coronary artery disease or experience a stroke, and were four times more likely to die within six months after a heart attack.
Former U.S. Surgeon General, Vivek Murthy M.D., M.Sc., wrote in the Harvard Business Review (Sept. 2017), “Our understanding of Biology, psychology, and the workplace calls for companies to make fostering social connections a strategic priority.”
Dr. Murthy laid out the case for addressing workplace loneliness, an often overlooked but equally important factor in workplace mental health, by making these three points:
Dr. Murthy recommends the following strategies to create workplace social connections:
A Missouri edition of this report in PDF format is available for download for free:
U.S. Behavioral Health and the Workplace
If you or someone you know is experiencing a mental health or substance use crisis, please access my immediate assistance resource page. A comprehensive listing of online and phone resources and services is also available.

The second sutra that I will be explaining from the Prajñāpāramitā is the Heart Sutra. If you have not already read Prajñāpāramitā Part I: The Diamond Sutra, I encourage you to start there before continuing with this article on the Heart Sutra.
The Heart Sutra is one of the shortest sutras known to exist, but in its lines it holds the entirety of Siddhartha’s teachings. Think of it as a bud on a flowering plant, within it exists a bloom far larger than the tiny bud would lead you to believe.
Much like the Diamond Sutra, the Heart Sutra is all about breaking through our veiled perceptions of ourselves and the world in which we exist. This sutra is sometimes known as the “Insight Sutra” that can bring the student to the other shore of understanding.
Therefore, if the Diamond Sutra is the diamond-bladed sword that cuts through the illusions of our perceptions, the Heart Sutra is the opening of our eyes or the awakening of our minds so that we may know the truth. In less analogous terms, it gives us the insight we need to better understand life in a way that will liberate us from our narrow mindedness of what is and what is not.
The emptiness that is described in the Heart Sutra is more an explanation of the inter-being of both being and non-being, than it is some kind of suggestion that all is nothingness.
Everything we perceive with our senses is exactly that, a perception of something. But our perceptions of what is, attempts to define these things as solely those perceptions. When in reality, they are far more than even our senses can define. Zen Master Thich Nhat Hanh describes this perfectly when he explains that a tangerine is more than the tangerine we see with our eyes, smell with our noses, taste with our tongues, feel within our hands, or hear with our ears when we tear them open to eat.
A tangerine is the sun, the rain, and soil that went into its formation. When you eat a tangerine, you are eating the sun, the rain, the Earth. A tangerine is what the sun, the rain, the Earth looks like, smells, tastes, feels, and sounds like. This same understanding should be applied to all other things as well.
The Heart Sutra is the teaching that awakens us to the understanding that everything is a part of everything else, and in that interconnectedness there is a loss of individuality. Not one that we should fear or anguish in, but one that we should celebrate.
There is no life without death, no death without life, and there is no joy without sadness, and no sadness without joy. Everything is interconnected and there is no separateness.
The Heart Sutra as a mantra in Sanskrit: Om gate gate pāragate pārasamgate bodhi svāhā
In English: Om, gone, gone, gone to the other shore, gone altogether to the other shore, enlightenment, hail!

7,432 Americans will wake up today to what will be their last day alive, most of whom will not know this ahead of time.
According to the American mortality rate published in 2016 by the National Center for Health Statistics, that many Americans die each day due to various causes. There will come a day, perhaps even today, where you or I will be one of these Americans.
Ask yourself, are you living the best possible life that you could live? Are you making the best possible choices? Are the actions you are taking the best possible? If today was your last, would you be at ease with the legacy you’d be leaving behind?
We live out our lives in the false belief that we are each rowing our little boats alone, lost in this sea of life, paddling this direction and that, just hoping to one day reach the shore. In our frantic paddling we lose sight of what is closest to us, and that’s the people around us, each in their own little boat, fighting against the waves of joy and pain, the kind that we often cannot know about without acknowledging the person.
Behind even the brightest of smiles there can be the greatest of pain, and every interaction with another person can be the difference between them holding onto hope and letting it go.
We don’t always get to know where people come from, we don’t always get to know what kind of darkness they have to return to when they leave our presence, but what we can be certain of is that we have the power to control their experience while in our company.
Thich Nhat Hanh once said, “To be loved is to be acknowledged as existing.” If people know that we care about them, they will feel like they matter, and when they feel like they matter they can leave their worries and hardships behind for at least some small amount of time.
Over the years I have met people who have experienced abuse at home, who were suicidal, depressed, bullied at school, who hated themselves, and those who hated the world because they didn’t think anyone cared about them. In our presence these people are more than a story, more than a tragedy, even more than just some person we know. They are a part of our lives and therefore part of who we are.
Every day and in every moment we get to choose what we say and to whom we say it. We have countless opportunities to reach out and acknowledge the people in our lives, to let them know how much they mean to us, how positively they have impacted our lives.
I challenge you to do exactly that right after reading this. Shout it out so that everyone hears it, call them on the phone, send it to them privately in a long message, send them a card with a hand written note, pen them a letter and mail it to their home as a surprise.
For as connected as we are through our phones and the internet, it seems to me that we are further apart than we have ever been to other human beings.
I think that we are so used to people always being there, that we become blind to the fact that they are there, their presence begins to lose its perceived value and only when they are gone forever do we realize the opportunity and value of their presence.
Learn to express gratitude to the living – tell them that they matter, say good things about them, commit acts of kindness for and in the name of the living, go and visit them, learn to acknowledge and appreciate those who yet live and who make your own life worth living.
If you or someone you know is experiencing a mental health or substance use crisis, please access my immediate assistance resource page. A comprehensive listing of online and phone resources and services is also available.

Do something that scares you. Go places you’ve never been before. Become the person you wish other people would be.
Ever since my mom died almost two years ago, I have constantly faced the mortality of my own existence. Too many people fail to see the fragility of life, the shortness of life. There are many dangers out there, but sometimes your greatest danger is becoming complacent and indolent.
By that I mean, too many of us fall into the trap of trying to make a living and failing to ever actually live. After her death, I felt like I needed to live. To get out beyond the familiar. To make up for lost time and missed experiences.
To not just be alive, but to feel alive. To see, to smell, to taste, to hear, to feel new things. To make choices that scared the hell out of me, to consider anything a possibility. To jump at opportunities, to get out of my comfort zone and try new things.
The most tragic thing about becoming an adult is losing that sense of wonder we have as kids. I’ve been trying to get back to that, trying to learn, trying to challenge myself, trying to explore, trying to feel alive.
I encourage you to do the same before it’s too late. Death, while tragic and finite, can be a powerful tool in changing your life. Death is a gift. I don’t mean just the act of dying, but the awareness of our own mortality. When weighed against death, so many things we give attention to are stripped of their falsely perceived importance.
In that moment our awareness transcends the veil of meaninglessness and for some small amount of time we see how lucky we truly are to be alive.
It’s a truth easily lost to the mundane comings and goings of daily life, which is why we must constantly remind ourselves that death is real and that it may be just around the corner.
For more on the value of existence, I suggest my article, The Inexplicable.
If you or someone you know is experiencing a mental health or substance use crisis, please access my immediate assistance resource page. A comprehensive listing of online and phone resources and services is also available.

I was born into and raised within a Christian community, more specifically a Catholic parish. This article will discuss how I went from attending a private Catholic school and Catholic Mass every weekend, to feeling a lot of doubt in faith during high school, to becoming a born-again Christian in my early twenties, and then finally becoming a non-believer. Seeing as today is Easter, one of the most important Christian days of observation, it couldn’t be a more suitable time to reflect on the power of belief and all that it entails.
Growing up, my family was fairly religious. We were not the Evangelist type that tends to go about proselytizing to non-believers in an attempt to get them to convert, but we were certainly a part of the Christian conservative ranks of Midwestern Americans. From attending a private Catholic school, to observing Catholic holidays and participating in parish community events and various religious sacraments throughout different stages of life, much of our lives pivoted around religion.
Throughout my childhood, the idea of questioning anything that I was being taught never once entered my mind. My family, my school, my community, everything all around me was immersed in Catholicism. It wasn’t just one small aspect of our lives, it was an integral part of everyday life. From the words we used, to the way in which we conducted ourselves and how we saw the world, faith was the lens through which we experienced life.
Belief, the tenants of faith, this wasn’t just ideas in our heads, it was action. How we interacted with those around us, whether they were family or stranger, belief was something that was always with you and in the things that you did. Of course in being a kid, however, religion was still something that I was not fully capable of grasping. It is not unlike learning to ride a bike. You can watch others do it, attempt to mimic them, but for the most part you still need a guiding hand when starting out. In time and through practice you gain a much deeper understanding of what you’re doing, the mechanics of the bike, how to control and navigate your way while keeping yourself upright.
Faith is very similar in that it requires due diligence, constant reflection, sometimes a guiding hand, and continued practice in order to understand all that a religion encompasses. As kids, we’re all easily distracted or led astray, adult things typically do not engross us the same way that humor or entertainment does.
The things that were likely to catch my attention as a kid were the lives and actions of the various saints, more than the salvation of my own soul, a concept I could not actually contemplate at such a young age. Transubstantiation was certainly not a concept I fully grasped. Even though the Catholic church teaches that during the sacrament of the Eucharist, the wine and the unleavened bread offered are literally turned into the blood and body of Jesus Christ, inexperienced children and even those who have already undergone the sacrament of First Communion, still have no understanding of what the priest or the adult congregation is uttering about. They look at the wafers of pressed bread and the wine for what they are and not what they are allegedly transformed into.
As an adult, I look back at such a ritual and realize how cult-like many of the sacraments of Catholicism truly are. Eating flesh and drinking blood are very pagan in origin, no doubt a concept adapted from old world belief systems when Christianity was subjugating non-Christians while it swept across Europe, absorbing many of the beliefs and figures of religions in other civilizations.
I continued to attend a private Catholic school, spending eight years of my life as a student there. Once I entered into high school, I found myself no longer surround by other Catholics. There were various types of Christians and some who had no religion at all. Public school was a very different place than what I was used to and most of the students I had grown up with all went to a different high school. Only one other student came with me to this public school and so I went through a bit of culture shock. I attended mass at church less frequently during these years, but I did fulfill my last sacrament, that of Confirmation, when a young person who was previously baptized becomes a full member of the Catholic Church.
It was during high school that I spent a lot of time thinking about what I believed in. Witnessing others who were not Catholic and hearing them talk about what they did or did not believe in, set in motion my own self-reflection. Things that I was once told to stay away from and that were considered a sin or the workings of Satan seemed less scary to me. I was less afraid of other religions and belief systems and slowly started to grow less interested in my own childhood religion. The world, in my tiny corner of it anyway, seemed to be expanding beyond what I once knew.
Throughout high school and two years afterwards I spent a substantial amount of time reading articles about other religions, watching documentaries about their history and belief systems, buying books about them, and looking for information online. I was immensely curious about the things that other people believed, especially people on the other side of the world, with their cultures and customs so different from my own. I acquired a thirst that could not be quenched by the religion that I had spent the entirety of my life, up to that point, steeped in and devoted to. I was tired of Catholicism, bored with it, uninterested in it, and above all else beginning to doubt what I had been taught was absolute truth.
When I learned that millions of other people believed in religions that were not my own, that they had their own views of a creator or in some instances creators, I was mind blown. I had been living under a rock of Catholicism and had no idea there were so many other belief systems out there, all with their own stories and figures, laws and codes of conduct. It fascinated me that my own religion was supposed to be the one true religion and yet here were all of these others, with millions to hundreds of millions of followers, all convinced that their religion was the one true religion. I wondered to myself how so many people could all think their religion was the right one while everyone else was wrong.
After spending some years learning about other world religions, I eventually made my way back to Catholicism. But the religion of my childhood was not the religion of my young adulthood. I no longer saw my childhood religion the same way, not necessarily because I was then in my early twenties, but because I had learned so much about the world, about cultures, about faith in a much more general sense, grasped more of an understanding of what it meant to believe and the power such a thing can have. In essence I both physically grew up and spiritually grew up.
I rejected the old way that I was taught to view various elements of my religion. I tossed aside outdated and irrational ideas and teachings, such as those about sacrificing animals, killing non-believers, beating women who had sex outside of marriage, and the list goes on and on. These things to me were not the Word of God, but were instead the trappings of impure minds who had attempted to use my religion to push their own beliefs. They were heresy in my mind and not what my perception of God would have wanted his followers to engage themselves in. Therefore, when I read the Bible, I skipped over the verses that I believed were penned from minds of weak men and not the true Word of God.
Other elements of my religion that were once distant or unknown to me became very close, exposed and available in a way that removed the obscure nature that once blinded me to what it meant to believe. It was in my early twenties that I became a born-again Christian, or to be more accurate a born-again Catholic. I returned to attending Mass on a weekly basis. I became much more vocal about my beliefs than I had ever been before, suddenly it became not just something that I believed, but it also became part of who I was, my identity. I didn’t just want people to know that I was Catholic, I wanted them to see me and the joy I found and then consider their own beliefs, to nonchalantly encourage others to convert.
I would even wear Catholic themed t-shirts in the hopes that people would point it out to me and start up a conversation. And this worked, people did often comment on my shirts, asking about it. Whether I was at work, at the movie theater, or that one time in a hospital elevator, men and women, young and old, would either comment on my shirt or ask me about its message. During this time I also wore a Cross around my neck, and in an act of penance branded a cross on my forearm, to act as a constant symbol of my faith in Jesus Christ. I did this believing that I should in some way make my own physical sacrifice for the ultimate sacrifice He made for me, a constant reminder to never again wander astray from following my Lord and Savior.
All of these outward things came into existence because of what I felt inside. A lot of people who come from backgrounds that are not religious, have a hard time understanding the power of belief. Without the experience of feeling it for themselves they cannot fathom why people hold so tightly to it. Rediscovering my faith changed not only the way I saw everything outside of me, but everything that I saw inside of me. I was literally born-anew, I believed that I had been touched by the Holy Spirit. I felt this swelling of love inside of me, a love for life and for others, a sincere belief that my soul had been saved and that I must live my life in such a way that reflected the teachings of Jesus Christ, for I was a living vessel of God, my Father.
In addition to the other things I’ve mentioned, I also started listening to Christian Rock. I favored bands such as Casting Crowns, Jars of Clay, Third Day, Jonah33, Red, Fighting Instinct, Decyfer Down, among others. Listening to songs of worship filled me with a sensation that I would assume many others feel when they listen to songs of worship. A sense of joy, like I was somehow in-tune with God, that His Holy Spirit was entering into me, and I felt strong, I felt safe and that any sadness I had went away, I felt healed, empowered, fearless, somehow invincible, like I could do anything. These are the types of feelings other people claim to have at certain religious gatherings, it is the power of belief.
Through these experiences I began to believe that I needed to reach out to other people through more legitimate ways. Naturally, I turned to ministry. When I was much younger, I had contemplated the priesthood, but it was not something that I ever pursued seriously. I had a cousin who had chosen that path and so I spoke with my mom about the idea. I didn’t want to take the time to go to seminary school, which all Catholic priests must do. Because I rejected some of the views of Catholicism, I did not feel as though I belonged in such a place, despite having the desire to change the Catholic church and bring it into a more modern ideology. Instead I decided to look for a Christian ministry that was seeking a younger generation of leaders.
I found this ministry with the Interfaith Church, which sought to bring people of various religions together. At this point I had gained very unitarian views of world religions, believing that the world would be a far better place if these systems of belief unified with common goals. I applied for ordination through this church and was asked to take a test and write an essay about my beliefs and why I was seeking ordination. I passed the test and was celebrated for my essay, and so the church offered to ordain me as a young leader of their ministry.
I graciously accepted and in 2010 I officially became a minister of the Interfaith Church, receiving a certificate of ordination and an identification badge. Soon after, I traveled to the local court house to make sure that my paperwork was legal and that I could legally perform marriages within the community. The county clerk took my paperwork to the attending judge who was not in session at the time and brought it back stating I was good to go. The judge came out to meet me and shook my hand, welcoming me to the community as a minister.
Not long after this took place, the doubt that had once been vanquished from my mind came back to haunt me. Just as my faith had returned with a certain vigor, my doubt equally came back with a virulent power that changed everything for me. Not only did I eventually stop believing in Catholicism or even Christianity, but in time I would stop believing in the existence of a creator god. During this process I stepped down from the church and informed them that I no longer wished to be a minister, realizing that I was no longer fit to act as such. They seemed baffled and did not know what to think, since I had previously discussed with them about establishing a new church in my local community. And now there I was surrendering my ordination and walking away from it all.
I stopped wearing anything that reflected Christianity, I stopped attending Mass, the world seemed to come crashing down as though it had all been a dream, a fantasy, a constructed set on a stage. For the next several years I plunged back into my own soul to search for answers, to ask questions I had never before dared to ask, particularly on the existence of any sentient god at all. In time I became an atheist, someone who does not believe in the existence of a creator god, realizing that I did not believe any type of omnipotent being existed, no such being could exist in this part of the Universe with the types of things that take place here. No being must exist unless he or she be evil. The process of course was not this simple, the questions and answers not so easy, it took years to go from being a believer to being a non-believer.
Science soon replaced the metaphysical way in which I saw the Universe and humankind. From physics to neuroscience, my understanding shifted from believing in the supernatural to looking toward the natural for answers about the questions I had on birth and death and everything in between. I looked towards people like Richard Dawkins and Sam Harris for guidance and information. While they certainly helped on the subjects of science and psychology, they could not assist me in life after faith, as neither of them were particularly religious in their youth. Instead, I had to find my own way through and writing down my thoughts became for me a torchlight showing me the way through that darkness.
Being a spiritual person, however, means that the road cannot just simply end there, and it has not ended there. In more recent years I have spent my time going back to the old belief systems that once interested me in my late teens, particularly Buddhism as there is no creator god in this way of life. I have spent quite a bit of time studying the various Buddhist scriptures including the Tripitaka and the Prajna Paramita. For the most part, I do now identify as a Buddhist student of the Mahayana tradition, but certain aspects of the Theravada monastic tradition do interest me and I find it rather commendable to give up one’s personal life to pursue a life of study, service, and practice. I do practice meditation, but I am not interested in the esoteric beliefs of Vajrayana Buddhism, such as deities and the more mystical ideologies.
Apart from a structured belief system, or way of life to put it more correctly, I do also hold a high reverence for nature and the greater Universe, a very spiritual perspective of it and physics. I incorporate these views into my practice and carry on with my life without feeling as though anything is missing. One would think that the huge jump from ordination to atheism would leave someone wanting, but I have not found anything missing from my spiritual life. In fact, I look back now and stand in amazement at how I ever believed the things I used to believe. It’s as if I am looking back at a completely different person, as if the memories are not mine, but someone else’s. Perhaps in some sense I am, for the lenses I once wore have been removed from my eyes and I can now see the world more clearly, without prejudice, ill-judgement or preconceived notions.
The power of belief can do great things for you, but it can also do great harm. One must always be aware of what they believe and how it impacts not only their own life, but the lives of those around them. Anyone can believe in anything, the world religions are truly no different than the fictional tales we often cherish. Stories such as those on Middle Earth by John R.R. Tolkien, where the lore and tales are so well-thought-out that one could easily mistaken it for a real world religion. In fact, I would go so far as to say that his lore is certainly far more interesting and enjoyable than anything the writers of modern or ancient religions offer. Even though such lore is known to be fictional, many people enthrall themselves with it in a way that is almost spiritual, making it a very important part of their childhood and adulthood.
Beyond J.R.R. Tolkien’s legendarium, other fictional works inspire the same kind of love and loyalty. The Star Wars Universe, the Marvel Universe, the Elder Scrolls series, all of these offer a rich history of fascinating belief systems and stories of legendary figures that often out perform world religions in what they teach. The difference again being that people know these collections to be fictional and most people don’t even pretend to believe in them. Yet, in religions we have people believing equally outlandish tales of astounding feats and omnipotent beings and legendary figures, but all of these things written in scrolls, pamphlets, and books are considered true stories and are believed by followers as real. Except that followers of one religion will declare the religion of another to be false, while failing to see that his own is equally unbelievable.
Imagine a world where people believed J.R.R. Tolkien’s characters and stories were true, that his books and the films were considered sacred, and that other people believed that George Lucas’ Star Wars Universe was real and the films and books considered sacred. Each side believed the other was wrong and not only did they argue over who was right and condemn one another in the error of their ways, but that they went so far as to kill each other over it. Well guess what, that is the world we live in, it just doesn’t involve modern systems of lore that people are dying over, it’s ancient systems of lore people are dying over. This too is the power and the danger of belief.
How startling it is to realize that there is absolutely no more credence to believing in any one of the world’s religions than there is in believing in Tolkien’s legendarium. Neither can be proven to exist, but neither can be proven to not exist. You would be just as well off worshiping Tolkien’s created god Eru Ilúvatar as you would any of the other thousands of created gods among the world’s religions.
Out of the Darkness: My Experience with a Mental Health Condition
Posted on September 20, 2018 by Kēphen
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My name is Kephen Merancis and there’s really no easy way to start the conversation that we need to have. It takes a lot of courage to break the wall of silence that stigma builds. It takes at least a little bit of hope to begin the process of walking out of the darkness. And it takes support to rise above the pain caused by mental health conditions and substance use disorders.
In the following three thousand words or so I will be painfully honest with you, I will be vulnerable about my own personal life experiences with a mental health condition.
From my willingness to be open about this, I hope that you will feel an emotional connection, perhaps even to your own story. If you are experiencing depression right now, I hope that by learning of my story that it plants that small seed of hope inside of you if you don’t currently have it, and I hope that by telling my story it encourages you to reach out for help.
To begin, I want to share with you a journal entry I wrote when I was 25 years old, it will help you begin to form an idea of what I experienced.
I wrote those words on September 18, 2011. It was one of many writings I did while I was experiencing the ups and downs of my mental health condition.
You see, I have bi-polar disorder, and the first time I became suicidal I was a teenager. When I was 14, I started venting troubled thoughts in a private journal. I started opening up about my feelings in this journal because a teacher encouraged me to keep writing after enjoying something poetic I wrote during a class project.
Little did she know that one day in the future, writing would help save my life. But not yet, because the first time it could have saved me, the words were overlooked.
My parents found that journal when I was 15 and asked me about it, but I pretended like it was nothing and so my parents never asked about it again. Those words in that journal were the first warning sign that something was wrong, a sign they chose to ignore because they wanted to believe that I was just being a moody teenager and that everything was fine.
Like most parents, mine were not well versed on the signs and symptoms of depression, let alone a more serious mental health condition like bi-polar disorder.
My first experience with attempting suicide happened three months before my 17th birthday. I waited until my parents left the house to go to the grocery store, and when they did I placed my letter of apology on their bed, it was a suicide note that I had written in advance.
I then walked out of my house for what I believed was the last time. I can remember how different everything felt. I felt lighter, like the burden of choosing to live and suffer, or to die and be free, had been lifted from my shoulders. I felt as though I was ready to let go of my struggle and my life, which to me were synonymous.
I was acutely aware of everything around me for the first time in a long time. The colors of things looked brighter and crisper, the sounds more sharp, the smells were stronger. Some seventeen years later I can still remember what the yellow grass at my feet and the humid air from the overcast sky smelled like that August evening.
I walked down the hill behind my fathers shed, far enough to be away from the house, but not so far that someone wouldn’t find my body.
In my hand I carried a small off-white colored cup the size of a pill bottle. Inside of it were a mix of ingredients that I had put together myself. In my poetic mind I felt like dying by poison seemed appropriate, and was inspired by the Greek philosopher Socrates who was forced by religious authorities to take his own life by hemlock.
I felt like I was being forced to take mine in order to be free of the mental pain I was experiencing.
I remember holding that small cream colored cup to my lips, just holding it there as the murky liquid touched my mouth. Many thoughts raced through my mind.
Thoughts of people, of events, of feelings. Of anger and pain, of regret and guilt, of shame and loneliness, feeling as though I didn’t belong anywhere nor deserved to belong anywhere, so many emotions that tears started streaming down my face. And in that moment the land around me fell silent, as though I and nature both held our breath together.
As that little cup slipped out of my hand and away from my face, I watched it in slow motion fall to the ground. I watched its contents spill out into the grass.
I didn’t drink it though. I never allowed it beyond my lips. No matter how much that voice in my head told me to do it, I couldn’t drink it.
I remember falling to my knees behind my father’s shed in defeat, while the overcast sky began to release a soft rain. I yelled out in tearful anger that I was too weak to end my own life. I blamed myself, I blamed god, for I was angry that I was stopped by my fear of death.
My fear… it was stronger than my pain in the beginning, but my fight had only just begun. When I was 18, I once again became suicidal and began having impulsive desires to take my life.
After realizing that suicide by poison would be too slow, too painful, and not likely to be successful, I began contemplating more efficient methods. I started thinking about more violent things like intentionally crashing my truck on my way to or from work. Other times I’d think about shooting myself.
The thoughts would even rush into my head sporadically without my control. I’d just be driving when all of a sudden I would feel this immense desire come over me to just swerve to the right and flip my truck into the ditch. Or while eating lunch, the thought of holding a gun to my head would just creep in. Even if I wanted to I couldn’t make these thoughts stop.
In January of 2005, two months after my 19th birthday, I reached my next breaking point. The feelings inside, the desire to end my life, were so strong that on the morning of the 28th I knew I would never see the sunrise again. After an argument at work, it became apparent that I needed help, my coworkers offered to take me somewhere, but I decided to go home to tell my parents they could either listen and save me or they could keep pretending everything was fine and let me go forever.
This time, they listened and I spent a few days in St. Mary’s hospital in their psychiatric ward on the 4th floor, while my father removed the firearms from our house.
I spent the next two years seeing counselors, psychiatrists, social workers, and taking a half dozen different kinds of pills. Some of those pills helped, some hurt, some caused hallucinations, some did nothing but make me sleep a lot.
Eventually I found one that worked well and I stabilized, and like many people do after feeling better, I was convinced I was fine and stopped taking my medications.
For six months I remained well, in fact I had not been that well for years. In 2007, I enlisted in the United States Marine Corps.
After a few weeks at bootcamp, the shin splints I that I had been developing before I left home had begun affecting my training. As the rigors of training wore down my body, that new found resilience of my mind collapsed and awakened once more was the power of my disorder and it returned with all of its previous influence.
I became suicidal while in San Diego, California as the belief that I was weak, a failure, a burden, became embedded in my every waking thought. The scissors they gave us to keep our uniforms free of loose threads suddenly found their way into my thoughts with a different purpose.
One night, I cut myself on the thumb to see how much it would hurt, but it didn’t hurt as much as I thought it would. There was more blood than I expected so I wrapped it up and when one of my Drill Instructors saw it during inspection, I told him that I had just cut myself with a shaving razor by accident. Little did he know, I was having impulsive thoughts of where else I could stab or cut myself.
In my letters home, I tried to not mention these things, but I was being swallowed by the darkness of my own mind. I knew I needed help, but I was caught between feeling ashamed and embarrassed of my mental health condition and feeling like a failure and a weakling.
While I was at boot camp, I met other young men like me, who didn’t respond the way we were supposed to. Instead of our DI’s being able to break us down to be rebuilt stronger than before, we were broken in so small of pieces that we could not be rebuilt without serious professional help.
While posted in the barracks of another platoon, I was ordered to watch over a recruit who was deemed a flight risk, meaning they thought he’d try to runaway.
When I walked in, I saw him curled up in a fetal position in the corner sobbing uncontrollably, his arms wrapped around his knees. After the DI left, I tried to console the recruit from the door where I was ordered to stand guard. The kid could not have been older than 17, and at this time I was 22. I knew he heard me speak to him, but he never turned around and never responded to my attempts to reach out.
When I saw him in his state of mental crisis, I saw myself, not literally curled up in a corner like him, but as equally mentally unstable. I was stationed there with another recruit from my platoon who told me to stop talking to the kid because he wasn’t one of ours and wasn’t our problem. But I didn’t see him as a problem, I saw him as someone who needed more help than a Drill Instructor was trained to offer.
I still often think of that recruit and wonder what events had led to him being in that condition before I got there, and what became of him after I left.
On a different occasion during a visit to medical, a recruit from another company than mine was sitting next to me, he asked me why I was there. I decided to be honest and told him I was bi-polar. He then began to describe to me what he was experiencing, which were clearly symptoms of a serious mental health condition.
After that conversation I found the willpower to seek help for myself and I confessed to my DI’s and to a Naval psychologist that I had bi-polar disorder, something that I had not reported when I first enlisted. I had seen various different doctors before enlisting and so my medical information was scattered all over the place.
During enlistment I didn’t report nor give them the contact information for the physician who diagnosed me with bi-polar disorder because I knew it was a disqualifying condition. I deeply believed in joining the military, and there was nothing I wouldn’t do to make it happen, even if that meant illegally withholding important medical information.
My commanding officer recommended I receive an uncharacterized discharge due to my condition, rather than see me receive a dishonorable discharge for withholding that medical information.
While waiting to be discharged I spoke to a recruit who had asked me why I was leaving. Most of the other young men there never cared to ask why I was leaving and those who did ask didn’t know what being bi-polar meant. But this young man was different, he told me his sister had bi-polar disorder and that he loved her no matter what.
Those words felt very heavy to me. It was the first time that I understood that having a mental health condition didn’t mean that I was less than or not good enough. That being broken didn’t mean that I was worthless. On day 47 of boot camp, I left that place, but that place has never truly left me.
It’s been more than ten years since that event. To assume that everything has been great since then would be a false assumption.
Having bi-polar disorder or any other mental or behavioral health condition means that there is not a cure, a magical pill or therapy that will take it all away. It’s a process that begins with therapy or medication, or both, it’s a learning process where you and professionals figure out what the best treatment is for your personal circumstance.
It takes self-awareness, it takes compassion, it takes education, it takes action, it takes time, it takes faith in something, and most of all it takes hope. The hope that tomorrow will be different, and maybe even better than today.
People used to ask me why I wanted to end my life. It wasn’t that I wanted to die, it was that I didn’t want to hurt anymore and I didn’t see any other way to end that suffering. Not enough people noticed that I was suffering, not enough people knew what the signs and symptoms were in order to recognize that I needed help.
Those reasons are why awareness matters, people need to understand how to identify someone who is suffering from some form of mental or behavioral illness, whether it’s some variance of depression, an anxiety disorder, post-traumatic stress disorder, bi-polar disorder, schizophrenia, or any other serious condition.
Part of awareness also means we become aware of the language we use to discuss mental or behavioral health. There is a reason why mental health advocates and organizations are trying to end the usage of the word “commit” when we refer to those who die by suicide. Criminals commit crimes like theft and assault, people who die by suicide are victims and not criminals. They complete suicide, they die by it, they are victims of suicide.
While suicide itself can be an impulsive act, the process that gets a person to that point, for the majority of victims over the age of 15, can be a long drawn out process, ranging from weeks, to months, to years, or even decades, and often includes several suicide attempts before they are successful. The culmination of that process is suicide, that’s why we now say someone “completes” suicide.
It is the endpoint of a process where there are signs and symptoms that something is wrong, and so we must begin to learn what to look for, what to listen for, how to ask directly if someone feels suicidal and how to act when faced with someone who is. Awareness and prevention, those are my goals with this advocacy project, and together with others who share the information and resources collected here, we can achieve those goals.
In the words of Margaret Wheatley, “Be brave enough to start a conversation that matters.”
If you or someone you know is experiencing a mental health or substance use crisis, please access my immediate assistance resource page. A comprehensive listing of online and phone resources and services is also available.