Comic Robin Williams’ Death Puts Spotlight on Depression, Suicide

Published in Pawtucket Times, August 15, 2014

Last Monday evening, millions of Americans were shocked to hear that 63-year- old Robin Williams died from an apparent suicide. While it was well-known that he had a history of severe depression and years of alcohol and drug addiction, we were stunned by the unexpected tragic news. publically, Williams had it all, fame, fortune, loyal friends, and fans in every corner of the globe. But like millions of Americans he suffered in silence trying to slay his personal demons when he went into substance abuse treatment.

The sudden death of this Oscar-winning actor, recognized as America’s comic genius, squarely puts the spotlight on depression, a mental illness that commonly afflicts tens of millions of Americans.

DDepression Becomes a Public Conversation

Within the first 48 hours of Williams’ suicide The Samaritans of Rhode Island saw an increase in calls from people concerned about loved ones and friends, says Executive Director Denise Panichas, who expects to also see an increase in visits to her Pawtucket-based nonprofit’s website. Last year, its website received more than 50,000 visitors.

Panichas says, “William’s death reinforces the fact that suicide knows no boundaries, it being a relentless demon afflicting both rich or poor, and those having access to therapy or medical care and those not having it.

According to the Woonsocket resident, William’s suicide has raised the awareness of suicide prevention in a way that millions of dollars in public health announcements could never have done. “William’s movies as well as his dedication to community service resonate with multiple generations, says Panichas, stressing that his six plus decades had value “which will live on.”

Williams substance abuse problems also highlights the need for more awareness as to how addictions can be a risk factor for depression and suicide, states Panichas, who observes that throughout the country, in ever city and town, budgets for substance abuse treatment are being decimated, she adds.

“Promoting wellness and preventing addictions will always be a big challenge but we must do more if we want to see a decrease in suicides,” says Panichas.

Panichas expects the death of Williams, an internationally acclaimed movie star, will have an impact on fundraising for suicide prevention or addiction and depression prevention programs. She has seen an increase in donations from Rhode Islanders as well as from around the country. .

“One donor gave a donation in memory of “Mork”. The donations coming in may be small but every one counts toward keeping our programs available to the public,” says Panichas, noting that over the years public funding has “been drying up.” The Samaritans of RI is using more creative fundraising structures, like crowdfunding (www.crowdrise.com/samaritansri2014) and other social venture sites to create new revenue streams for her nonprofit, she adds.

An Illness That Can Affect Anyone

Lisa B. Shea, MD, Medical Director of Providence-based Butler Hospital, Providence, learned of William’s suicide by a CNN alert on her IPhone. To the board- certified psychiatrist who serves as a clinical associate professor at Brown University’s Alpbert Medical School, “it was tragic but preventable.”

Shea, a practicing psychiatrist for 20 years, notes that people who have suicidal thoughts, like Williams, are struggling with mental health disorders. “Their thinking can get very dark and narrow and they believe they have no options,” she says, oftentimes feeling like a burden to others. “It does not matter who you are mental illness can strike any one regardless of their wealth and fame,” she says.

According to Shea, the public’s interest in William’s tragic death sheds light on the fact that people can get help and it begins with taking a positive first step. “People with suicidal thoughts, who feel “intensely tortured and can not see any way out of their situation, can benefit from supportive therapeutic relationships, medications, and getting support from family and friends who can push them into getting professional help,” she says.

Shea calls on Congress and Rhode Island state lawmakers to positively respond to the William’s suicide by providing increased funding to create access to treatment and prevention programs and to support mental health research.

Finally, Shea says that there are a number of tell-tale signs of a person expressing hopelessness who may be thinking of ending their life. They include statements made by someone that others are better off if he or she were not around; excessive use of alcohol and/or drugs; not taking care of yourself; and giving away personal items. When these occur, talk to the person telling them that you care about them and are concerned for their well-being.

Adds Melinda Kulish, Ph.D., a Clinical Psychologist/Clinical Neuropsychologist and Instructor of Psychology at Harvard Medical School, “There are also times when depression is not easily recognizable. Some people who are depressed experience it most acutely when by themselves but can appear fine, even quite happy, when they are with other people.”

Kulish explains that, for various reasons, some people feel the need to make others happy. Cheering others up or making others laugh makes them also feel happy.

“But, if that person is suffering from depression, the happiness is fleeting – the laughter ends and they once again feel empty and sad. The cheering up of others is a fix that is OUTSIDE, not inside of them.

“And drugs and alcohol can make them feel better for a time. The high always ends, and when alone, they feel empty and even more depressed,” says Kulish. “There’s really good research to suggest that talking about traumatic and upsetting events leads to much healthier responses. The old idea, ‘I’m just not going to talk about it so it’ll go away’ doesn’t work.”

“It’s a myth that if you ask a person if they are suicidal you will put that idea in their heads,” says Shea.

Feeling Low, a Place to Call

When this happens, “feeling low with nowhere to turn” as noted singer songwriter Bill Withers once said in a public service announcement, there is a place to call – The Samaritans of Rhode Island – where trained volunteers “are there to listen.” Incorporated in 1977, the Pawtucket-based nonprofit program is dedicated to reducing the occurrence of suicide by befriending the desperate and lonely throughout the state’s 39 cities and towns.

Since the inception, The Samaritans has received more than 500,000 calls and trained more 1,380 volunteers to answer its confidential and anonymous Hotline/Listening Lines.

With the first Samaritan branch started in England in 1953, chapters can now be found in more than 40 countries of the world. “Samaritans, can I help you?” is quietly spoken into the phone across the world in a multilingual chorus of voices,” notes its website.

Executive Director Panichas, notes that the communication-based program teaches volunteers to effectively listen to people who are in crisis. Conversations are free, confidential and, most importantly, anonymous.

A rigorous 21-hour training program teaches volunteers to listen to callers without expressing personal judgments or opinions. Panichas said that the listening techniques called “befriending,” calls for 90 percent listening and 10 percent talking. Panichas noted The Samaritans of Rhode Island Listening Line is also a much needed resources for caregivers and older Rhode Islanders.

Other services include a peer-to-peer grief Safe Place Support Group for those left behind by suicide as well as community education programs.

In 2014, The Samaritans of Rhode Island received more than 4,000 calls and hosted more than 50,000 visitors to its website.

The Samaritans of Rhode Island can be the gateway to care or a “compassionate nonjudgmental voice on the other end of the line,” Panichas notes. “It doesn’t matter what your problem is, be it depression, suicidal thoughts, seeking resources for mental health services in the community or being lonely or just needing to talk, our volunteers are there to listen.”

For persons interested in more information about suicide emergencies, The Samaritans website,http://www.samaritansri.org, has an emergency checklist as well as information by city and town including Blackstone Valley communities from Pawtucket to Woonsocket.

For those seeking to financially support the programs of The Samaritans of Rhode Island, its Art Gallery and Education Center is available to rent for special events, meetings and other types of occasions. For information on gallery rental, call the Samaritans business line at 401-721-5220; or go tohttp://www.samaritansri.org.

Need to Talk? Call a volunteer at The Samaritans. Call 401.272.4044 or toll-free in RI (1-800) 365-4044.

For mental health resources, go to http://www.butler.org.

Herb Weiss, LRI ’12 is a Pawtucket-based freelance writer who covers health care, aging, and medical issues. He can be contacted at hweissri@aol.com.

Regular Folks Give Advice to Graduates

Published in Pawtucket Times, May 23, 2014

This month, commencement speakers at Rhode Island’s Colleges and Universities will give the Class of 2014 their tips on how they can successfully find their professional niche, in a state with the distinction of having the worst employment rate in the nation and continues to be one of the last states to see an economic revival.  Rhode Islanders are also known for their inferiority complex and general attitude about the quality of life in the state.

Robed graduating seniors will sit listening closely to commencement speeches, given by very well-known lawmakers, judges, television personalities and Business CEOs, detailing their observations and advice, and how if closely followed, just might give the graduates a more rewarding personal and professional life.

 Typically a commencement speech (the length being about 10 minutes) is given by a notable, successful, stimulating figure well-known in the community, nationally or internationally. While some colleges and universities may enhance their prestige by bringing in high-profile speakers (University of Rhode Island, Rhode Island School of Design, Roger Williams University, and Providence College) sometimes at great cost, others like Brown University, unique among Ivy League institutions, features graduating seniors, rather than outside dignitaries, as their commencement speakers. This year, Rhode Island College,
under graduate and graduate commencement speakers are Rhode Islanders.

So, I say to Presidents of Colleges and Universities, with your tight budgets you can save a little money by not bringing in high paid commencement speakers. As can be seen below, there are many potential    commencement speakers in local communities throughout the state who fly below the radar screen and can give college graduates sound strategies for success gleaned from their life experiences. They give road maps on how one can live a more healthy fulfilling life, mature in a way to realize their potential and age gracefully in a challenging and quickly changing world.

Jesse Nemerofsky, 60, Providence, Professional Commercial Photographer. “Always remember that everyone you meet in life can be a potential or future client. This being said, a positive introduction of yourself is a valuable way to be called to work together on projects, even to be hired for future jobs. George H. W. Bush, 41st President of the United States, has stated in interviews that when he meets someone he gets their business card, and at birthdays, Christmas time, or when the person is honored, he sends them a personal note. By taking time to acknowledge people over the lifetime of his career, the former President is highly respected by those he has encountered, even if his political position or business venture was successful or not.   Honesty and representing your capabilities is of course of the utmost importance, and small gestures like sending a personal note can ultimately have great impact, but excellence in your work should be your main goal.”

Michael Cassidy, 66, Pawtucket, Retired. “As you go into the ‘real’ world from the sheltered ‘world of college’ don’t be too quick to judge the new people you meet in the work place.  People come in all types, sizes, shapes, temperaments, personalities, ages, and backgrounds; and they all have their own experiences from which you can learn. If you are smart enough to listen to what others have to offer, you can learn from them not only what to do, but what not to do. And most times learning what not to do is the most valuable lesson you can have.”

Olon Reeder, 55, North Providence, Reeder Associates Public Relations. “Become adaptable to constant changes in your life. Today’s global environment demands that you must become faster, better and smarter and compete with yourself and everyone else to survive socially. You have to embrace non-stop learning, empower yourself with your own resources, have an independent attitude and create value for who you really are and what you want to be to shape your quality of life for the future!”

Michelle Godin, 50, Vice President, New England Economic Development Services, Inc. “Live each day of your life with integrity. Whether in your personal life or professional life, integrity will define you as a person.  Never waiver.  When your days on earth are ended, it is your integrity that others will remember.   Those who live with integrity will be fondly remembered and missed, because with integrity comes many other admirable qualities such as compassion, empathy, tolerance, and understanding.  Those lacking integrity will be discussed with disdain and quickly forgotten.  Choose to become exemplary.”

Paul Audette, 85, Pawtucket, semi-retired businessman.The Youth of today — from puberty to whatever age one reaches maturity – tend to see life as it pertains to them, yet each person is responsible for him or herself.  While the youth may have the knowledge, they lack the life experience which is the main factor in making good sound judgments that ultimately affect (your) well-being as well as that of your loved ones. While experience cannot be taught, it cannot be overlooked as a major component in making sound decisions that affect your future.experience comes from living – and life is a journey.”

Joan Retsinas, 67, Providence, a writer. “Savor, savor, savor. Savor the sunshine, and the rain. Savor your friends, your family, your colleagues. Nurture the people close to you. Be a friend. Fall in love. If you fall out of love, fall in again. Read “Winnie the Pooh” to a child. Eat ice cream. Ride a bike. Swim in the ocean. Laugh. As for fame, fortune, and success, don’t fret. They don’t really matter.”

Rick Wahlberg, 61, Senior Project Manager, Blue Cross & Blue Shield of Rhode Island. Be Useful, there is no feeling like making the world a better place. Be Aware, strike a balance between career, family, friends, and community. Be Grateful for what you have, don’t be jealous of what you don’t have, and share.

Wendy Jencks, 61, Cumberland, Visitor Center Manager, Blackstone Valley Visitor Center. “There may be a time in young people’s lives when they are nervous to take a risk, don’t be afraid to take a chance. If an opportunity/life experience arises and you want it, take it even if it is unconventional. You may not get another opportunity again. Also, a person’s first job is not the end all be all. Your dream job may actually be something you did not study. People confine themselves to their own walls.”

Larry Sullivan, 49, Pawtucket, Director, Net Compliance Solution’s technical & consulting services. “Recognize opportunity. If you can’t identify opportunities, then they are very likely to sneak past you unnoticed. Most people’s search criteria is so narrow in focus that it can essentially blind them to opportunities available right in front of their face. It’s the old “can’t see the forest for the trees” scenario. Also, see yourself as a valuable asset. Your self-image will make a huge difference in the type of opportunities you attract to yourself. If you see yourself as a valuable asset, and you present yourself as such, others will see you that way as well.”

Denise Panichas, 50, Woonsocket, Executive Director of The Samaritans of Rhode Island. “Respect cannot be given when asked for, it has to be earned.” This is something you learn later in life. How do you earn respect from those around you? By being true to yourself – your values, beliefs and most importantly to your commitments to family, friends and the community.”

Ken McGill, 51, Pawtucket, Register of Voters, City of Pawtucket. “Find time to give back to your community. In the years to come you will be looking for a good job, getting married, having children and getting on with life. Never forget those in need in your community. Mentoring children, giving time to a soup kitchen, volunteering to help civic groups in your city or town or just helping a neighbor will give you more reward than any salary or position in the corporate world.“

Gail Solomon, 59, Pawtucket, Gail Solomon, Inc., a graphic design company. “You’re not the most unqualified or least knowledgeable person in the room. Everyone else thinks they are. And anyway it’s much more elegant to ask questions than to behave like you know all the answers. Because nobody does. Ever.”

Susan Sweet, 72, Rumford, former state administrator, non- profit lobbyist and advocate. “In the short space that we are in the world, we must create meaning in our lives by contributing to the happiness and well-being of other people and other sentient beings. To do good and useful work, caring and acting for the betterment of others is the true goal of life.”

Bob Billington, President of the Blackstone Valley Tourism Council who received his Doctorate in Education from Johnson & Wales University in 2005, says that “Star Power Sells” when seeking out a commencement speaker. “We have regular people walking amongst us who do very extraordinary things everyday but they may never get a chance to give a commencement speech at a college or university,” he notes.

If so, I say that it’s a shame.

Herb Weiss, LRI ’12, is a writer who covers aging, health care and medical issues. He can be reached at hweissri@aol.com.

Coping with the Holiday Blues

Published December 14, 2012, Pawtucket Times

Chestnuts roasting in your fireplace, green wreaths with red ribbons and brightly colored lights on decorated evergreen trees may elicit pleasant thoughts about the upcoming holidays; however, these thoughts might just tear open old wounds and bring to the surface bad memories, triggering stress, tension and even depression.

Not every family gathering with your parents, siblings, children, or grandchildren will be as serene as a Norman Rockwell painting. Of course, everyone has heard horror stories involving holiday family gatherings.

Surviving the Stress of Family Visits

Allison Bernier, LICSW, Associate Director of Wellness Employment and Network Services, at the Providence Center, notes that while the holiday season can be a time of family celebration, joy, and companionship for many people, it can also be a very stressful time. “High expectations, disrupted routines, dealing with loss or separation from loved ones, financial strain, and time constraints can all exacerbate anxiety and depression,” she says.

Bernier, who has 15 years under her belt employed as a Social Worker, who now provides one-to-one counseling to clients for the past six years, provides common sense tips as to how to survive stress that can be ignited by holiday family gathering.

Fighting holiday blues can be as simple as being prepared for family conflicts and having a specific plan to handle the uncomfortable emotions that may arise, notes Bernier. Creating a list of “potential issues” and “role playing how you will react with people you trust” can be effective ways to survive difficulties that might occur, she says.

“It is okay to know that you don’t have to be happy during the holidays,” states Bernier, stressing “just accept your feelings and the place where you are at.” If needed, just reach out to your network of family or friends or contact a professional, she recommends.

According to Bernier, when expectations are unrealistic, we almost always will fail to meet them. Scale back on your plans, or ask for help Just keep your expectations low and when you visit family or friends, just go and enjoy the social interactions, she says.

If seeing family causes you great amounts of stress each year, it is alright to say no sometimes and celebrate with friends, Bernier recommends. If you don’t want to withdraw from your family gathering because of tension, you don’t have to, she says. “Just keep your visit time-limited,” she recommends, only going for an hour or two rather than spending all day at the event.

The holidays can easily become a source of stress, especially when you’re standing in long lines at the local mall waiting to buy the last available iPad while trying to remember how much money you have left to use on your credit cards. Writing out a gift list along with creating a budget for holiday spending can help decrease anxiety, too, Bernier notes. By setting spending limits you will also reduce the anxiety that comes with reviewing your post-holiday credit card bills.

Maintaining healthy habits can also take the blues out of your holiday, predicts Bernier. Enjoy some eggnog, cheese cake or pastries at a holiday party, but keep the balance by eating healthy foods (smaller portions), drinking alcohol in moderation, continuing to exercise and getting enough rest.

Coping with Holiday Depression

Besides family stress, other factors may well play into bringing on the holiday blues.

During this time of the year, some Rhode Islanders may even feel a little depressed or have suicidal thoughts with the approaching upcoming festive holidays, especially if they have lost a spouse and friends, are unemployed, experiencing painful chronic illnesses, or just feel isolated from others.

If this happens, “feeling low with nowhere to turn” as noted singer songwriter Bill Withers says is a public service announcement, there is a place to call – The Samaritans of Rhode Island – where trained volunteers “are there to listen.” Incorporated in 1977, the Pawtucket-based nonprofit program is dedicated to reducing the occurrence of suicide by befriending the despairing and lonely throughout the state’s 39 cities and towns.

Since the inception, The Samaritans has received more than 500,000 calls and trained more 1,380 volunteers to answer its confidential and anonymous Hotline/Listening Lines.

With the first Samaritan branch started in England in 1953, chapters can now be found in more than 40 countries of the world. “Samaritans, can I help you?” is quietly spoken into the phone across the world in a multilingual chorus of voices,” notes its web site.

Executive Director, Denise Panichas, of the Rhode Island branch, notes that the communication-based program teaches volunteers to effectively listen to people who are in crisis. Conversations are free, confidential and, most importantly, anonymous.

A rigorous 21-hour training program teaches volunteers to listen to callers without expressing personal judgments or opinions. Panichas said that the listening techniques called “befriending,” calls for 90 percent listening and 10 percent talking.

Panichas noted The Samaritans of Rhode Island Listening Line is also a much needed resources for caregivers and older Rhode Islanders.

Other services include a peer-to-peer grief Safe Place Support Group for those left behind by suicide as well as community education programs.

In 2011, The Samaritans of Rhode Island received more than 7,000 calls and hosted more than 50,000 visitors to its website.

The Samaritans of Rhode Island can be the gateway to care or a “compassionate nonjudgmental voice on the other end of the line,” Panichas notes. “It doesn’t matter what your problem is, be it depression, suicidal thoughts, seeking resources for mental health services in the community or being lonely or just needing to talk, our volunteers are there to listen.”

For persons interested in more information about suicide emergencies, The Samaritans website, http://www.samaritansri.org, has an emergency checklist as well as information by city and town including Blackstone Valley communities from Pawtucket to Woonsocket.

Professional Galley and Gift Shop Supports Program and Services

In December 2011, The Samaritans began a social venture, by relocating to the City of Pawtucket’s Arts & Entertainment District, and opening the Forget-Me-Not Gallery and Community Education Center. Through partnerships with Rhode Island’s fine arts and crafts community, “we hope to foster hope, inspiration and commemoration of the lives of our loved ones who have fallen victim to suicide,” stated Panichas.

At the Forget-Me-Not Gallery, no sales taxes are charged on one-of-a-kind pieces of art work. The gallery also is a retail site for Rhode Island-based Alex and Ani jewelry and other giftware.

For those seeking to financially support the programs of The Samaritans of Rhode Island, its Gallery and Education Center is available to rent for special events, meetings and other types of occasions. For information on gallery rental, call the Samaritans business line at 401-721-5220; or go to http://www.samaritansri.org.

Need to Talk? Call a volunteer at The Samaritans. Call 401.272.4044 or toll free in RI (1-800) 365-4044.

Herb Weiss, LRI ’12 is a Pawtucket-based freelance writer who covers health care, aging, and medical issues. He can be contacted at hweissri@aol.com.