Tag Archives: mental illness

Washing Out of Graduate School, Having Mental Health Issues, and Chains of Events (Or The Story of My Adult Life)

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If I were to meet anyone who has been diagnosed with mental health problems and he/she were looking for advice as to what to do from the diagnosis onward, it would be 1) Don’t Give Up,  2) Look for what you are naturally good at despite your problems, and 3) Get Really Creative. 

In this entry, I’m going to tell some of my personal story from the last several years. It’s a short autobiography of sorts. In February of 2006, after having washed out of the MBA program at a small state university, I decided to apply for Social Security Disability Insurance.  I had recently lost my graduate assistantship due to my grades.  It wasn’t that I didn’t like my classes or hate my work with the university.  Far from it.  I absolutely loved the work of being a research assistant, tutor, seminar presenter, and occasional substitute teacher.  Yet my mental health issues were flaring up during this time.  I would have been allowed to stay in school in hopes that I could raise my grades and get back on track.  But the prospect of going to school without a job and no way but loans to pay for it while taking on my mental health issues just didn’t appeal to me.  I was able to get through undergraduate college without any debt thanks to academic scholarships, working full time during the summers, and the much appreciated assistance of my family.  I was afraid that taking on the burden of continuing graduate school with no guarantee of getting my grades back up, having to go deep into debt to continue said studies, all the while combating mental health problems and being a financial drag on my family (who were already paying through the nose for the high risk health insurance I was on for meds that otherwise would have cost almost $2,000 monthly); all of it would have been major problems that simply were not worth it.

Looking back on it, I believe I could have completed the MBA program had it not been for the mental health burdens.  But, like almost everyone, I simply didn’t have the unlimited funds to cover medications, health insurance, and retaking the two classes I didn’t do well at all in.  Yet, knowing myself better now at age 33 than I did at age 25, I know I would have been unhappy with being another cubicle bum jockeying for dollars.  Even though I appreciate money as much as anyone I know, I also know it isn’t my only motivator or even one of my primary motivators.  I have found, over the last several years of experience and looking for tendencies in my life going back to before I even started elementary school, that I really enjoyed sharing what I learned with others and giving advice.  If I did complete the MBA program and then become something like a financial analyst, I wouldn’t have been meeting my need to share what I learn to others and helping others avoid problems.  I love explaining things to people, assisting people, and looking up things I don’t know.  I always have.   Had I been able to stay on the ‘traditional’ path, I would be miserable at a cubicle job but would still have my personality slants I mentioned above.  I would have probably then gone on to attempt to get a PhD just so I could teach at even a junior college. I probably would have been doing what I loved, but would have had a rough road to get there.  But to quote Eric Church, “Thank God I ain’t what I almost was.”

Instead, due to circumstances beyond my control, I was forced to become competent in areas besides business and economics.  While I am not an expert on treating mental health problems and issues in others, I have over the years become quite knowledgeable on how to survive with mental health problems and issues.  In the process, I was able to work a part time job for over four years.  I have, thanks to being on Social Security and having the earnings limitations that come with being on Social Security, become knowledgeable on how to survive on what most people in the Western world would consider below poverty level existence.  I have learned how to ‘stretch a dollar’ far further than one could learn in any business school.  Thanks to following my natural love of telling stories, explaining things to people, and reading, I am also a self taught writer.  I have been writing seriously for only ten years as it wasn’t something I acted on until I was almost out of undergraduate college.  Because of my mental health issues, my natural empathy for other people, and my natural desire to share what I learned, I eventually came to write about my experiences with mental health problems and issues.  Many of these writings have found their way onto this blog, The Writing of Life.  I may not have a string of letters behind my last name that ‘qualifies’ me as a trusted expert, at least not in the traditional academic sense.  But with my experiences with my own mental health problems combined with my writing skills and the power of the internet in the Information Age, I can fulfill my natural talents and perhaps help some people in the process.

I have no idea where my life’s journey will go from here.  But this blog will be part of it regardless.  In only seven months of having a definite focus in my blog, I have had over 1,500 visits already.  Though there are bloggers that get that even on a bad day, this is already more than I would have expected when I started. And that’s with sometimes infrequent posts.  Being somewhat risk adverse by nature, I never would have started the process of becoming a mental health advice blogger had I never been forced to change directions.  Yet “Thank God I ain’t what I almost was.”

Inactivity, Depression, and Seasonal Components to Mental Illness

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In this life with schizophrenia, I have had my ups and I have my downs.  Lately, actually for the last three months at least, I have been more inactive than I should be.  I haven’t been exercising every day like I should be.  Usually I go for short walks everyday and lift hand weights two to three times a week.  Haven’t been doing that as often lately.  And I can tell it’s starting to take it’s toll.  I don’t have as much energy to accomplish everyday tasks as I once did.  I also have been lacking the motivation to work on my writings,  unlike a few months ago.  In addition to these blog posts, I also write poetry, journals, and am working on a novel.  I currently have two books of poetry self published through lulu.com.  I figured if I don’t have a regular job, I need to find some way to keep myself occupied and somewhat productive.

As a result of my inactivity I can tell my physical health has suffered.  I have more aches and pains than someone in their early 30s should.  I attribute this to way too much inactivity.  I am convinced my inactivity was initially brought on by a bought of depression that was bad enough that I checked myself into a mental health hospital for four days back in September.  After I got out of the hospital I would sometimes sleep twelve to fourteen hours a day.  Some days I would sleep just out of depression, while others I would sleep out of boredom.  It became a nasty cycle.  I would sleep out of depression and I would be depressed that I was missing out on what was going on around me.  I would be too tired and or depressed to do my exercise and my socializing.  And I would be tired and depressed because I wasn’t exercising or keeping up with friends and family.

Even though I have been depressed and inactive for a long while, I feel like I’m starting to pull out of it.  Maybe it’s the change of the seasons or the hope of the upcoming new year that’s helping me out of my current depression.  Or it could be one of the phases of my individual illness.  This isn’t the first time I have gone through a period of inactivity and depression.  I went through one similar to this about six years ago, back in the fall of 2007.  

One of the positives about having had a mental illness for over half of my life is that I can recognize many of the patterns of the illness.  Not only can I recognize the triggers and know what places, types of situations, and people to avoid, I know a lot of the short term and even some of the long term patterns.  Many people with mental illness have a seasonal component that goes along, where they do worse during some periods than others.  For me, I have always done bad in late summer, usually August and early September.  For others it’s during the winter.

I always have had to remind myself during these days of depression during the last three months that I’ve been through these times before.  I’ve come through these times before.  And I will come through them again.  Better times will be ahead.

Medical Advances, Nutrition, and Mental Illness

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It’s been a long while since I last posted to this blog, so an update is in order.  This post will be about medical advances and mental illness.  This is another reason for those of us with mental illness to hope that the future will be better than the present.  Many of the medications that are being used to help treat mental illnesses now didn’t even exist fifteen, twenty years ago.  

New discoveries are also being made in nutrition and how full body health effects mental health.  If you don’t get proper nutrition, the body won’t function well.  If the body doesn’t function well, the brain won’t either.  We all need to make it a point to eat healthier and more balanced, mental illness or no.  Let’s not kid ourselves, the typical American diet of highly processed foods and fast food isn’t healthy.

If you are under treatment for mental illness, always tell your doctor about all of the over the counter supplements you are taking.  Some of these, especially herbs and anything with alcohol in it, can cause serious side effects when mixed with anti-psych drugs.  Know what you are getting into.  Stay informed.  Read all of the handouts that come with your anti-psych drugs.

There are rapid advances being made in research.  These advances can and will find better treatments, perhaps sooner than we think.

Taking an Active Role in Treatment For Mental Illness

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This entry is about speaking up for yourself and taking an active role in the course of treatment for mental illness. I will be discussing how to ask your doctor questions about individual treatment plans.

In working with a psych doctor, you need to be completely honest. This is not optional if you want your treatment to work. Your doctor may know the human brain very well, but he/she cannot read minds. You need to tell your doctor you your bad days and the details of the worst of what is going on with you. Especially if you are feeling good on the days you go in for your
checkups.

Early in the course of my treatment, I made the mistake of telling the doctor I was doing well simply because I was feeling good on the days that I was seeing him. At the time I didn’t realize that felt good on those days because I was seeing him. I believed rightly so that he would give me new insights into how to go about my treatment routines.

But I was making the mistake of not telling him about my really bad times. For the first two years we were stumbling in the dark as to what worked and what didn’t simply because I glossed over the bad aspects of my illness.

To make up for this I started making notes and keeping journals on how I was feeling from day to day. I was amazed, and I still am, at the amount of changes I can go through during the course of a month or so. I discuss what I learn from these notes with my psych doctor at all of my checkups. I recommend keeping notes and day-to-day journals for all mental illness patients to keep track of your mood swings and emotions. You’ll be amazed.

In addition to the notes of your day-to-day feeling and activities, I strongly recommend making a list of questions to ask your doctor about your illness. Questions can include “What can I do to make things better in addition to medications and counseling,” “What are the chances of my getting better,” or any other question you may think of for your particular situation.

This list of questions is important because it will give you better information and insight into how your illness is changing and your treatment needs to go. The doctor may know your illness, but you alone, know the true extent of your own problems. Mental illness is not a cookie cutter one size fits all deal. Mental illness varies greatly from one person to another. This is even true of individuals that have the exact same diagnosis. Body and brain chemistry play a role in how certain medications will and will not work.

Since no two people have the exact same body chemistry, finding the right combinations of meds can be somewhat of a trial and error deal. Sometimes you and your doctor will hit the bull’s eye with your meds; other times you may miss the board entirely, while others may work some but not as effectively as other types of treatments.

The important thing to remember in all of this trial and error is to never give up. I cannot stress having hope enough. New anti-psych medications are being developed all of the time. There is a great chance that there is at least one combination of medications and treatments that will work for you. Yet I can guarantee that is absolutely no one combination that will work for everyone. There just isn’t and probably never will be. But medical science is making new breakthroughs every year. Many of the best medications were not even in existence even ten years ago.

I recommend that you keep informed on your treatment and diagnosis. Read books about your illness. Read the handouts given out at the doctor’s office concerning your illness and treatments. Do read some of the Internet sites, but do be careful the sites. Some sites are very reliable. But there are many that are not reliable, some that are biased, and some that are complete frauds. Seek the advice of experts know mental illness treatments. Seek the counseling of people who work with the mentally ill every day. Keep informed about your problems. And inform your doctor about your problems.

Stressing on Stress

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One of the problems that comes up for those of us with mental illness, myself included, is the issue of dealing with everyday stress and anxiety.  Stress about issues like work, money, taking care of family, community activities, running errands, routine housework and maintenance, etc. can be enough to tax even the most ‘normal’ of people at times.  Yet for those of us with mental illness, every day stress can be overwhelming at times, even crippling occasionally.

I have had to made adaptations to my life in order to reduce the amounts of stress in my life.  Over the years I have found the stress situations such as fast paced working environments, social environments where I’m expected to interact with many people I may not know well, and driving in fast paced heavy traffic areas have all been triggers for not only high levels of stress and anxiety, but also have triggered symptoms of my particular mental illness.  In my case, such instances have triggered paranoid thoughts, high levels of agitation and aggression, and even auditory hallucinations.  As a result, I have to be really careful about the jobs I apply for, the social activities I attend, and make it a point to find someone else to drive when I have to go to a major city and just offer to navigate.  I would not be any fun at all at a cocktail party with a hundred strangers I didn’t know.  Even though I scored really high on intelligence tests as both a kid and an adult, I probably couldn’t handle most office jobs simply due to the stress involved.

Stress is tough for even the most grounded people.  But it can be life altering and crippling for the mentally ill.  It can drag down even the most stabilized mental health consumers if left unchecked.  Sometimes even the stepping back and taking deep breaths isn’t going to be enough.  Sometimes a person just has to avoid certain circumstances altogether or even just know when to walk away.

Schizophrenia and What it Means

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In previous posts I have written about my life experiences as a mentally ill individual.  In this post I’m attempting to describe the symptoms of my particular illness, rather than just the results of the symptoms.  I have done this in a poetic form.  So here goes.

 

Schizophrenia and What it Means

 

Schizophrenia means a broken mind,

A mind broke off from the real world.

Unable to separate the delusional

from the factual truth.

It also means crippling depression,

Constant sadness,

And mourning for dead potential;

The loss of a life that never was.

Schizophrenia shattered mind unable to process

most kinds of stress or anxiety

without ghostly hallucinations chanting their condemnations,

Causing wave upon wave of unrelenting anxiety

to slam upon an already tormented, battle weary soul.

How do I explain to old friends,

family, and strangers I meet

I am not well, have trouble holding a job,

When on the surface I look normal and well?

Lurking in the depths of my mind

The monster schizophrenia causes havoc,

launching an all out assault on my mental senses.

My abilities to socialize, to handle stress, to live normal,

are crippled.

I’m not lazy, I’m not a freeloader.

I’d do anything to be rid of this silent monster.

Filling Voids in Day to Day Living

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            After I found out the hard way that I was going to not be holding forty hour a week employment, I needed to find a way to fill my days.  I could have been content to just sit in front of the TV for hours on end day after day.  But that type of life isn’t good for anyone.  Let’s face it, it just isn’t.  I decided early on that I needed to find activities that would bring variety to my life.  This would make my time worthwhile and interesting, not just endlessly dragging onto nothingness.

            There are many programs for the mentally ill and physically handicapped who are unable to work.  There are social clubs that engage in different activities everyday.  These activities can give an individual reason to leave the home and give a routine.  These programs vary greatly from town to town and city to city, so be asking around to see what’s available.

            Good source of information on social clubs include mentally ill individuals themselves.  Other sources my include your psych doctor, psych nurse, therapist, family friends, or just anyone in the know.  You won’t find out unless you are willing to ask around.

            We the mentally ill have as much need for socializing, appreciation, and belonging as anyone who is considered normal.  Such outlets as church groups, NAMI, and Goodwill are important for those with mental illness issues that make working difficult or impossible.  People are not meant to be isolated for long periods of time as we are social creatures.  Every person has a need to belong to something and identifying with something bigger than just an individual.  Entire sciences such as sociology, psychology, political science, etc. are devoted to learning why people act and socialize the way we do.  Socializing with others is so important to our own humanity that it should never be neglected.

            In America, we are closely identified with our jobs and careers simply because we spend so much time engaged in our employment.  We are now more identified by our employment than by anything else we do in this country. 

            Yet this line of indentifying is a drawback for those of us who are not able to hold long-term employment or hold employment at all due to physical or mental disabilities.  It is even more of a drawback for the mentally whose problems are not are not as obvious as other illnesses.  The line of thinking for many in the mainstream is that if you are not physically disabled or not in a mental hospital, you ought to be able to work full time.  It doesn’t always work out that way.  Mentally ill individuals do not always have physical signs of problems.  Most would never guess who among us is mentally ill if we were seen just once in public.  Yet the mentally ill can have as many problems as the physically ill.

            I cannot stress enough the importance of finding activities to fill the voids in time in your day-to-day life. Life is meant to be exciting and we are meant to interact with other people.  Life is not meant to be spent hiding in your home and living in fear.  For some of us who don’t even like going out in public, a walk to the corner and back can be a start.  Or perhaps you can do your shopping at night or when the crowds are not as large like I do. 

            The important thing is to not take in too much all at once.  You need those small victories before you can go after the big goals and challenges.  Positive and lasting change is a slow process.  But the results are well worth the time and effort.

            I cannot stress enough the importance of having at least one hobby.  Hobbies have been shown to reduce stress and give joy to people.  We have different interests and talents.  There has never been anyone who couldn’t develop a talent for at least one thing that they have a passion for.  Only you can tell what your interests truly are.  If you are not entirely sure about your talents, take some quiet time every day to listen to that “little inner voice” of your heart.  That could be yourself telling you what you are truly interested in. 

            It also doesn’t hurt try out different activities to see what you are interested in.  If you are truly interested in something no one has to push you into such an activity.  Follow your heart and it will lead you to your true interests.

            Another bit of advice is don’t just sit in your home and stare at the TV waiting for life to happen.  Go out and do something with your life.  Interact with other people.  Get in touch with old friends and family members that you have lost touch with.  Even if these activities last for only a few minutes a day, do something with the life that you have.  Gradually build up if you have to.  You don’t have to be successful to start but you do have to start to be successful.

Overcoming Loneliness

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Loneliness is often a problem for those of us with mental illnesses.  Our loneliness is often brought about because we are scared to socialize with “normal” people because of stigmas that still surround mental illness.  Loneliness can also be caused by the paranoia that accompanies many mental illnesses.  Loneliness can also be caused by depression when people are to sad or depressed to go out and socialize with even close friends.  Any one of these alone can make the idea of socializing daunting.

Loneliness can be overcome.  It can take a long time to overcome, though.  It certainly takes a great deal of effort to overcome a fear of socializing and opening up to people.  The topic of your mental illness can scare anyone into thinking that no one would want to socialize with him/her.  However, it is not necessary nor advisable to discuss any aspect of your mental illness the first time a new person is met.  Only when any person has earned your trust should you feel like you could discuss it with him/her.  Even then, discuss it only if you feel comfortable doing so.  

There probably will be times when you have new friends who wish to discuss aspects of your illness before you are ready.  In such cases, it is necessary to be polite, tactful, yet firm that you are not ready and do not wish to discuss such issues about your illness at that time.

Fears of socializing can be overcome by with practice and by gradually pushing your limits.  There is no need to feel that you have to conquer your fears all at once.  A fear of socializing, like any fear, can only be overcome by repeated acts of gradually increased bravery and courage.  It just may be just enough to say hello to your neighbors or someone in a store as a first step.  A second step may be to make some mundane comment about something as harmless as the weather to the clerk at the grocery store or anything like that.  From there, you can build up and branch out.  Socializing is by no means an exact science.  It is not something that can be learned from reading a few books or watching others do it.  It has to be learned by trial and error.

From my own personal experiences, I was by no means an extrovert growing up.  I didn’t learn a great deal about ‘normal’ socializing until I was well into college.  I don’t know how much of this was due to my illness or my being a natural introvert and I’ll probably never know.  The fact remains I would have never learned what social skills I have now had I never attempted to work on my skills.  I took a risk, faced my fears (and there were a lot of fears and paranoia), and came out better because of it.  You can too.  You just have to keep working at it.  There are no easy ways around it.

Being Held Accountable While Having A Mental Illness

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         This is kind of a tough topic to write about.  I’m going to discuss being held accountable while having a mental illness.  I know that I am walking a very fine line when I say that there were times that I, as a mentally ill person, needed a healthy dose of tough love from my friends and family.  Fortunately, I have friends and family that know me well enough that they know when I’m using my illness as an excuse for when I could be doing better.

         Being mentally ill myself, I completely realize that not all mentally ill individuals would fare well at all under the tough love approach, especially when applied hap hazard.  I am not advocating hap hazard approach to tough love with anyone.  I am saying that there are some of us who can handle such a thing, in the right manner applied at the right time.  It is a fine line to walk and should be applied only when a support person (whether it be family or friends or counselors, etc.) knows the mentally ill individual extremely well and knows when it will work.  It is far from an exact science.  I would go as far as saying it’s like raising children, knowing that some things work with one of your kids but doesn’t work at all with another.

          Fortunately, it is possible to hold someone accountable without resorting to tough love.  Tough love should be used only as a last resort.  But use with caution and always use with healthy doses of love.

         My bouts with schizophrenia and depression made the going in college and the first few years of work extremely rough.  There were times that I just wanted to quit on the idea of being able to work.  But with people like my parents, my friends, my psych doctor, my counselors at college and later when I was working, and my extended family, I had plenty of people holding me accountable.

       Support people are not there just to be a shoulder to cry on.  They are also there to administer a healthy dose of discipline and tough love when necessary.  And there are times when tough love is necessary for even the mentally ill if we are to improve our current situations.  We have to be held accountable like everyone else, sometimes even more so.  I am sure there are many times I didn’t make things easy for my support people at all by my actions and bizarre behavior. 

        Had I not had a counselor to meet with once a week while in college to help keep me grounded and focused, I probably would not have graduated college.  I certainly wouldn’t have done as well in my classes as I did.  And that is simply because I knew I had someone who was going to ride my case if I didn’t do the job in classes. 

       Had my friends and family not encouraged me through occasional tough love, I would not have tried several different jobs before I finally I found a job I could do that I was good at and that didn’t cause me much stress.  I may not have been working my dream job, but I had the discipline to stick to a job for over four years had my friends and family not challenged me to keep looking for work when I was ready to throw in the towel.

       I didn’t like the tough love approach at the time it was being applied.  The thing is, it’s not supposed to be liked; it’s supposed to motivate you to do good things with your life.  Sure I as a mentally ill individual could just mope for the rest of my days about what I have lost?  But what does that gain me? 

        Sure you are mentally ill or may know someone who is mentally ill?  But what are you going to do about it now?  Are you going to learn about the illnesses and try to better yourself?  Or are you just going to drift through life?  The choice is yours.

Struggles With Mental Illness in College, Part 2

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            In a previous blog entry, I wrote about my struggles during the first year and a half of college before I began treatment.  This entry will be about my struggles after my treatment began.  Just because I was under treatment didn’t mean my problems were over.

            During the last three years of my collegiate career, I never achieved the quality of grades I had during my first year of college.  I also changed over to a different major.  I originally started college as a pre-pharmacy student.  After a year and a half of struggling with my mental illness as well as my classes, my grades were bad enough that I wasn’t going to be getting into pharmacy school.  I needed a change.

            I switched to a business management major, which was a surprise to my family.  I had never taken any business classes in high school.  I didn’t have much of an aptitude for sales, and I was quite an introvert.  So to my family and friends the move didn’t make much sense.  But to me it made a great deal of sense.

            In my line of thinking at the time, I wanted to be able to be employable with a good job as soon as I graduated from college.  Even though I was really passionate about literature and history, I always figured I could read all the history books and classics of literature on my own time when I wasn’t studying for my business classes.  With my best friend being a history education student helping me out with history and classical literature books, which is exactly what I did.

            I admit with this “Dual Study Program” with my studying business classes officially by day and reading my classical literature and history books late at night and on the weekends, I didn’t have much time for outside socialization.  I had my small core group of friends, and I also made it a point to be friendly as possible to as many fellow students as possible.

            As the last three years of college went on I slowly picked up a few more friends and gradually went to more social activities.  There were a few music bands on campus that occasionally played weekend concerts that I went to.  They were pretty much cover bands that also played some of their own material.   I made a few friends with some of the band members through that.

            I also made a few friends through some of my business clubs like Students In Free Enterprise.  I also went to many of my college’s home baseball and basketball games.  I preferred the baseball games because of the more laid-back atmosphere of baseball and I had a few friends on the team.  I also made a few friends through games of softball, ultimate Frisbee, and flag football.  I wasn’t a fast runner but could be a vicious blocker.

            I bring all of this up to show that I was able to have the average college experience in spite of having a mental illness.  There were a few things I obviously couldn’t do, namely the drinking scene because of my medications.  But I wasn’t in college to drink and drug.  I was there to get a degree.

            I didn’t work during the school year because of the stress of going to school full time, having a mental illness, and having a job would have just been too much.  So I worked in the summers instead.  It also helped that I had a good academic scholarship based on my grades.  Even though I wasn’t getting straight A’s, I was still managing to do well.  And I was enjoying the college experience at the same time. 

            A strange thing happened during my last year of college, I became interested in writing.  I had been reading voraciously the previously two years, so I suppose that writing would only be the next logical step.

            All of the struggles, problems, victories, and defeats of five years of college came to a culmination on May 8, 2004.  That was the day I graduated from college.  Graduating from college meant that I had overcome the problems of mental illness and accomplished my life long goal of finishing college.

            While it’s been several years and I still haven’t found permanent employment in my major, I still won because I was able to finish college.  I thank God that I was able to finish in spite of my illness.  Finishing college by itself is hard enough.  Throwing a mental illness in the mix makes the degree of difficulty pretty steep.  I hope that by finishing college that perhaps someday I can encourage someone with a mental illness to reach for and achieve their dreams.