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Some Good News for Mental Health Parity

January 30, 2010 Leave a comment

The New York Times reported on Friday that the administration has issued new rules that will ensure mental health coverage for more than 140 million people.

In general, under the rules, employers and group health plans cannot provide less coverage for mental health care than for the treatment of physical conditions like cancer and heart disease.

Insurers cannot set higher co-payments and deductibles or stricter limits on treatment for mental illness and addiction disorders. Nor can they establish separate deductibles for mental health care and for the treatment of physical illnesses.

This law is named for the late Sen. Paul Wellstone (D-Minn.) and Sen. Pete Domenici (R-NM), both of whom are great advocates for mental health and who worked together for quite some time to get mental health parity passed.

It’s comforting to know that come July 1, there will be more of a safety net for Jim and myself. We won’t expect surprise hospital bills in the mail like we did this month for a hospital visit that happened more than a year ago! We’re still trying to figure out why we got the bill, but suffice it to say that since the visit had to do with a mental health issue, the insurance company decided we should bear more of the brunt of the bill.

Unfortunately, the rules do nothing for the millions more who are still uninsured or who can’t work because of their mental illness. Remember, this rule affects those who are employed at organizations with 50 or more employees. It also doesn’t apply to the individual marketplace, which is still something like shopping for coverage in the wild west.

Now can we have health care?

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Lifting the Veil of Mental Health: Life with a Bipolar Partner

July 12, 2009 Leave a comment

(cross-posted from The Bilerico Project)

Bil announced a couple of weeks ago that I was going to be blogging here about my experience living with my partner, Jim, who suffers from bipolar disorder.

Since Jim’s first hospitalization, I’ve been on a personal journey to better understand my partner and this illness. I’m still learning and there are still trying moments when I have to do my best to remember it’s Jim’s bipolar talking, not him. It’s a day-to-day process, but hopefully, my thoughts here will help other couples (especially the spouses who aren’t bipolar), gay or straight, who are also doing their best to learn to live with this illness.

To fully appreciate how I arrived at the start of this journey to understanding, I think it’s best to start from the beginning.

I knew Jim was diagnosed with bipolar disorder when I met him, but I knew very little about the illness and he seemed to be in good health so it didn’t deter me from wanting to date him. He was a breath of fresh air for me and I appreciated his honesty about his affliction.

Our relationship moved quickly and before long we were living together. Jim mentioned to me when we started dating that he was no longer on medication and he wasn’t in therapy.

His reasons for getting off medication seemed logical to me. He couldn’t afford health insurance and the university’s student health center was his only available resource. Their approach, however, involved drugging the hell out of him and after a year of overmedication that resulted in lethargy, a diminished sex drive and exhaustion, Jim decided he’d rather deal with the consequences than to be a zombie. He was 20 years old by this time.

Jim loved a good party and he loved to drink. We’re kindred that way, but after a few months of living together I realized his moods could be very erratic and his irrational behavior was often unbearable. Add in my stubbornness and my penchant for being argumentative and you’ve got the recipe for a powder keg of fights!

We had many arguments over the first two years of our relationship, but I never suspected that part of the problem could be chocked up to bipolar symptoms that were just starting to manifest themselves, as it tends to do in folks in their early 20s. Plus, I just figured that most couples had their fair share of disagreements

Things really came to a head a year ago when a fun evening of wine drinking and show tunes suddenly turned ugly. I don’t even recall what sparked the anger anymore, nor does it matter, but I do know that one moment we were laughing and the next I had wine thrown in my face and there was glass shattered against the walls. Jim also got physical and my immediate instinct was to call 911 as I feared for my safety.

In the hospital ER he was sedated and we waited there through the night until a bed in the psychiatric unit opened up. The next morning, I was told that it was best for Jim to stay there for an undetermined amount of time.

I couldn’t make the decision for him, but I did counsel him and told him he should probably listen and stay. Soon after the decision was made it was time for me to go home. Alone. As I got up to leave, Jim’s last words to me were, “Are you happy now? You’ve locked me up. Thank you.” I wouldn’t talk to him again until the next day.

That was the moment this illness became real for me and, I suspect, for Jim as well. Over the course of the next week, I spent my nights alone with my thoughts confused about what had happened and frightened for what lay ahead for both of us. I could not talk to him on the phone and I could not sleep with him at night.

It was awful, but I took solace in the fact that he was getting help. By the end of that week, he was home and we both talked about what was going to have to happen if we wanted to stay together.

Since then, our lives have changed dramatically. He’s been in therapy ever since and, with the help of his doctors, has found the medications and dosages that work for him. About six months after this ordeal, I entered therapy myself.

Jim has effectively quit drinking and made marvelous progress in maintaining a healthy lifestyle. I admire him for that. And after some slow learning, I have made strides to curb my drinking in order to foster an environment in which we can both live more easily.

This brings us full circle to where we are today. My own progress has been steady and I learn something from Jim every day. I’ve taken an active role in talking about how he feels and I ask him for what I should be vigilant of in his behavior.

It is a responsibility that has taken me some time to accept, but I am happy to do it if it means our relationship will survive and if it makes it easier for Jim to stay healthy.

In future posts, I’ll be blogging more about my current daily life with a bipolar partner and about mental health news as well. In the meantime, if you are bipolar or live with someone who is, check out these resources for more information about how to cope with this illness.

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