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Her work can also be heard on NPR, \u003cem>Here & Now, \u003c/em>and PRI. Before working in audio, she taught, leading groups of students abroad. One of her favorite jobs was teaching on the Thai-Burmese border, working with immigrants and refugees.\r\n\r\nLaura has won three Northern California Area Emmys along with her Deep Look colleagues. She's won the North Gate Award for Excellence in Audio Reporting and the Gobind Behari Lal Award for a radio documentary about adults with imaginary friends. She's a fellowship junkie, completing the USC Center for Health Journalism's California Fellowship, UC Berkeley's Human Rights Fellowship and the Coro Fellowship in Public Affairs. Laura has a master’s in journalism from UC Berkeley and a master’s in education from Harvard.\r\n\r\nShe likes to eat chocolate for breakfast. She's also open to eating it all day long.","avatar":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g","twitter":"lauraklivans","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["contributor","editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"Laura Klivans | KQED","description":"Reporter and Host","ogImgSrc":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lklivans"},"lesleymcclurg":{"type":"authors","id":"11229","meta":{"index":"authors_1591205172","id":"11229","found":true},"name":"Lesley McClurg","firstName":"Lesley","lastName":"McClurg","slug":"lesleymcclurg","email":"lmcclurg@KQED.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Health Correspondent","bio":"Lesley McClurg is a health correspondent and fill-in host. Her work is regularly rebroadcast on numerous NPR and PBS shows. She has won several regional Emmy awards, a regional and a national Edward R. Murrow award. The Association for Health Journalists awarded Lesley best beat coverage. The Society of Professional Journalists has recognized her reporting several times. The Society of Environmental Journalists spotlighted her ongoing coverage of California's historic drought. Before joining KQED in 2016, she covered food and sustainability for Capital Public Radio, the environment for Colorado Public Radio, and reported for both KUOW and KCTS9 in Seattle. When not hunched over her laptop Lesley enjoys skiing with her daughter, cycling with her partner or scheming their next globetrotting adventure. Before motherhood she relished dancing tango till sunrise. When on deadline she fuels herself almost exclusively on chocolate chips.\r\n\r\n ","avatar":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twitter":"lesleywmcclurg","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["author"]}],"headData":{"title":"Lesley McClurg | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lesleymcclurg"},"btorres":{"type":"authors","id":"11666","meta":{"index":"authors_1591205172","id":"11666","found":true},"name":"Blanca Torres","firstName":"Blanca","lastName":"Torres","slug":"btorres","email":"btorres@kqed.org","display_author_email":true,"staff_mastheads":["news"],"title":"Producer, Forum","bio":"Blanca Torres brings sharp news judgement and keen sense of lively conversation to her work as producer for Forum. She loves producing shows that leave listeners feeling like they heard distinctive voices, learned something new and gained a fresh perspective.\r\n\r\nShe joined KQED in January of 2020 after 16 years of working as a newspaper reporter most recently at the \u003cem>San Francisco Business Times,\u003c/em> where she wrote about real estate and economic development. Before that, she covered a variety of beats including crime, education, retail, workplace, the economy, consumer issues, and small business for the \u003cem>Contra Costa Times, Baltimore Sun\u003c/em> and\u003cem> The Seattle Times\u003c/em>. In addition to reporting, she worked as an editorial writer and columnist for the \u003cem>Seattle Times\u003c/em>. From 2017 to 2020, Blanca won a total of ten awards from the National Association of Real Estate Editors and won first place for land use reporting from the California News Publishers Association two years in a row. She is also a member and former board member for the National Association of Hispanic Journalists.\r\n\r\nA native of the Pacific Northwest, Blanca earned her bachelor's degree from Vanderbilt University in Nashville and a master's in fine arts in creative writing at Mills College. She lives in the East Bay with her family.","avatar":"https://secure.gravatar.com/avatar/f2322ff46076d337f7ba731ee6068cb1?s=600&d=blank&r=g","twitter":"@blancawrites","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["editor"]},{"site":"news","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"Blanca Torres | KQED","description":"Producer, Forum","ogImgSrc":"https://secure.gravatar.com/avatar/f2322ff46076d337f7ba731ee6068cb1?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/f2322ff46076d337f7ba731ee6068cb1?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/btorres"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11929333":{"type":"posts","id":"news_11929333","meta":{"index":"posts_1591205157","site":"news","id":"11929333","score":null,"sort":[1666136743000]},"guestAuthors":[],"slug":"breaking-the-cycle-how-parental-mental-health-affects-kids-and-what-to-do-about-it","title":"Breaking the Cycle: How Parental Mental Health Affects Kids — and What to Do About It","publishDate":1666136743,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>When Mariana Pimentel thinks about her childhood in a small town in Mexico, she remembers being surrounded by anger and desperation.\u003c/p>\n\u003cp>Her parents worked long hours to support Pimentel and her brothers and sisters, so they were often absent. When they \u003cem>were\u003c/em> home, her parents communicated by yelling.\u003c/p>\n\u003cp>“I want my kids to grow up in a different environment from how I grew up and not repeat the same mistakes,” said Pimentel, a 41-year-old mother of three.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11926978,news_11924343,news_11924980\"]Shifting away from the parenting style she grew up with took time and lots of work. Nine years ago, Pimentel, who lives in Salinas, began attending free classes on topics such as positive parenting and discipline at GoKids Inc., a nonprofit that provides early childhood education to lower-income families.\u003c/p>\n\u003cp>“I’ve noticed that if I am stressed or anxious, I will end up transmitting that to my kids. There is a connection,” Pimentel said. “The more I attend classes, the more I learn, the better I can help my children and the better off they will be.”\u003c/p>\n\u003cp>In addition to taking classes, Pimentel, her husband and two of her children received individual therapy through GoKids to deal with depression and anxiety. The family’s experience demonstrates the importance of addressing mental health not just for one person, but the family as a whole.\u003c/p>\n\u003ch2>Pandemic 'forced us to look at the shadows'\u003c/h2>\n\u003cp>During the first year of the pandemic, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7024a3.htm#:~:text=Among%202%2C391%20parents%2Dcaregivers%2C%20approximately,past%2Dmonth%20serious%20suicidal%20ideation.\">nearly two-thirds of caregivers, including parents, reported adverse mental or behavioral health symptoms\u003c/a>, according to a Centers for Disease Control and Prevention survey. The survey also found that 27% of parents of children under 18 reported that their mental health worsened during the pandemic.\u003c/p>\n\u003cp>The need to come to terms with how parental mental health influences the mental health of children has come into sharper focus as the United States grapples with a crisis of children experiencing higher rates of anxiety, depression and thoughts of suicide.\u003c/p>\n\u003cp>In 2020, California saw a 70% increase in kids being diagnosed with anxiety or depression. That’s 1 in 8, up from 1 in 14 in 2016, \u003ca href=\"https://assets.aecf.org/m/resourcedoc/aecf-2022kidscountdatabook-2022.pdf\">according to The Annie E. Casey Foundation (PDF)\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11929357\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg\">\u003cimg class=\"size-medium wp-image-11929357\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg\" alt=\"a young Latinx couple, a man and a woman, in white shirts, smiling in front of a blue sky\" width=\"800\" height=\"640\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1020x816.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-160x128.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1536x1229.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales and Mariana Pimentel learned to manage their own stress and anxiety with therapy, and are working to pass the tools they've learned on to their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Children of color suffer the most, say experts, because services remain inaccessible to them for a variety of reasons.\u003c/p>\n\u003cp>“One thing the pandemic did is that it forced us to look at the shadows, the darker things, both within ourselves and within our communities that need attention,” said Tlazoltiani Jessica Zamarripa, who co-founded the Institute of Chicana/o/x Psychology with her husband, Manuel X. Zamarripa.\u003c/p>\n\u003cp>Based in Austin, Texas, the organization provides training for mental health providers and individuals with an emphasis on ancestral knowledge and practices from Indigenous cultures of Mexico. The Zamarripas founded the Institute of Chicana/o/x Psychology as a way to combat what they call the “mental health industrial complex” that has largely left kids from nonwhite communities underserved.\u003c/p>\n\u003cp>“Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced and experience now,” Zamarripa said.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Tlazoltiani Jessica Zamarripa, co-founder, Institute of Chicana/o/x Psychology\"]'Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced.'[/pullquote]Often, when a child is struggling, the focus is solely on what they are doing wrong and correcting those behaviors, while not taking into account the stressors in their environment, including some caused by stressed parents. Parents need to recognize when their children need help, but also need to understand their own behavior, mental health and patterns of generational trauma, Zamarripa said.\u003c/p>\n\u003cp>In 2019, close to 1 in 5 white children received some form of mental health treatment. For \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db381.htm\">Latino and Black children the rate was about 1 in 11\u003c/a>, according to the CDC.\u003c/p>\n\u003cp>“It’s a deep pain to know that our children are struggling and suffering,” Zamarripa said. “We just want to believe that they’re happy and playful.”\u003c/p>\n\u003cp>But children don’t have the same coping mechanisms and understanding that adults have. When a child is acting out, Zamarripa's advice is to avoid reacting, punishing or judging the behavior.\u003c/p>\n\u003cp>“Kids act out in all kinds of ways, and for generations and generations and generations that has been misinterpreted as bad behavior when, in fact, all behavior is communication,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11929393\" class=\"wp-caption aligncenter\" style=\"max-width: 709px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\">\u003cimg class=\"size-full wp-image-11929393\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\" alt=\"a man and a woman in traditional Chicana/o/x dress talk in a room\" width=\"709\" height=\"399\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg 709w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM-160x90.jpg 160w\" sizes=\"(max-width: 709px) 100vw, 709px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Manuel X. Zamarippa (left) and Tlazoltiani Jessica Zamarripa, co-founders of the Institute of Chicana/o/x Psychology. \u003ccite>(Courtesy of the Institute of Chicana/o/x Psychology)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some parents, particularly the parents of children of color, often don’t know how to manage the stigma attached to seeking therapy for themselves or their children.\u003c/p>\n\u003cp>“Sometimes the difficulty with gaining access [to mental health care] is even getting buy-in” from parents, said Patricia Alvarado of Alvarado Therapy, a Los Angeles-based practice made up of Latinx and Spanish-speaking therapists. “If we’re talking about a young person, like a kid or a teenager, it can be quite difficult to say, ‘Yes, I need help.’ And also for the parent, depending on their socioeconomic status, their background, their education, they may not even know what that means.”\u003c/p>\n\u003cp>Not treating mental illness in kids can cause long-term harm. CDC researchers estimate that \u003ca href=\"https://www.cdc.gov/childrensmentalhealth/features/kf-childrens-mental-health-report.html\">13% to 20% of children are affected by an emotional or mental health disorder before the age of 17\u003c/a>.\u003c/p>\n\u003cp>“We still don’t know the long-term impact of the pandemic on children,” said Dr. Sandra Pisano, director of behavioral health for AltaMed, a community health provider in Southern California that serves lower-income people and mostly Latinx patients. “By normalizing wellness and self-care, this is where there’s a great opportunity for us to provide services to develop a healthy future generation after the pandemic.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Sandra Pisano, director of behavioral health, AltaMed\"]'By normalizing wellness and self-care, this is where there's a great opportunity for us to provide services to develop a healthy future generation after the pandemic.'[/pullquote]According to Pisano, many parents don’t know how to talk to their children about self-care, which can be as simple as good sleep, eating well, taking deep breaths and doing something that brings joy or relaxation.\u003c/p>\n\u003cp>“It’s important for them as they grow older ... that they still have the practice of self-care, because this is creating a healthy child who will eventually be a healthy adult,” Pisano said.\u003c/p>\n\u003ch2>The transformative power of therapy\u003c/h2>\n\u003cp>When she was 24 years old, Pimentel left her home in Hidalgo, a state in central Mexico, to join her brother and sister in Salinas. There she met her husband, Jose Angel Morales, and started a family. Their three children are ages 9, 6 and 7 months.\u003c/p>\n\u003cp>“I looked for parenting resources when my eldest daughter was born, and connected with GoKids,” she said. “We started with classes and workshops and then wellness visits for my daughter and then, eventually, I found out they offered therapy.”\u003c/p>\n\u003cp>In 2020, Pimentel sank into depression after going through a miscarriage and went to therapy for the first time to deal with her grief.\u003c/p>\n\u003cp>In early 2021, she noticed her son biting his nails, a habit that went from occasional to excessive. His personality shifted from mostly happy and outgoing to somber and anxious, she said. He came home from school with bruises because classmates were bullying him.\u003c/p>\n\u003cfigure id=\"attachment_11929362\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg\">\u003cimg class=\"size-medium wp-image-11929362\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg\" alt=\"a Latinx family posing in a park, with a dad, mom and three young kids\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1536x1153.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg 1599w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales, Mariana Pimentel and their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Pimentel’s 9-year-old was also showing signs of anxiety. When she had to take a test or do something new, she would freeze with fear and struggle to complete her work. The stress of going from remote to in-person school also put a strain on her. Her children attended therapy sessions for about a year, until December of 2021.\u003c/p>\n\u003cp>Pimentel’s husband went to therapy last year to cope with stress from the pandemic — like losing his job at a car wash and family members contracting the virus, including Pimentel.\u003c/p>\n\u003cp>According to Pimentel, her husband’s therapist helped him realize that he had put too much emphasis on working extra hours or taking on additional tasks, all because he was afraid of being fired. He eventually found a new job at a different car wash and is far less stressed about work.\u003c/p>\n\u003cp>For families like Pimentel’s, having timely access to affordable mental health services was transformative, along with creating a culture of mental wellness at home.\u003c/p>\n\u003cp>Her son is more relaxed and joyful, she said, and many of his anxious behaviors, such as the nail biting, have decreased. He’s also developed the tools and confidence to stand up to bullies.\u003c/p>\n\u003cp>Her daughter has learned to calm her anxiety with techniques such as taking deep breaths, a sip of water or a short walk. She is bringing home higher grades.\u003c/p>\n\u003cp>“I didn’t know that I had depression or that I had a lot of anxiety,” Pimentel said, referring to the time before she entered therapy. “I have discovered many things, how to understand these issues and how I can work on them. And also how to help my children.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"In 2020, California saw a 70% increase in kids being diagnosed with anxiety or depression, which experts say can't be separated from parents and caregivers' struggles — and children of color are suffering the most. Here's how one family used therapy and other tools to address stress and grief.","status":"publish","parent":0,"modified":1666198731,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":38,"wordCount":1683},"headData":{"title":"Breaking the Cycle: How Parental Mental Health Affects Kids — and What to Do About It | KQED","description":"In 2020, California saw a 70% increase in kids being diagnosed with anxiety or depression, which experts say can't be separated from parents and caregivers' struggles — and children of color are suffering the most. Here's how one family used therapy and other tools to address stress and grief.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Breaking the Cycle: How Parental Mental Health Affects Kids — and What to Do About It","datePublished":"2022-10-18T23:45:43.000Z","dateModified":"2022-10-19T16:58:51.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11929333 https://ww2.kqed.org/news/?p=11929333","disqusUrl":"https://ww2.kqed.org/news/2022/10/18/breaking-the-cycle-how-parental-mental-health-affects-kids-and-what-to-do-about-it/","disqusTitle":"Breaking the Cycle: How Parental Mental Health Affects Kids — and What to Do About It","excludeFromSiteSearch":"Include","path":"/news/11929333/breaking-the-cycle-how-parental-mental-health-affects-kids-and-what-to-do-about-it","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Mariana Pimentel thinks about her childhood in a small town in Mexico, she remembers being surrounded by anger and desperation.\u003c/p>\n\u003cp>Her parents worked long hours to support Pimentel and her brothers and sisters, so they were often absent. When they \u003cem>were\u003c/em> home, her parents communicated by yelling.\u003c/p>\n\u003cp>“I want my kids to grow up in a different environment from how I grew up and not repeat the same mistakes,” said Pimentel, a 41-year-old mother of three.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11926978,news_11924343,news_11924980"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Shifting away from the parenting style she grew up with took time and lots of work. Nine years ago, Pimentel, who lives in Salinas, began attending free classes on topics such as positive parenting and discipline at GoKids Inc., a nonprofit that provides early childhood education to lower-income families.\u003c/p>\n\u003cp>“I’ve noticed that if I am stressed or anxious, I will end up transmitting that to my kids. There is a connection,” Pimentel said. “The more I attend classes, the more I learn, the better I can help my children and the better off they will be.”\u003c/p>\n\u003cp>In addition to taking classes, Pimentel, her husband and two of her children received individual therapy through GoKids to deal with depression and anxiety. The family’s experience demonstrates the importance of addressing mental health not just for one person, but the family as a whole.\u003c/p>\n\u003ch2>Pandemic 'forced us to look at the shadows'\u003c/h2>\n\u003cp>During the first year of the pandemic, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7024a3.htm#:~:text=Among%202%2C391%20parents%2Dcaregivers%2C%20approximately,past%2Dmonth%20serious%20suicidal%20ideation.\">nearly two-thirds of caregivers, including parents, reported adverse mental or behavioral health symptoms\u003c/a>, according to a Centers for Disease Control and Prevention survey. The survey also found that 27% of parents of children under 18 reported that their mental health worsened during the pandemic.\u003c/p>\n\u003cp>The need to come to terms with how parental mental health influences the mental health of children has come into sharper focus as the United States grapples with a crisis of children experiencing higher rates of anxiety, depression and thoughts of suicide.\u003c/p>\n\u003cp>In 2020, California saw a 70% increase in kids being diagnosed with anxiety or depression. That’s 1 in 8, up from 1 in 14 in 2016, \u003ca href=\"https://assets.aecf.org/m/resourcedoc/aecf-2022kidscountdatabook-2022.pdf\">according to The Annie E. Casey Foundation (PDF)\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11929357\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg\">\u003cimg class=\"size-medium wp-image-11929357\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg\" alt=\"a young Latinx couple, a man and a woman, in white shirts, smiling in front of a blue sky\" width=\"800\" height=\"640\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1020x816.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-160x128.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1536x1229.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales and Mariana Pimentel learned to manage their own stress and anxiety with therapy, and are working to pass the tools they've learned on to their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Children of color suffer the most, say experts, because services remain inaccessible to them for a variety of reasons.\u003c/p>\n\u003cp>“One thing the pandemic did is that it forced us to look at the shadows, the darker things, both within ourselves and within our communities that need attention,” said Tlazoltiani Jessica Zamarripa, who co-founded the Institute of Chicana/o/x Psychology with her husband, Manuel X. Zamarripa.\u003c/p>\n\u003cp>Based in Austin, Texas, the organization provides training for mental health providers and individuals with an emphasis on ancestral knowledge and practices from Indigenous cultures of Mexico. The Zamarripas founded the Institute of Chicana/o/x Psychology as a way to combat what they call the “mental health industrial complex” that has largely left kids from nonwhite communities underserved.\u003c/p>\n\u003cp>“Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced and experience now,” Zamarripa said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Tlazoltiani Jessica Zamarripa, co-founder, Institute of Chicana/o/x Psychology","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Often, when a child is struggling, the focus is solely on what they are doing wrong and correcting those behaviors, while not taking into account the stressors in their environment, including some caused by stressed parents. Parents need to recognize when their children need help, but also need to understand their own behavior, mental health and patterns of generational trauma, Zamarripa said.\u003c/p>\n\u003cp>In 2019, close to 1 in 5 white children received some form of mental health treatment. For \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db381.htm\">Latino and Black children the rate was about 1 in 11\u003c/a>, according to the CDC.\u003c/p>\n\u003cp>“It’s a deep pain to know that our children are struggling and suffering,” Zamarripa said. “We just want to believe that they’re happy and playful.”\u003c/p>\n\u003cp>But children don’t have the same coping mechanisms and understanding that adults have. When a child is acting out, Zamarripa's advice is to avoid reacting, punishing or judging the behavior.\u003c/p>\n\u003cp>“Kids act out in all kinds of ways, and for generations and generations and generations that has been misinterpreted as bad behavior when, in fact, all behavior is communication,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11929393\" class=\"wp-caption aligncenter\" style=\"max-width: 709px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\">\u003cimg class=\"size-full wp-image-11929393\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\" alt=\"a man and a woman in traditional Chicana/o/x dress talk in a room\" width=\"709\" height=\"399\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg 709w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM-160x90.jpg 160w\" sizes=\"(max-width: 709px) 100vw, 709px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Manuel X. Zamarippa (left) and Tlazoltiani Jessica Zamarripa, co-founders of the Institute of Chicana/o/x Psychology. \u003ccite>(Courtesy of the Institute of Chicana/o/x Psychology)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some parents, particularly the parents of children of color, often don’t know how to manage the stigma attached to seeking therapy for themselves or their children.\u003c/p>\n\u003cp>“Sometimes the difficulty with gaining access [to mental health care] is even getting buy-in” from parents, said Patricia Alvarado of Alvarado Therapy, a Los Angeles-based practice made up of Latinx and Spanish-speaking therapists. “If we’re talking about a young person, like a kid or a teenager, it can be quite difficult to say, ‘Yes, I need help.’ And also for the parent, depending on their socioeconomic status, their background, their education, they may not even know what that means.”\u003c/p>\n\u003cp>Not treating mental illness in kids can cause long-term harm. CDC researchers estimate that \u003ca href=\"https://www.cdc.gov/childrensmentalhealth/features/kf-childrens-mental-health-report.html\">13% to 20% of children are affected by an emotional or mental health disorder before the age of 17\u003c/a>.\u003c/p>\n\u003cp>“We still don’t know the long-term impact of the pandemic on children,” said Dr. Sandra Pisano, director of behavioral health for AltaMed, a community health provider in Southern California that serves lower-income people and mostly Latinx patients. “By normalizing wellness and self-care, this is where there’s a great opportunity for us to provide services to develop a healthy future generation after the pandemic.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'By normalizing wellness and self-care, this is where there's a great opportunity for us to provide services to develop a healthy future generation after the pandemic.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Dr. Sandra Pisano, director of behavioral health, AltaMed","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>According to Pisano, many parents don’t know how to talk to their children about self-care, which can be as simple as good sleep, eating well, taking deep breaths and doing something that brings joy or relaxation.\u003c/p>\n\u003cp>“It’s important for them as they grow older ... that they still have the practice of self-care, because this is creating a healthy child who will eventually be a healthy adult,” Pisano said.\u003c/p>\n\u003ch2>The transformative power of therapy\u003c/h2>\n\u003cp>When she was 24 years old, Pimentel left her home in Hidalgo, a state in central Mexico, to join her brother and sister in Salinas. There she met her husband, Jose Angel Morales, and started a family. Their three children are ages 9, 6 and 7 months.\u003c/p>\n\u003cp>“I looked for parenting resources when my eldest daughter was born, and connected with GoKids,” she said. “We started with classes and workshops and then wellness visits for my daughter and then, eventually, I found out they offered therapy.”\u003c/p>\n\u003cp>In 2020, Pimentel sank into depression after going through a miscarriage and went to therapy for the first time to deal with her grief.\u003c/p>\n\u003cp>In early 2021, she noticed her son biting his nails, a habit that went from occasional to excessive. His personality shifted from mostly happy and outgoing to somber and anxious, she said. He came home from school with bruises because classmates were bullying him.\u003c/p>\n\u003cfigure id=\"attachment_11929362\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg\">\u003cimg class=\"size-medium wp-image-11929362\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg\" alt=\"a Latinx family posing in a park, with a dad, mom and three young kids\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1536x1153.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg 1599w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales, Mariana Pimentel and their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Pimentel’s 9-year-old was also showing signs of anxiety. When she had to take a test or do something new, she would freeze with fear and struggle to complete her work. The stress of going from remote to in-person school also put a strain on her. Her children attended therapy sessions for about a year, until December of 2021.\u003c/p>\n\u003cp>Pimentel’s husband went to therapy last year to cope with stress from the pandemic — like losing his job at a car wash and family members contracting the virus, including Pimentel.\u003c/p>\n\u003cp>According to Pimentel, her husband’s therapist helped him realize that he had put too much emphasis on working extra hours or taking on additional tasks, all because he was afraid of being fired. He eventually found a new job at a different car wash and is far less stressed about work.\u003c/p>\n\u003cp>For families like Pimentel’s, having timely access to affordable mental health services was transformative, along with creating a culture of mental wellness at home.\u003c/p>\n\u003cp>Her son is more relaxed and joyful, she said, and many of his anxious behaviors, such as the nail biting, have decreased. He’s also developed the tools and confidence to stand up to bullies.\u003c/p>\n\u003cp>Her daughter has learned to calm her anxiety with techniques such as taking deep breaths, a sip of water or a short walk. She is bringing home higher grades.\u003c/p>\n\u003cp>“I didn’t know that I had depression or that I had a lot of anxiety,” Pimentel said, referring to the time before she entered therapy. “I have discovered many things, how to understand these issues and how I can work on them. And also how to help my children.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11929333/breaking-the-cycle-how-parental-mental-health-affects-kids-and-what-to-do-about-it","authors":["11666"],"categories":["news_457","news_8"],"tags":["news_25806","news_20634","news_27626","news_6904","news_2109","news_31651"],"featImg":"news_11929349","label":"news"},"news_11898991":{"type":"posts","id":"news_11898991","meta":{"index":"posts_1591205157","site":"news","id":"11898991","score":null,"sort":[1639518637000]},"guestAuthors":[],"slug":"it-saved-my-life-depression-treatment-turns-lives-around-in-five-days","title":"'It Saved My Life': Depression Treatment Is Turning Lives Around in Five Days","publishDate":1639518637,"format":"audio","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>After 40 years of fighting debilitating depression, Emma was on the brink.\u003c/p>\n\u003cp>“I was suicidal,” said Emma, a 59-year-old Bay Area resident. KQED is not using her full name because of the stigma that can surround mental illness. “I was going to die.”\u003c/p>\n\u003cp>Over the years, Emma sat through hours of talk therapy and tried countless anti-depression medications \"to have a semblance of normalcy.\" And yet she was consumed by relentless fatigue, insomnia and chronic nausea.\u003c/p>\n\u003cp>Depression is the \u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2618635\">world's leading cause of disability\u003c/a>, partly because treatment options often result in numerous side effects or patients do not respond at all. And there are many people who never seek treatment because mental illness can carry \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1489832/\">heavy stigma and discrimination\u003c/a>. Studies show \u003ca href=\"https://www.hhs.gov/answers/mental-health-and-substance-abuse/does-depression-increase-risk-of-suicide/index.html\">untreated depression can lead to suicidal ideation\u003c/a>.[pullquote size=\"medium\" align=\"right\" citation=\"Shan Siddiqi, a Harvard psychiatrist\"]'This study not only showed some of the best remission rates we've ever seen in depression, but also managed to do that in people who had already failed multiple other treatments.'[/pullquote]\u003c/p>\n\u003cp>Three years ago, Emma’s psychiatrist urged her to enroll in a \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2019.19070720\">study\u003c/a> at Stanford University School of Medicine designed for people who had run out of options. When she arrived, scientists took an MRI scan to determine the best possible location to deliver electrical pulses to her brain. Then for 10 hours a day for five consecutive days, Emma sat in a chair while a magnetic field stimulated her brain.\u003c/p>\n\u003cp>At the end of the first day, an unfamiliar calm settled over Emma. Even when her partner picked her up to drive home, she stayed relaxed. “I’m usually hysterical,” she said. “All the time I'm grabbing things. I'm yelling, you know, ‘Did you see those lights?’ And while I rode home that first night I just looked out the window and I enjoyed the ride.”\u003c/p>\n\u003cp>The remedy was a new type of repetitive transcranial magnetic stimulation (rTMS) called \"Stanford neuromodulation therapy.\" By adding imaging technology to the treatment and upping the dose of rTMS, scientists have developed an approach that’s more effective and works more than eight times faster than the current approved treatment.\u003c/p>\n\u003cfigure id=\"attachment_11898997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-scaled.jpg\">\u003cimg class=\"size-medium wp-image-11898997\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-800x534.jpg\" alt=\"A man wearing a business suit holds a thin metal object over a woman's head who is seated in an office.\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1536x1025.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-2048x1367.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1920x1281.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nolan Williams demonstrates the magnetic brain stimulation therapy he and his colleagues developed, on Deirdre Lehman, a participant in a previous study of the treatment. \u003ccite>(Steve Fisch)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A coil on top of Emma’s head created a magnetic field that sent electric pulses through her skull to tickle the surface of her brain. She says it felt like a woodpecker tapped on her skull every 15 seconds. The electrical current is directed at the prefrontal cortex, which is the part of the brain that plans, dreams and controls our emotions.\u003c/p>\n\u003cp>“It’s an area thought to be underactive in depression,” said Nolan Williams, a psychiatrist and rTMS researcher at Stanford. “We send a signal for the system to not only turn on, but to stay on and remember to stay on.”\u003c/p>\n\u003cp>Williams says pumping up the prefrontal cortex helps turn down other areas of the brain that stimulate fear and anxiety. That’s the basic premise of rTMS: Electrical impulses are used to balance out erratic brain activity. As a result, people feel less depressed and more in control. All of this holds true in the new treatment — it just works faster.\u003c/p>\n\u003cp>A recent randomized control trial, published in The American Journal of Psychiatry, shows \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2021.20101429\">astounding results are possible in five days or less\u003c/a>. Almost 80% of patients crossed into remission — meaning they were symptom-free within days. This is compared to about 13% of people who received the placebo treatment. Patients did not report any serious side effects. The most common complaint was a light headache.\u003c/p>\n\u003cp>Stanford’s new delivery system may even outperform electroconvulsive therapy, which is the most popular form of brain stimulation for depression, but it requires both general anesthesia and a full medical team.\u003c/p>\n\u003cp>“This study not only showed some of the best remission rates we've ever seen in depression,” said Shan Siddiqi, a Harvard psychiatrist not connected to the study, “but also managed to do that in people who had already failed multiple other treatments.”\u003c/p>\n\u003cp>Siddiqi also said the study’s small sample size, which is only 29 patients, is not cause for concern.\u003c/p>\n\u003cp>“Often, a clinical trial will be terminated early [according to pre-specified criteria] because the treatment is so effective that it would be unethical to continue giving people placebo,” said Siddiqi. “That's what happened here. They'd originally planned to recruit a much larger sample, but the interim analysis was definitive.”\u003c/p>\n\u003cp>Mark George, a psychiatrist and neurologist at the Medical University of South Carolina, agrees. He points to other similarly sized trials for depression treatments like \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-new-nasal-spray-medication-treatment-resistant-depression-available-only-certified\">ketamine, a version of which is now FDA-approved\u003c/a>.\u003c/p>\n\u003cp>He says the new rTMS approach could be a game changer because it’s both more precise and faster. George pioneered an rTMS treatment that was approved by the federal Food and Drug Administration for depression in 2008. Studies show that: It produces \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/32799106/\">a near total loss of symptoms in about a third of patients\u003c/a>; another third feel somewhat better; and another third do not respond at all. But the main problem with the original treatment is that it takes six weeks, which is a long time for a patient in the midst of a crisis.[pullquote size=\"medium\" align=\"right\" citation=\"Tommy Van Brocklin, civil engineer\"]'I wake up now and I want to come to work, whereas before I'd rather stick a sharp stick in my eye.'[/pullquote]\u003c/p>\n\u003cp>“This study shows that you can speed it all up and that you can add treatments in a given day and it works,” said George.\u003c/p>\n\u003cp>The shorter treatment will increase access for a lot of people who cannot get six weeks off work or cover child care for that long.\u003c/p>\n\u003cp>“The more exciting applications, however, are due to the rapidity,” said George. \"These people [the patients] got unsuicidal and undepressed within a week. Those patients are just clogging up our emergency rooms, our psych hospitals. And we really don't have good treatments for acute suicidality.”\u003c/p>\n\u003cp>After 45 years of depression and numerous failed attempts to medicate his illness, Tommy Van Brocklin, a civil engineer, says he didn’t see a way out.\u003c/p>\n\u003cp>“The past couple of years I just started crying a lot,” he said. “I was just a real emotional wreck.”\u003c/p>\n\u003cp>So last September, Van Brocklin flew across the country from his home in Tennessee to Stanford, where he underwent the new rTMS treatment for a single five-day treatment. Almost immediately he started feeling more optimistic and sleeping longer and deeper.\u003c/p>\n\u003cp>“I wake up now and I want to come to work, whereas before I’d rather stick a sharp stick in my eye,” said Van Brocklin. “I have not had any depressed days since my treatment.”\u003c/p>\n\u003cp>He is hopeful the changes stick. More larger studies are needed to verify how long the new rTMS treatment will last.\u003c/p>\n\u003cp>At least for Emma, the woman who received Stanford’s treatment three years ago in a similar study, the results are holding. She says she still has ups and downs but \"it's an entirely different me dealing with it.\"\u003c/p>\n\u003cp>She says the regimen rewired her from the inside out. “It saved my life, and I'll be forever grateful,” said Emma, her voice cracking with emotion. “It saved my life.”\u003c/p>\n\u003cp>Stanford’s neuromodulation therapy could be widely available by the end of next year — that’s when scientists are hoping FDA clearance comes through. Williams, the lead researcher at Stanford, says he’s optimistic insurance companies will eventually cover the new delivery model because it works faster, so it’s likely more cost-effective than a conventional rTMS regimen. Major insurance companies and Medicare currently cover rTMS, though \u003ca href=\"https://www.tmsbrainhealth.com/tms-therapy/how-much-does-tms-therapy-cost/\">some plans\u003c/a> require patients to demonstrate that they’ve exhausted other treatment options.\u003c/p>\n\u003cp>The next step is studying how rTMS may improve other mental health disorders like addiction and traumatic brain injury.\u003c/p>\n\u003cp>“This study is hopefully just the tip of the iceberg,” said Siddiqi. “I think we're finally on the verge of a paradigm shift in how we think about psychiatric treatment, where we'll supplement the conventional chemical imbalance and psychological conflict models with a new brain circuit model.” In other words, psychiatrists will use electricity instead of talk therapy and drugs to treat mental health disorders.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A new type of brain stimulation is being used to treat people with depression, with promising results: In five days or fewer, almost 80% of patients were symptom-free.","status":"publish","parent":0,"modified":1644356261,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1479},"headData":{"title":"'It Saved My Life': Depression Treatment Is Turning Lives Around in Five Days | KQED","description":"A new type of brain stimulation is being used to treat people with depression, with promising results: In five days or fewer, almost 80% of patients were symptom-free.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'It Saved My Life': Depression Treatment Is Turning Lives Around in Five Days","datePublished":"2021-12-14T21:50:37.000Z","dateModified":"2022-02-08T21:37:41.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11898991 https://ww2.kqed.org/news/?p=11898991","disqusUrl":"https://ww2.kqed.org/news/2021/12/14/it-saved-my-life-depression-treatment-turns-lives-around-in-five-days/","disqusTitle":"'It Saved My Life': Depression Treatment Is Turning Lives Around in Five Days","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-4[…]f-aaef00f5a073/1d05e8fe-57e8-461a-9d57-adfa0160c6e7/audio.mp3","excludeFromSiteSearch":"Include","path":"/news/11898991/it-saved-my-life-depression-treatment-turns-lives-around-in-five-days","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>After 40 years of fighting debilitating depression, Emma was on the brink.\u003c/p>\n\u003cp>“I was suicidal,” said Emma, a 59-year-old Bay Area resident. KQED is not using her full name because of the stigma that can surround mental illness. “I was going to die.”\u003c/p>\n\u003cp>Over the years, Emma sat through hours of talk therapy and tried countless anti-depression medications \"to have a semblance of normalcy.\" And yet she was consumed by relentless fatigue, insomnia and chronic nausea.\u003c/p>\n\u003cp>Depression is the \u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2618635\">world's leading cause of disability\u003c/a>, partly because treatment options often result in numerous side effects or patients do not respond at all. And there are many people who never seek treatment because mental illness can carry \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1489832/\">heavy stigma and discrimination\u003c/a>. Studies show \u003ca href=\"https://www.hhs.gov/answers/mental-health-and-substance-abuse/does-depression-increase-risk-of-suicide/index.html\">untreated depression can lead to suicidal ideation\u003c/a>.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'This study not only showed some of the best remission rates we've ever seen in depression, but also managed to do that in people who had already failed multiple other treatments.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Shan Siddiqi, a Harvard psychiatrist","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Three years ago, Emma’s psychiatrist urged her to enroll in a \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2019.19070720\">study\u003c/a> at Stanford University School of Medicine designed for people who had run out of options. When she arrived, scientists took an MRI scan to determine the best possible location to deliver electrical pulses to her brain. Then for 10 hours a day for five consecutive days, Emma sat in a chair while a magnetic field stimulated her brain.\u003c/p>\n\u003cp>At the end of the first day, an unfamiliar calm settled over Emma. Even when her partner picked her up to drive home, she stayed relaxed. “I’m usually hysterical,” she said. “All the time I'm grabbing things. I'm yelling, you know, ‘Did you see those lights?’ And while I rode home that first night I just looked out the window and I enjoyed the ride.”\u003c/p>\n\u003cp>The remedy was a new type of repetitive transcranial magnetic stimulation (rTMS) called \"Stanford neuromodulation therapy.\" By adding imaging technology to the treatment and upping the dose of rTMS, scientists have developed an approach that’s more effective and works more than eight times faster than the current approved treatment.\u003c/p>\n\u003cfigure id=\"attachment_11898997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-scaled.jpg\">\u003cimg class=\"size-medium wp-image-11898997\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-800x534.jpg\" alt=\"A man wearing a business suit holds a thin metal object over a woman's head who is seated in an office.\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1536x1025.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-2048x1367.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1920x1281.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nolan Williams demonstrates the magnetic brain stimulation therapy he and his colleagues developed, on Deirdre Lehman, a participant in a previous study of the treatment. \u003ccite>(Steve Fisch)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A coil on top of Emma’s head created a magnetic field that sent electric pulses through her skull to tickle the surface of her brain. She says it felt like a woodpecker tapped on her skull every 15 seconds. The electrical current is directed at the prefrontal cortex, which is the part of the brain that plans, dreams and controls our emotions.\u003c/p>\n\u003cp>“It’s an area thought to be underactive in depression,” said Nolan Williams, a psychiatrist and rTMS researcher at Stanford. “We send a signal for the system to not only turn on, but to stay on and remember to stay on.”\u003c/p>\n\u003cp>Williams says pumping up the prefrontal cortex helps turn down other areas of the brain that stimulate fear and anxiety. That’s the basic premise of rTMS: Electrical impulses are used to balance out erratic brain activity. As a result, people feel less depressed and more in control. All of this holds true in the new treatment — it just works faster.\u003c/p>\n\u003cp>A recent randomized control trial, published in The American Journal of Psychiatry, shows \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2021.20101429\">astounding results are possible in five days or less\u003c/a>. Almost 80% of patients crossed into remission — meaning they were symptom-free within days. This is compared to about 13% of people who received the placebo treatment. Patients did not report any serious side effects. The most common complaint was a light headache.\u003c/p>\n\u003cp>Stanford’s new delivery system may even outperform electroconvulsive therapy, which is the most popular form of brain stimulation for depression, but it requires both general anesthesia and a full medical team.\u003c/p>\n\u003cp>“This study not only showed some of the best remission rates we've ever seen in depression,” said Shan Siddiqi, a Harvard psychiatrist not connected to the study, “but also managed to do that in people who had already failed multiple other treatments.”\u003c/p>\n\u003cp>Siddiqi also said the study’s small sample size, which is only 29 patients, is not cause for concern.\u003c/p>\n\u003cp>“Often, a clinical trial will be terminated early [according to pre-specified criteria] because the treatment is so effective that it would be unethical to continue giving people placebo,” said Siddiqi. “That's what happened here. They'd originally planned to recruit a much larger sample, but the interim analysis was definitive.”\u003c/p>\n\u003cp>Mark George, a psychiatrist and neurologist at the Medical University of South Carolina, agrees. He points to other similarly sized trials for depression treatments like \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-new-nasal-spray-medication-treatment-resistant-depression-available-only-certified\">ketamine, a version of which is now FDA-approved\u003c/a>.\u003c/p>\n\u003cp>He says the new rTMS approach could be a game changer because it’s both more precise and faster. George pioneered an rTMS treatment that was approved by the federal Food and Drug Administration for depression in 2008. Studies show that: It produces \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/32799106/\">a near total loss of symptoms in about a third of patients\u003c/a>; another third feel somewhat better; and another third do not respond at all. But the main problem with the original treatment is that it takes six weeks, which is a long time for a patient in the midst of a crisis.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I wake up now and I want to come to work, whereas before I'd rather stick a sharp stick in my eye.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Tommy Van Brocklin, civil engineer","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This study shows that you can speed it all up and that you can add treatments in a given day and it works,” said George.\u003c/p>\n\u003cp>The shorter treatment will increase access for a lot of people who cannot get six weeks off work or cover child care for that long.\u003c/p>\n\u003cp>“The more exciting applications, however, are due to the rapidity,” said George. \"These people [the patients] got unsuicidal and undepressed within a week. Those patients are just clogging up our emergency rooms, our psych hospitals. And we really don't have good treatments for acute suicidality.”\u003c/p>\n\u003cp>After 45 years of depression and numerous failed attempts to medicate his illness, Tommy Van Brocklin, a civil engineer, says he didn’t see a way out.\u003c/p>\n\u003cp>“The past couple of years I just started crying a lot,” he said. “I was just a real emotional wreck.”\u003c/p>\n\u003cp>So last September, Van Brocklin flew across the country from his home in Tennessee to Stanford, where he underwent the new rTMS treatment for a single five-day treatment. Almost immediately he started feeling more optimistic and sleeping longer and deeper.\u003c/p>\n\u003cp>“I wake up now and I want to come to work, whereas before I’d rather stick a sharp stick in my eye,” said Van Brocklin. “I have not had any depressed days since my treatment.”\u003c/p>\n\u003cp>He is hopeful the changes stick. More larger studies are needed to verify how long the new rTMS treatment will last.\u003c/p>\n\u003cp>At least for Emma, the woman who received Stanford’s treatment three years ago in a similar study, the results are holding. She says she still has ups and downs but \"it's an entirely different me dealing with it.\"\u003c/p>\n\u003cp>She says the regimen rewired her from the inside out. “It saved my life, and I'll be forever grateful,” said Emma, her voice cracking with emotion. “It saved my life.”\u003c/p>\n\u003cp>Stanford’s neuromodulation therapy could be widely available by the end of next year — that’s when scientists are hoping FDA clearance comes through. Williams, the lead researcher at Stanford, says he’s optimistic insurance companies will eventually cover the new delivery model because it works faster, so it’s likely more cost-effective than a conventional rTMS regimen. Major insurance companies and Medicare currently cover rTMS, though \u003ca href=\"https://www.tmsbrainhealth.com/tms-therapy/how-much-does-tms-therapy-cost/\">some plans\u003c/a> require patients to demonstrate that they’ve exhausted other treatment options.\u003c/p>\n\u003cp>The next step is studying how rTMS may improve other mental health disorders like addiction and traumatic brain injury.\u003c/p>\n\u003cp>“This study is hopefully just the tip of the iceberg,” said Siddiqi. “I think we're finally on the verge of a paradigm shift in how we think about psychiatric treatment, where we'll supplement the conventional chemical imbalance and psychological conflict models with a new brain circuit model.” In other words, psychiatrists will use electricity instead of talk therapy and drugs to treat mental health disorders.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11898991/it-saved-my-life-depression-treatment-turns-lives-around-in-five-days","authors":["11229"],"categories":["news_457","news_8"],"tags":["news_20634","news_27626","news_17983","news_30381","news_30382","news_1928","news_2883"],"featImg":"news_11898996","label":"news"},"news_11818800":{"type":"posts","id":"news_11818800","meta":{"index":"posts_1591205157","site":"news","id":"11818800","score":null,"sort":[1589597540000]},"guestAuthors":[],"slug":"doctors-urge-governor-to-reconsider-cuts-to-maternal-mental-health-care","title":"Doctors Urge Governor to Reconsider Cuts to Maternal Mental Health Care","publishDate":1589597540,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>Doctors and women’s health advocates say they are “alarmed” and “disheartened” by Gov. Gavin Newsom’s decision to rollback his promise of health coverage for low-income women who are diagnosed with postpartum depression or anxiety.\u003c/p>\n\u003cp>It was one of many cuts to mental health funding the governor proposed in his \u003ca href=\"http://www.ebudget.ca.gov/2020-21/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">revised budget\u003c/a> to close the $54 billion shortfall created by the coronavirus pandemic, which psychologists now say will likely be followed by a mental health pandemic.\u003c/p>\n\u003cp>“Two-thirds of minimum wage jobs are held by women, who are at risk of losing those jobs and childcare and are under enormous distress,” said Joy Burkhard, executive director of \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener noreferrer\">2020 Mom\u003c/a>, an advocacy group for maternal mental health. “We know that this population is at extreme risk for maternal mental health disorders.”\u003c/p>\n\u003cp>Burkhard’s group helped pass a state law in 2018 that now requires doctors to \u003ca href=\"https://www.kqed.org/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing\" target=\"_blank\" rel=\"noopener noreferrer\">screen new moms\u003c/a> for postpartum depression and anxiety. Obstetricians soon noticed that the moms who were most vulnerable to the conditions were low-income women covered by Medi-Cal – \u003ca href=\"https://www.chcf.org/publication/2019-medi-cal-facts-figures-crucial-coverage/\" target=\"_blank\" rel=\"noopener noreferrer\">half of all births\u003c/a> in California are covered by the state’s Medicaid program.\u003c/p>\n\u003cp>But pregnancy-related Medicaid coverage ends six weeks after the baby is born.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Doctors were left in a precarious position to not be able to treat the disorder that they were identifying,” Burkhard said. [pullquote size=\"medium\" align=\"right\" citation=\"Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association\"]\"With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.\"[/pullquote] \u003c/p>\n\u003cp>Last year, Governor Gavin Newsom agreed to change that. He allotted $34 million for the 2020 fiscal year budget so that women who were diagnosed with a maternal mental health disorder could stay on Medi-Cal for up to 12 months to get treated.\u003c/p>\n\u003cp>Now he’s taking it back.\u003c/p>\n\u003cp>“Nothing breaks my heart more than making budget cuts,” Newsom said at a press conference discussing his revised budget proposal on Thursday. “Because one thing I know about cuts: there’s a human being behind every single number.”\u003c/p>\n\u003cp>Legislators will now negotiate with the governor on how to balance the state’s finances, with a final budget due in June.\u003c/p>\n\u003cp>Doctors who lobbied for the extended Medi-Cal benefits are already urging the governor to reconsider the cuts, particularly in light of the nation’s longstanding and “unacceptable” maternal mortality crisis.\u003c/p>\n\u003cp>“Denying postpartum Medicaid coverage to new moms who face mental health concerns will exacerbate that crisis,” said Dr. Laura Sirott, state chair of the American College of Obstetricians and Gynecologists, or ACOG.\u003c/p>\n\u003cp>“With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.” [aside tag=\"health, coronavirus\" label=\"More Related Coverage\"]\u003c/p>\n\u003cp>Mental health problems are one of the \u003ca href=\"https://www.kqed.org/news/11710961/she-strived-to-be-the-perfect-mom-and-landed-in-the-psych-ward\" target=\"_blank\" rel=\"noopener noreferrer\">leading causes of maternal mortality\u003c/a>. Sirott points to CDC data that shows all pregnancy-related suicides and unintentional drug overdoses were deemed preventable.\u003c/p>\n\u003cp>The looming mental health crisis is preventable, too, advocates say, if the state is willing to ensure safety net programs can meet the increased demand for depression, anxiety and substance abuse treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“To get ready for the COVID-19 pandemic, California took unprecedented action to prepare our hospitals, shelter in place, and mobilize a massive public health response,” said Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association. “With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.”\u003c/p>\n\n","blocks":[],"excerpt":"Gov. Gavin Newsom is withdrawing a budget promise to allow women diagnosed with postpartum depression to keep their Medi-Cal benefits so they can get treated.","status":"publish","parent":0,"modified":1589597540,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":695},"headData":{"title":"Doctors Urge Governor to Reconsider Cuts to Maternal Mental Health Care | KQED","description":"Gov. Gavin Newsom is withdrawing a budget promise to allow women diagnosed with postpartum depression to keep their Medi-Cal benefits so they can get treated.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Doctors Urge Governor to Reconsider Cuts to Maternal Mental Health Care","datePublished":"2020-05-16T02:52:20.000Z","dateModified":"2020-05-16T02:52:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11818800 https://ww2.kqed.org/news/?p=11818800","disqusUrl":"https://ww2.kqed.org/news/2020/05/15/doctors-urge-governor-to-reconsider-cuts-to-maternal-mental-health-care/","disqusTitle":"Doctors Urge Governor to Reconsider Cuts to Maternal Mental Health Care","source":"Coronavirus","sourceUrl":"https://www.kqed.org/coronavirus","path":"/news/11818800/doctors-urge-governor-to-reconsider-cuts-to-maternal-mental-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Doctors and women’s health advocates say they are “alarmed” and “disheartened” by Gov. Gavin Newsom’s decision to rollback his promise of health coverage for low-income women who are diagnosed with postpartum depression or anxiety.\u003c/p>\n\u003cp>It was one of many cuts to mental health funding the governor proposed in his \u003ca href=\"http://www.ebudget.ca.gov/2020-21/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">revised budget\u003c/a> to close the $54 billion shortfall created by the coronavirus pandemic, which psychologists now say will likely be followed by a mental health pandemic.\u003c/p>\n\u003cp>“Two-thirds of minimum wage jobs are held by women, who are at risk of losing those jobs and childcare and are under enormous distress,” said Joy Burkhard, executive director of \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener noreferrer\">2020 Mom\u003c/a>, an advocacy group for maternal mental health. “We know that this population is at extreme risk for maternal mental health disorders.”\u003c/p>\n\u003cp>Burkhard’s group helped pass a state law in 2018 that now requires doctors to \u003ca href=\"https://www.kqed.org/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing\" target=\"_blank\" rel=\"noopener noreferrer\">screen new moms\u003c/a> for postpartum depression and anxiety. Obstetricians soon noticed that the moms who were most vulnerable to the conditions were low-income women covered by Medi-Cal – \u003ca href=\"https://www.chcf.org/publication/2019-medi-cal-facts-figures-crucial-coverage/\" target=\"_blank\" rel=\"noopener noreferrer\">half of all births\u003c/a> in California are covered by the state’s Medicaid program.\u003c/p>\n\u003cp>But pregnancy-related Medicaid coverage ends six weeks after the baby is born.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Doctors were left in a precarious position to not be able to treat the disorder that they were identifying,” Burkhard said. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"\"With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.\"","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp> \u003c/p>\n\u003cp>Last year, Governor Gavin Newsom agreed to change that. He allotted $34 million for the 2020 fiscal year budget so that women who were diagnosed with a maternal mental health disorder could stay on Medi-Cal for up to 12 months to get treated.\u003c/p>\n\u003cp>Now he’s taking it back.\u003c/p>\n\u003cp>“Nothing breaks my heart more than making budget cuts,” Newsom said at a press conference discussing his revised budget proposal on Thursday. “Because one thing I know about cuts: there’s a human being behind every single number.”\u003c/p>\n\u003cp>Legislators will now negotiate with the governor on how to balance the state’s finances, with a final budget due in June.\u003c/p>\n\u003cp>Doctors who lobbied for the extended Medi-Cal benefits are already urging the governor to reconsider the cuts, particularly in light of the nation’s longstanding and “unacceptable” maternal mortality crisis.\u003c/p>\n\u003cp>“Denying postpartum Medicaid coverage to new moms who face mental health concerns will exacerbate that crisis,” said Dr. Laura Sirott, state chair of the American College of Obstetricians and Gynecologists, or ACOG.\u003c/p>\n\u003cp>“With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"health, coronavirus","label":"More Related Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mental health problems are one of the \u003ca href=\"https://www.kqed.org/news/11710961/she-strived-to-be-the-perfect-mom-and-landed-in-the-psych-ward\" target=\"_blank\" rel=\"noopener noreferrer\">leading causes of maternal mortality\u003c/a>. Sirott points to CDC data that shows all pregnancy-related suicides and unintentional drug overdoses were deemed preventable.\u003c/p>\n\u003cp>The looming mental health crisis is preventable, too, advocates say, if the state is willing to ensure safety net programs can meet the increased demand for depression, anxiety and substance abuse treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“To get ready for the COVID-19 pandemic, California took unprecedented action to prepare our hospitals, shelter in place, and mobilize a massive public health response,” said Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association. “With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11818800/doctors-urge-governor-to-reconsider-cuts-to-maternal-mental-health-care","authors":["3205"],"categories":["news_1758","news_457","news_8","news_13"],"tags":["news_1759","news_20634","news_27960","news_27964","news_27962","news_24622","news_27963"],"featImg":"news_11818851","label":"source_news_11818800"},"news_11750641":{"type":"posts","id":"news_11750641","meta":{"index":"posts_1591205157","site":"news","id":"11750641","score":null,"sort":[1559307632000]},"guestAuthors":[],"slug":"what-ferris-bueller-and-other-80s-movies-got-wrong-about-mental-health","title":"What Ferris Bueller and Other '80s Movies Got Wrong About Mental Health","publishDate":1559307632,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>David Singer clicks through iTunes looking for \"Ferris Bueller’s Day Off,\" a film he watched at least 12 times when it first came out in 1986. He was in his early 20s then.\u003c/p>\n\u003cp>“You’re old,” his younger daughter mutters, as she nudges her dad to choose the HD version.\u003c/p>\n\u003cp>Singer has high hopes as he settles in to watch the film with his wife and their two daughters, Emma, 13, and Elliot, 16, at their home in San Francisco.\u003c/p>\n\u003cp>“I want them to fall in love with it, just the way I did,” he says, as the opening scenes begin to roll. “Getting them to watch a movie from my younger days is always a challenge. They look slower and not as much in focus.”\u003c/p>\n\u003cp>Singer is like so many other people who came of age in the 1980s and idolized Ferris Bueller. For them, it will always be a fun movie about a kid faking being sick and skipping school.\u003c/p>\n\u003cp>“He was just having a load of fun,” Singer says, remembering Ferris at the Cubs game and singing on the float in downtown Chicago. “Everyone has a friend like his buddy, who’s kind of a sad sack.”\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Danny Wedding, author of Movies and Mental Illness']'In the 1980s, there might have been a tendency to see these as just rebellious teenagers misbehaving and causing trouble. Now, we're more likely to be sensitive to the mental illness themes and to see Cameron as somebody coping with depression.'[/pullquote]But more than 30 years later, Cameron Frye, and his friendship with Ferris, look different through the eyes of today’s teens. They notice different themes and different dynamics. Watching the film from today’s perspective and applying today’s vocabulary, it’s clear that Cameron wasn’t just a sad sack — he was depressed and anxious.\u003c/p>\n\u003cp>“I’m dying,” he groans in his first scene, cocooned in bed, staring at the ceiling. To which Ferris responds, “You’re not dying. You just can’t think of anything good to do.”\u003c/p>\n\u003cp>Throughout the film, Cameron’s fear is the foil to Ferris’ free spirit.\u003c/p>\n\u003cp>When they borrow Cameron’s dad’s precious Ferrari and things go wrong, Cameron “goes berserk,” in Ferris’ words, then spends the next several scenes in a catatonic state.\u003c/p>\n\u003cp>“Maybe he’s really sick,” Ferris says, nibbling an Oreo in a hot tub while Cameron stares straight ahead over the swimming pool. “Maybe he isn’t just torturing himself.”\u003c/p>\n\u003cp>Then Cameron tumbles into the pool, fully clothed, and sinks to the bottom. Ferris dives in to save him. It’s an ambiguous move -- in the end, a prank, but with hints of suicide.\u003c/p>\n\u003cp>“Ferris Bueller, you're my hero,” Cameron says sarcastically.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=D6gABQFR94U\u003c/p>\n\u003cp>\u003cstrong>From Hero to Jerk\u003c/strong>\u003c/p>\n\u003cp>When David Singer watched this film in the '80s, he did think of Ferris as a hero. But that wasn’t his daughter Elliot’s first reaction.\u003c/p>\n\u003cp>“I kinda hated him,” she says to her dad. “Ferris kinda sucks.”\u003c/p>\n\u003cp>He orders Cameron to get out of bed and pick him up, forces him to take his dad’s car, then dismisses Cameron’s concerns and blows him off as a worrier.\u003c/p>\n\u003cp>“He’s a very fun character,” Elliot says of Ferris. “But he’s also kind of an asshole.”\u003c/p>\n\u003cp>Plus, this whole taking-a-day-off-from-school business, pretending to be sick -- that’s not how it goes down in her world. Elliot is a junior at Lick-Wilmerding, a private high school in San Francisco with a reputation for being high pressure.\u003c/p>\n\u003cp>“People come to school sick because, honestly, at the type of school I’m at, it’s more stressful not to be at school,” she says. “Going and having a fun day is really fun. But it's also not fun – the amount of stuff you miss in a day.”\u003c/p>\n\u003cp>Elliot has had her own struggles with anxiety. It makes sense that she would pick up on different themes in the film than her dad and his generation.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='David Singer, who recently watched the film with his two teenage daughters']'Anxiety for teenagers, anxiety about the future, where do you go to college. It's age-old.'[/pullquote]Since \"Ferris Bueller\" was made, teenage suicide rates have spiked, especially among young girls, according to \u003ca href=\"https://www.cdc.gov/nchs/data/databriefs/db241.pdf\" target=\"_blank\" rel=\"noopener\">CDC data\u003c/a>. And 70% of today’s teens view anxiety and depression as a major problem, according to a recent \u003ca href=\"https://www.pewsocialtrends.org/2019/02/20/most-u-s-teens-see-anxiety-and-depression-as-a-major-problem-among-their-peers/\" target=\"_blank\" rel=\"noopener\">study from the Pew Research Center\u003c/a>.\u003c/p>\n\u003cp>“The viewing public is much more attuned to mental illness and the problems confronting people who are coping with mental illness,” says Danny Wedding, a psychologist from Berkeley, who wrote the \u003ca href=\"https://books.google.com/books/about/Movies_and_Mental_Illness.html?id=20RfAgAAQBAJ\" target=\"_blank\" rel=\"noopener\">textbook \"Movies and Mental Illness.\"\u003c/a> He is working on the fifth edition now.\u003c/p>\n\u003cp>“In the 1980s, there might have been a tendency to see these as just rebellious teenagers misbehaving and causing trouble,” he says. “Now, we're more likely to be sensitive to the mental illness themes and to see Cameron as somebody coping with depression.”\u003c/p>\n\u003cp>And the Ferrari? Wedding sees it as a metaphor for all the times his father failed to respond to Cameron’s needs.\u003c/p>\n\u003cp>Film representations began to change in the late 1980s and '90s with films like \"Rain Man,\" which started explicitly addressing mental health, Wedding says. As public awareness grew, films got better. As films got better, public awareness grew more.\u003c/p>\n\u003cp>“One of the things that happened is that directors increasingly turned to mental health consultants to advise on films, and that happened in the '90s,” he says.\u003c/p>\n\u003cp>\u003cstrong>Movie Myths Then and Now\u003c/strong>\u003c/p>\n\u003cp>But before that, movies were rife with subtle, subliminal messages about mental illness, often through sidekick characters like Cameron. All sorts of negative stereotypes were promulgated, Wedding says. He boils them down to three common myths.\u003c/p>\n\u003cp>Myth No. 1: People become mentally ill because their parents treated them badly.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Elliot Singer, 16']'He’s a very fun character. But he’s also kind of an asshole.'[/pullquote]\"Sybil\" and \"Carrie\" are examples of this, as are all the horror films of the '80s, like \"Halloween\" and \"A Nightmare on Elm Street.\" In that film, Freddy Krueger was the villain that slashed people in their dreams. Legend has it he was conceived when a nun at a mental hospital was locked in a room full of criminally insane men.\u003c/p>\n\u003cp>“They said that Freddy is the offspring of a thousand maniacs,” Wedding says.\u003c/p>\n\u003cp>Myth No. 2: People become mentally ill because of some traumatic event that happened.\u003c/p>\n\u003cp>Think of Robin Williams, who plays a character with schizophrenia in \"The Fisher King,\" Wedding says: “His symptoms develop after a traumatic event in which his girlfriend is killed in a restaurant.”\u003c/p>\n\u003cp>Some myths have persisted, like No. 3: Love will conquer mental illness.\u003c/p>\n\u003cp>You see this everywhere, Wedding says: \"A Beautiful Mind,\" \"Mozart and the Whale,\" \"Benny & Joon.\"\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=LlmtpC2sRC8\u003c/p>\n\u003cp>“You leave the theater thinking that Joon is gonna be OK because she's found her true love,” he says. “But the fact is that schizophrenia is an illness that is chronic and cyclical, and oftentimes people who are loved very much by their families still have to grapple with the challenges of mental illness. They still get sick. Love is important. It's not sufficient.”\u003c/p>\n\u003cp>It’s like that in \"Ferris Bueller,\" too. Cameron has a breakthrough at the end of the film. He decides he is not going to live in fear anymore. He is going to stand up to his dad. And all it took was a day off from school with his best friend.\u003c/p>\n\u003cp>[aside tag='mental-health' label='More Coverage']Today’s teenagers, Emma and Elliot Singer, say, \"Yeah right.\"\u003c/p>\n\u003cp>“It’s not realistic,” Emma says.\u003c/p>\n\u003cp>“I kind of agree,” Elliot replies. “I think it was like an abrupt romanticized transition for him.”\u003c/p>\n\u003cp>Their dad makes his case, tries to bring them around. He says the themes from the movie back then are the same as they are now.\u003c/p>\n\u003cp>“We have different words and maybe we talk about it more with more specificity or more transparency, but they were all still there, right?” he says. “Anxiety for teenagers, anxiety about the future, where do you go to college. It's age-old.”\u003c/p>\n\u003cp>Elliot says, I dunno. It was funny. Maybe if she watches it another 11 times, she’ll see what her dad sees.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"More than 30 years after 'Ferris Bueller's Day Off' became a classic with many '80s youth, Cameron Frye, and his friendship with Ferris, look different through the eyes of today’s teens. ","status":"publish","parent":0,"modified":1559342949,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":46,"wordCount":1526},"headData":{"title":"What Ferris Bueller and Other '80s Movies Got Wrong About Mental Health | KQED","description":"More than 30 years after 'Ferris Bueller's Day Off' became a classic with many '80s youth, Cameron Frye, and his friendship with Ferris, look different through the eyes of today’s teens. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"What Ferris Bueller and Other '80s Movies Got Wrong About Mental Health","datePublished":"2019-05-31T13:00:32.000Z","dateModified":"2019-05-31T22:49:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11750641 https://ww2.kqed.org/news/?p=11750641","disqusUrl":"https://ww2.kqed.org/news/2019/05/31/what-ferris-bueller-and-other-80s-movies-got-wrong-about-mental-health/","disqusTitle":"What Ferris Bueller and Other '80s Movies Got Wrong About Mental Health","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2019/05/DemboskyFerrisBueller190528.mp3","audioTrackLength":429,"path":"/news/11750641/what-ferris-bueller-and-other-80s-movies-got-wrong-about-mental-health","audioDuration":429000,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>David Singer clicks through iTunes looking for \"Ferris Bueller’s Day Off,\" a film he watched at least 12 times when it first came out in 1986. He was in his early 20s then.\u003c/p>\n\u003cp>“You’re old,” his younger daughter mutters, as she nudges her dad to choose the HD version.\u003c/p>\n\u003cp>Singer has high hopes as he settles in to watch the film with his wife and their two daughters, Emma, 13, and Elliot, 16, at their home in San Francisco.\u003c/p>\n\u003cp>“I want them to fall in love with it, just the way I did,” he says, as the opening scenes begin to roll. “Getting them to watch a movie from my younger days is always a challenge. They look slower and not as much in focus.”\u003c/p>\n\u003cp>Singer is like so many other people who came of age in the 1980s and idolized Ferris Bueller. For them, it will always be a fun movie about a kid faking being sick and skipping school.\u003c/p>\n\u003cp>“He was just having a load of fun,” Singer says, remembering Ferris at the Cubs game and singing on the float in downtown Chicago. “Everyone has a friend like his buddy, who’s kind of a sad sack.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'In the 1980s, there might have been a tendency to see these as just rebellious teenagers misbehaving and causing trouble. Now, we're more likely to be sensitive to the mental illness themes and to see Cameron as somebody coping with depression.'","name":"pullquote","attributes":{"named":{"size":"small","align":"right","citation":"Danny Wedding, author of Movies and Mental Illness","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>But more than 30 years later, Cameron Frye, and his friendship with Ferris, look different through the eyes of today’s teens. They notice different themes and different dynamics. Watching the film from today’s perspective and applying today’s vocabulary, it’s clear that Cameron wasn’t just a sad sack — he was depressed and anxious.\u003c/p>\n\u003cp>“I’m dying,” he groans in his first scene, cocooned in bed, staring at the ceiling. To which Ferris responds, “You’re not dying. You just can’t think of anything good to do.”\u003c/p>\n\u003cp>Throughout the film, Cameron’s fear is the foil to Ferris’ free spirit.\u003c/p>\n\u003cp>When they borrow Cameron’s dad’s precious Ferrari and things go wrong, Cameron “goes berserk,” in Ferris’ words, then spends the next several scenes in a catatonic state.\u003c/p>\n\u003cp>“Maybe he’s really sick,” Ferris says, nibbling an Oreo in a hot tub while Cameron stares straight ahead over the swimming pool. “Maybe he isn’t just torturing himself.”\u003c/p>\n\u003cp>Then Cameron tumbles into the pool, fully clothed, and sinks to the bottom. Ferris dives in to save him. It’s an ambiguous move -- in the end, a prank, but with hints of suicide.\u003c/p>\n\u003cp>“Ferris Bueller, you're my hero,” Cameron says sarcastically.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/D6gABQFR94U'\n title='//www.youtube.com/embed/D6gABQFR94U'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cstrong>From Hero to Jerk\u003c/strong>\u003c/p>\n\u003cp>When David Singer watched this film in the '80s, he did think of Ferris as a hero. But that wasn’t his daughter Elliot’s first reaction.\u003c/p>\n\u003cp>“I kinda hated him,” she says to her dad. “Ferris kinda sucks.”\u003c/p>\n\u003cp>He orders Cameron to get out of bed and pick him up, forces him to take his dad’s car, then dismisses Cameron’s concerns and blows him off as a worrier.\u003c/p>\n\u003cp>“He’s a very fun character,” Elliot says of Ferris. “But he’s also kind of an asshole.”\u003c/p>\n\u003cp>Plus, this whole taking-a-day-off-from-school business, pretending to be sick -- that’s not how it goes down in her world. Elliot is a junior at Lick-Wilmerding, a private high school in San Francisco with a reputation for being high pressure.\u003c/p>\n\u003cp>“People come to school sick because, honestly, at the type of school I’m at, it’s more stressful not to be at school,” she says. “Going and having a fun day is really fun. But it's also not fun – the amount of stuff you miss in a day.”\u003c/p>\n\u003cp>Elliot has had her own struggles with anxiety. It makes sense that she would pick up on different themes in the film than her dad and his generation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Anxiety for teenagers, anxiety about the future, where do you go to college. It's age-old.'","name":"pullquote","attributes":{"named":{"size":"small","align":"right","citation":"David Singer, who recently watched the film with his two teenage daughters","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Since \"Ferris Bueller\" was made, teenage suicide rates have spiked, especially among young girls, according to \u003ca href=\"https://www.cdc.gov/nchs/data/databriefs/db241.pdf\" target=\"_blank\" rel=\"noopener\">CDC data\u003c/a>. And 70% of today’s teens view anxiety and depression as a major problem, according to a recent \u003ca href=\"https://www.pewsocialtrends.org/2019/02/20/most-u-s-teens-see-anxiety-and-depression-as-a-major-problem-among-their-peers/\" target=\"_blank\" rel=\"noopener\">study from the Pew Research Center\u003c/a>.\u003c/p>\n\u003cp>“The viewing public is much more attuned to mental illness and the problems confronting people who are coping with mental illness,” says Danny Wedding, a psychologist from Berkeley, who wrote the \u003ca href=\"https://books.google.com/books/about/Movies_and_Mental_Illness.html?id=20RfAgAAQBAJ\" target=\"_blank\" rel=\"noopener\">textbook \"Movies and Mental Illness.\"\u003c/a> He is working on the fifth edition now.\u003c/p>\n\u003cp>“In the 1980s, there might have been a tendency to see these as just rebellious teenagers misbehaving and causing trouble,” he says. “Now, we're more likely to be sensitive to the mental illness themes and to see Cameron as somebody coping with depression.”\u003c/p>\n\u003cp>And the Ferrari? Wedding sees it as a metaphor for all the times his father failed to respond to Cameron’s needs.\u003c/p>\n\u003cp>Film representations began to change in the late 1980s and '90s with films like \"Rain Man,\" which started explicitly addressing mental health, Wedding says. As public awareness grew, films got better. As films got better, public awareness grew more.\u003c/p>\n\u003cp>“One of the things that happened is that directors increasingly turned to mental health consultants to advise on films, and that happened in the '90s,” he says.\u003c/p>\n\u003cp>\u003cstrong>Movie Myths Then and Now\u003c/strong>\u003c/p>\n\u003cp>But before that, movies were rife with subtle, subliminal messages about mental illness, often through sidekick characters like Cameron. All sorts of negative stereotypes were promulgated, Wedding says. He boils them down to three common myths.\u003c/p>\n\u003cp>Myth No. 1: People become mentally ill because their parents treated them badly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'He’s a very fun character. But he’s also kind of an asshole.'","name":"pullquote","attributes":{"named":{"size":"small","align":"right","citation":"Elliot Singer, 16","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\"Sybil\" and \"Carrie\" are examples of this, as are all the horror films of the '80s, like \"Halloween\" and \"A Nightmare on Elm Street.\" In that film, Freddy Krueger was the villain that slashed people in their dreams. Legend has it he was conceived when a nun at a mental hospital was locked in a room full of criminally insane men.\u003c/p>\n\u003cp>“They said that Freddy is the offspring of a thousand maniacs,” Wedding says.\u003c/p>\n\u003cp>Myth No. 2: People become mentally ill because of some traumatic event that happened.\u003c/p>\n\u003cp>Think of Robin Williams, who plays a character with schizophrenia in \"The Fisher King,\" Wedding says: “His symptoms develop after a traumatic event in which his girlfriend is killed in a restaurant.”\u003c/p>\n\u003cp>Some myths have persisted, like No. 3: Love will conquer mental illness.\u003c/p>\n\u003cp>You see this everywhere, Wedding says: \"A Beautiful Mind,\" \"Mozart and the Whale,\" \"Benny & Joon.\"\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/LlmtpC2sRC8'\n title='//www.youtube.com/embed/LlmtpC2sRC8'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>“You leave the theater thinking that Joon is gonna be OK because she's found her true love,” he says. “But the fact is that schizophrenia is an illness that is chronic and cyclical, and oftentimes people who are loved very much by their families still have to grapple with the challenges of mental illness. They still get sick. Love is important. It's not sufficient.”\u003c/p>\n\u003cp>It’s like that in \"Ferris Bueller,\" too. Cameron has a breakthrough at the end of the film. He decides he is not going to live in fear anymore. He is going to stand up to his dad. And all it took was a day off from school with his best friend.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"mental-health","label":"More Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Today’s teenagers, Emma and Elliot Singer, say, \"Yeah right.\"\u003c/p>\n\u003cp>“It’s not realistic,” Emma says.\u003c/p>\n\u003cp>“I kind of agree,” Elliot replies. “I think it was like an abrupt romanticized transition for him.”\u003c/p>\n\u003cp>Their dad makes his case, tries to bring them around. He says the themes from the movie back then are the same as they are now.\u003c/p>\n\u003cp>“We have different words and maybe we talk about it more with more specificity or more transparency, but they were all still there, right?” he says. “Anxiety for teenagers, anxiety about the future, where do you go to college. It's age-old.”\u003c/p>\n\u003cp>Elliot says, I dunno. It was funny. Maybe if she watches it another 11 times, she’ll see what her dad sees.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11750641/what-ferris-bueller-and-other-80s-movies-got-wrong-about-mental-health","authors":["3205"],"programs":["news_72"],"categories":["news_223","news_18540","news_457","news_8"],"tags":["news_25806","news_20634","news_2109","news_701","news_17041","news_25809"],"featImg":"news_11751313","label":"news_72"},"news_11746907":{"type":"posts","id":"news_11746907","meta":{"index":"posts_1591205157","site":"news","id":"11746907","score":null,"sort":[1558129961000]},"guestAuthors":[],"slug":"this-beauty-queen-uses-her-platform-to-ease-mental-health-stigma-in-asian-american-community","title":"This Beauty Queen Uses Her Platform to Ease Mental Health Stigma in Asian American Community","publishDate":1558129961,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>At first glance, Sophia Ng has all the hallmarks of a typical pageant queen: She has beauty, brains and charisma.\u003c/p>\n\u003cp>But last August, when Ng, 27, competed in San Francisco’s\u003ca href=\"https://www.missasianglobal.com/\"> Miss Asian Global & Miss Asian America\u003c/a> pageant, the longest-running Asian beauty pageant in the nation, she surprised her audience with what she revealed on stage.\u003c/p>\n\u003cp>“I was once in a suicide depression, and in my hour of darkness, I believed I was worthless and that life was not worth living,” she told the crowd at Herbst Theatre in San Francisco. The audience that night was mostly Asian.\u003c/p>\n\u003cp>Later that evening, Ng was crowned Miss Asian America. It was the first pageant she had ever competed in.\u003c/p>\n\u003cp>At 5 foot 9 inches tall, Ng never used to wear high heels. But now, she is a pro. Since she has entered the pageant world, she regularly dons a gown, sash and crown to attend charity and community events, like this year’s Lunar New Year Parade in San Francisco.\u003c/p>\n\u003cfigure id=\"attachment_11746925\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11746925 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/RS37059_IMG_3611-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng, second from right, strikes a pose on a Lunar New Year Parade float with some court members of the Miss Asian Global & Miss Asian America pageant, 2019. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But along with the networking and modeling opportunities, Ng spends her time doing what inspired her to compete in pageants in the first place: raising awareness about mental health, particularly among the Asian American and Pacific Islander communities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Ng is a mental health therapist, a profession she says offers an impact that’s deep but often struggles with reach. Until recently, she counselled students at elementary and high schools in San Francisco.\u003c/p>\n\u003cp>Earlier this spring, she embarked on a typical work day at Lowell High School — one of the most competitive high schools in the state.\u003c/p>\n\u003cp>As students attended classes and roamed the hallways during breaks, Ng met with her clients at Lowell’s Wellness Center, a place where students can come in for counseling and access community resources, or relax and sip a cup of tea.\u003c/p>\n\u003cfigure id=\"attachment_11747793\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11747793\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Sophia-Ng-Reading-800x603.jpg\" alt=\"Sophia Ng reviews some paperwork in an office at Lowell High School's Wellness Center. As a mental health therapist, Ng visited schools in San Francisco and counseled students.\" width=\"800\" height=\"603\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-800x603.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-160x121.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-1020x769.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-1200x904.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading.jpg 1736w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng reviews some paperwork in an office at Lowell High School's Wellness Center. As a mental health therapist, Ng visited schools in San Francisco and counseled students. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a small office in the Wellness Center, as a white noise machine hummed nearby to help protect privacy during conversations, one student told Ng about the painful relationship he has with his mom.\u003c/p>\n\u003cp>“She went on a rant,” he told Ng, referring to a recent incident involving him, his brother and his mother, in which their mother told them they were \"useless.\"\u003c/p>\n\u003cp>“She also mention[ed] something like, 'you guys were a waste of giving birth' in Chinese.\"\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Sophia Ng']'I was once in a suicide depression, and in my hour of darkness, I believed I was worthless and that life was not worth living.'[/pullquote]Like this student, and many of the students she works with, Ng is also Chinese, growing up in Hong Kong. She says many students and their parents hesitate to seek out therapy, and that this may trace back to a culture in which shame and honor play an important role.\u003c/p>\n\u003cp>It's also seen in the parenting style, where they use shame and guilt to parent their kid, said Ng, who stressed that not all Asian American moms and dads do this.\u003c/p>\n\u003cp>Parents also worry that if their kids need help, maybe they’ve done something wrong as parents. But, she noted, people in the community are under pressure to present a good face to the world despite whatever their going through.\u003c/p>\n\u003cp>[aside tag='mental-health' label='More Coverage of Mental Health Issues']In fact, Asian Americans are \u003ca href=\"https://www.apa.org/pi/oema/resources/ethnicity-health/asian-american/article-mental-health\">three times less likely\u003c/a> to seek out mental health services than white people. And they make up only \u003ca href=\"https://www.apa.org/workforce/publications/16-demographics/report.pdf\">4%\u003c/a> of the U.S. psychology workforce, which is mostly white. That all influences the reaction Ng gets when students come to her for the first time, she said.\u003c/p>\n\u003cp>\"They're like, ‘Oh, I expected you to be, like, a white person,’” she said.\u003c/p>\n\u003cp>A therapist she had as a teenager inspired Ng to do this work. Ng had been on her way to becoming a competitive athlete, when an accident during a basketball tournament crushed her leg. She was 16, and her whole identity at that time revolved around being an athlete.\u003c/p>\n\u003cp>“While I was still like, recovering physically, my mind definitely began to sort of spiral downwards,” Ng said.\u003c/p>\n\u003cp>Ng had a hard time getting out of bed and didn’t want to hang out with friends.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Sophia Ng']'My passion is removing the stigma that exists around mental health.'[/pullquote]At her lowest point, Ng said she attempted suicide by taking a bunch of sleeping pills. That’s when she found herself in a therapist’s office, talking with someone who could offer the perspective her family and friends couldn’t.\u003c/p>\n\u003cp>“I think at that time, people in your personal life, they kind of have this ... need or urge to just sort of, like, get you out of that mentality ASAP,” Ng said. “So they tell you to be positive, they tell you to, you know, not think like that, and just, you know, things will get better. And I think those were not the things I needed to hear at the time. Because it didn't make me feel listened to.”\u003c/p>\n\u003cp>The night Ng won the Miss Asian America title and talked openly about her suicide attempt, a common refrain echoed among the audience.\u003c/p>\n\u003cp>“'Whoa, like, you were extremely vulnerable up there,'” Ng said, recalling the conversations she had after the pageant ended. The people she met knew what it meant for her to challenge the cultural pressures to keep those struggles quiet.\u003c/p>\n\u003cfigure id=\"attachment_11746928\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11746928 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/RS37057_IMG_3777-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng started competing in pageants to raise awareness around mental health, especially among the Asian American and Pacific Islander community. Now that she is a pageant titleholder, she often goes to community events, like this Bay Area Chinese Association banquet, that offer her a platform to spread her message. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On a Saturday night, Ng was once again out as a beauty queen, this time at a dinner banquet in Pinole that was sponsored by the Chinese Association of Hercules. She was joined by two other winners of the Miss Asian Global & Miss Asian America pageant. The three of them were dolled up for the occasion in long gowns and flawless hair and makeup.\u003c/p>\n\u003cp>When it was time to introduce the women to the banquet attendees, Ng took the mic and spoke in both Cantonese and in English.\u003c/p>\n\u003cp>“My passion is removing the stigma that exists around mental health. And I’m currently doing that by doing a lot of speaking engagements, especially with college students, educating them about this,” she told the dinner guests, knowing the banquet was another platform for her, too. They burst into applause.\u003c/p>\n\u003cp>In the last few weeks, a lot has changed for Ng. She left her job as a school counselor because she is moving back to Hong Kong to be closer to her parents and her fiancé, who got a job in China. She hopes to someday start her own therapy practice, and launch a mental health consulting agency for companies and schools.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Ng's international move fits her new beauty queen title. She recently stepped down as Miss Asian America because she was crowned “\u003ca href=\"https://missglobal.com/\">Miss Global\u003c/a>” in a worldwide competition — the second pageant in which she has ever competed. She says in this new role, she’ll continue to spread her message that it’s \"OK not to be OK.\"\u003c/p>\n\n","blocks":[],"excerpt":"Sophia Ng entered — and won — her first pageant so she could raise awareness about mental health, particularly among the Asian American and Pacific Islander communities. She wants people to know it’s \"OK not to be OK.\"","status":"publish","parent":0,"modified":1558138655,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1326},"headData":{"title":"This Beauty Queen Uses Her Platform to Ease Mental Health Stigma in Asian American Community | KQED","description":"Sophia Ng entered — and won — her first pageant so she could raise awareness about mental health, particularly among the Asian American and Pacific Islander communities. She wants people to know it’s "OK not to be OK."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"This Beauty Queen Uses Her Platform to Ease Mental Health Stigma in Asian American Community","datePublished":"2019-05-17T21:52:41.000Z","dateModified":"2019-05-18T00:17:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11746907 https://ww2.kqed.org/news/?p=11746907","disqusUrl":"https://ww2.kqed.org/news/2019/05/17/this-beauty-queen-uses-her-platform-to-ease-mental-health-stigma-in-asian-american-community/","disqusTitle":"This Beauty Queen Uses Her Platform to Ease Mental Health Stigma in Asian American Community","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcrmag/2019/05/BeautyQueenFightsMentalHealthStigma.mp3","nprByline":"Sonia Paul","audioTrackLength":353,"path":"/news/11746907/this-beauty-queen-uses-her-platform-to-ease-mental-health-stigma-in-asian-american-community","audioDuration":352000,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>At first glance, Sophia Ng has all the hallmarks of a typical pageant queen: She has beauty, brains and charisma.\u003c/p>\n\u003cp>But last August, when Ng, 27, competed in San Francisco’s\u003ca href=\"https://www.missasianglobal.com/\"> Miss Asian Global & Miss Asian America\u003c/a> pageant, the longest-running Asian beauty pageant in the nation, she surprised her audience with what she revealed on stage.\u003c/p>\n\u003cp>“I was once in a suicide depression, and in my hour of darkness, I believed I was worthless and that life was not worth living,” she told the crowd at Herbst Theatre in San Francisco. The audience that night was mostly Asian.\u003c/p>\n\u003cp>Later that evening, Ng was crowned Miss Asian America. It was the first pageant she had ever competed in.\u003c/p>\n\u003cp>At 5 foot 9 inches tall, Ng never used to wear high heels. But now, she is a pro. Since she has entered the pageant world, she regularly dons a gown, sash and crown to attend charity and community events, like this year’s Lunar New Year Parade in San Francisco.\u003c/p>\n\u003cfigure id=\"attachment_11746925\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11746925 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/RS37059_IMG_3611-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng, second from right, strikes a pose on a Lunar New Year Parade float with some court members of the Miss Asian Global & Miss Asian America pageant, 2019. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But along with the networking and modeling opportunities, Ng spends her time doing what inspired her to compete in pageants in the first place: raising awareness about mental health, particularly among the Asian American and Pacific Islander communities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ng is a mental health therapist, a profession she says offers an impact that’s deep but often struggles with reach. Until recently, she counselled students at elementary and high schools in San Francisco.\u003c/p>\n\u003cp>Earlier this spring, she embarked on a typical work day at Lowell High School — one of the most competitive high schools in the state.\u003c/p>\n\u003cp>As students attended classes and roamed the hallways during breaks, Ng met with her clients at Lowell’s Wellness Center, a place where students can come in for counseling and access community resources, or relax and sip a cup of tea.\u003c/p>\n\u003cfigure id=\"attachment_11747793\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11747793\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Sophia-Ng-Reading-800x603.jpg\" alt=\"Sophia Ng reviews some paperwork in an office at Lowell High School's Wellness Center. As a mental health therapist, Ng visited schools in San Francisco and counseled students.\" width=\"800\" height=\"603\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-800x603.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-160x121.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-1020x769.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-1200x904.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading.jpg 1736w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng reviews some paperwork in an office at Lowell High School's Wellness Center. As a mental health therapist, Ng visited schools in San Francisco and counseled students. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a small office in the Wellness Center, as a white noise machine hummed nearby to help protect privacy during conversations, one student told Ng about the painful relationship he has with his mom.\u003c/p>\n\u003cp>“She went on a rant,” he told Ng, referring to a recent incident involving him, his brother and his mother, in which their mother told them they were \"useless.\"\u003c/p>\n\u003cp>“She also mention[ed] something like, 'you guys were a waste of giving birth' in Chinese.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I was once in a suicide depression, and in my hour of darkness, I believed I was worthless and that life was not worth living.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Sophia Ng","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Like this student, and many of the students she works with, Ng is also Chinese, growing up in Hong Kong. She says many students and their parents hesitate to seek out therapy, and that this may trace back to a culture in which shame and honor play an important role.\u003c/p>\n\u003cp>It's also seen in the parenting style, where they use shame and guilt to parent their kid, said Ng, who stressed that not all Asian American moms and dads do this.\u003c/p>\n\u003cp>Parents also worry that if their kids need help, maybe they’ve done something wrong as parents. But, she noted, people in the community are under pressure to present a good face to the world despite whatever their going through.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"mental-health","label":"More Coverage of Mental Health Issues "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>In fact, Asian Americans are \u003ca href=\"https://www.apa.org/pi/oema/resources/ethnicity-health/asian-american/article-mental-health\">three times less likely\u003c/a> to seek out mental health services than white people. And they make up only \u003ca href=\"https://www.apa.org/workforce/publications/16-demographics/report.pdf\">4%\u003c/a> of the U.S. psychology workforce, which is mostly white. That all influences the reaction Ng gets when students come to her for the first time, she said.\u003c/p>\n\u003cp>\"They're like, ‘Oh, I expected you to be, like, a white person,’” she said.\u003c/p>\n\u003cp>A therapist she had as a teenager inspired Ng to do this work. Ng had been on her way to becoming a competitive athlete, when an accident during a basketball tournament crushed her leg. She was 16, and her whole identity at that time revolved around being an athlete.\u003c/p>\n\u003cp>“While I was still like, recovering physically, my mind definitely began to sort of spiral downwards,” Ng said.\u003c/p>\n\u003cp>Ng had a hard time getting out of bed and didn’t want to hang out with friends.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'My passion is removing the stigma that exists around mental health.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Sophia Ng","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>At her lowest point, Ng said she attempted suicide by taking a bunch of sleeping pills. That’s when she found herself in a therapist’s office, talking with someone who could offer the perspective her family and friends couldn’t.\u003c/p>\n\u003cp>“I think at that time, people in your personal life, they kind of have this ... need or urge to just sort of, like, get you out of that mentality ASAP,” Ng said. “So they tell you to be positive, they tell you to, you know, not think like that, and just, you know, things will get better. And I think those were not the things I needed to hear at the time. Because it didn't make me feel listened to.”\u003c/p>\n\u003cp>The night Ng won the Miss Asian America title and talked openly about her suicide attempt, a common refrain echoed among the audience.\u003c/p>\n\u003cp>“'Whoa, like, you were extremely vulnerable up there,'” Ng said, recalling the conversations she had after the pageant ended. The people she met knew what it meant for her to challenge the cultural pressures to keep those struggles quiet.\u003c/p>\n\u003cfigure id=\"attachment_11746928\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11746928 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/RS37057_IMG_3777-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng started competing in pageants to raise awareness around mental health, especially among the Asian American and Pacific Islander community. Now that she is a pageant titleholder, she often goes to community events, like this Bay Area Chinese Association banquet, that offer her a platform to spread her message. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On a Saturday night, Ng was once again out as a beauty queen, this time at a dinner banquet in Pinole that was sponsored by the Chinese Association of Hercules. She was joined by two other winners of the Miss Asian Global & Miss Asian America pageant. The three of them were dolled up for the occasion in long gowns and flawless hair and makeup.\u003c/p>\n\u003cp>When it was time to introduce the women to the banquet attendees, Ng took the mic and spoke in both Cantonese and in English.\u003c/p>\n\u003cp>“My passion is removing the stigma that exists around mental health. And I’m currently doing that by doing a lot of speaking engagements, especially with college students, educating them about this,” she told the dinner guests, knowing the banquet was another platform for her, too. They burst into applause.\u003c/p>\n\u003cp>In the last few weeks, a lot has changed for Ng. She left her job as a school counselor because she is moving back to Hong Kong to be closer to her parents and her fiancé, who got a job in China. She hopes to someday start her own therapy practice, and launch a mental health consulting agency for companies and schools.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ng's international move fits her new beauty queen title. She recently stepped down as Miss Asian America because she was crowned “\u003ca href=\"https://missglobal.com/\">Miss Global\u003c/a>” in a worldwide competition — the second pageant in which she has ever competed. She says in this new role, she’ll continue to spread her message that it’s \"OK not to be OK.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11746907/this-beauty-queen-uses-her-platform-to-ease-mental-health-stigma-in-asian-american-community","authors":["byline_news_11746907"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_20634","news_2109","news_2883"],"featImg":"news_11747789","label":"news_72"},"news_11664364":{"type":"posts","id":"news_11664364","meta":{"index":"posts_1591205157","site":"news","id":"11664364","score":null,"sort":[1524875730000]},"guestAuthors":[],"slug":"high-school-student-goes-from-homeless-to-hopeful","title":"High School Student Goes From Homeless to Hopeful","publishDate":1524875730,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Jennifer is a senior at Richmond High School. Just a few weeks ago, she put on a sparkly pink dress and went to prom -- a quintessential high school experience.\u003c/p>\n\u003cp>But most of the time, Jennifer feels much, much older. She remembers a happy childhood with her older brothers and her parents. There were trips to Toys \"R\" Us, a comfortable home, and a lot of love.\u003c/p>\n\u003cp>But her life started changing when her father’s construction company hit hard times. The family lost their home. And her parents had nowhere to turn for help. They’re both undocumented. That’s why we’re only using Jennifer’s first name for this story.\u003c/p>\n\u003cp>Things got even worse, Jennifer says, during her sophomore year, when one day, their landlord pulled up to their house. She shared her story as as part of \u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" rel=\"noopener\" target=\"_blank\">KQED's Youth Takeover Week\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11664878\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11664878\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-800x1062.jpg\" alt=\"\" width=\"800\" height=\"1062\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-800x1062.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-160x212.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut.jpg 904w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-240x319.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-375x498.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-520x690.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jennifer (second from left) at her high school prom. \u003ccite>(Mario Valencia)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"He has white hair, blue eyes and a white, bushy mustache and he walked up to me and said 'hey could you like call out your mom,'\" Jennifer remembers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The landlord told Jennifer's mother that he was no longer interested in renting his house to them. He was going to sell the house and told the family they had three months to leave. If they weren't out in three months, the landlord said he'd call the sheriff.\u003c/p>\n\u003cp>Jennifer was stunned. \"I felt the world go silent in my head. All these thoughts kind of flashed through, like 'what’re we going to do? Where are we going to go?'\"\u003c/p>\n\u003cp>Two weeks later, the landlord returned with a proposal: If Jennifer's father fixed up the house for free, the family could live in the garage behind the house.\u003c/p>\n\u003cp>But this wasn't a generous offer. Jennifer says the garage was basically uninhabitable.\u003c/p>\n\u003cp>\"The floor was kind of this old concrete. It was like a dark-gray brown color,\" Jennifer recalls. \"No matter how much you washed it, it wouldn’t go away. I would usually take turns either sleeping on the old mattress that was there, or I slept on the concrete floor that was piled on with a bunch of blankets. Even though there was like many blankets you could still feel the hard floor on your back. Since there was no electricity or no actual windows you didn't know the time of day. It was so dark that if you would extend your hand out and just stare at it, you couldn't even see the outline of your hand.\"\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" target=\"_blank\" rel=\"noopener\">Youth Takeover of KQED News\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" target=\"_blank\" rel=\"noopener\">\u003cimg src=\"https://ww2.kqed.org/education/wp-content/uploads/sites/38/2018/04/Youth-Takeover-image-2.png\">\u003c/a>\u003c/figure>\n\u003cp>Youth are taking over KQED! From April 23 - 27, KQED programs will feature stories pitched, produced and reported by youth from Bay Area high schools. Participating programs include \u003ca href=\"https://www.kqed.org/news/program/the-california-report\" target=\"_blank\" rel=\"noopener\">The California Report\u003c/a>, \u003ca href=\"https://www.youtube.com/channel/UC4K10PNjqgGLKA3lo5V8KdQ\" target=\"_blank\" rel=\"noopener\">Above the Noise\u003c/a>, \u003ca href=\"https://www.kqed.org/perspectives\" target=\"_blank\" rel=\"noopener\">Perspectives\u003c/a> and \u003ca href=\"https://www.kqed.org/news/program/kqed-newsroom/\" target=\"_blank\" rel=\"noopener\">KQED Newsroom\u003c/a>.\u003cbr>\n\u003c/p>\u003c/aside>\n\u003cp>While living in the garage, Jennifer's grades dropped significantly. She even failed a couple of semesters. She was also ashamed of her living situation, and that was getting to her. She was starting to spiral into depression.\u003c/p>\n\u003cp>\"I was scared that people wouldn't understand or would just like tease me for it. I would stare at people and just see how they would smile and laugh and just like not have like a single care in the world. And I was just like, 'Why was it me that had to deal with all this?'\"\u003c/p>\n\u003cp>And then, when it felt like things couldn't get worse, Jennifer's mom was hospitalized with septicemia.\u003c/p>\n\u003cp>\"Septicemia is a condition where there is an infection somewhere in your body that is not treated,\" Jennifer explains. \"So that infection starts spreading out and gets even more serious when it gets into your bloodstream.\"\u003c/p>\n\u003cp>Her mother going to the hospital hit Jennifer hard.\u003c/p>\n\u003cp>\"I thought she wasn't going to make it. Like all of these ideas just started flashing through my head like, 'This could be like the last time I see her.'\"\u003c/p>\n\u003cp>At the same time, her father slowly started to drift away from the family.\u003c/p>\n\u003cp>\"He would stay out long nights, like drinking, trying to cope with the situation,\" Jennifer says. \"And that just kind of led me into like a deeper depression.\"\u003c/p>\n\u003cp>Jennifer and her family endured living in the garage behind their old house for nearly two years. But early in the morning one day, they got a call. Their application to rent a beautiful three-bedroom house was accepted.\u003c/p>\n\u003cp>These days, Jennifer’s taking online courses to make up for the classes she failed a few years back. If she passes them, she’ll graduate high school in June. Her mother's health is much better now, and her father is a big part of their family again. In the future, she says, she wants to be a journalist, an animator or a property owner -- so she can give folks like her family a place to live, she explains.\u003c/p>\n\u003cp>Reflecting on the years living in the garage, Jennifer says she has learned a lot of lessons. One, she says, is to always stay positive toward people, no matter how they treat you. Another lesson is to not take things for granted. Especially family.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I’m grateful for the family I have. Because no matter the situation that happened or the things that we went through, we stayed together in a way.\" she says. \"Yeah, they can’t give you everything in the world, but they wish they could. And that’s what’s important.\"\u003c/p>\n\n","blocks":[],"excerpt":"Jennifer, a high school senior in Richmond, has had to deal with a lot more than most young people her age -- and she's already learned powerful lessons about resilience.","status":"publish","parent":0,"modified":1524875730,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":939},"headData":{"title":"High School Student Goes From Homeless to Hopeful | KQED","description":"Jennifer, a high school senior in Richmond, has had to deal with a lot more than most young people her age -- and she's already learned powerful lessons about resilience.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"High School Student Goes From Homeless to Hopeful","datePublished":"2018-04-28T00:35:30.000Z","dateModified":"2018-04-28T00:35:30.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11664364 https://ww2.kqed.org/news/?p=11664364","disqusUrl":"https://ww2.kqed.org/news/2018/04/27/high-school-student-goes-from-homeless-to-hopeful/","disqusTitle":"High School Student Goes From Homeless to Hopeful","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcrmag/2018/04/JenniferHomelessness.mp3","path":"/news/11664364/high-school-student-goes-from-homeless-to-hopeful","audioDuration":434000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Jennifer is a senior at Richmond High School. Just a few weeks ago, she put on a sparkly pink dress and went to prom -- a quintessential high school experience.\u003c/p>\n\u003cp>But most of the time, Jennifer feels much, much older. She remembers a happy childhood with her older brothers and her parents. There were trips to Toys \"R\" Us, a comfortable home, and a lot of love.\u003c/p>\n\u003cp>But her life started changing when her father’s construction company hit hard times. The family lost their home. And her parents had nowhere to turn for help. They’re both undocumented. That’s why we’re only using Jennifer’s first name for this story.\u003c/p>\n\u003cp>Things got even worse, Jennifer says, during her sophomore year, when one day, their landlord pulled up to their house. She shared her story as as part of \u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" rel=\"noopener\" target=\"_blank\">KQED's Youth Takeover Week\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11664878\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11664878\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-800x1062.jpg\" alt=\"\" width=\"800\" height=\"1062\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-800x1062.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-160x212.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut.jpg 904w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-240x319.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-375x498.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/RS30596_PicsArt_04-15-08.29.38_01-qut-520x690.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jennifer (second from left) at her high school prom. \u003ccite>(Mario Valencia)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"He has white hair, blue eyes and a white, bushy mustache and he walked up to me and said 'hey could you like call out your mom,'\" Jennifer remembers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The landlord told Jennifer's mother that he was no longer interested in renting his house to them. He was going to sell the house and told the family they had three months to leave. If they weren't out in three months, the landlord said he'd call the sheriff.\u003c/p>\n\u003cp>Jennifer was stunned. \"I felt the world go silent in my head. All these thoughts kind of flashed through, like 'what’re we going to do? Where are we going to go?'\"\u003c/p>\n\u003cp>Two weeks later, the landlord returned with a proposal: If Jennifer's father fixed up the house for free, the family could live in the garage behind the house.\u003c/p>\n\u003cp>But this wasn't a generous offer. Jennifer says the garage was basically uninhabitable.\u003c/p>\n\u003cp>\"The floor was kind of this old concrete. It was like a dark-gray brown color,\" Jennifer recalls. \"No matter how much you washed it, it wouldn’t go away. I would usually take turns either sleeping on the old mattress that was there, or I slept on the concrete floor that was piled on with a bunch of blankets. Even though there was like many blankets you could still feel the hard floor on your back. Since there was no electricity or no actual windows you didn't know the time of day. It was so dark that if you would extend your hand out and just stare at it, you couldn't even see the outline of your hand.\"\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" target=\"_blank\" rel=\"noopener\">Youth Takeover of KQED News\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" target=\"_blank\" rel=\"noopener\">\u003cimg src=\"https://ww2.kqed.org/education/wp-content/uploads/sites/38/2018/04/Youth-Takeover-image-2.png\">\u003c/a>\u003c/figure>\n\u003cp>Youth are taking over KQED! From April 23 - 27, KQED programs will feature stories pitched, produced and reported by youth from Bay Area high schools. Participating programs include \u003ca href=\"https://www.kqed.org/news/program/the-california-report\" target=\"_blank\" rel=\"noopener\">The California Report\u003c/a>, \u003ca href=\"https://www.youtube.com/channel/UC4K10PNjqgGLKA3lo5V8KdQ\" target=\"_blank\" rel=\"noopener\">Above the Noise\u003c/a>, \u003ca href=\"https://www.kqed.org/perspectives\" target=\"_blank\" rel=\"noopener\">Perspectives\u003c/a> and \u003ca href=\"https://www.kqed.org/news/program/kqed-newsroom/\" target=\"_blank\" rel=\"noopener\">KQED Newsroom\u003c/a>.\u003cbr>\n\u003c/p>\u003c/aside>\n\u003cp>While living in the garage, Jennifer's grades dropped significantly. She even failed a couple of semesters. She was also ashamed of her living situation, and that was getting to her. She was starting to spiral into depression.\u003c/p>\n\u003cp>\"I was scared that people wouldn't understand or would just like tease me for it. I would stare at people and just see how they would smile and laugh and just like not have like a single care in the world. And I was just like, 'Why was it me that had to deal with all this?'\"\u003c/p>\n\u003cp>And then, when it felt like things couldn't get worse, Jennifer's mom was hospitalized with septicemia.\u003c/p>\n\u003cp>\"Septicemia is a condition where there is an infection somewhere in your body that is not treated,\" Jennifer explains. \"So that infection starts spreading out and gets even more serious when it gets into your bloodstream.\"\u003c/p>\n\u003cp>Her mother going to the hospital hit Jennifer hard.\u003c/p>\n\u003cp>\"I thought she wasn't going to make it. Like all of these ideas just started flashing through my head like, 'This could be like the last time I see her.'\"\u003c/p>\n\u003cp>At the same time, her father slowly started to drift away from the family.\u003c/p>\n\u003cp>\"He would stay out long nights, like drinking, trying to cope with the situation,\" Jennifer says. \"And that just kind of led me into like a deeper depression.\"\u003c/p>\n\u003cp>Jennifer and her family endured living in the garage behind their old house for nearly two years. But early in the morning one day, they got a call. Their application to rent a beautiful three-bedroom house was accepted.\u003c/p>\n\u003cp>These days, Jennifer’s taking online courses to make up for the classes she failed a few years back. If she passes them, she’ll graduate high school in June. Her mother's health is much better now, and her father is a big part of their family again. In the future, she says, she wants to be a journalist, an animator or a property owner -- so she can give folks like her family a place to live, she explains.\u003c/p>\n\u003cp>Reflecting on the years living in the garage, Jennifer says she has learned a lot of lessons. One, she says, is to always stay positive toward people, no matter how they treat you. Another lesson is to not take things for granted. Especially family.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I’m grateful for the family I have. Because no matter the situation that happened or the things that we went through, we stayed together in a way.\" she says. \"Yeah, they can’t give you everything in the world, but they wish they could. And that’s what’s important.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11664364/high-school-student-goes-from-homeless-to-hopeful","authors":["8648"],"programs":["news_72"],"categories":["news_18540","news_457","news_6266","news_1169","news_8"],"tags":["news_20634","news_20225","news_579","news_23072","news_23013"],"featImg":"news_11664378","label":"news_72"},"stateofhealth_363257":{"type":"posts","id":"stateofhealth_363257","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363257","score":null,"sort":[1523662153000]},"guestAuthors":[],"slug":"a-firefighter-in-san-diego-confronts-the-trauma-of-the-job","title":"A Firefighter in San Diego Confronts the Trauma of the Job","publishDate":1523662153,"format":"audio","headTitle":"California Healthline | State of Health | KQED News","labelTerm":{"term":3036,"site":"stateofhealth"},"content":"\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" rel=\"noopener\" target=\"_blank\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>At 7:30 on a recent morning, Jeremy Forte, a firefighter in Imperial Beach, California, had just wrapped up a 48-hour shift. As the seven-member crew headed home, Forte drove right past a local bar that used to be a favorite haunt. A few years ago, he would have stopped for a drink, or two, or three -- and perhaps stayed on for hours. And he would have had plenty of company.\u003c/p>\n\u003cp>\"There’s nurses from the hospital there getting off work at the same time,\" Forte recalled. \"We’d be drinking with nurses, partying, having a good old time. And we didn’t think anything was wrong. That’s what people do, right? They get off work and have some drinks.\"\u003c/p>\n\u003cp>Jeremy is tall and lanky, with a thin mustache. He’s been a firefighter for 19 years. It’s grueling work, both physically and mentally. For a long time, drinking was how he coped.\u003c/p>\n\u003cp>\"Our motto was work hard, party hard,\" said Forte, now 39. \"We put in 16-hour days and then we’d go drink the rest of the night, and then probably get two hours of sleep. Wake up, you know, half-drunk and go back out on the fire line and fight these fires.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A few years ago, Forte's drinking got heavier. He started dabbling in cocaine. But he felt he still had it all under control, until he failed a random drug test at work.\u003c/p>\n\u003cp>Forte's station is part of the federal government: his crew fights fires and responds to emergencies in and around a \u003ca href=\"https://www.cnic.navy.mil/regions/cnrsw/installations/navbase_coronado.html\" target=\"_blank\" rel=\"noopener\">naval base\u003c/a> in Imperial Beach. The federal firefighting force has a zero-tolerance policy, and Forte was in danger of losing his job immediately.\u003c/p>\n\u003cp>\"They really could have ended my whole life by turning their backs on me and firing me,\" Forte said. \"And then at that point, I would lose my wife as well, and probably be living with my parents.\"\u003c/p>\n\u003cp>Forte grew up in West Covina. Two \u003ca href=\"http://www.lafd.org/\" target=\"_blank\" rel=\"noopener\">LAFD\u003c/a> firefighters lived on his block. Forte admired them, and loved seeing his next-door neighbors on the local news.\u003c/p>\n\u003cp>\"Doing that sort of thing really intrigued me,\" he recalled. Not only was the job itself exciting, but it also allowed the firefighters to spend plenty of time with their families when they were off-duty.\u003c/p>\n\u003cp>But not everyone believed he could do it. Forte was born with a birth defect: He’s missing some fingers on both hands, and others aren’t fully formed. His whole career, he’s had to prove that he can do everything a firefighter has to do: drive rigs, grip and haul hoses, rescue people.\u003c/p>\n\u003cp>Forte proved the doubters wrong.\u003c/p>\n\u003cfigure id=\"attachment_363270\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363270\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-2-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jeremy Forte, at fire station No. 14 in Imperial Beach, California, has been a firefighter for 19 years and struggles with PTSD and depression. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After 19 years as a firefighter, it has become crucial to his identity. Losing that career would have been absolutely devastating. After the drug test, Forte hired a private lawyer and asked the department and union for a second chance. He agreed to every condition of a yearlong probation, including enrolling in a recovery program and beginning therapy.\u003c/p>\n\u003cp>\"By the grace of God, I still have my job,\" Forte said. \"I still have people backing me.\"\u003c/p>\n\u003cp>During his recovery, Jeremy was diagnosed with post-traumatic stress disorder and depression. He wasn’t surprised to hear it, and he's not alone.\u003c/p>\n\u003cp>First responders have increased rates of PTSD, depression, substance abuse and suicide due to the stresses they are exposed to on the job. In a \u003ca href=\"http://www.phoenix.edu/about_us/media-center/news/uopx-releases-first-responder-mental-health-survey-results.html\" target=\"_blank\" rel=\"noopener\">recent survey\u003c/a>, 85 percent of first responders reported symptoms related to mental health issues, but only about a third of them sought out professional help.\u003c/p>\n\u003cp>Another \u003ca href=\"http://www.jems.com/articles/print/volume-40/issue-10/features/survey-reveals-alarming-rates-of-ems-provider-stress-and-thoughts-of-suicide.html?c=1\" target=\"_blank\" rel=\"noopener\">survey\u003c/a> revealed 6.6 percent of first responders had attempted suicide, and more than a third had considered suicide. In both cases, those rates are 10 times the national average.\u003c/p>\n\u003cp>\"I always thought, it’s a job, you go do it and you just deal with it, it goes away,\" Forte said. \"But it doesn’t.\"\u003c/p>\n\u003cp>The pain lingers and haunts. Forte learned that when he was 22, at his first job with the forest service. His team fought fires but also rescued backpackers -- and he was surprised by the violence that nature can cause.\u003c/p>\n\u003cp>\"There was a gentleman out camping in the middle of the forest in New Mexico,\" he recalled. \"A piece of the tree broke off and hit him in the neck and broke his neck. And as he hit the ground, he broke his leg. We had to fly there in a helicopter, basically to rescue him.\"\u003c/p>\n\u003cp>But by the time they got there, the hiker had died. It was the first time Forte saw a dead body on the job, a victim of a violent, random accident. The helicopter extracted the body, but then it grew too dark to come back for the hiker's friend, who was uninjured but traumatized and covered in blood. So Forte volunteered to stay with him all night in the woods.\u003c/p>\n\u003cp>After that incident, Forte started having nightmares.\u003c/p>\n\u003cp>\"The things that we see on the job aren’t what everyday people see and so they wouldn’t understand completely what we deal with, and how it can haunt us and stay with us the rest of our lives.\"\u003c/p>\n\u003cfigure id=\"attachment_363276\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-5-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" class=\"size-medium wp-image-363276\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Firefighter Jeremy Forte prepares to perform drills on Jan. 9, 2018. Forte has been a firefighter for 19 years and says the job is grueling, both physically and mentally. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s not that firefighters never talk about what they see. They do, but they don’t talk about the pain inside.\u003c/p>\n\u003cp>\"You don’t want to be seen as weak,\" he said. \"So instead ... we’d go have some drinks and joke about it, or, you know, talk about the situation still, but it’s over alcohol.\"\u003c/p>\n\u003cp>After hitting bottom, Jeremy moved his family to a wood cabin in Lake Arrowhead. It’s quiet there, and he can decompress when he isn’t at work.\u003c/p>\n\u003cp>Jeremy is now sober and back in the firehouse full-time. He tries to set an example for younger colleagues by sharing his story, and talking about his emotions more often.\u003c/p>\n\u003cp>\"The current fire crew that I work with now, we’re all very open together,\" he said. \"We’re very tight-knit and we talk about the stuff we see. ... We’re almost like our own counselors.\"\u003c/p>\n\u003cp>Often the men gather in the kitchen to make breakfast before the shift formally starts at 7:30 a.m. Some of the men set the table, while others slice mushrooms, make hash browns or scramble eggs.\u003c/p>\n\u003cp>It ends up being a slow shift, with no emergency calls, so the seven men on duty spend the day checking gear and running drills.\u003c/p>\n\u003cp>Before turning in for the night, they gather again at the kitchen table. Things get serious when the talk turns to suicide among firefighters.\u003c/p>\n\u003cp>Everyone in the room knows a firefighter who killed him or herself, or at least has heard about a recent case.\u003c/p>\n\u003cp>The shift captain, Richard Hernandez, complained that mental health information wasn’t part of the firefighter training.\u003c/p>\n\u003cp>\"There really hasn’t been any direction on how to work with that if somebody is having an issue,\" he said.\u003c/p>\n\u003cp>Hernandez said that his firefighters can get three visits with a counselor per year, but that’s not enough.\u003c/p>\n\u003cp>Another firefighter, Lindsey Nolan, said he wants to learn how to recognize signs or symptoms of PTSD in a co-worker.\u003c/p>\n\u003cp>\"I’d be a lot more comfortable approaching them and talking to them about what may or may not be going on\" if he had some training in it, Nolan said.\u003c/p>\n\u003cp>Another firefighter, Devin Boler, admitted it’s hard to know how -- or when -- to intervene.\u003c/p>\n\u003cp>\"Because we live together, and we’re with each other through Christmas and Thanksgiving and stuff like that, we have to be professional,\" Boler said. But there's also \"a family side to it, where you kind of have to check in with guys and see what’s going on, if they’re having a rough day.\"\u003c/p>\n\u003cp>Firefighters began talking about these issues more after the increase in mass public shootings, according to the \u003ca href=\"http://www.ffbha.org/\" target=\"_blank\" rel=\"noopener\">Firefighter Behavioral Health Alliance\u003c/a>, an Arizona-based nonprofit that provides mental health support and training for firefighters.\u003c/p>\n\u003ch2>A Bittersweet Milestone\u003c/h2>\n\u003cp>Forte has been making the long drive to a drug screening center, in National City, at least twice a month for the past year. It's part of his probation: submitting to a full year of random, and frequent, drug tests.\u003c/p>\n\u003cp>Today was his last visit, though. His probation is ending. Forte will still get random drug tests, but not as often.\u003c/p>\n\u003cp>\"I feel great,\" he said as he drove. \"Not like I’m going to go out and celebrate, if you know what I mean.\"\u003c/p>\n\u003cp>During the drive, Jeremy downed two large coffees. But despite the caffeine, he's too wound up to provide a urine sample. After a few hours, he succeeds, and finally walks out of that clinic for the last time.\u003c/p>\n\u003cp>\"It was a humbling process,\" he reflected, looking back at his year of probation. \"Ultimately, I wanted to get back on track for my family, for my job, for myself.\"\u003c/p>\n\u003cp>\"The biggest reason is my kids,\" he added. \"I wasn’t going to allow this to keep me down, and be some deadbeat dad that didn’t seek help.\"\u003c/p>\n\u003cp>Forte said the culture of silence among first responders has to end. So does the idea that emergency work is about being tough at all costs.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"Guys shouldn’t feel that way,\" he said. He wants firefighters to think about seeking counseling or mental health assistance as \"the manly thing to do.\"\u003c/p>\n\u003cfigure id=\"attachment_363271\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-1-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" class=\"size-medium wp-image-363271\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jeremy Forte, at fire station No. 14 in Imperial Beach, Calif., has been a firefighter for 19 years and struggles with PTSD and depression. (Heidi de Marco/KHN)\u003c/figcaption>\u003c/figure>\n\n","blocks":[],"excerpt":"Firefighter Jeremy Forte, who has battled PTSD, depression and substance abuse, says the culture of suffering in silence among first responders has to end.","status":"publish","parent":0,"modified":1523667364,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":50,"wordCount":1732},"headData":{"title":"A Firefighter in San Diego Confronts the Trauma of the Job | KQED","description":"Firefighter Jeremy Forte, who has battled PTSD, depression and substance abuse, says the culture of suffering in silence among first responders has to end.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"A Firefighter in San Diego Confronts the Trauma of the Job","datePublished":"2018-04-13T23:29:13.000Z","dateModified":"2018-04-14T00:56:04.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"363257 https://ww2.kqed.org/stateofhealth/?p=363257","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/04/13/a-firefighter-in-san-diego-confronts-the-trauma-of-the-job/","disqusTitle":"A Firefighter in San Diego Confronts the Trauma of the Job","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcrmag/2018/04/FirefighterTrauma.mp3","nprByline":"\u003cstrong>\u003ca href=\"https://khn.org/news/author/heidi-de-marco/\">Heidi de Marco\u003c/a>\u003c/strong>\u003cbr>California Healthline","path":"/stateofhealth/363257/a-firefighter-in-san-diego-confronts-the-trauma-of-the-job","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" rel=\"noopener\" target=\"_blank\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>At 7:30 on a recent morning, Jeremy Forte, a firefighter in Imperial Beach, California, had just wrapped up a 48-hour shift. As the seven-member crew headed home, Forte drove right past a local bar that used to be a favorite haunt. A few years ago, he would have stopped for a drink, or two, or three -- and perhaps stayed on for hours. And he would have had plenty of company.\u003c/p>\n\u003cp>\"There’s nurses from the hospital there getting off work at the same time,\" Forte recalled. \"We’d be drinking with nurses, partying, having a good old time. And we didn’t think anything was wrong. That’s what people do, right? They get off work and have some drinks.\"\u003c/p>\n\u003cp>Jeremy is tall and lanky, with a thin mustache. He’s been a firefighter for 19 years. It’s grueling work, both physically and mentally. For a long time, drinking was how he coped.\u003c/p>\n\u003cp>\"Our motto was work hard, party hard,\" said Forte, now 39. \"We put in 16-hour days and then we’d go drink the rest of the night, and then probably get two hours of sleep. Wake up, you know, half-drunk and go back out on the fire line and fight these fires.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A few years ago, Forte's drinking got heavier. He started dabbling in cocaine. But he felt he still had it all under control, until he failed a random drug test at work.\u003c/p>\n\u003cp>Forte's station is part of the federal government: his crew fights fires and responds to emergencies in and around a \u003ca href=\"https://www.cnic.navy.mil/regions/cnrsw/installations/navbase_coronado.html\" target=\"_blank\" rel=\"noopener\">naval base\u003c/a> in Imperial Beach. The federal firefighting force has a zero-tolerance policy, and Forte was in danger of losing his job immediately.\u003c/p>\n\u003cp>\"They really could have ended my whole life by turning their backs on me and firing me,\" Forte said. \"And then at that point, I would lose my wife as well, and probably be living with my parents.\"\u003c/p>\n\u003cp>Forte grew up in West Covina. Two \u003ca href=\"http://www.lafd.org/\" target=\"_blank\" rel=\"noopener\">LAFD\u003c/a> firefighters lived on his block. Forte admired them, and loved seeing his next-door neighbors on the local news.\u003c/p>\n\u003cp>\"Doing that sort of thing really intrigued me,\" he recalled. Not only was the job itself exciting, but it also allowed the firefighters to spend plenty of time with their families when they were off-duty.\u003c/p>\n\u003cp>But not everyone believed he could do it. Forte was born with a birth defect: He’s missing some fingers on both hands, and others aren’t fully formed. His whole career, he’s had to prove that he can do everything a firefighter has to do: drive rigs, grip and haul hoses, rescue people.\u003c/p>\n\u003cp>Forte proved the doubters wrong.\u003c/p>\n\u003cfigure id=\"attachment_363270\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363270\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-2-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jeremy Forte, at fire station No. 14 in Imperial Beach, California, has been a firefighter for 19 years and struggles with PTSD and depression. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After 19 years as a firefighter, it has become crucial to his identity. Losing that career would have been absolutely devastating. After the drug test, Forte hired a private lawyer and asked the department and union for a second chance. He agreed to every condition of a yearlong probation, including enrolling in a recovery program and beginning therapy.\u003c/p>\n\u003cp>\"By the grace of God, I still have my job,\" Forte said. \"I still have people backing me.\"\u003c/p>\n\u003cp>During his recovery, Jeremy was diagnosed with post-traumatic stress disorder and depression. He wasn’t surprised to hear it, and he's not alone.\u003c/p>\n\u003cp>First responders have increased rates of PTSD, depression, substance abuse and suicide due to the stresses they are exposed to on the job. In a \u003ca href=\"http://www.phoenix.edu/about_us/media-center/news/uopx-releases-first-responder-mental-health-survey-results.html\" target=\"_blank\" rel=\"noopener\">recent survey\u003c/a>, 85 percent of first responders reported symptoms related to mental health issues, but only about a third of them sought out professional help.\u003c/p>\n\u003cp>Another \u003ca href=\"http://www.jems.com/articles/print/volume-40/issue-10/features/survey-reveals-alarming-rates-of-ems-provider-stress-and-thoughts-of-suicide.html?c=1\" target=\"_blank\" rel=\"noopener\">survey\u003c/a> revealed 6.6 percent of first responders had attempted suicide, and more than a third had considered suicide. In both cases, those rates are 10 times the national average.\u003c/p>\n\u003cp>\"I always thought, it’s a job, you go do it and you just deal with it, it goes away,\" Forte said. \"But it doesn’t.\"\u003c/p>\n\u003cp>The pain lingers and haunts. Forte learned that when he was 22, at his first job with the forest service. His team fought fires but also rescued backpackers -- and he was surprised by the violence that nature can cause.\u003c/p>\n\u003cp>\"There was a gentleman out camping in the middle of the forest in New Mexico,\" he recalled. \"A piece of the tree broke off and hit him in the neck and broke his neck. And as he hit the ground, he broke his leg. We had to fly there in a helicopter, basically to rescue him.\"\u003c/p>\n\u003cp>But by the time they got there, the hiker had died. It was the first time Forte saw a dead body on the job, a victim of a violent, random accident. The helicopter extracted the body, but then it grew too dark to come back for the hiker's friend, who was uninjured but traumatized and covered in blood. So Forte volunteered to stay with him all night in the woods.\u003c/p>\n\u003cp>After that incident, Forte started having nightmares.\u003c/p>\n\u003cp>\"The things that we see on the job aren’t what everyday people see and so they wouldn’t understand completely what we deal with, and how it can haunt us and stay with us the rest of our lives.\"\u003c/p>\n\u003cfigure id=\"attachment_363276\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-5-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" class=\"size-medium wp-image-363276\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Firefighter Jeremy Forte prepares to perform drills on Jan. 9, 2018. Forte has been a firefighter for 19 years and says the job is grueling, both physically and mentally. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s not that firefighters never talk about what they see. They do, but they don’t talk about the pain inside.\u003c/p>\n\u003cp>\"You don’t want to be seen as weak,\" he said. \"So instead ... we’d go have some drinks and joke about it, or, you know, talk about the situation still, but it’s over alcohol.\"\u003c/p>\n\u003cp>After hitting bottom, Jeremy moved his family to a wood cabin in Lake Arrowhead. It’s quiet there, and he can decompress when he isn’t at work.\u003c/p>\n\u003cp>Jeremy is now sober and back in the firehouse full-time. He tries to set an example for younger colleagues by sharing his story, and talking about his emotions more often.\u003c/p>\n\u003cp>\"The current fire crew that I work with now, we’re all very open together,\" he said. \"We’re very tight-knit and we talk about the stuff we see. ... We’re almost like our own counselors.\"\u003c/p>\n\u003cp>Often the men gather in the kitchen to make breakfast before the shift formally starts at 7:30 a.m. Some of the men set the table, while others slice mushrooms, make hash browns or scramble eggs.\u003c/p>\n\u003cp>It ends up being a slow shift, with no emergency calls, so the seven men on duty spend the day checking gear and running drills.\u003c/p>\n\u003cp>Before turning in for the night, they gather again at the kitchen table. Things get serious when the talk turns to suicide among firefighters.\u003c/p>\n\u003cp>Everyone in the room knows a firefighter who killed him or herself, or at least has heard about a recent case.\u003c/p>\n\u003cp>The shift captain, Richard Hernandez, complained that mental health information wasn’t part of the firefighter training.\u003c/p>\n\u003cp>\"There really hasn’t been any direction on how to work with that if somebody is having an issue,\" he said.\u003c/p>\n\u003cp>Hernandez said that his firefighters can get three visits with a counselor per year, but that’s not enough.\u003c/p>\n\u003cp>Another firefighter, Lindsey Nolan, said he wants to learn how to recognize signs or symptoms of PTSD in a co-worker.\u003c/p>\n\u003cp>\"I’d be a lot more comfortable approaching them and talking to them about what may or may not be going on\" if he had some training in it, Nolan said.\u003c/p>\n\u003cp>Another firefighter, Devin Boler, admitted it’s hard to know how -- or when -- to intervene.\u003c/p>\n\u003cp>\"Because we live together, and we’re with each other through Christmas and Thanksgiving and stuff like that, we have to be professional,\" Boler said. But there's also \"a family side to it, where you kind of have to check in with guys and see what’s going on, if they’re having a rough day.\"\u003c/p>\n\u003cp>Firefighters began talking about these issues more after the increase in mass public shootings, according to the \u003ca href=\"http://www.ffbha.org/\" target=\"_blank\" rel=\"noopener\">Firefighter Behavioral Health Alliance\u003c/a>, an Arizona-based nonprofit that provides mental health support and training for firefighters.\u003c/p>\n\u003ch2>A Bittersweet Milestone\u003c/h2>\n\u003cp>Forte has been making the long drive to a drug screening center, in National City, at least twice a month for the past year. It's part of his probation: submitting to a full year of random, and frequent, drug tests.\u003c/p>\n\u003cp>Today was his last visit, though. His probation is ending. Forte will still get random drug tests, but not as often.\u003c/p>\n\u003cp>\"I feel great,\" he said as he drove. \"Not like I’m going to go out and celebrate, if you know what I mean.\"\u003c/p>\n\u003cp>During the drive, Jeremy downed two large coffees. But despite the caffeine, he's too wound up to provide a urine sample. After a few hours, he succeeds, and finally walks out of that clinic for the last time.\u003c/p>\n\u003cp>\"It was a humbling process,\" he reflected, looking back at his year of probation. \"Ultimately, I wanted to get back on track for my family, for my job, for myself.\"\u003c/p>\n\u003cp>\"The biggest reason is my kids,\" he added. \"I wasn’t going to allow this to keep me down, and be some deadbeat dad that didn’t seek help.\"\u003c/p>\n\u003cp>Forte said the culture of silence among first responders has to end. So does the idea that emergency work is about being tough at all costs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Guys shouldn’t feel that way,\" he said. He wants firefighters to think about seeking counseling or mental health assistance as \"the manly thing to do.\"\u003c/p>\n\u003cfigure id=\"attachment_363271\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-1-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" class=\"size-medium wp-image-363271\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jeremy Forte, at fire station No. 14 in Imperial Beach, Calif., has been a firefighter for 19 years and struggles with PTSD and depression. (Heidi de Marco/KHN)\u003c/figcaption>\u003c/figure>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363257/a-firefighter-in-san-diego-confronts-the-trauma-of-the-job","authors":["byline_stateofhealth_363257"],"categories":["stateofhealth_11","stateofhealth_3012","stateofhealth_14","stateofhealth_2746","stateofhealth_1"],"tags":["stateofhealth_3240","stateofhealth_2519"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_363272","label":"stateofhealth_3036"},"news_11438847":{"type":"posts","id":"news_11438847","meta":{"index":"posts_1591205157","site":"news","id":"11438847","score":null,"sort":[1494027025000]},"guestAuthors":[],"slug":"life-as-a-transgender-woman-whose-parents-voted-for-trump","title":"Life as a Transgender Woman Whose Parents Voted for Trump","publishDate":1494027025,"format":"audio","headTitle":"USC | The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>\u003cem>This story is part of “\u003ca href=\"http://annenberg.usc.edu/news/students/usc-annenberg-student-journalists-kqeds-california-report-publish-joint-investigation\">At Risk in the Trump Era\u003c/a>,” a four-month investigation by USC Annenberg advanced radio students, exploring how vulnerable communities across Southern California react to the first months of Donald Trump’s presidency. The series profiles individuals burdened by new worries — looking for work, signing up for school, or even deciding whether to publicly express their sexual orientation or religious affiliation.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Renee Gross brings us the story of Olive, a transgender 20-something in Los Angeles who says her home life with her parents has gotten more hostile since Trump took office. Olive and her parents have asked only to use their first names. \u003c/em>\u003c/p>\n\u003cp>Olive is parked in front of a grocery store miles away from her home. She pushes back her seat, undoes her pants, and pulls them down over her hairy legs. Then she slips on a skirt, top and jean jacket.\u003c/p>\n\u003cp>\"Aaah, freedom!\" she exhales.\u003c/p>\n\u003cp>Olive calls herself \"vampire trans\" because she dresses as male during the day, but at night puts on makeup and wears women's clothes.\u003c/p>\n\u003cfigure id=\"attachment_11438996\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11438996\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive4-800x591.jpg\" alt=\"\" width=\"800\" height=\"591\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-800x591.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-160x118.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-1020x753.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-1180x871.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-960x709.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-240x177.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-375x277.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-520x384.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4.jpg 1738w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive performing stand-up at the Comedy Store. She jokes about her family and her love life, among other things. \u003ccite>(Renee Gross)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>She chose the name Olive partly because she used to imagine herself go-go dancing in olive-colored clothing.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But at home, she goes by her old name: Richard.\u003c/p>\n\u003cp>She lives with her parents, immigrants in their mid-60s.\u003c/p>\n\u003cp>“The transgender. That is ridiculous for me,” says her mother, Tatiana, who's from Romania.\u003c/p>\n\u003cp>Olive and her mom often fight about Olive’s identity. But there are days they’ll spend time together, even making Olive’s favorite comfort food for breakfast, a Romanian dish of sweet meatballs.\u003c/p>\n\u003cp>“We love him, you know,” Tatiana says while they mix the meat. \"But we don't like what he's doing, what direction he chooses in life. So we are very worried about him.\"\u003c/p>\n\u003cp>Tatiana turns to Olive. \"What's your response on this?\"\u003c/p>\n\u003cp>\"I feel like you just don't, you don't see what my life is like,\" says Olive. \"I don't think you will ever really see much of it because we don't agree on how I should live my own life.\"\u003c/p>\n\u003cp>\"It’s something [like] the end of the world, you know, [that] even the president is against and everybody's against,\" says Tatiana.\u003c/p>\n\u003cfigure id=\"attachment_11438992\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11438992\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive3-800x621.jpg\" alt=\"\" width=\"800\" height=\"621\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-800x621.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-160x124.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-240x186.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-375x291.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-520x404.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3.jpg 936w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive hugs her mother. \u003ccite>(Olive )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Olive’s parents are big Trump supporters. Olive vehemently opposes the president.\u003c/p>\n\u003cp>Later, Olive says that conversation left her feeling depressed. She and her parents are always getting into dramatic fights.\u003c/p>\n\u003cp>Olive is trying to save up money to leave her parents' house. She has a degree in film and she eventually wants to be a cinematographer. For now, she works as a production assistant on a TV show.\u003c/p>\n\u003cfigure id=\"attachment_11439000\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11439000\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive1-800x687.jpg\" alt=\"\" width=\"800\" height=\"687\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-800x687.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-160x137.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-1020x876.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-1920x1648.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-1180x1013.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-960x824.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-240x206.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-375x322.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-520x446.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive puts on nail polish in the car. She says she doesn’t feel like she she’s good at applying it yet, and often feels she 'overpaints' her nails. \u003ccite>(Renee Gross)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Olive says during one recent fight, Tatiana told her she wanted to commit suicide. She just couldn't deal with her child's gender identity anymore.\u003c/p>\n\u003cp>“I was thinking about her killing herself,” Olive tells me. “And then I was thinking about just me killing myself. Like, who's going first?\"\u003c/p>\n\u003cp>Olive says around the time Trump got elected, she seriously considered killing herself.\u003c/p>\n\u003cp>\"The energy in the house was just kind of upsetting.\" Olive recalls. \"Right as he got elected, both my parents were screaming and shouting, \"Woo-hoo! Go Trump!' They were just pointing at me like, 'Haha we won.'\"\u003c/p>\n\u003cp>As the weeks went by after the election, Olive says she just felt alienated. “And then I was in a lot of pain. I decided I didn’t want to deal with it anymore.”\u003c/p>\n\u003cp>She knew of a bridge that she used to go to with her dad. It’s on the L.A. River near a bike path.\u003c/p>\n\u003cp>\"I just left my house one night when it was too much,” she says. “I drove there. I got there. And then my friend called me. And I was like OK, I’ll do this later.”\u003c/p>\n\u003cfigure id=\"attachment_11439003\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11439003\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive2-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-1920x1080.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-520x293.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive practices her jokes at the Los Angeles LGBT Center. \u003ccite>(Renee Gross)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A few months after Olive planned to kill herself, Trump \u003ca href=\"https://ww2.kqed.org/news/2017/02/22/trump-administration-lifts-transgender-bathroom-guidance/\" target=\"_blank\">rolled back protections\u003c/a> for transgender students in public schools.\u003c/p>\n\u003cp>Olive talks about it with her dad, Harry, a hefty man with black hair and a receding hairline. At one point in the conversation, Olive brings up the \u003ca href=\"https://www.usatoday.com/story/news/nation/2015/08/16/transgender-individuals-face-high-rates--suicide-attempts/31626633/\" target=\"_blank\">high suicide rate\u003c/a> for transgender youth.\u003c/p>\n\u003cp>“You don't like hearing that, right?” she asks her dad. “That trans kids kill themselves?\"\u003c/p>\n\u003cp>\"Well, I always believed that trans is a mental problem,” says Harry. “I don't get it. For me it is disgusting. Disgusting.\"\u003c/p>\n\u003cp>Olive says she’s heard comments like this from her parents many times. She just tries to let the words run right through her.\u003c/p>\n\u003cp>“They are not trying to hurt me,” she says. “I don’t need to feel hurt by them.”\u003c/p>\n\u003cp>She says this fight with her father is a little easier than the ones before.\u003c/p>\n\u003cp>“We're fighting less these days. It’s not as bad now. It's, like, calmer.”\u003c/p>\n\u003cp>It’s calmer, in part, because the fighting takes so much of out of them. They feel spent.\u003c/p>\n\u003cfigure id=\"attachment_11439001\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11439001\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive6-800x614.jpg\" alt=\"\" width=\"800\" height=\"614\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-800x614.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-160x123.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-1020x783.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-1920x1474.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-1180x906.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-960x737.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-240x184.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-375x288.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-520x399.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive puts on lipstick in her car. She says she loves the name of it: Rage. \u003ccite>(Renee Gross)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But even though both parents thoroughly reject Olive’s gender identity, she wants to take care of them. She can’t remember a time when they weren’t struggling with depression. Olive is an only child, and even as a teenager she worried about her parents' health and their ability to navigate old age.\u003c/p>\n\u003cp>“I felt like I was responsible for them, like they're my kids,” she says. “Sometimes it still feels like that.”\u003c/p>\n\u003cp>For now, taking care of them still means hiding her identity. At least while she still lives with them.\u003c/p>\n\u003cp>In the parking lot where she changes into her skirt and blouse, Olive puts on her makeup. She dodges her stubble as she outlines her lips in red. She says she loves the name of her lipstick: Rage.\u003c/p>\n\u003cp>“The intensity of it is nice,\" she says. “More than a mask, it’s like armor on my lips.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“And I just feel a little stronger for some reason.”\u003c/p>\n\n","blocks":[],"excerpt":"Twenty-two-year-old Olive lives with her parents, who reject her transgender identity. They’re big Trump supporters, but Olive vehemently opposes the president.","status":"publish","parent":0,"modified":1494031012,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":41,"wordCount":1141},"headData":{"title":"Life as a Transgender Woman Whose Parents Voted for Trump | KQED","description":"Twenty-two-year-old Olive lives with her parents, who reject her transgender identity. They’re big Trump supporters, but Olive vehemently opposes the president.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Life as a Transgender Woman Whose Parents Voted for Trump","datePublished":"2017-05-05T23:30:25.000Z","dateModified":"2017-05-06T00:36:52.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11438847 https://ww2.kqed.org/news/?p=11438847","disqusUrl":"https://ww2.kqed.org/news/2017/05/05/life-as-a-transgender-woman-whose-parents-voted-for-trump/","disqusTitle":"Life as a Transgender Woman Whose Parents Voted for Trump","audioUrl":"http://www.kqed.org/.stream/anon/radio/tcrmag/2017/05/2017-05-05a-tcrmag.mp3","guestFields":"0","nprByline":"Renee Gross","path":"/news/11438847/life-as-a-transgender-woman-whose-parents-voted-for-trump","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story is part of “\u003ca href=\"http://annenberg.usc.edu/news/students/usc-annenberg-student-journalists-kqeds-california-report-publish-joint-investigation\">At Risk in the Trump Era\u003c/a>,” a four-month investigation by USC Annenberg advanced radio students, exploring how vulnerable communities across Southern California react to the first months of Donald Trump’s presidency. The series profiles individuals burdened by new worries — looking for work, signing up for school, or even deciding whether to publicly express their sexual orientation or religious affiliation.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Renee Gross brings us the story of Olive, a transgender 20-something in Los Angeles who says her home life with her parents has gotten more hostile since Trump took office. Olive and her parents have asked only to use their first names. \u003c/em>\u003c/p>\n\u003cp>Olive is parked in front of a grocery store miles away from her home. She pushes back her seat, undoes her pants, and pulls them down over her hairy legs. Then she slips on a skirt, top and jean jacket.\u003c/p>\n\u003cp>\"Aaah, freedom!\" she exhales.\u003c/p>\n\u003cp>Olive calls herself \"vampire trans\" because she dresses as male during the day, but at night puts on makeup and wears women's clothes.\u003c/p>\n\u003cfigure id=\"attachment_11438996\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11438996\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive4-800x591.jpg\" alt=\"\" width=\"800\" height=\"591\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-800x591.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-160x118.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-1020x753.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-1180x871.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-960x709.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-240x177.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-375x277.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4-520x384.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive4.jpg 1738w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive performing stand-up at the Comedy Store. She jokes about her family and her love life, among other things. \u003ccite>(Renee Gross)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>She chose the name Olive partly because she used to imagine herself go-go dancing in olive-colored clothing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But at home, she goes by her old name: Richard.\u003c/p>\n\u003cp>She lives with her parents, immigrants in their mid-60s.\u003c/p>\n\u003cp>“The transgender. That is ridiculous for me,” says her mother, Tatiana, who's from Romania.\u003c/p>\n\u003cp>Olive and her mom often fight about Olive’s identity. But there are days they’ll spend time together, even making Olive’s favorite comfort food for breakfast, a Romanian dish of sweet meatballs.\u003c/p>\n\u003cp>“We love him, you know,” Tatiana says while they mix the meat. \"But we don't like what he's doing, what direction he chooses in life. So we are very worried about him.\"\u003c/p>\n\u003cp>Tatiana turns to Olive. \"What's your response on this?\"\u003c/p>\n\u003cp>\"I feel like you just don't, you don't see what my life is like,\" says Olive. \"I don't think you will ever really see much of it because we don't agree on how I should live my own life.\"\u003c/p>\n\u003cp>\"It’s something [like] the end of the world, you know, [that] even the president is against and everybody's against,\" says Tatiana.\u003c/p>\n\u003cfigure id=\"attachment_11438992\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11438992\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive3-800x621.jpg\" alt=\"\" width=\"800\" height=\"621\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-800x621.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-160x124.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-240x186.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-375x291.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3-520x404.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive3.jpg 936w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive hugs her mother. \u003ccite>(Olive )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Olive’s parents are big Trump supporters. Olive vehemently opposes the president.\u003c/p>\n\u003cp>Later, Olive says that conversation left her feeling depressed. She and her parents are always getting into dramatic fights.\u003c/p>\n\u003cp>Olive is trying to save up money to leave her parents' house. She has a degree in film and she eventually wants to be a cinematographer. For now, she works as a production assistant on a TV show.\u003c/p>\n\u003cfigure id=\"attachment_11439000\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11439000\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive1-800x687.jpg\" alt=\"\" width=\"800\" height=\"687\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-800x687.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-160x137.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-1020x876.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-1920x1648.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-1180x1013.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-960x824.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-240x206.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-375x322.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1-520x446.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive1.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive puts on nail polish in the car. She says she doesn’t feel like she she’s good at applying it yet, and often feels she 'overpaints' her nails. \u003ccite>(Renee Gross)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Olive says during one recent fight, Tatiana told her she wanted to commit suicide. She just couldn't deal with her child's gender identity anymore.\u003c/p>\n\u003cp>“I was thinking about her killing herself,” Olive tells me. “And then I was thinking about just me killing myself. Like, who's going first?\"\u003c/p>\n\u003cp>Olive says around the time Trump got elected, she seriously considered killing herself.\u003c/p>\n\u003cp>\"The energy in the house was just kind of upsetting.\" Olive recalls. \"Right as he got elected, both my parents were screaming and shouting, \"Woo-hoo! Go Trump!' They were just pointing at me like, 'Haha we won.'\"\u003c/p>\n\u003cp>As the weeks went by after the election, Olive says she just felt alienated. “And then I was in a lot of pain. I decided I didn’t want to deal with it anymore.”\u003c/p>\n\u003cp>She knew of a bridge that she used to go to with her dad. It’s on the L.A. River near a bike path.\u003c/p>\n\u003cp>\"I just left my house one night when it was too much,” she says. “I drove there. I got there. And then my friend called me. And I was like OK, I’ll do this later.”\u003c/p>\n\u003cfigure id=\"attachment_11439003\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11439003\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive2-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-1920x1080.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2-520x293.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive2.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive practices her jokes at the Los Angeles LGBT Center. \u003ccite>(Renee Gross)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A few months after Olive planned to kill herself, Trump \u003ca href=\"https://ww2.kqed.org/news/2017/02/22/trump-administration-lifts-transgender-bathroom-guidance/\" target=\"_blank\">rolled back protections\u003c/a> for transgender students in public schools.\u003c/p>\n\u003cp>Olive talks about it with her dad, Harry, a hefty man with black hair and a receding hairline. At one point in the conversation, Olive brings up the \u003ca href=\"https://www.usatoday.com/story/news/nation/2015/08/16/transgender-individuals-face-high-rates--suicide-attempts/31626633/\" target=\"_blank\">high suicide rate\u003c/a> for transgender youth.\u003c/p>\n\u003cp>“You don't like hearing that, right?” she asks her dad. “That trans kids kill themselves?\"\u003c/p>\n\u003cp>\"Well, I always believed that trans is a mental problem,” says Harry. “I don't get it. For me it is disgusting. Disgusting.\"\u003c/p>\n\u003cp>Olive says she’s heard comments like this from her parents many times. She just tries to let the words run right through her.\u003c/p>\n\u003cp>“They are not trying to hurt me,” she says. “I don’t need to feel hurt by them.”\u003c/p>\n\u003cp>She says this fight with her father is a little easier than the ones before.\u003c/p>\n\u003cp>“We're fighting less these days. It’s not as bad now. It's, like, calmer.”\u003c/p>\n\u003cp>It’s calmer, in part, because the fighting takes so much of out of them. They feel spent.\u003c/p>\n\u003cfigure id=\"attachment_11439001\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11439001\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/05/Olive6-800x614.jpg\" alt=\"\" width=\"800\" height=\"614\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-800x614.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-160x123.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-1020x783.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-1920x1474.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-1180x906.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-960x737.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-240x184.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-375x288.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6-520x399.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/05/Olive6.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Olive puts on lipstick in her car. She says she loves the name of it: Rage. \u003ccite>(Renee Gross)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But even though both parents thoroughly reject Olive’s gender identity, she wants to take care of them. She can’t remember a time when they weren’t struggling with depression. Olive is an only child, and even as a teenager she worried about her parents' health and their ability to navigate old age.\u003c/p>\n\u003cp>“I felt like I was responsible for them, like they're my kids,” she says. “Sometimes it still feels like that.”\u003c/p>\n\u003cp>For now, taking care of them still means hiding her identity. At least while she still lives with them.\u003c/p>\n\u003cp>In the parking lot where she changes into her skirt and blouse, Olive puts on her makeup. She dodges her stubble as she outlines her lips in red. She says she loves the name of her lipstick: Rage.\u003c/p>\n\u003cp>“The intensity of it is nice,\" she says. “More than a mask, it’s like armor on my lips.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“And I just feel a little stronger for some reason.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11438847/life-as-a-transgender-woman-whose-parents-voted-for-trump","authors":["byline_news_11438847"],"programs":["news_72"],"series":["news_20860"],"categories":["news_457","news_1169","news_8","news_13"],"tags":["news_20634","news_1323","news_5135","news_20004","news_2109","news_2883","news_2486"],"featImg":"news_11439010","label":"news_72"},"news_11353211":{"type":"posts","id":"news_11353211","meta":{"index":"posts_1591205157","site":"news","id":"11353211","score":null,"sort":[1489428359000]},"guestAuthors":[],"slug":"they-fought-for-the-u-s-in-laos-now-many-older-hmong-battle-depression","title":"They Fought for the U.S. in Laos. Now Many Older Hmong Fight Depression","publishDate":1489428359,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Dia Yang is a cultural broker at the \u003ca href=\"http://www.fresnocenter.com/\">Fresno Center for New Americans\u003c/a>. She helps Southeast Asian refugees acclimate to the United States.\u003c/p>\n\u003cp>On this rainy day, she’s working with a dozen older Hmong men and women who find life in America really hard.\u003c/p>\n\u003cp>Yang instructs them in a crafts activity: decorating little paper gift boxes to fill with chocolate and give to a friend or relative. “It’s something to uplift them and keep them in the present moment,” she says. \"And it gives them a chance to just be with each other.\"\u003c/p>\n\u003cp>Yong Yang Xiong, 66, works on a red paper box at a long table littered with art supplies. Like the others here, he also goes to a weekly therapy group to talk about his problems.\u003c/p>\n\u003cp>“When I come here they [counselors] help me out. I’m not just by myself but in a group and everybody shares, and that helps ease up the depression,” says Yong Yang through an interpreter.\u003c/p>\n\u003cfigure id=\"attachment_11353290\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-11353290 size-large\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/photo-6-1020x765.jpg\" alt=\"Counselors at the Center for New Americans lead group activities with clients suffering from depression. The clients chose not to be in the picture. \" width=\"640\" height=\"480\">\u003cfigcaption class=\"wp-caption-text\">Counselors at the Center for New Americans lead group activities with clients suffering from depression. The clients chose not to be in the picture. \u003ccite>(Alice Daniel/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ghia Xiong is a psychologist with the center. He says activities and group therapy sessions provide peer support and help with depression, which is rampant in this population. Life is so different here, he says, and all the worries about money, jobs and transportation often lead to feelings of hopelessness and helplessness.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Xiong says life back home was much simpler. \"... Just as long as you have a field to farm, and a jungle where you can go hunt and get food, and a river where you can get fish for your family,\" Xiong says.\u003c/p>\n\u003cp>Back home is Laos. The Hmong knew the land well and were instrumental in helping the CIA fight its secret war against the Communists. When the long war ended, tens of thousands of Hmong were deserted. They fled on foot to refugee camps in Thailand and eventually resettled in the U.S. The second wave of refugees arrived only 13 years ago -- among them was Yong Yang Xiong.\u003c/p>\n\u003cp>Ghia Xiong says there are many refugees like Yong Yang. “So now they’re carrying all this and they’re coming to therapy and we say, ‘Let’s talk about things that are really troubling to you,’ and they’re saying, ‘Do I trust you, are you sure you’re going to keep it confidential?' I don’t know what confidentiality means. I mean that doesn’t exist in our culture.”\u003c/p>\n\u003cp>Xiong says it takes a very long time for most clients to open up even a little bit, to just scratch the surface of their sorrow. It’s almost anathema to their culture to talk about their deepest feelings.\u003c/p>\n\u003cp>It’s why group therapy is the best option at first, he says, because it gives them some basic tools to talk about themselves with the support of their peers. “Many do not understand yet or are not ready for individual therapy. They may not have the necessary resources or skills to really begin exploring depression,” he says.\u003c/p>\n\u003cp>Almost every older client, most of them in their mid-50s and 60s, comes into the center with symptoms of depression.\u003c/p>\n\u003cp>Part of Yong Yang Xiong’s depression comes from so much physical pain. He fought for six years in Laos.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Many do not understand yet or are not ready for individual therapy. They may not have the necessary resources or skills to really begin exploring depression.' \u003ccite>Ghia Xiong\u003c/cite>\u003c/aside>\n\u003cp>“As a petite man, I was given very heavy loads to carry for days and nights,” he says. “This is a reason why physically I’m not well now. I have a really bad back. It’s been bothering me a lot.”\u003c/p>\n\u003cp>Yong Yang lived in refugee camps for 26 years before coming to Fresno. He wanted to get a job but employers said he was too old, and he couldn’t speak English.\u003c/p>\n\u003cp>All of this stresses him out. Sometimes he’ll take an anxiety medication. “When I feel like I’m very depressed, I take the medication so it kind of like eases my mind, kind of like I’m slowly not thinking about all the stress and pain that I have, so it helps from time to time.”\u003c/p>\n\u003cp>The language barrier also makes him and other Hmong elders feel isolated. During group activities at the center, they have a chance to talk with each other about that isolation. Joua Thao, a college student who is interning here, points to a woman putting a sticker on the paper gift box she’s just made.\u003c/p>\n\u003cp>“She chose an owl because she only knows Hmong, and then her grandson only knows English, and then the only thing they both know is 'owl,' \" Thao says. It’s the grandmother’s way of reaching out to her grandson.\u003c/p>\n\u003cp>For the past nine years, the center has offered culturally sensitive mental health services for hundreds of refugees with depression under the \u003ca href=\"http://www.dhcs.ca.gov/services/mh/Pages/MH_Prop63.aspx\">Mental Health Services Act, \u003c/a>or Proposition 63. The program is called Living Well or Kaj Siab in Hmong. Counselors say Kaj Siab means to feel better, to see a better light at the end of the tunnel, to have better self-esteem. It’s a term that makes more sense to the Hmong than mental health. Aside from therapy groups, the program also offers community gardening and wellness walks.\u003c/p>\n\u003cfigure id=\"attachment_11353229\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-11353229\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/photo-4-1020x1360.jpg\" alt=\"Vong Vang Xiong fought in Laos for six years in the CIA's Secret War. He does group crafts to help deal with depression.\" width=\"400\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Vong Vang Xiong fought in Laos for six years in the CIA's Secret War. He does group crafts to help deal with depression. \u003ccite>(Alice Daniel/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Living Well Program not only works with Hmong but with other Southeast Asian communities, including Lao, Cambodian and Vietnamese. Ghia Xiong says depression is also rampant in these groups.\u003c/p>\n\u003cp>And while the center has helped a lot of people, Xiong worries that there are many who are not seeking help or don’t even know that help exists. So now the center is starting to go to where people live. It just got a grant through the \u003ca href=\"http://www.cdph.ca.gov/programs/Pages/Old%20-%20CaliforniaReducingDisparitiesProject.aspx\">California Reducing Disparities Project\u003c/a> to hire a program director, Melanie Vang.\u003c/p>\n\u003cp>“Part of my role is to do recruitment, through Hmong radio, Hmong TV, or through house visits or connecting through friends and families,” Vang says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">On this day, she’s\u003c/span> \u003cspan style=\"font-weight: 400\">asking to visit the home of a widow she’s heard is depressed. There’s a branch of greenery hanging from her door.\u003c/span>\u003c/p>\n\u003cp>“Culturally if they have some kind of a green thing on the door, we normally have to ask them if we can go inside the house because spiritually the door is locked,” she tells me.\u003c/p>\n\u003cp>It means the family is protecting the house from bad spirits and may not let us in. But the door opens and we are allowed inside.\u003c/p>\n\u003cp>Pa Vang lives in this home. Pa means flower and there are artificial flowers and photos everywhere. But she can hardly see them because she’s going blind. She’s got diabetes; it’s so bad she needs dialysis. Her husband died a few years ago.\u003c/p>\n\u003cp>She used to be a home health aide and an activist in the Hmong community, but now the days are long for her. Listening to Hmong folk music helps. Melanie interprets for her.\u003c/p>\n\u003cp>“By listening to the music, I was able to at least kind of like ease myself out of pain and stress and depression,” Pa says.\u003c/p>\n\u003cp>Melanie suggests Pa come to the Fresno Center for New Americans to try out some of their services, and maybe even group therapy. Pa is receptive to the idea.\u003c/p>\n\u003cp>“I would like to attend some of these program to help me. However, I have dialysis three times a week. And now that I have a visual problem, I cannot drive,” she says.\u003c/p>\n\u003cp>Melanie Vang tells her the center plans to provide some transportation for clients in the near future. And hopefully, that will mean one less door for her to knock on.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">Alice Daniel \u003c/span>\u003c/i>\u003ci>\u003cspan style=\"font-weight: 400\">reported this story as part of a recent Journalists in Aging Fellowship supported by New America Media, the Gerontological Society of America and the Silver Century Foundation.\u003c/span>\u003c/i>\u003c/p>\n\n","blocks":[],"excerpt":"Fresno program helps Hmong refugees adjust to a new life through art and group therapy. ","status":"publish","parent":0,"modified":1489444606,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1436},"headData":{"title":"They Fought for the U.S. in Laos. Now Many Older Hmong Fight Depression | KQED","description":"Fresno program helps Hmong refugees adjust to a new life through art and group therapy. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"They Fought for the U.S. in Laos. Now Many Older Hmong Fight Depression","datePublished":"2017-03-13T18:05:59.000Z","dateModified":"2017-03-13T22:36:46.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11353211 https://ww2.kqed.org/news/?p=11353211","disqusUrl":"https://ww2.kqed.org/news/2017/03/13/they-fought-for-the-u-s-in-laos-now-many-older-hmong-battle-depression/","disqusTitle":"They Fought for the U.S. in Laos. Now Many Older Hmong Fight Depression","audioUrl":"http://www.kqed.org/.stream/anon/radio/tcr/2017/03/20170310ctcrmag.mp3","guestFields":"0","path":"/news/11353211/they-fought-for-the-u-s-in-laos-now-many-older-hmong-battle-depression","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dia Yang is a cultural broker at the \u003ca href=\"http://www.fresnocenter.com/\">Fresno Center for New Americans\u003c/a>. She helps Southeast Asian refugees acclimate to the United States.\u003c/p>\n\u003cp>On this rainy day, she’s working with a dozen older Hmong men and women who find life in America really hard.\u003c/p>\n\u003cp>Yang instructs them in a crafts activity: decorating little paper gift boxes to fill with chocolate and give to a friend or relative. “It’s something to uplift them and keep them in the present moment,” she says. \"And it gives them a chance to just be with each other.\"\u003c/p>\n\u003cp>Yong Yang Xiong, 66, works on a red paper box at a long table littered with art supplies. Like the others here, he also goes to a weekly therapy group to talk about his problems.\u003c/p>\n\u003cp>“When I come here they [counselors] help me out. I’m not just by myself but in a group and everybody shares, and that helps ease up the depression,” says Yong Yang through an interpreter.\u003c/p>\n\u003cfigure id=\"attachment_11353290\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-11353290 size-large\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/photo-6-1020x765.jpg\" alt=\"Counselors at the Center for New Americans lead group activities with clients suffering from depression. The clients chose not to be in the picture. \" width=\"640\" height=\"480\">\u003cfigcaption class=\"wp-caption-text\">Counselors at the Center for New Americans lead group activities with clients suffering from depression. The clients chose not to be in the picture. \u003ccite>(Alice Daniel/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ghia Xiong is a psychologist with the center. He says activities and group therapy sessions provide peer support and help with depression, which is rampant in this population. Life is so different here, he says, and all the worries about money, jobs and transportation often lead to feelings of hopelessness and helplessness.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Xiong says life back home was much simpler. \"... Just as long as you have a field to farm, and a jungle where you can go hunt and get food, and a river where you can get fish for your family,\" Xiong says.\u003c/p>\n\u003cp>Back home is Laos. The Hmong knew the land well and were instrumental in helping the CIA fight its secret war against the Communists. When the long war ended, tens of thousands of Hmong were deserted. They fled on foot to refugee camps in Thailand and eventually resettled in the U.S. The second wave of refugees arrived only 13 years ago -- among them was Yong Yang Xiong.\u003c/p>\n\u003cp>Ghia Xiong says there are many refugees like Yong Yang. “So now they’re carrying all this and they’re coming to therapy and we say, ‘Let’s talk about things that are really troubling to you,’ and they’re saying, ‘Do I trust you, are you sure you’re going to keep it confidential?' I don’t know what confidentiality means. I mean that doesn’t exist in our culture.”\u003c/p>\n\u003cp>Xiong says it takes a very long time for most clients to open up even a little bit, to just scratch the surface of their sorrow. It’s almost anathema to their culture to talk about their deepest feelings.\u003c/p>\n\u003cp>It’s why group therapy is the best option at first, he says, because it gives them some basic tools to talk about themselves with the support of their peers. “Many do not understand yet or are not ready for individual therapy. They may not have the necessary resources or skills to really begin exploring depression,” he says.\u003c/p>\n\u003cp>Almost every older client, most of them in their mid-50s and 60s, comes into the center with symptoms of depression.\u003c/p>\n\u003cp>Part of Yong Yang Xiong’s depression comes from so much physical pain. He fought for six years in Laos.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Many do not understand yet or are not ready for individual therapy. They may not have the necessary resources or skills to really begin exploring depression.' \u003ccite>Ghia Xiong\u003c/cite>\u003c/aside>\n\u003cp>“As a petite man, I was given very heavy loads to carry for days and nights,” he says. “This is a reason why physically I’m not well now. I have a really bad back. It’s been bothering me a lot.”\u003c/p>\n\u003cp>Yong Yang lived in refugee camps for 26 years before coming to Fresno. He wanted to get a job but employers said he was too old, and he couldn’t speak English.\u003c/p>\n\u003cp>All of this stresses him out. Sometimes he’ll take an anxiety medication. “When I feel like I’m very depressed, I take the medication so it kind of like eases my mind, kind of like I’m slowly not thinking about all the stress and pain that I have, so it helps from time to time.”\u003c/p>\n\u003cp>The language barrier also makes him and other Hmong elders feel isolated. During group activities at the center, they have a chance to talk with each other about that isolation. Joua Thao, a college student who is interning here, points to a woman putting a sticker on the paper gift box she’s just made.\u003c/p>\n\u003cp>“She chose an owl because she only knows Hmong, and then her grandson only knows English, and then the only thing they both know is 'owl,' \" Thao says. It’s the grandmother’s way of reaching out to her grandson.\u003c/p>\n\u003cp>For the past nine years, the center has offered culturally sensitive mental health services for hundreds of refugees with depression under the \u003ca href=\"http://www.dhcs.ca.gov/services/mh/Pages/MH_Prop63.aspx\">Mental Health Services Act, \u003c/a>or Proposition 63. The program is called Living Well or Kaj Siab in Hmong. Counselors say Kaj Siab means to feel better, to see a better light at the end of the tunnel, to have better self-esteem. It’s a term that makes more sense to the Hmong than mental health. Aside from therapy groups, the program also offers community gardening and wellness walks.\u003c/p>\n\u003cfigure id=\"attachment_11353229\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-11353229\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/photo-4-1020x1360.jpg\" alt=\"Vong Vang Xiong fought in Laos for six years in the CIA's Secret War. He does group crafts to help deal with depression.\" width=\"400\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Vong Vang Xiong fought in Laos for six years in the CIA's Secret War. He does group crafts to help deal with depression. \u003ccite>(Alice Daniel/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Living Well Program not only works with Hmong but with other Southeast Asian communities, including Lao, Cambodian and Vietnamese. Ghia Xiong says depression is also rampant in these groups.\u003c/p>\n\u003cp>And while the center has helped a lot of people, Xiong worries that there are many who are not seeking help or don’t even know that help exists. So now the center is starting to go to where people live. It just got a grant through the \u003ca href=\"http://www.cdph.ca.gov/programs/Pages/Old%20-%20CaliforniaReducingDisparitiesProject.aspx\">California Reducing Disparities Project\u003c/a> to hire a program director, Melanie Vang.\u003c/p>\n\u003cp>“Part of my role is to do recruitment, through Hmong radio, Hmong TV, or through house visits or connecting through friends and families,” Vang says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">On this day, she’s\u003c/span> \u003cspan style=\"font-weight: 400\">asking to visit the home of a widow she’s heard is depressed. There’s a branch of greenery hanging from her door.\u003c/span>\u003c/p>\n\u003cp>“Culturally if they have some kind of a green thing on the door, we normally have to ask them if we can go inside the house because spiritually the door is locked,” she tells me.\u003c/p>\n\u003cp>It means the family is protecting the house from bad spirits and may not let us in. But the door opens and we are allowed inside.\u003c/p>\n\u003cp>Pa Vang lives in this home. Pa means flower and there are artificial flowers and photos everywhere. But she can hardly see them because she’s going blind. She’s got diabetes; it’s so bad she needs dialysis. Her husband died a few years ago.\u003c/p>\n\u003cp>She used to be a home health aide and an activist in the Hmong community, but now the days are long for her. Listening to Hmong folk music helps. Melanie interprets for her.\u003c/p>\n\u003cp>“By listening to the music, I was able to at least kind of like ease myself out of pain and stress and depression,” Pa says.\u003c/p>\n\u003cp>Melanie suggests Pa come to the Fresno Center for New Americans to try out some of their services, and maybe even group therapy. Pa is receptive to the idea.\u003c/p>\n\u003cp>“I would like to attend some of these program to help me. However, I have dialysis three times a week. And now that I have a visual problem, I cannot drive,” she says.\u003c/p>\n\u003cp>Melanie Vang tells her the center plans to provide some transportation for clients in the near future. And hopefully, that will mean one less door for her to knock on.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">Alice Daniel \u003c/span>\u003c/i>\u003ci>\u003cspan style=\"font-weight: 400\">reported this story as part of a recent Journalists in Aging Fellowship supported by New America Media, the Gerontological Society of America and the Silver Century Foundation.\u003c/span>\u003c/i>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11353211/they-fought-for-the-u-s-in-laos-now-many-older-hmong-battle-depression","authors":["208"],"programs":["news_72"],"categories":["news_457","news_1169","news_8"],"tags":["news_20634","news_37","news_20632","news_19940","news_2109","news_19006","news_17286","news_17041"],"featImg":"news_11353229","label":"news_72"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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