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Arjuna Nagendran

Doctor,

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What experiences have made you more comfortable with mental health disorders?

What things make you fearful of mental health disorders? And what experiences have made you more comfortable with it?

In the quest to dispell stigma, how can we help our society grow out of its fear?

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    • Nov 11 2012: You are an inspiration. I have a mental illness and over and above that, I am dealing with a step daughter who is an alcoholic and clinically depressed. I am going to share your thoughts with her. She is so hard to reach and feels like everyone is trying to tell her what to do. Your approach seems to value doing rather than being told. I love it. Thank you.
  • Nov 9 2012: We assign such special status to the brain among all the organs. People who would not think twice about being diagnosed with a disorder of the lungs, kidneys or heart cannot accept the fact that the brain can be "broken" too. Likewise, there is medication which can help treat those maladies of the brain just as there is medication for thousands of other physical issues. When we can see that the brain is an organ like any other and, as such, subject to physical imperfections, we can start to de-stigmatize mental illness.
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    Nov 9 2012: What refreshing perspectives are represented in these posts. I couldn't agree more, that 'labels' are more destructive than beneficial. And who are the labels beneficial for? The doctors, the system of so-called mental health professionals and society to put these folks in a box. Meanwhile 'these' so-called sane folks use lobotomies, shock treatments and chemical castrations of all kinds to 'render' these misfits 'controllable'.

    Read R. D. Laing's seminal work, The politics of experience to better understand the depths of absurdity of what we call 'NORMAL' , the misplaced basis of much of our mental health.

    I would suggest that as much damage as labels do to the labeled, they do far more damage to the Doctors and society, as their ability to 'see' clearly is shrouded in a deep fog of ignorance, profits and quick fixes. How many savants have we destroyed in our system of boxes and labels? How many doctors have trouble sleeping as they remember the pain and suffering of their 'lobotomies and chemical castrations'? Who are the victims and who are the perpetrators? How far as our 'science' of psychiatry come since the days of Germany during world war 2?

    I applaud the ladies here who question the broken system of labels. Let me add my name to the list who agree with that conclusion.

    Human behavior and consciousness isn't deterministic. We all have free will, and where there is a will, there is a way.
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      • Nov 11 2012: Yes. I like that you like being you. Skip the label and just be. If nothing else it is interesting.
    • Nov 11 2012: I would like state I agree with craig that we shouldn't label people. Though that doesn't mean we should stop psychiatric treatment for people. I fully understand what it's like to have a mental and be judged for it, and understand the need for mental health though my experience. To start off use of shock-treatment has been strictly forbidden in all mental institutions second I know a lot of people with in the mental health fields none of them seen, or condoned lobotomies. If you're make claims please put in current facts about the Issue's.
    • Nov 11 2012: I do in fact have adhd, which I must take medicine for due to the fact that I'm considerable less able to function in my life. I can honestly say I don't like taking meds and prefer I didn't means to control the disorder, and I did in fact stop takes the meds for quite a some months. This unfortunately had serious negative effect's Adhd is basically Attention Deficit Disorder meaning I lack focus. This doesn't mean all adhd is the same and shouldn't be classfied as such. For instance my flaw is that I get exceedingly so one track focused that my mind goes into a trance and my brain moves on autopilot which causes me to lose the essential sense of my surroundings. Unlike my brother who can not focus on any tasks not even playing games outside. Unless it it involves watching TV or which I recently found out just Watching and listening to my ipod. Then he was able to maintain complete focus for awhile.

      I digress my flaw inevitable caused me serious short term memory loss, at such levels that could be confused with having dementia. In my last month of not taking medicine I lost my Key's, My boyfriend's Key, Spare Keys, Id, Shoes, notes, as well as forgetting to complete certain essential tasks.
      Which oddly combined with special K cereal, caused me to lose a good appetite and I ended up starving myself of essential Nutrients. Now my boyfriend has banned me Special K and all other diet food seeing how it turned me into a zombie. Again I disgress. Point being is that I have flaws on which I need to take medicine for.
    • Nov 11 2012: Though I don't believe people make accurate claims when they say they have adhd. One because everyone tends to daydream or lose focus once in awhile, this isn't adhd nor should people claim it as such. If that were the case anyone who has ever being caught up reading a book they found interesting has ADHD. adhd Implies that constantly daydreaming or constant racing mind causes a person to detrimentally forget things because they lack the ability to come out of that trace.

      The large claims of ADHD has positives and negatives one people are more excepting of the disability. Second is that people with ADHD are believed to be incapable of simple task of need of constant help. I often deal with such belief's and prove to people that I am in fact capable. People worry that I'll will burn down my appartment because I will forget to turn off the gas or that I would die in a car accident because I would be lose train of thought.
      I would comment more on this But really tired.
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    Nov 9 2012: That's a great question!

    I know a kid with mild epilepsy who's father was able to 'cure' him through the removal of heavy metals. So I looked into heavy metals and their impact on our bodies, and that it can account for both mental and physical disorders, which then made me think that everyone we meet including people we may have known for all our lives may not actually have much choice on who they are or how they think, and therefore not really 'themselves'.

    So I figure everyone is normal and doing the best they can with what they have.
  • Nov 8 2012: I think unless you have been directly affected by mental illness in your life it is extremely difficult to even begin to understand a person, or feel comfortable with their mental health disorders. For me I have experienced mental illness (schizophrenia) in my family and have seen first hand how this illness can appear to drastically change a person. Also my partner of 4 years suffered with bi-polar and again the changes in his personality were dramatic. When he was on a high he could be the happiest person in the world but on a low it was virtually impossible to get two words from him, which initally is hard to reconcile. I think the thing you come to realise is the mental illness is just that an illness. In the end the person you know (or are if you suffer yourself) still exists their true nature remains unchanged even if to others or even yourself sometimes its difficult to see. Accepting this for me makes it much easier to understand and be comfortable around mental illness. Just as you would not blame a cancer sufferer or amputee for a bad day, its the same with mental illness.
  • Nov 8 2012: I grew up about half a mile from a large mental hospital. Seeing patients was part of everyday community life. It never dawned on me that I would deal with mental health personally. I came by bipolar honestly, apparently and as I found out after I was diagnosed, it runs in the family. I have determined to roll with it. The creative energy of hypomania lets me be outgoing and social, the introspection of depression has given me a philosophical space. When the high or the low get too intense, I turn to my counsellor and my psychiatrist for a combination of talk and drugs to help moderate life. Personally, I have committed to making my condition as "normal" as I can. I would not be hesitant to acknowledge having diabetes or heart problems so I simply state that I am bipolar. Let people think what they will, if enough of us say it out loud maybe it will no longer carry the stigma. I am optimistic and there is nothing to lose. Truth is I am bipolar and inevitably it will out.
  • Nov 7 2012: Perhaps, my experiences as a student nurse before have made me see people with mental disorders in a different light. As part of the learning process, we were tasked to stay in a mental facility and take care of patients with various conditions - schizophrenia, dementia, bipolar disorders,etc. I used to have this fear of being harmed by these patients, having the stereotype that they are rather banes of the society. But how was I able to outgrow that fear?Being knowledgeable of what these people are going through and above all, empathy. It is believed that once we put ourselves on the shoes of others, taking it in the figurative sense of course, we learn to understand them.When we leave our own boxes and see things in a different perspective, that's how we begin to see the bigger picture.

    Also, we need to put into consideration that the etiology of some of these disorders is unknown. These people or most of them do not even understand what they're going through.
  • Nov 5 2012: I haven't seen anyone note the differences between mental disorders based in brain anatomy/physiology and problems based on poor coping skills, or on attitudes/beliefs/habits that lead people into behaviors that do themselves or those around them harm, or to growing up in a dysfunctional environment or family, or suffering from a physical illness that leads to behavioral signs & symptoms (some severe vitamin deficiencies, infections, endocrine disorders for example).

    Consider people with clinical depression - some can get a lot of relief from cognitive behavioral therapy and/or medication, others who have different brain chemistry may react badly to meds and/or get no relief from therapy strategies.

    People with severe brain disorders like schizophrenia, rapid cycling bipolar disorder, autism spectrum disorders or other severe brain disorders can be very difficult to interact with - most folks just don't understand how to interact with someone who perceives reality very differently than they do themselves, or who isn't perceiving external reality at all well when they're in the grip of overwhelming and often terrifying hallucinations. It's awfully hard for many people to "see the other person's point of view" even when that other person is within the same range of common or normal brain function and behavior.

    Until the 20th century hardly anyone thought that hallucinations, obsessive/compulsive behavior and other far-out-of-the-usual-range behaviors were rooted in physical diseases and such behaviors were often assigned supernatural causes - and treatments. Less severe behavior issues were often simply dismissed as "That's the way s/he is." It wasn't until medications that could influence psychotic behaviors were discovered and brought into use that anyone thought that severe mental disorders could be brought under control at all - sufferers here in the US were institutionalized and expected to remain in that environment for life.
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    Nov 5 2012: Michael thank you so much for your feedback. Labelitis a hugely debilitating condition, my communication skills still strong, Click on my icon to read all the other conversatons I have commented on. My passion is people and their environment. Made up my own fun formula C=Ettr2=C. Not at all unique in this apparently Pi*z*z*a is the formula for a pizza (can't remember what z and a were but can probably google it, fun formula in Sunday newspaper yesterday). In same paper huge percentage of USA citizens illiterate, how did that happen in the most affluent nation on earth ? Love Dr Seuss, ever read him ? BTW my greatgrandfather returned from WWI with acute PTSD, burned down a public house then spent rest of his life in county asylum. Cousin scientist at Kew Botanical Gardens. Social mobility often oppportunity and chance. My other grandmother trained to go into service as a cook. My other cousins Professor of Genetics, senior medical staff etc. Sometimes feel like having difficulty 'materialising' (transporter beam in original Star Trek movie). OK everyone has a different truth but like you still a person. Our family essential neurological tremor. We are holistic beings not a mind separate from a body. Yes Mother Nature does not tolerate a truly dysfunctional organism. Feel like the biggest actress in the world sometimes (BTW not Elizabeth Muncey, Actress which someone else found). Real person In London. Possibly about my chronological age Michael though both of us much older souls, what do you dream of ? Personally trying to warn people about the effects of global warming and keep people safe. Hate fracing of any kind but not for me to alter other people's behaviours just to say sometimes reflection before acting a better choice. PS Watching USA presidential elections with huge interest.
  • Nov 5 2012: Simply put, I grew up with two parents suffering from PTSD at a minimum and possible Bipolar tendencies as well in my mom. I too have been diagnosed as depressed severely and overly anxious. I didn't really get a choice about dispelling the stigma of mental illness, I live with it daily. BUT, notice the CAPS, BUT...I LIVE with it daily. I survive and even thrive in my own ways. I excell at being me. I have tried to develop a sense of humor about it, not to laugh AT mental illness, but to laugh with and through it. Hey gang, I'm nuts! This might get entertaining. I embrace my battles because I know I will prevail. If folks will stick with me we might have some fun and learn something new. If they choose to abandon me, I'm gonna have some fun and learn something new. My new motto, sorta Latinish: SCRUEM!
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    Nov 4 2012: my experience taught me not to get connected to any thing eternally in physical sense, besides
    nothing happens as we plan, but it gets connected the way we want.
    in fact the commands are followed by us, the results too are decided by source of invisible intelligence.
    it is just like ice cube wants to know what is water?
  • Oct 31 2012: Realizing that as uncomfortable as I am around him, being him would be tragic.
  • Oct 31 2012: Do sth what I like.
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    Sarah M

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    Oct 30 2012: I worked in Mental Health for 5 years. I absolutely loved it and I loved the people I worked with. My clients lived in Licensed Boarding Houses and I provided recreation and leisure to my clients and took them out into the community.

    Only once in 5 years was one of my clients so unwell that I felt a threat. I can honestly say I got so much more out of my clients than they ever got out of me but I am sure they think that they were getting more out of me. They enriched my life with their Resilience, Humor, Stories and Outright Craziness. I have heard it all and will never be shocked again at anything anyone tells me as I have heard the most amazing, outrageous stuff.

    I use to get up for work every morning happy to be going to work and I still think of my clients often with a smile on my face.

    Yes Psychosis is scary I wasn’t dealing with people with Psychosis I was working with people out of hospital who were of varying ability who were trying to be part of society again.
    Always remember that perfectly sane people can commit the worst of crimes.
    Mental illness does not mean danger most of the time and sadly most of them are more intent on hurting themselves rather than others when unwell.
  • Oct 28 2012: About two years ago a very attractive 25year old woman walked into my surgery and stated "I am depressed, I am suicidal and I want something to sleep". I replied " I do not know anything about you I feel it would be appropiate to refer you straight away to the local hospital to be assessed by a on duty psychiatric registrar, " This was immediately refused, as was an offer to contact the Crisis team. I stated I was not prepared to prescribe her sleeping tablets and she would have to decide my offer of a referral to the hospital as I could not see any other way of dealing with her situation. She said "ok" and stood up and walked out. I called the Crisis team with her details. They contacted me a week latter stating she refused their assistance. I received a complaint, from her that I was not caring, this a lesson for me to remember.
    • Oct 31 2012: Dear Harry,

      It sounds to me that you were being responsible in not giving the sleeping pills. It is unfortunate that the way that medical appointments are set up, there is little time to get into a long and intricate conversation and you may have felt that a referral to appropriate support was most important (and it probably was.) She may have taken your default to referral as "cold" ... perhaps you responded with a serious tone (which is appropriate considering that she stated that she felt suicidal.) Perhaps you did not have ability to express your empathy with warmth and caring as your mind raced to decide what was the best course of action to help her.

      It sounds as if you were indeed doing the most responsible thing in trying to get her professional help.

      I would not want to be in your situation. I hope that she at least expressed (in her letter) some specifics about what she had hoped to receive from this interaction (besides acquiring sleeping pills.) Your refusal to give her those pills may have saved her life and so, that is no small thing. If someone comes in again with similar circumstance ( god forbid) you may first respond with something like " I am so sorry to hear that you are suffering" and then proceed to the best of your ability to get he/ him appropriate help.

      Try to not beat yourself up ... I think you did the best you could and as I said, may have helped her more than you realize.
      Best to you,
      Juniper
  • Oct 28 2012: As a child I lived in a little town in Colombia, called Sibaté. Since there isn´t a good public health care sistem in Colombia, every case of mental illness in the main city was taken to little Sibaté, because in this town a team of nuns had founded a mental health care institution for poor people. On Weekends the nuns would let the mentally ill people that were not aggresive go out and visit the town. So we (children) became used to sit in the park on Sundays and have these weird conversations with people that had wild fantasies or could answer the craziest questions in the world. I think I learned a lot from those persons. I came to think that we all live not very far from this frontier and that it is o.k. so. And that people that have accepted their mental illness are sometimes much more easy going than people that try desperately to be seen as "normal".
  • Oct 28 2012: The experience that made me become most comfortable with my own and other's people mental illness was one conversation I had with a neighbor, a veteran, that in a moment of clarity he said: "People say I am crazy and treat me like I do not know what I am doing. No one knows how hard and so much smarter I have to be in order to live independently with my condition". It was like finding a mirror. So liberating.

    Then we joked about how the majority of people and care providers that give us treatment have NO IDEA how is to be in our heads. They cannot imagine the same way I cannot imagine thinking "normal" without the days floating around me. For me that conversation gave me more acceptance and made me conscious that us, those who live with mental conditions, have some sort of a special culture unfamiliar to many. That gave me comfort.
    • Nov 8 2012: I love your experience and wonderful conclusions. You are so right about a different way of thinking. I flow in and out and occasionally visit that sort of normal space. Reading your comment made me feel more okay about the difference. Thank you.
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    Oct 26 2012: I think that the media is to blame for the mass stereotyping of mental disorders and have made people very scared of these people. Thanks to shows like criminal minds, CSI, and other media mental illness is portrayed as crazy people who could snap in a minute and go on a mass killing spree. I am very comfortable with mental illness because I am a 4th year psychology student in university, so I learn about these disorders and am very aware of the horrible bias these people face everyday.
  • Steve C

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    Oct 26 2012: I have gotten much from reading Ty C. Colbert, Edward Barrie, James W. Prescott, Thomas Szasz, and Dr. Patch Adams.
    I have also gotten much from talking to others with various "afflictions," and seeing their lives and problems, and how they continue to strive.
    "how can we help our society grow out of its fear?" By connecting; not merely connecting via web links & tweets, but by consideration & trust. By choosing to spend time and energy with them. And by being truthful & accountable; give and take.
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    Oct 23 2012: My first wife was the victim of abuse. She had all the earmarks of what religion would have called demonic possession. A religious friend walked me through what could've been a nightmare until her death from an accident. This friend even foresaw her death and prepared me for it in advance.

    I recognized that my first wife had multiple personalities. I also recognized that the abuse she endured was probably the cause. For this, I gained much from the experience. My love for her overcame any fear that I might have felt.

    I had another friend that was hyperactive and had a lot of built in anger. He had been put on Ritalin as a child and often given additional doses to shut him down. He felt that his childhood had been robbed from him. He would talk tough and even violent that no one had better mess with him. I discovered that his demeanor was a survival ploy. I told him that his demeanor was sabotaging his ability to make friends that could help him out in life. Gradually he began to listen and realized that I was on his side. In time, he softened up, which helped him land a job and things improved for him.

    I have another friend who is also hyper. When I first met him, he couldn't stay focused on anything. He was considered a misfit by the community. My talking to him helped me to understand him, and as this went on, I was able to mentor him to a more responsible person. He just needed someone who was willing to listen (and not charge him $$$ for it).

    I read a book by Dr. Arthur Janov called "The New Primal Scream" that talked of how early childhood trauma can lead to mental disorders. Once the trauma is exposed, the disorders generally fade afterwards. For those who are not born with brain disorders, there is hope if your are willing to listen. I've learned not to judge one's behavior, but to listen for clues that underlie the behavior. I find that they recognize when someone shows that they care, and it brings about a change in their demeanor.
  • Oct 22 2012: Hi Elizabeth,

    Ahhhh .. now I have an excuse to eat more blackberries! You know, I was doing much better before i experienced a sharp decline in my financial resources a few years ago (along with most people). Financial hardship ( in and of itself ) caused some strain but the biggest problem is that I had to stop taking some vitamin supplements that were helping quite a bit. I hope to start taking Phosphotydyl Serine, Alpha Lipoic Acid,Ginkgo Biloba, and a few other supplements that had dramatically improved my brain function. My financial hardship should (hopefully) ease up in about a year when my partner finishes her medical program ... so, I am very lucky that I should be able to get back on track with my natural healthcare in the near future (if all goes well.) Feel free to e-mail me directly Elizabeth ... we seem to have similar interests in holistic medicine. And yes .. the Blue in Juniper Blue is not a sad color ... it is just blue .. like the sky ... like Juniper berries.

    Best to you Elizabeth!
  • Oct 22 2012: I was labeled and thrust into the world of mental disorders as a young child. I became more comfortable with mental health disorders, when I discovered people who had them were kinder, and far less judgmental of me. I had myself hospitalized in a place with colorful characters, just to escape bullying.

    I never liked the term "mental Illness," and even now it is hard to define myself in this way. I spent my late childhood in a residential school, where I was told that kids who wind up there are the hopeless cases. They are the ones society including their own families "throw away." I know that I was loved by my parents, so I decided that this particular mental health professional, a self-declared picture of mental health was in fact suffering from a frighteningly deranged God complex.

    It is hard to be comfortable with such a label. My own family thinks my depression is just laziness, though it is harder for them to ignore the recurrent panic attacks. Panic attacks have physical manifestations, so I suppose on some level, panic disorder seems less like a mental illness.

    As a child, I had a psychologist who told my Mother not to let anyone label me. Oops, too late. Every therapist, psychologist, and psychiatrist created more and more labels.

    I agree with Ruby Wax that stigma has to go. I believe one in four people are diagnosed with a mental disorder, but I see shades of all kinds of illness in "normal" people.

    I agree that my anxiety has nowhere to go in this toxic society we have created for ourselves. Long term exposure to poison makes people sick. Those with greater sensitivity to such poison will get more sick.

    On the brighter side, I no longer feel shamed by others who look down on me for my illness. Especially regarding certain members of my family, I figure if they don't get it by now, any more explanation (excuses according to them) is wasted on them.

    If someone is afraid of me due to their own ignorance, I'm happy to chase them away.
  • Oct 21 2012: the idea that mental illness will always turn out to be better, all people have chance to recover make me feel secure to talk about mental illness. and once I realize that the world is driven only by good will make me feel relieved from the fear of all kinds of bad things include mental illness.
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    Oct 21 2012: Hi Arjuna,

    Everything about mental disorders makes me uncomfortable.

    But, that's not so bad - discomfort is a great motivator - and through the motivation to understand those close to me with various conditions, I've learned a massive amount about neuroscience.

    It's a piece of string though - most of this stuff has no reliable cure.. plenty of prevention .. it helps to understand, but who can say what the value of knowing all this is?

    There seems to be a lot of light on the horizon. Is that the dawn? Or just another storm?

    What I find most painful is the realisation that many are labelling all empirical knowledge as leftist. I cannot see the preventions being practiced consistently enough to make a difference. I suppose when everyone gets uncomfortable enough to do the hard-yards, those still in ignorance will be in the minority - there can't be many left untouched by these issues.
  • Oct 21 2012: Oh yes ... we must remember to laugh! :O) Thanks Elizabeth for this and best to you.
    • Nov 5 2012: Laughter absolutely! Insane, maniacal gut wrenching, side splitting cheek-cramping guffaws all around! My mom has/had a mental illness that my father and she refused to tell us the diagnosis for. She eventually abandoned the entire family and has madeit very clear that she wants NOTHING ever to do with us again. That sucks but that was my mom. Brilliant self taught musician and artist, wired for sound. PTSD from childhood abuse? Major depressive disorder? Who knows? I have MS. Depression has been a life long companion. But I'm okay with it. bad days are bad but I try to concentrate on the good days and I strive to get people to smile and laugh because we really are ALL just a little nuts. Couldn't survive in this world without being so. Live with it, embrace it, run with it. Let the loonies on the grass! We at least know how to have fun without putting on aires. We've been in the shit and know it and are getting through it. The High-lifes don't know what they are missing.
      • Nov 5 2012: Skipping with you out on the grass Michael!
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    Oct 21 2012: was give the thought, let go, let life, and learn, from all you live through, Its the process of coming into your own, clearing all you have learned out, and practicing the art of being, it is then consciously assimilating, as to what you see as best for you. . to not live in another's shadow . . . too oft, people are panic struck. . it all begins with losing our power, having our feelings dismissed, oft send to nurseries where we have to fend for ourselves, from way to early in life. told what and when and how to do. . it all about the narrowing our views, which in truth, are exploding with insights. school windows were shut down. . to prevent daydreaming. oops, that when the iniverse is downloading massive loads of insights to you, or just delightful scenarios, to heal your mind from having been so overtaxed that it simply tuned out from within, for a speedy recovery.by gazing at the sky, not denied. . . the shadows of our never being let live in our own light, snaps . . and every time life gets too much. . .we unravel much due to lack o sleep tearing through the nights as we did when waking up to the world that had not been kind to you, up to that point
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      Oct 21 2012: Deep insights coming out.
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        Oct 21 2012: thank you. I've looked at the big picture first since I began framing in jigsaw puzzles at 7 on being a 900 piece puzzle and presently I am awed by all that is coming to light with the TedTalks.
        I always begin with no matter you views or discipline in life, we are all speaking of one and the same universe of which we are all give our own views and perceptions, each of which broadens our outlook on life through retreating from fields of conflict and peacing it all together . . so far, its working like a charm, on all which has come to light . . about bringing the light years down to earth. which is our clearing the way for youth, whose health and well being are severely taxed when we force our views on them through schooling, instead of letting them guide us with their insightfulness and fresh ideas.