#diaries and journals vs words to be printed

[paleode-ology]

I love words I love words I love them so much words words words rahashhahthahahrhdhhdjsjahdgahrhsh

[redsamuraiii]

For those who read widely and take an interest in Asia — likely readers of this article — chances are they will have picked up a book put out by Tuttle Publishing at one time or another.

History of Tuttle Publishing

While the Tuttle family business can be traced back to 1832, making it one of the oldest American publishers still in operation, according to the company, the Japan presence was established in 1948 when Charles Tuttle, noticed a gap in the market.

Initially arriving in Japan to work in the newspaper industry as part of the American Occupation, Tuttle later began importing American books for U.S. troops stationed in the country, and ferrying Japanese books back to the United States for interested readers.

He later opened what was reportedly Tokyo's first English-language bookstore, before publishing thousands of Asia-focused books himself. Before his death, Tuttle was awarded the Order of the Sacred Treasure by Emperor Showa for his work.

Tuttle Publishing and Japan

Tuttle’s longtime presence in the market means it has an extensive back catalog that is now in high demand, fueled by the current boom in interest in Japanese culture. As interest in Japanese authors has grown, so has demand for Tuttle's early print editions.

“Because they’re hard to get hold of ... they can go for silly prices sometimes, because people collect them or tourists want Japanese literature,” he said. Tourists in particular go straight for them, as they’re hungry for Japanese stories to take home as souvenirs.

Prints vs Digital and AI

Despite people long decrying the death of print or the end of books, the publishing industry is growing stronger. During the pandemic in 2020, Tuttle saw a surge in book sales, and while this has subsided somewhat, “book sales are now higher than before the pandemic.”

Personally, although reading digitally on tablets is much more convenient and save space on bookshelf, the feeling of holding something physical, the smell of books and the sense of detachment from the world in going offline is something that readers love.

Below are 10 books that I have read from Tuttle Publishing that I would recommend those who are interested in Japanese culture.

A Brief History of Japan

The perfect book to understand Japan's history as it sums up everything concisely, not too brief and not too detailed.

A History of Japan in Manga

If you're not into reading books full of texts and more of a visual reader, then this one is for you as it's explained with manga.

The Heikei Story

The defining moment in history where the warrior class Samurai began to rise to its prominence to overthrow the Imperials.

Hiroshige's Japan

Join a French artist as he explores the old Tokaido Road that once connected Edo (Tokyo) and Kyoto as he shares his illustrations.

Japan Journeys

A collection of woodblock printing art which journals the travelers experience in Edo Period moving from one prefecture to the other.

My Travels in Japan

A cute travel diary which accounts her travel experience in modern Japan which consists of illustrations of places she visited.

Japan in 100 Words

Everything you need to know about Japan, from its culture, tradition, philosophy, food and pop culture, categorised into 100 sections.

Samurai Castles

History and design of the architecture of the iconic castles, which shows the uniqueness of each castle with photos and drawings.

Manga Yokai Stories

The short stories of Yokai and how they came to be, which are meant to demonstrate the humanity and tragedy of life.

Lady Murasaki's Tale of Genji

A story written by a Heian woman who envisions her version of an ideal man and depicts the life in the Imperial court of her time.

[jiang-housepaper]

Custom Notebook Planner Journal

Notebooks, planners, and journals, in some way, are all notebooks. But the notebooks we called in the market, their designs are a little simple and the thickness of the cover does not exceed 1mm. Planner as its word "plan" with planning by time, there is monthly, weekly, yearly and no time limitation planner in the market. Some have their own particular usage like wedding planners, gym planners, training planners, photographic planners and so on. About the journals, they have themes that like animals, flowers, cosmetics and so on. Their printing, binding ways and surface processes are generic and to manufacturers, they are all "notebooks". Planners have special structures that have tab pages or index pages or sticker pages that the manufacturers do not have much so offer high-grade planners, and the manufacturers' circle is small. To us, custom a notebook or planner or journal, is one of our main businesses as they have most processes and difficulties in the printing industry which we like challenges.

Journals vs. Notebooks: What's the Difference?

To products, the notebook is more generalized than a journal which includes an exercise book, diary, agenda, journal, planner, and so on. According to our years of production experiences, the journal is one kind of notebook but it has confirmed themes, like girly, children, plants, animals,s or other themes. The structure like its text has circles on several pages, each circle has part of the test that is the same at least. Some journals also have time settings, but they are not clear as planners. For sales time limitations, it is not hard. From our clients, most of them like the cover of the journal is a hardcover made of glossy paper with gray board and its binding prefer to YO. That's our experiences from the journal. If you have more ideas, welcome to share them with jiang@jiang-housepaper.com.

[over-a-new-leaf]

self-care 101 (covid-19 period)

Since we’ve rolled round to another May bank holiday, I thought it’d be nice to share some tips with you. As a homebody, and someone who will do absolutely ANYTHING to avoid one specific boring activity, I’ve racked up quite a long list over the past few years. Obviously, I’m no professional - but I find these help. There’s no specific chronological order to these - just pick and choose as you like!

Get out of bed!

Or lie in if you need to. Whatever makes you feel good

Start off the day with some yoga or meditation, or basic stretches

Or pray for a bit if you’re religious

Make your bed: tuck your sheets in, rearrange your pillows, etc.

Brush your hair and tie it up nicely

Pick out a cute outfit - could even be your favourite PJs - and lay it out

Go take a soothing shower, or a bubble bath

Use a bath bomb, get some nice candles if you feel like it

Put on some nice music to relax to

Try out a new hairstyle or style your hair the way you would if you had somewhere to be!

Slap on some makeup, why not? :) 

Floss your teeth, or maybe use that teeth whitening formula you never picked up again after using it for the first time

Pick out a recipe for a hair mask or face mask and put it on

Before doing any of these, make sure they suit your hair & skin type

E.g. if you have frizzy and dry hair, use a moisturising and rejuvenating mask vs if you have sleek, straight hair - use a volume-enhancing mask. Same goes for your skin - evaluate whether you have dry skin, oily skin or combination 

Stick to the recommended leave in time! It can be extremely difficult to get out later otherwise

Or make your own mask! There’s tons of recipes on YouTube and Google :)

Make yourself a nice breakfast

Breakfast smoothies are amazing! A really simple recipe I use contains a few spoonfuls of oats, handful of fruits (e.g. blueberries, strawberries, blackberries, raspberries, grapes), honey / sugar by taste and yogurt.

Or a nice bowl of your favourite cereal

Avocado toast - there are so many different varieties of this online, and I bet you’ll find that you like.

A fruit salad!

Eggs done the way you like

A full English if you’re feeling ambitious

Workout for an hour or so

This doesn’t have to be really equipment intense or challenging if you don’t want it to be

Some YouTubers I recommend: Chloe Ting, Emi Wong, Fitness Blender, MadFit, Blogilates, Yoga with Adrienne, etc. 

Don’t over exert yourself. Take longer than the recommended break time between exercises if you need to

Grab a new book, or a book you just enjoy reading

You can browse through Spotify for any playlists to listen to while reading - or use a playlist of songs you like

Listen to some music you like

Or discover some new music using Spotify’s ‘Discover’ feature

Preferably something that lifts your mood!

Pick out a recipe you’ve been meaning to try and just make it!

Dance around the house to some music

This can also be a sort-of-workout!

You can try learning a routine

TikTok dances are so stupidly fun

Maybe get a friend on vid-call and learn a dance with them

Make some TikToks

Or duet some on the app!

Get out a new bottle of wine - it’ll make you feel boujie ;)

Or your drink of choice - I’m not big into alc so I usually love a cool mint lemonade or iced coffee

Sit outside if the weather is nice

Or even if it’s rainy! I particularly love rainy days

Go for a walk around your neighbourhood

Do some grocery shopping! It can be surprisingly fun when you’re in no rush - plus, that’s a task off your future to-do list

Go meet a friend - stand at least 2m away and have a chat

Or text/ call your family / friends

Houseparty is great to use because it’s got games that you can play together if you’re not big on talking

Watch that TV series / movie you’ve been trying to get round to

Play with your pet, if you have one!

Do a cute lil photoshoot

Put on a nice outfit and take some nice pictures using the timer

Pictures with your pet

Or take pictures of your surroundings when outside

Or of the new dish you’ve impulsively made

Grab a pretty notebook

Start a bullet journal

Or a diary!

Do some journalling using journal prompts online

One really simple activity I really like is writing out 3 things that made my day :)

If you’re a poet or writer - write write write!

Maybe take the first step towards starting a blog (like I did last week, aha)

Play a musical instrument 

Or pick up something you haven’t played in a while

Try learning some basic chords online

Or just play your favourite music if you’re a professional

Sing along to your music!

Search up some online webinars and virtual events to attend

Lots of professional webinars on LinkedIn, even Facebook at times

Live museum and art gallery tours on Google!

Try some meditation

Headspace is a great freemium app, among others

Use a guided meditation from YouTube

Create a Pinterest account and start making boards

These can be pretty pictures

Or things you’ll have in your future house

Workout routines

Even more self-care recommendations

Sketching

There’s this activity where you put your playlist on shuffle and draw what comes to your mind when you hear each song

Or just search up an image online and draw it

Doodle in your bullet journal / book if you have one

Embroider/ stitch some of your old clothes

Plenty of tutorials online!

You can stitch in some cute images :)

Try a new podcast 

There are so many to explore on Spotify under the Podcasts section

Or watch something on YouTube

Learn something new if you feel like it

Pick up a subject area of interest and search it up on YouTube

You’ll get so many results!

Reorganise your house / room

Put on some music to jam along to while doing this!

Vacuum

Or just tidy all those papers off the desk

Reorganise your drawers

Fold your clothes

Dust any surfaces - super satisfying!

Maybe spice up your furniture placement

Try moving things around - be careful not to strain yourself

Do some laundry maybe

Yawn, but can be satisfying once you’ve done it!

Purge your wardrobe of any old clothes

You can donate them to charities

Or sell them on apps like Depop

Do some online shopping

Be careful not to spend too much though! :)

Download a photoprint app and get some pictures printed

There’s a lot of apps that offer you __ amount of free prints with delivery costs - not a bad deal!

You can finally make a photowall / collage

Try some scrapbooking 

Get out some old newspapers and magazines and cut out any pictures of words that particularly catch your eye

Make pretty lil collages or spreads with them

Reorganise your digital folders

E.g. bookmarks on Chrome

Saved folders on Insta

Email folders

To Do lists

Give them pretty names so you’re more likely to use them in future

Catch up on some much needed sleep 

Afternoon cat naps are actually lovely!

Make yourself some tea or coffee and just sit by the window with some music

Cliché and niche, but makes you feel calmer!

Try some chai recipes online if you’re into relatively milky tea or trying out new recipes

I’m not a big fan of chai ^ which is surprising as an Indian, but my family and friends love it soo

Do something with your family / roommates

Movie night!

Group dinners (even better - themed dinners!)

Or a fine dining wine night (bonus points if you dress up!)

Board games night

Or just games night e.g. charades, Headbandz, Psych (app)

DnD - never tried it but sm people have recommended it!

Make some TikToks

Sit around and chat

This is random but you can make PPTs about things you like and present them to each other - good for shit n giggles :) 

Play an old online game e.g. Fireboy and Watergirl!

Create each other in the Sims 

Organise some friendly competitions :)

Truth or Dare? 

Look at star sign stuff with them - whether you believe or not, it’s an interesting thing to do nonetheless

Do Enneagram tests - extremely interesting and scarily accurate from my personal experience

Experimental cocktails maybe!

Some DIY arts and crafts!

Pitch a tent outside

Or make a pillow fort inside

Speaking of which - pillow fights!

Karaoke night

Or set up your own club - make a playlist, get some strobe lights or turn off the lights and get everyone to switch on their phone flash and just dance around. Get some drinks if you want as well!

Have a BBQ - great to do especially in the afternoons or early evenings!

Have a date night if it’s just the two of you :)

Have a picnic outside

Text someone something nice!

Win-win for the sender and the recipient :)

Great chance to reconnect with someone

Cleanse your devices & social media profiles

Change your profile pictures, bios

Archive / delete some pictures (we’re all guilty of this)

Maybe restart your account if you haven’t used it in too long, have too many random followers or just want to start afresh

Check your phone storage and delete stuff accordingly

Change your wallpaper / theme

Back up old pictures and delete them off your device 

And that’s my list for now! I might add to it later if something comes to me but I hope you guys enjoy this! :) 

Image credits:

https://www.pinterest.co.uk/pin/151574343695926876/

https://www.pinterest.co.uk/pin/579627414531062674/

https://www.pinterest.co.uk/pin/AQzIfTN5EwSc9JESrIo1l8AQw6cznXq2HLFq_SQk6La00-yL2As1QnY/

https://www.pinterest.co.uk/pin/499055202462999051/

https://www.pinterest.co.uk/pin/328481366576228467/

https://www.pinterest.co.uk/pin/6262886962801682/

[literature-islit]

Michael Herr - Dispatches (1977)

When I was a teenage edge lord, blind to social justice concerns, I thought Hunter S Thompson was the coolest guy, and that his books (the one I loved most of all was The Rum Diary) were the epitome of how amazing, energetic, surrealist, electric writing could be. 

Now, thankfully, my approach to the world is informed by a wider perspective, and I appreciate how white-male-centric the viewpoint of “New Journalism” was - I’m talking about writers like Tom Wolfe (although I still think that Radical Chic is worth a read), I’m talking about the free-flowing streams of consciousness that hold echoes of Jack Kerouac’s beat philosophy...

And despite acknowledging its limited perspective, there are still things I love about the style of writing - its flow, its technicolour realism. Most of all (and especially when reading In Cold Blood by Truman Capote), I love the strange out-of-place feeling you get when information that we’re conditioned to associate with visual mediums like Netflix documentaries is replicated in print. Of course, in the 70s and 80s before wide-spread access to such technology, they had no choice. Words alone had to evoke setting and mood, just as how b-roll footage, music and lighting do these days. In these books, I think the value of the printed word really shines - kind of like we all know it’s much better to read the book before you see the movie. 

This is one such book. 

Michael Kerr was a journalist for parts of the Vietnam war, and the novel he’s produced (although at times fictionalised) is a really visceral depiction of many of the realities of battle for soldiers on the field:

Maybe you couldn’t love the war and hate it inside the same instant, but sometimes those feelings alternated so rapidly that they spun together in a strobe wheel rolling all the way up until you were literally High On War...

Not confined to mere factual narration, he really goes into detail on the impact it all - mentally, physically, emotionally:

Thousands of people died in Vietnam that night… and for the next six years I saw them all, the ones I’d really seen and the ones I’d imagined, theirs and ours, friends I’d loved and strangers, motionless figures in a dance, the old dance. Years of thinking this or that about what happens o you when you pursue a fantasy until it becomes experience, and then afterwards you can’t handle the experience. Until I felt that I was just a danger too.

He acknowledges the limitations of what journalism can do to inform a public during such a war, both explicitly and in recounting the parasitic nature of sticking a camera at dead bodies, at heartbreaking situations: 

The press got all the facts (more or less), it got too many of them. But it never found a way to report meaningfully about death… The jargon of Progress got blown in your head like bullets, and by the time you waded through all the Washington stories and all the Saigon stories, all the Other War stories and the corruption stories and the stories about brisk new gains in ARVN effectiveness, the suffering was somehow unimpressive… you got to a point where you could sit there in the evening and listen to the man say that American casualties for the week had reached a six-week low, only eighty GIs had died in combat, and you’d feel like you’d just gotten a bargain.

Is it obvious that I loved the book, because instead of describing the book I’m just quoting long chunks of it? 

Recently, I’ve been reading The Origins of Totalitarianism by Hannah Arendt, which is a thick book full of long sentences that’ll catch you slipping if you aren't paying attention, but remains the gold standard for emphasising the importance of enshrining human rights in law to protect from destructive over-governance

bae

And she tangles with theoretical perspectives on the tendency of certain regimes to pervert the natural human ability for creation and, instead, pursue blind destruction which can only lead to annihilation: 

For power left to itself can achieve nothing but more power, and violence administered for power’s (and not for law’s) sake turns into a destructive principle that will not stop until there is nothing left to violate

And I guess the reason i bring it up is because, while the philosophical enquiry is helpful, it’s just as gut-wrenching when the reality of Western society’s imperialist tendencies is depicted via long-form journalism, in anecdotal images and recollections. 

But, ya know, I’m no military commander so, like Bright Eyes says (ironically), i’m just gonna sip my tea and “leave the hawks of war in their capitols”, so to speak

Anyway, this book brings you up close and personal with the worst of human nature - from scenes of senseless destruction and ending of life, to the inherent necessity of dehumanisation when participating in “us vs them” conflict, to moments of gritty and macabre humour as coping mechanism that today we might describe as “toxic masculinity”.

It’s an incredible read. 

[brentrogers]

Inside Schizophrenia: Schizophrenia in Men

Men and women experience schizophrenia differently; from the age of onset to symptoms and how society treats those with mental disorders. 

Schizophrenic, Rachel Star Withers and co-host Gabe Howard continue the discussion of the differences from the last episode but change the focus to men. 

Jason Jepson, an author who has schizophrenia joins for a man’s perspective and Dr. Hayden Finch returns to explain the clinical side of the issues.

Highlights in “Schizophrenia in Men” Episode

[01:30] Age of onset

[04:00] Symptoms in men vs women

[05:00] Interview with Jason Jepson

[07:30] Jason discusses homelessness

[10:00] Words from Jason

[16:00] Lifestyle differences

[12:45] Testosterone

[24:00] Interview with Dr. Hayden Finch

[29:30] Dr. Finch explains how society sees men differently

[36:00] Gabe’s and Rachel’s takeaways from the past two episodes

About Our Guests

Jason Jepson, Author

Mr. Jepson was diagnosed with schizoaffective Disorder while he was enlisted in the United States Army. Jason lives in Richmond, Virginia where he is active on the Veterans Council at the McGuire Veterans Hospital. His story of recovery has been published in numerous online and print publications such as Yahoo News, The Mighty, and OC87 Recovery Diaries. He has written two books, When We Were Young, a fictionalized memoir of his late teens, and a book of poetry called Misfires of a Lyrical Mind.

Amazon direct link to Jason Jepson’s works

https://www.psychcentral.com/lib/author/jason-jepson/

Hayden Finch, PhD in Clinical Psychology

Dr. Finch is passionate about serious mental illness and is an accomplished clinician and writer.  In addition to developing outpatient and residential treatment programs for people with serious mental illnesses, she has been involved in mental health policy and legislation advocacy.  After graduate school, she was fortunate to combine her commitment to Veterans and passion for mental health by training at the VA, where she was involved in developing an inpatient treatment program for Veterans with serious mental illnesses.  A true lifelong learner and teacher, Dr. Finch is now applying her passion for education and serious mental illness to developing educational materials aimed at reducing stigma about serious mental illnesses and coaching people with serious mental illness, their providers, and their families to work toward recovery.  Dr. Finch practices what she preaches regarding setting life goals and is most content when she’s traveling with her family or walking with her dogs.

Get Dr. Finch’s new book on schizophrenia:

www.haydenfinch.com/schizophreniabook or Amazon direct link

Computer Generated Transcript of “Schizophrenia in Men” Episode

Editor’s Note: Please be mindful that this transcript has been computer generated and therefore may contain inaccuracies and grammar errors. Thank you.

Announcer: Welcome to Inside Schizophrenia, a look in to better understanding and living well with schizophrenia. Hosted by renowned advocate and influencer Rachel Star Withers and featuring Gabe Howard.

Sponsor: Listeners, could a change in your schizophrenia treatment plan make a difference?  There are options out there you might not know about. Visit OnceMonthlyDifference.com to find out more about once monthly injections for adults with schizophrenia.

Rachel Star Withers: Welcome to Inside Schizophrenia, a Psych Central podcast. I’m Rachel Star here with my co-host, Gabe Howard. Last episode we discussed how schizophrenia affects women. And this episode we are focusing on the gentlemen. Exciting. We have Jason Jepson, who’s going to join us. He is a mental health advocate and also a veteran who has schizophrenia. And Dr. Finch will return to help us understand the medical side of things that are going on.

Gabe Howard: Rachel, I’m looking forward to a great show.

Rachel Star Withers: I’m excited too, Gabe.

Gabe Howard: Last month, Rachel, we learned how schizophrenia impacts women. You know, things like motherhood and pregnancy and menopause and aging. And I don’t think that a lot of people were surprised that any illness would impact a female differently than it would a male. But we sort of want to open that up because there were some big differences in how schizophrenia presents in males over females. And I think that was surprising for us during the research because we just assumed that an illness hits women differently, because I think society is conditioned to believe that women go through everything differently.

Rachel Star Withers: The one fact that we hear mentioned over and over is that men tend to get diagnosed far earlier in life than women do with schizophrenia. However, as we talked about last episode, that’s not always true, especially in families who have a history of mental illness. And even amongst like different ethnic groups. But due to being diagnosed at a younger age, men often have not attained the same degree of social development as women do at the onset of schizophrenia. And that can contribute to poorer social outcomes.

Gabe Howard: During our research, we learned that the reason that men are often diagnosed earlier is because men are showing more emotions or vulnerabilities. And when seen in women, as we learned last month, they’re just like, oh, well, she’s a woman, so of course she’s being emotional. Where when the exact same symptom is seen in men, they’re like, oh, this is a problem. But as you pointed out, getting diagnosed earlier isn’t necessarily the advantage that we think it is in males. Because stereotypically, they’re looking at you for all kinds of issues. As we’re going to learn from our guest, one of those issues is violence or rage or anger. My question to you, Rachel, is do you think that men have an easier time with schizophrenia or is it just a different time?

Rachel Star Withers: I would definitely say a different time. Being diagnosed earlier, that in itself, and we talked about many episodes ago, where it comes to diagnosing children, where that has a huge impact on you. You know, if you know earlier that you have a major mental disorder that can change just how other people view you, how you view yourself, how your parents view your future. I know that’s definitely come up just in my own life, but I can’t imagine had I gotten the diagnosis in high school, my parents probably immediately would’ve started worrying like, well, she can’t go to college, and just assuming things. So just like being diagnosed sooner, I think is, I mean, it can be really scary. And then the flip side, not being diagnosed until your mid 20s like many women are, you’ve probably been dealing with this for a while and not been able to get help. So it’s definitely a different situation. I don’t think either side is going to be easier. Anytime you’re dealing with schizophrenia, it’s going to be intense across the board.

Gabe Howard: Rachel, let’s do a refresh real quick and talk about symptoms that tend to impact men more than women.

Rachel Star Withers: Men tend to have more serious cognitive deficits, more of the flat affect. Where you have a monotone voice, very dull expression. You don’t really react the way that people would normally react in situations. Blunted emotional responses where it’s just kind of, I don’t want to say chill, but you’re just kind of, you know, straight across the board when things happen. Speech reduction. And men tend to be less active than women.

Gabe Howard: And of course, just because you’re male or female doesn’t mean that you fit in a nice tidy box, right? Just because you’re male, doesn’t mean that you will have all of these. And just because you’re male doesn’t mean that your family will not notice or will notice. We’re speaking in generalities when we talk about how stereotypically this is how schizophrenia presents in men.

Rachel Star Withers: Yes, absolutely.

Gabe Howard: And Rachel, of course, we love you very much, but you’re a woman living with schizophrenia. So you thought it would be appropriate to bring on a male who is living with schizophrenia. And that’s why we have a great guest who you spent some time with, Jason Jepson. And as you said, he’s a veteran. He’s awesome. He’s living with schizophrenia. And you did a great interview. You ready to roll it?

Rachel Star Withers: Absolutely.

Gabe Howard: Here we go.

Rachel Star Withers: Today’s guest is Jason Jepson, who also has schizophrenia. Thank you so much for being with us today, Jason.

Jason Jepson: Thank you for having me.

Rachel Star Withers: So right away, I want you to tell our listeners about yourself.

Jason Jepson: Ok. Sure. I’m a writer. I started journaling when I was in the seventh grade. I have two books. I’m also a veteran. I’m a part of the Vet Council at McGuire Veterans Hospital. We make sure that veterans don’t fall through the cracks and we direct them to mental health services.

Rachel Star Withers: It’s awesome. Well, thank you so much, and thank you very much for serving for us.

Jason Jepson: Thank you so much.

Rachel Star Withers: So what age were you diagnosed with schizophrenia?

Jason Jepson: I received the diagnosis of schizophrenia when I was twenty three, I was diagnosed in the army. The thing is, I don’t know how your schizophrenia is, but my I knew the voices. The voices in my head were the other soldiers at Fort Irwin, California, where I was stationed, and also friends from Richmond, Virginia. So because I saw my head and hear their voices, it took me a little while to accept my illness.

Rachel Star Withers: Did you have signs that you noticed started at an earlier age?

Jason Jepson: Not really. In high school, I had mild depression. I saw a counselor for a short time, but I still was social, had friends and I played lacrosse in high school.

Rachel Star Withers: Now, do you have visual hallucinations also? Or are yours mainly audio?

Jason Jepson: Then, in my 20s, it was mainly voices that I couldn’t figure out where they were coming from.

Rachel Star Withers: So our episode today is focusing on how men experience schizophrenia different than women. Do you have any thoughts on that? Do you feel there’s much of a difference?

Jason Jepson: Well, I think everybody’s experience of schizophrenia is different in general. I think we hear voices; we get delusions. But the specifics of them are different, if that makes any sense.

Rachel Star Withers: Ok.

Jason Jepson: It’s just important to find the right treatment plan for minute men and women, you know, find the right medication, maybe have therapy, have someone to trust like your parents or your friends. And all that takes trial and error for both men and women.

Rachel Star Withers: I want to ask you this, because I think it has, like, you know, two sides that you see a lot of men with schizophrenia end up homeless. And I know with you also working with veterans, you hear that a lot, too, when you have a lot of people coming back with post-traumatic stress disorder. What are your thoughts on that?

Jason Jepson: Yes. What kills me, what makes me want to attack this mental health thing for veterans is that veterans are actually committing suicide in the parking lot of the V.A. Can you believe it? I mean, there’s got to be an answer to that. I mean, it took me a while to ask for help myself. But how do we get there? How do we combat that? You know, it’s just I hope the Veterans Council can reach out to them. We were still a new organization, but veterans need to ask for help. And it can be or take a while, but be patient.

Rachel Star Withers: I would say men are typically known for not wanting to ask for help. And I can imagine especially talking about like soldiers, you know, the idea of like masculinity being even harder

Jason Jepson: Yeah,

Rachel Star Withers: For guys like that.

Jason Jepson: Exactly. Well, you know, one thing that’s helping is there’s more athletes coming forward to lessen the stigma for men. I’m sure you for that. Dwayne Rock Johnson has come out saying he gets depressed. I mean, that guy’s a famous actor and that’s going to do great things for men, in my opinion.

Rachel Star Withers: Yeah, it’s huge. You think like about masculinity. He’s just giant,

Jason Jepson: Yeah.

Rachel Star Withers: Muscly.

Jason Jepson: Yeah. Yeah.

Rachel Star Withers: What has been your biggest struggle as a man with schizophrenia?

Jason Jepson: Well, society’s expectations, the stereotypes. Gabe does this wonderful on the social network. But, you know, wife, kids, job. I used to avoid social situations because of the question, “What do you do? What do you do for a living?” Because I didn’t have an answer. Then I realized I was a mental health advocate. And I am proud to be a mental health advocate. When you say you’re a mental health advocate, that opens the door for education. What is it, one in four people have some kind of mental illness? You know. So if you open up as a mental health advocate, well, my sister has bipolar. My uncle is a schizophrenic. You know, it opens it up. And talking about it like we’re doing now is the most important thing is to bust stigma.

Rachel Star Withers: What advice do you have for men that are listening right now with schizophrenia?

Jason Jepson: Accept your diagnosis is probably one of the first most important things I can say. When you accept that you can get on the right medication. Be patient with medication and it’s OK to ask for help, you know, ask for help. It’s OK to ask for help.

Rachel Star Withers: No. Yeah, with our veterans that are out there. Do you have any advice for loved ones who worry about like different people coming back from their time? Military wise? Do you have any advice for loved ones?

Jason Jepson: Let them know about their options. Like my mom researched my illness before I came home, she researched schizophrenia. She was before I came back and, you know, helped me with the V.A. and everything like that. She won’t let me fall through the cracks. I would say be patient. But, you know, you should offer your help, I guess. And do your research on if they come back with a mental illness or whatever. There are support groups caregivers can take. Just go to NAMI.org, they can probably show you something there or you know, if the V.A. has one, if your loved one’s a veteran. But just, there’s gotta be love there. You know, I tell my parents, my dad helps me out, too. I love them so much for everything they’ve done for me. And you may not see that when they first come home, but it’s a journey and you will see it eventually that they’ll help you out and just don’t give up on your loved one.

Rachel Star Withers: That’s incredible. At the Veterans’ Council, do you even have a hard time talking with other vets about being schizophrenic?

Jason Jepson: The Veterans’ Council’s main focus is mental health for veterans. And we are we’re trying to help them out best we can now with a voice for veterans and sometimes run down the V.A., just give my medication. I’m talking with veterans and the mental health waiting rooms. So what do you need? How do you feel about services here? And so far they like the services.

Rachel Star Withers: That sounds awesome, it sounds like you’re the perfect one to be doing that. To be able to write when they join, be like, look, this is what I have. So they’re not scared to admit. I’ve always found with my schizophrenia. The minute I tell someone, they’ll start telling me some other random thing and it’s like, okay. She has schizophrenia. So it’s okay if I let her know I have depression. It’s okay if I let her know that my mom. Such and such. So I really think it’s cool that you, like, open that door for them.

Jason Jepson: Yeah. Have you ever heard of the project semicolon?

Rachel Star Withers: Yes, I have.

Jason Jepson: I have a semi-colon on my hand, and when somebody else has that tattoo, it’s an instant bond. It is so cool. I mean, I picked up my dry cleaners like a couple weeks ago and the cashier girl said, well, I got the same tattoo. Fist bump. It’s the bond. Bond, you know.

Rachel Star Withers: Tell our listeners what the Semicolon Project is.

Jason Jepson: Well, it’s when you go through a mental health crisis, it’s not the end. It’s not a period or a question mark. It’s a semicolon. It’s a pause. And then you keep right on going. Keep right on living.

Rachel Star Withers: Thank you so much for being here with us, Jason. Let our listeners know how can they find the books that you’ve written?

Jason Jepson: It’s on Amazon. One is on a poetry book, Misfires from a Lyrical Mind. I always wanted a poetry book and it was published through Amazon. It’s free verse and stream of consciousness poetry. Misfires from a Lyrical Mind on Amazon, and then my memoirs are kind of based on journal entries from 17 to about 22. It’s called When We Were Young.  When We Were Young is pretty much a time capsule of old friends and old experiences. And there’s some funny stuff in there. And I think it’s a good read. People seem to enjoy it.

Rachel Star Withers: That’s awesome. And you have some articles up with sites central dot com that we have a link to in our podcast description. Well, thank you so much, Jason, for sharing your experiences with us. And we can’t wait to talk to you again sometime.

Jason Jepson: While we’d like to see you, you too are doing great things for the mental health movement. Thank you for having me. And thank you for all that you do.

Rachel Star Withers: All right, thank you.

Gabe Howard: Rachel, that was awesome. Aside from everything that we heard in the interview, what was your overall impression of Jason and how he manages his schizophrenia?

Rachel Star Withers: It’s always exciting for me to get to speak with and meet other people with schizophrenia. It’s not something that comes up regularly for me. You know, where you just can be like, oh, hey, you got schizo, too? Awesome! So, it’s really cool getting able to speak with him. And I loved his outlook on life. I really loved the way like he is just so inspirational.

Gabe Howard: I completely agree with you, Rachel. He was very inspiring, very honest. He has a great outlook. And of course, because he has treatment, he has just a normal life. One of the things that he mentioned was, you know, a lot of people coming back from the military have mental health issues and we have to be there to help them. Do they all have PTSD? No, of course not. Just like they all don’t have schizophrenia or depression or any number of maladies. But his work outside of his own issues to make sure that mental health treatment is available for our veterans is very, very inspiring. And I wish we could have left more of that in the interview because he just does such incredible work from that. So, Jason, thank you again for being on the show. We we really appreciated it.

Rachel Star Withers: And just like we said earlier, that just because that you’re male or female doesn’t mean you’re going to necessarily fit in to these little boxes. We talked about with me, I was diagnosed in my 20s. However, my symptoms were flaring up as a child. Whereas Jason is the opposite of what we said earlier. He wasn’t diagnosed until pretty much he was in the military already in his 20s. So just because you’re male or female and you don’t line up with one of the things we’re talking about today, don’t let that stress you out, OK? That was just a perfect example, though, of one of those key things that we started off saying almost always, and then me and Jason are the contradictions to it.

Gabe Howard: Just look at it this way, Rachel, you’re the exception that proves the rule.

Rachel Star Withers: There we go.

Gabe Howard: Let’s move on to lifestyle changes when it comes to the stereotypical male and schizophrenia.

Rachel Star Withers: Males have higher cigarette usage and self-medicating with drugs and then also tend to self neglect and have a reduced interest in getting a job, which unfortunately can leave a lot of men homeless. We talked about in our last episode that people are kind of more open and willing to reach out to women who are homeless than they are men. And I think, you know, part of that is just that men come off as just scarier. You tend to worry more so you want to be more protective. Whereas if a woman’s homeless, a woman and her child, you’re like, more sympathetic.

Gabe Howard: Rachel, obviously some of this has nothing to do with schizophrenia at all. It just has to do with the way that our society is structured. Ever since I was a small child, I always heard women and children first. It’s a man’s responsibility to protect. It’s not even just that. It’s hold open doors. They’re the fairer sex and just on and on and on. So I can see where if you are a man and let’s say that you’re a big guy and you’re yelling, you’re erratic, you’re screaming, you’re not making a lot of sense. People would fear you. Whereas if you’re presenting the exact same way as a female and you’re a smaller person, you just don’t come off as scary. And we see this a lot and the research shows that it makes it harder for men to get help. There are significantly more female shelters than there are male shelters and there’s almost no male shelters. And again, we’re talking across an entire nation and doing averages. Your community may be very, very different. It’s one of the things to think about that this really just has nothing to do with schizophrenia. This is just the social culture of our communities.

Rachel Star Withers: I used to work in homeless shelters many, many, many, many, many, many, many years ago, but we had a male one and a female one. And the males were constantly getting kicked out. It did not take much to get the men kicked out. However, most of the women on the women’s side were there with their children and they could get away with so much because you did not want to throw, you know, the child out. You couldn’t, like, kick the women out. And the men, on the other hand, it’s like a revolving door. The littlest thing could get them kicked out of the homeless shelter. So, I mean, I think even just whether you are talking about mental health or not, the standards are different.

Gabe Howard: I used to work in a homeless shelter as well, and I saw the exact same thing, and I think that anybody listening to this show, if they searched deep in their hearts, they would realize the same thing. They would tolerate a lot more from, you know, like you said, a mom with a child than they would a single male. Unfortunately, we do have higher expectations of men. And, you know, that cuts both ways. It’s not surprising that gender roles in society would impact how we’re treating mental health issues. And also, we want to touch on this as well. Women are more likely to ask for help. And asking for help means you’re much more likely to receive help. Men are significantly less likely to ask for help and therefore less likely to receive help.

Rachel Star Withers: And not just that whole stereotypical, well, men are prideful, not willing to ask for help. You take that plus schizophrenia making you withdraw inside yourself and it’s sometimes asking for help isn’t even an option. It’s not that the person is well, I’m just too prideful to ask for help. It’s that’s just something that’s too far gone to even be an option for the person.

Gabe Howard: And going back to what Jason stressed, women are likely to ask for help for other women because women have fostered a culture where this is acceptable. Men, unfortunately, have fostered a culture where you must be tough. You must be strong. So men are much less likely to ask other men for help. And I know that Jason stressed repeatedly that this is a culture that has to change, not just for people to receive help with schizophrenia, but for all sorts of issues, especially mental health issues from PTSD to depression to anxiety. Men really have to change because our own biases are impacting the way that we are being treated for and getting help for schizophrenia. It is not surprising that our society is influencing mental health care and schizophrenia care. Rachel, let’s switch gears and talk about something that men have more of than women do, and that’s testosterone. How does having more testosterone affect schizophrenia?

Rachel Star Withers: Studies have found that low levels of testosterone appear to be associated with the more severe negative symptoms of schizophrenia. So negative, which we’ve talked about before, is lacking from a quote unquote normal personality. So your depression, your speech deficits, things like that, testosterone deprivation, which results also in low estrogen levels, which we talked about the role that estrogen plays last episode, has been related to increased psychosis. So a lot with these hormones, that’s completely out of our control what’s going on. When you’re talking about men or women, the different hormones that are coming into play and it affects our schizophrenia so much.

Gabe Howard: One of the studies showed that men with low testosterone levels in the schizophrenia group had significantly worse face recognition results than did those with high to normal testosterone. Can you explain that a little bit? Because I thought that that was very compelling information.

Rachel Star Withers: This is actually a very interesting symptom that we have not talked about much in our podcast on schizophrenia, but yes, being able to recognize people’s faces, it plays into our memory. And yeah, the low testosterone seems to, for whatever reason, affect that part of memory of being able to recognize people by their face. I always tell people, you know, I teach modeling and acting and I have so, so many students in the hundreds. And I always tell them I’m not going to remember your name, but I’m also not gonna remember your face. So if you see me like out shopping at Wal-Mart, walk up to me and tell me who you are and how I know you. I just want to put it out there. It’s not that I don’t like you, I just I remember nothing. And that I’ve learned over the years, though, is part of schizophrenia and how it affects your memory. That’s kind of what that study was discussing.

Gabe Howard: We will be right back after this message from our sponsor.

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Gabe Howard: And we’re back discussing how schizophrenia impacts men. Rachel, let’s move on to Dr. Hayden Finch. Now, for those of you who listened to last month’s episode, you know that Dr. Hayden Finch is awesome. And she gave us lots of great information on how women present with schizophrenia. And of course, this month, she’s going to give us some information on how men present with schizophrenia.

Rachel Star Withers: She is absolutely lovely.

Gabe Howard: All right, are you ready? Let’s roll it.

Rachel Star Withers: We’re here speaking again with Dr. Hayden Finch. She joined us last episode, that was about women who have schizophrenia. And she’s joining us again to focus now on men. Thank you so much for being here with us again, Dr. Finch.

Dr. Hayden Finch: I’m happy to be back, especially to talk about the men who were neglected last time.

Rachel Star Withers: So let’s dive right in. What issues do men with schizophrenia tend to seek help with?

Dr. Hayden Finch: Well, men with schizophrenia tend to have more problems with substance use. So that’s definitely something that will bring them into treatment. We also see more negative symptoms. So in the last episode, we talked about positive symptoms being things that are added to the experience like hallucinations and delusions, whereas negative symptoms are things that are missing that ought to be there. So men with schizophrenia will come to treatment for those negative symptoms. So there’s things like apathy or loss of motivation, nothing really seeming fun or interesting, a decreased social drive, or a lack of social interest and just really not paying attention to social or cognitive input.

Rachel Star Withers: Are there therapies that tend to work better for men than women with treating schizophrenia?

Dr. Hayden Finch: Not really. Interestingly, even though the illness presents a little bit differently in men and women, most of the treatments that we have for schizophrenia are equally effective in men or women. Or actually a little bit more effective for women, which we think is just because women tend to be a little bit better about adhering to their treatment plans than men are. But in general, most of the therapies that we have are equally effective.

Rachel Star Withers: Men with schizophrenia tend to have higher homelessness rates than women. What’s the cause of that?

Dr. Hayden Finch: I think there are a lot of things that contribute to it. One is that because they tend to develop schizophrenia earlier in life than women do, they don’t have opportunities to develop their full social skills and occupational skills. And those skills can protect people against homelessness. So when you have really good social skills and really good occupational skills, you’re more likely to be able to get a job and keep a job. So without those skills being as well developed, they’re at higher risk for homelessness, but also women are more likely to be married and that domestic partnership can protect them against homelessness, whereas men don’t as often have that protection. The substance use is another factor. With greater substance use, the risk for homelessness increases. It affects jobs, stability and security of housing. But also, there are slightly more resources available for women who are at risk for homelessness. There are domestic violence shelters. There are shelters for women and children. And there are more opportunities for women than for men. Still, we’re really lacking in that area and we need more resources. But men have fewer of those resources than even women do.

Rachel Star Withers: Why is substance abuse much worse with men?

Dr. Hayden Finch: We don’t really know. It’s partly, we think, just the way that they are culturally conditioned or taught to deal with feelings. There’s often a family history of substance use so that’s modeled for them. Their parents were struggling with alcohol or addiction. We see that a little bit more with men than women.

Rachel Star Withers: Is there a particular substance?

Dr. Hayden Finch: The most common, of course, is cigarettes, which we don’t really think of as substance use. But the majority of people with schizophrenia smoke cigarettes. So that’s most common. And then after that would be alcohol. And beyond that, I really am not sure what the most common substances are.

Rachel Star Withers: It’s funny because you said women tend to adhere to taking their medications and following treatment

Dr. Hayden Finch: Yes.

Rachel Star Withers: More strictly. But then men tend to be more likely to add to their

Dr. Hayden Finch: Yes.

Rachel Star Withers: Treatments. So.

Dr. Hayden Finch: Well, you know, and part of the reason that they smoke cigarettes is because it affects how the antipsychotics work. And I talked about this in my book. But nicotine affects the way the medications work in the body and can reduce the side effects. So it actually gives you ultimately less medication and then fewer side effects. So some people are sort of medicating themselves against the side effects of antipsychotics with things like nicotine. So it’s sort of this very complicated interaction between seeking treatment and self-medicating against the medication.

Rachel Star Withers: That’s interesting. No one’s ever worded it that way. Why are men with schizophrenia more likely to have trouble holding down a job than women? And we talked a little bit about the negative emotions, but going into that more.

Dr. Hayden Finch: So the biggest thing that predicts occupational functioning, which is how well we perform in our jobs, the biggest thing that predicts that are how good your social skills are, how long you were sick before you ever got treatment, and how much support you have from people around you. And in all three of those areas, men tend to suffer more than women. So men’s social functioning is less well developed than women. They tend to be a little bit longer than women are before they finally get treatment and they have less support, unfortunately, from friends and family than women do. So all of those things put men at more of a disadvantage than women. The other thing is that because women aren’t usually diagnosed until mid to late 20s. So, now they have more of a chance to complete their education before the illness starts. And that’s another factor that can make it easier for them to get and keep a job than men do.

Rachel Star Withers: We actually did an episode about violence and schizophrenia, but men are seen to be more violent than women, and I think more people, if you have a woman who’s having a psychotic break, versus having a man, people get a lot more afraid. Can you talk to us about that, Dr. Finch?

Dr. Hayden Finch: Sure. So it’s true that men tend to show a bit more verbal and physical aggression than women do. But also we know from some research that came out in 2016 that the relationship between psychosis and violence is explained by three things. One is paranoia. Another is substance use. And the third is not sticking to your treatment plan. So we talked earlier in this episode about how men tend to use substances more than women do. And so that can increase risk for violence and also that women are better at adhering to their treatment plans than men are. So those are some factors that can affect violence in men with schizophrenia.

Rachel Star Withers: And that’s a very good point. It’s a lot of factors. It’s not just schizophrenia.

Dr. Hayden Finch: And of course, all that being said, we know, and I’m sure you covered this in your earlier episode, that people with schizophrenia are far more likely to be victims of violence than perpetrators.

Rachel Star Withers: Yes. If I’m a loved one who has a man, whether it’s a son, husband, cousin, good close friend with schizophrenia, knowing all of this can be a little overwhelming.

Dr. Hayden Finch: Sure.

Rachel Star Withers: How could I help that person? That man in my life with schizophrenia?

Dr. Hayden Finch: The most important thing is usually the relationship and relationships can become very strained when a person is in the depths of the illness, and if they haven’t received any treatment yet and they’re really experiencing some pretty significant symptoms, that compromises relationships. But the relationship you have with a person with schizophrenia is super important. That’s going to help you get the person to treatment and get them to go to appointments, take the medicine. So preserving the relationship is the most important thing, but that is really difficult, but it’s critical. So doing anything you can to make sure that the person is feeling supported rather than alienated. That is where I would focus my energy.

Rachel Star Withers: And we talked last episode that there were some options that women tend to have more of, that they can contact as far as dealing with homelessness and different things like that, getting help when it comes to children. What about men? What type of options are there for men?

Dr. Hayden Finch: Well, many of the options are similar. Communities are all different in terms of what services are available, but a lot of services are available to both men and women. So, things like transportation services, in-home services, where they will come to your home to teach you how to cook or how to mend a shirt that needs fixing. There’s respite care that’s available for men as well. If they need a break from their roommate or they need a safe place to stay for a night. And of course, there are clinical services for people with mental illness. We were talking last episode about mothers with schizophrenia. But of course, there are fathers with schizophrenia. And so all of the services that are available for parents are not just for moms, they’re also for dads. So support groups for parents with mental illness and the specialized clinical services for parents with mental illness would apply to dads as well.

Rachel Star Withers: And that’s something we spoke about in the show as I was doing research for these episodes. It was frustrating for me because I found article after article about motherhood, pregnancy, dealing with children and having schizophrenia. And I couldn’t find anything on fatherhood. Being a father

Dr. Hayden Finch: Right.

Rachel Star Withers: With schizophrenia. So definitely it’s something that’s not addressed as much.

Dr. Hayden Finch: Yeah, absolutely. Unfortunately, a lot of women who get pregnant, the pregnancy is unplanned, unwanted, or sometimes from a sexual assault, and so often they don’t know who the father is. And then when they do, sometimes the father just chooses not to be involved. And so the woman is there left to raise the baby on her own. But you’re right. We don’t have many services for dads with schizophrenia. We don’t know much about them. And as difficult as it is for a mom with schizophrenia, there are probably different factors affecting fatherhood.

Rachel Star Withers: Hayden, now you have a book coming out if you want to tell us about this.

Dr. Hayden Finch: Yeah, I wrote a book, it’s called The Beginners Guide to Understanding Schizophrenia. It is my take on all the latest information on the symptoms of schizophrenia. What causes it. What it looks like in the brain and how to treat it. I’ve written it in the plainest language possible. I just wrote it, so I went through all the research that’s available right now to write it. But my goal was to give people the real technical information, all the details we know. But in language that is super easy to understand. So it’s called The Beginner’s Guide to Understanding Schizophrenia. You can find it on Amazon, ultimately. But, I’ll link to it on my Web site at HaydenFinch.com/SchizophreniaBook. And it’ll also be in the show notes.

Rachel Star Withers: And this book, is it more geared towards loved ones, friends, family, or people with schizophrenia?

Dr. Hayden Finch: I wrote it for both, actually, so the person I didn’t write it for is any sort of clinician or researcher. It’s not for them. It’s for people who don’t know anything about mental health or treatment, who have no scientific knowledge. That’s who I wrote it for. So I wrote it for people who are just trying to understand schizophrenia, whether that’s because you have it or you have a loved one who has it or you’re just kind of curious to know more about it.

Rachel Star Withers: That’s awesome. Thank you so much, Dr. Finch, for joining us once again. Very, very interesting. And thank you for shedding light on these subjects. And we definitely got to check your book out.

Gabe Howard: Rachel, as always, incredible interview. Now, I know that that you talked to Dr. Finch for a couple of hours and obviously we edited it down. Did you learn anything about men with schizophrenia from her that you didn’t know before this interview?

Rachel Star Withers: I learned so much from her and I like that she’s able to explain kind of that medical side and the way she’s able to just explain it so, I guess, simply. Like at a level that me and you can understand, Gabe, you know, we’re not doctors, but being able to like break that down. I really like that kind of explaining the homelessness and then, of course, the substance abuse and all of that playing in more so with the males.

Gabe Howard: Yeah, she’s incredible. Once again, thank you, Dr. Finch, for being here, and please, if you have a moment, pick up her book. She helped us with both episodes, and, you know, she does it free of charge. She’s a great advocate for people with schizophrenia and mental health in general. So once again, hats off to Dr. Finch.

Rachel Star Withers: Yes. Gabe, I want to ask you first, as someone who does not have schizophrenia. What is your take away from these past two episodes on the gender differences?

Gabe Howard: I was surprised and I don’t know why. I feel like I shouldn’t have been surprised. I feel a little guilty. But knowing that the way that society treats the genders so heavily impacted the outcomes and the treatment for schizophrenia from diagnosis to treatment to asking for help to getting care, that really kind of put me on my rear a little because it’s just so sad. Both men and women have the same illness and yes, there’s variance in the presentations, etc. But the thing that made me, I’m gonna go with saddest, is that the outcomes were different based on how society effectively sees men and women. And it’s like, wow. Just wow.

Rachel Star Withers: No, I agree with that completely. We obviously all know the society and, you know, we have these different ideals in our heads. But yeah, to see how it can really affect people who are dealing with serious mental illnesses. It’s definitely eye opening. I see the past two episodes for me have been very fascinating because there are so many factors that are out of people’s control. And whether you’re talking about from hormones that the body creates, like to how your body actually processes the medications. Learning to thrive with schizophrenia is not as simple as take your pills every day. It’s not as simple as make sure you’re going to the doctor. You can be doing everything right. You can be doing everything correctly. Be taking your medication on time. Be going to the doctor religiously. And the deck is still stacked against you. And that’s frustrating. It’s depressing, to say the least, situation to be in. In those times, that’s when it’s time to change the game. I love how Jason hit on how he used to hate it when people would ask him what he did, workwise. And then he came to the realization that, wait a minute, he’s a mental health advocate. He works with veterans. He’s leading a council for veterans. And he’s an author, a public speaker. And it just goes on and on. And that’s like so much. That’s amazing. Like, he does all this, like, incredible stuff. And I don’t know. That gave me so much hope, Gabe. It’s easy to just kind of look at the negative of what maybe someone isn’t doing and not pay attention to all of the amazing, incredible things that they are.

Gabe Howard: And to your point, when you say that it’s easy to look at all the negatives in somebody’s life and ignore the positives, we have to put that on ourselves. Right? It’s easy for us to ignore our own positives and only focus on the negative. As much as I would love to say that stigma and discrimination against people with schizophrenia is all external, there is an internal component, and I agree with you. When Jason realized that he was doing all of this volunteer work in his community. And Jason was using his experience for so much positivity, especially in the veteran community. The fact that he can work with veterans and understand both the mental health aspect and the veteran aspect, it makes him a hot commodity. And him realizing that obviously paid huge dividends for him. So I would put a challenge out to everybody listening. Find the thing that you and you alone are uniquely good at and powerful and keep that in mind.

Rachel Star Withers: That’s awesome. Absolutely, Gabe, well-put. Very cool. Thank you so much for listening. Please like, share, subscribe. And we’ll be back next month with another episode of Inside Schizophrenia, a Psych Central podcast.

Announcer: Inside Schizophrenia is presented by PsychCentral.com, America’s largest and longest operating independent mental health website. Your host, Rachel Star Withers, can be found online at RachelStarLive.com. Co-host Gabe Howard can be found online at gabehoward.com. For questions, or to provide feedback, please e-mail talkback@PsychCentral.com. The official website for Inside Schizophrenia is PsychCentral.com/IS. Thank you for listening, and please, share widely.

Inside Schizophrenia: Schizophrenia in Men syndicated from

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Inside Schizophrenia: Schizophrenia in Men

Men and women experience schizophrenia differently; from the age of onset to symptoms and how society treats those with mental disorders. 

Schizophrenic, Rachel Star Withers and co-host Gabe Howard continue the discussion of the differences from the last episode but change the focus to men. 

Jason Jepson, an author who has schizophrenia joins for a man’s perspective and Dr. Hayden Finch returns to explain the clinical side of the issues.

Highlights in “Schizophrenia in Men” Episode

[01:30] Age of onset

[04:00] Symptoms in men vs women

[05:00] Interview with Jason Jepson

[07:30] Jason discusses homelessness

[10:00] Words from Jason

[16:00] Lifestyle differences

[12:45] Testosterone

[24:00] Interview with Dr. Hayden Finch

[29:30] Dr. Finch explains how society sees men differently

[36:00] Gabe’s and Rachel’s takeaways from the past two episodes

About Our Guests

Jason Jepson, Author

Mr. Jepson was diagnosed with schizoaffective Disorder while he was enlisted in the United States Army. Jason lives in Richmond, Virginia where he is active on the Veterans Council at the McGuire Veterans Hospital. His story of recovery has been published in numerous online and print publications such as Yahoo News, The Mighty, and OC87 Recovery Diaries. He has written two books, When We Were Young, a fictionalized memoir of his late teens, and a book of poetry called Misfires of a Lyrical Mind.

Amazon direct link to Jason Jepson’s works

https://www.psychcentral.com/lib/author/jason-jepson/

Hayden Finch, PhD in Clinical Psychology

Dr. Finch is passionate about serious mental illness and is an accomplished clinician and writer.  In addition to developing outpatient and residential treatment programs for people with serious mental illnesses, she has been involved in mental health policy and legislation advocacy.  After graduate school, she was fortunate to combine her commitment to Veterans and passion for mental health by training at the VA, where she was involved in developing an inpatient treatment program for Veterans with serious mental illnesses.  A true lifelong learner and teacher, Dr. Finch is now applying her passion for education and serious mental illness to developing educational materials aimed at reducing stigma about serious mental illnesses and coaching people with serious mental illness, their providers, and their families to work toward recovery.  Dr. Finch practices what she preaches regarding setting life goals and is most content when she’s traveling with her family or walking with her dogs.

Get Dr. Finch’s new book on schizophrenia:

www.haydenfinch.com/schizophreniabook or Amazon direct link

Computer Generated Transcript of “Schizophrenia in Men” Episode

Editor’s Note: Please be mindful that this transcript has been computer generated and therefore may contain inaccuracies and grammar errors. Thank you.

Announcer: Welcome to Inside Schizophrenia, a look in to better understanding and living well with schizophrenia. Hosted by renowned advocate and influencer Rachel Star Withers and featuring Gabe Howard.

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Rachel Star Withers: Welcome to Inside Schizophrenia, a Psych Central podcast. I’m Rachel Star here with my co-host, Gabe Howard. Last episode we discussed how schizophrenia affects women. And this episode we are focusing on the gentlemen. Exciting. We have Jason Jepson, who’s going to join us. He is a mental health advocate and also a veteran who has schizophrenia. And Dr. Finch will return to help us understand the medical side of things that are going on.

Gabe Howard: Rachel, I’m looking forward to a great show.

Rachel Star Withers: I’m excited too, Gabe.

Gabe Howard: Last month, Rachel, we learned how schizophrenia impacts women. You know, things like motherhood and pregnancy and menopause and aging. And I don’t think that a lot of people were surprised that any illness would impact a female differently than it would a male. But we sort of want to open that up because there were some big differences in how schizophrenia presents in males over females. And I think that was surprising for us during the research because we just assumed that an illness hits women differently, because I think society is conditioned to believe that women go through everything differently.

Rachel Star Withers: The one fact that we hear mentioned over and over is that men tend to get diagnosed far earlier in life than women do with schizophrenia. However, as we talked about last episode, that’s not always true, especially in families who have a history of mental illness. And even amongst like different ethnic groups. But due to being diagnosed at a younger age, men often have not attained the same degree of social development as women do at the onset of schizophrenia. And that can contribute to poorer social outcomes.

Gabe Howard: During our research, we learned that the reason that men are often diagnosed earlier is because men are showing more emotions or vulnerabilities. And when seen in women, as we learned last month, they’re just like, oh, well, she’s a woman, so of course she’s being emotional. Where when the exact same symptom is seen in men, they’re like, oh, this is a problem. But as you pointed out, getting diagnosed earlier isn’t necessarily the advantage that we think it is in males. Because stereotypically, they’re looking at you for all kinds of issues. As we’re going to learn from our guest, one of those issues is violence or rage or anger. My question to you, Rachel, is do you think that men have an easier time with schizophrenia or is it just a different time?

Rachel Star Withers: I would definitely say a different time. Being diagnosed earlier, that in itself, and we talked about many episodes ago, where it comes to diagnosing children, where that has a huge impact on you. You know, if you know earlier that you have a major mental disorder that can change just how other people view you, how you view yourself, how your parents view your future. I know that’s definitely come up just in my own life, but I can’t imagine had I gotten the diagnosis in high school, my parents probably immediately would’ve started worrying like, well, she can’t go to college, and just assuming things. So just like being diagnosed sooner, I think is, I mean, it can be really scary. And then the flip side, not being diagnosed until your mid 20s like many women are, you’ve probably been dealing with this for a while and not been able to get help. So it’s definitely a different situation. I don’t think either side is going to be easier. Anytime you’re dealing with schizophrenia, it’s going to be intense across the board.

Gabe Howard: Rachel, let’s do a refresh real quick and talk about symptoms that tend to impact men more than women.

Rachel Star Withers: Men tend to have more serious cognitive deficits, more of the flat affect. Where you have a monotone voice, very dull expression. You don’t really react the way that people would normally react in situations. Blunted emotional responses where it’s just kind of, I don’t want to say chill, but you’re just kind of, you know, straight across the board when things happen. Speech reduction. And men tend to be less active than women.

Gabe Howard: And of course, just because you’re male or female doesn’t mean that you fit in a nice tidy box, right? Just because you’re male, doesn’t mean that you will have all of these. And just because you’re male doesn’t mean that your family will not notice or will notice. We’re speaking in generalities when we talk about how stereotypically this is how schizophrenia presents in men.

Rachel Star Withers: Yes, absolutely.

Gabe Howard: And Rachel, of course, we love you very much, but you’re a woman living with schizophrenia. So you thought it would be appropriate to bring on a male who is living with schizophrenia. And that’s why we have a great guest who you spent some time with, Jason Jepson. And as you said, he’s a veteran. He’s awesome. He’s living with schizophrenia. And you did a great interview. You ready to roll it?

Rachel Star Withers: Absolutely.

Gabe Howard: Here we go.

Rachel Star Withers: Today’s guest is Jason Jepson, who also has schizophrenia. Thank you so much for being with us today, Jason.

Jason Jepson: Thank you for having me.

Rachel Star Withers: So right away, I want you to tell our listeners about yourself.

Jason Jepson: Ok. Sure. I’m a writer. I started journaling when I was in the seventh grade. I have two books. I’m also a veteran. I’m a part of the Vet Council at McGuire Veterans Hospital. We make sure that veterans don’t fall through the cracks and we direct them to mental health services.

Rachel Star Withers: It’s awesome. Well, thank you so much, and thank you very much for serving for us.

Jason Jepson: Thank you so much.

Rachel Star Withers: So what age were you diagnosed with schizophrenia?

Jason Jepson: I received the diagnosis of schizophrenia when I was twenty three, I was diagnosed in the army. The thing is, I don’t know how your schizophrenia is, but my I knew the voices. The voices in my head were the other soldiers at Fort Irwin, California, where I was stationed, and also friends from Richmond, Virginia. So because I saw my head and hear their voices, it took me a little while to accept my illness.

Rachel Star Withers: Did you have signs that you noticed started at an earlier age?

Jason Jepson: Not really. In high school, I had mild depression. I saw a counselor for a short time, but I still was social, had friends and I played lacrosse in high school.

Rachel Star Withers: Now, do you have visual hallucinations also? Or are yours mainly audio?

Jason Jepson: Then, in my 20s, it was mainly voices that I couldn’t figure out where they were coming from.

Rachel Star Withers: So our episode today is focusing on how men experience schizophrenia different than women. Do you have any thoughts on that? Do you feel there’s much of a difference?

Jason Jepson: Well, I think everybody’s experience of schizophrenia is different in general. I think we hear voices; we get delusions. But the specifics of them are different, if that makes any sense.

Rachel Star Withers: Ok.

Jason Jepson: It’s just important to find the right treatment plan for minute men and women, you know, find the right medication, maybe have therapy, have someone to trust like your parents or your friends. And all that takes trial and error for both men and women.

Rachel Star Withers: I want to ask you this, because I think it has, like, you know, two sides that you see a lot of men with schizophrenia end up homeless. And I know with you also working with veterans, you hear that a lot, too, when you have a lot of people coming back with post-traumatic stress disorder. What are your thoughts on that?

Jason Jepson: Yes. What kills me, what makes me want to attack this mental health thing for veterans is that veterans are actually committing suicide in the parking lot of the V.A. Can you believe it? I mean, there’s got to be an answer to that. I mean, it took me a while to ask for help myself. But how do we get there? How do we combat that? You know, it’s just I hope the Veterans Council can reach out to them. We were still a new organization, but veterans need to ask for help. And it can be or take a while, but be patient.

Rachel Star Withers: I would say men are typically known for not wanting to ask for help. And I can imagine especially talking about like soldiers, you know, the idea of like masculinity being even harder

Jason Jepson: Yeah,

Rachel Star Withers: For guys like that.

Jason Jepson: Exactly. Well, you know, one thing that’s helping is there’s more athletes coming forward to lessen the stigma for men. I’m sure you for that. Dwayne Rock Johnson has come out saying he gets depressed. I mean, that guy’s a famous actor and that’s going to do great things for men, in my opinion.

Rachel Star Withers: Yeah, it’s huge. You think like about masculinity. He’s just giant,

Jason Jepson: Yeah.

Rachel Star Withers: Muscly.

Jason Jepson: Yeah. Yeah.

Rachel Star Withers: What has been your biggest struggle as a man with schizophrenia?

Jason Jepson: Well, society’s expectations, the stereotypes. Gabe does this wonderful on the social network. But, you know, wife, kids, job. I used to avoid social situations because of the question, “What do you do? What do you do for a living?” Because I didn’t have an answer. Then I realized I was a mental health advocate. And I am proud to be a mental health advocate. When you say you’re a mental health advocate, that opens the door for education. What is it, one in four people have some kind of mental illness? You know. So if you open up as a mental health advocate, well, my sister has bipolar. My uncle is a schizophrenic. You know, it opens it up. And talking about it like we’re doing now is the most important thing is to bust stigma.

Rachel Star Withers: What advice do you have for men that are listening right now with schizophrenia?

Jason Jepson: Accept your diagnosis is probably one of the first most important things I can say. When you accept that you can get on the right medication. Be patient with medication and it’s OK to ask for help, you know, ask for help. It’s OK to ask for help.

Rachel Star Withers: No. Yeah, with our veterans that are out there. Do you have any advice for loved ones who worry about like different people coming back from their time? Military wise? Do you have any advice for loved ones?

Jason Jepson: Let them know about their options. Like my mom researched my illness before I came home, she researched schizophrenia. She was before I came back and, you know, helped me with the V.A. and everything like that. She won’t let me fall through the cracks. I would say be patient. But, you know, you should offer your help, I guess. And do your research on if they come back with a mental illness or whatever. There are support groups caregivers can take. Just go to NAMI.org, they can probably show you something there or you know, if the V.A. has one, if your loved one’s a veteran. But just, there’s gotta be love there. You know, I tell my parents, my dad helps me out, too. I love them so much for everything they’ve done for me. And you may not see that when they first come home, but it’s a journey and you will see it eventually that they’ll help you out and just don’t give up on your loved one.

Rachel Star Withers: That’s incredible. At the Veterans’ Council, do you even have a hard time talking with other vets about being schizophrenic?

Jason Jepson: The Veterans’ Council’s main focus is mental health for veterans. And we are we’re trying to help them out best we can now with a voice for veterans and sometimes run down the V.A., just give my medication. I’m talking with veterans and the mental health waiting rooms. So what do you need? How do you feel about services here? And so far they like the services.

Rachel Star Withers: That sounds awesome, it sounds like you’re the perfect one to be doing that. To be able to write when they join, be like, look, this is what I have. So they’re not scared to admit. I’ve always found with my schizophrenia. The minute I tell someone, they’ll start telling me some other random thing and it’s like, okay. She has schizophrenia. So it’s okay if I let her know I have depression. It’s okay if I let her know that my mom. Such and such. So I really think it’s cool that you, like, open that door for them.

Jason Jepson: Yeah. Have you ever heard of the project semicolon?

Rachel Star Withers: Yes, I have.

Jason Jepson: I have a semi-colon on my hand, and when somebody else has that tattoo, it’s an instant bond. It is so cool. I mean, I picked up my dry cleaners like a couple weeks ago and the cashier girl said, well, I got the same tattoo. Fist bump. It’s the bond. Bond, you know.

Rachel Star Withers: Tell our listeners what the Semicolon Project is.

Jason Jepson: Well, it’s when you go through a mental health crisis, it’s not the end. It’s not a period or a question mark. It’s a semicolon. It’s a pause. And then you keep right on going. Keep right on living.

Rachel Star Withers: Thank you so much for being here with us, Jason. Let our listeners know how can they find the books that you’ve written?

Jason Jepson: It’s on Amazon. One is on a poetry book, Misfires from a Lyrical Mind. I always wanted a poetry book and it was published through Amazon. It’s free verse and stream of consciousness poetry. Misfires from a Lyrical Mind on Amazon, and then my memoirs are kind of based on journal entries from 17 to about 22. It’s called When We Were Young.  When We Were Young is pretty much a time capsule of old friends and old experiences. And there’s some funny stuff in there. And I think it’s a good read. People seem to enjoy it.

Rachel Star Withers: That’s awesome. And you have some articles up with sites central dot com that we have a link to in our podcast description. Well, thank you so much, Jason, for sharing your experiences with us. And we can’t wait to talk to you again sometime.

Jason Jepson: While we’d like to see you, you too are doing great things for the mental health movement. Thank you for having me. And thank you for all that you do.

Rachel Star Withers: All right, thank you.

Gabe Howard: Rachel, that was awesome. Aside from everything that we heard in the interview, what was your overall impression of Jason and how he manages his schizophrenia?

Rachel Star Withers: It’s always exciting for me to get to speak with and meet other people with schizophrenia. It’s not something that comes up regularly for me. You know, where you just can be like, oh, hey, you got schizo, too? Awesome! So, it’s really cool getting able to speak with him. And I loved his outlook on life. I really loved the way like he is just so inspirational.

Gabe Howard: I completely agree with you, Rachel. He was very inspiring, very honest. He has a great outlook. And of course, because he has treatment, he has just a normal life. One of the things that he mentioned was, you know, a lot of people coming back from the military have mental health issues and we have to be there to help them. Do they all have PTSD? No, of course not. Just like they all don’t have schizophrenia or depression or any number of maladies. But his work outside of his own issues to make sure that mental health treatment is available for our veterans is very, very inspiring. And I wish we could have left more of that in the interview because he just does such incredible work from that. So, Jason, thank you again for being on the show. We we really appreciated it.

Rachel Star Withers: And just like we said earlier, that just because that you’re male or female doesn’t mean you’re going to necessarily fit in to these little boxes. We talked about with me, I was diagnosed in my 20s. However, my symptoms were flaring up as a child. Whereas Jason is the opposite of what we said earlier. He wasn’t diagnosed until pretty much he was in the military already in his 20s. So just because you’re male or female and you don’t line up with one of the things we’re talking about today, don’t let that stress you out, OK? That was just a perfect example, though, of one of those key things that we started off saying almost always, and then me and Jason are the contradictions to it.

Gabe Howard: Just look at it this way, Rachel, you’re the exception that proves the rule.

Rachel Star Withers: There we go.

Gabe Howard: Let’s move on to lifestyle changes when it comes to the stereotypical male and schizophrenia.

Rachel Star Withers: Males have higher cigarette usage and self-medicating with drugs and then also tend to self neglect and have a reduced interest in getting a job, which unfortunately can leave a lot of men homeless. We talked about in our last episode that people are kind of more open and willing to reach out to women who are homeless than they are men. And I think, you know, part of that is just that men come off as just scarier. You tend to worry more so you want to be more protective. Whereas if a woman’s homeless, a woman and her child, you’re like, more sympathetic.

Gabe Howard: Rachel, obviously some of this has nothing to do with schizophrenia at all. It just has to do with the way that our society is structured. Ever since I was a small child, I always heard women and children first. It’s a man’s responsibility to protect. It’s not even just that. It’s hold open doors. They’re the fairer sex and just on and on and on. So I can see where if you are a man and let’s say that you’re a big guy and you’re yelling, you’re erratic, you’re screaming, you’re not making a lot of sense. People would fear you. Whereas if you’re presenting the exact same way as a female and you’re a smaller person, you just don’t come off as scary. And we see this a lot and the research shows that it makes it harder for men to get help. There are significantly more female shelters than there are male shelters and there’s almost no male shelters. And again, we’re talking across an entire nation and doing averages. Your community may be very, very different. It’s one of the things to think about that this really just has nothing to do with schizophrenia. This is just the social culture of our communities.

Rachel Star Withers: I used to work in homeless shelters many, many, many, many, many, many, many years ago, but we had a male one and a female one. And the males were constantly getting kicked out. It did not take much to get the men kicked out. However, most of the women on the women’s side were there with their children and they could get away with so much because you did not want to throw, you know, the child out. You couldn’t, like, kick the women out. And the men, on the other hand, it’s like a revolving door. The littlest thing could get them kicked out of the homeless shelter. So, I mean, I think even just whether you are talking about mental health or not, the standards are different.

Gabe Howard: I used to work in a homeless shelter as well, and I saw the exact same thing, and I think that anybody listening to this show, if they searched deep in their hearts, they would realize the same thing. They would tolerate a lot more from, you know, like you said, a mom with a child than they would a single male. Unfortunately, we do have higher expectations of men. And, you know, that cuts both ways. It’s not surprising that gender roles in society would impact how we’re treating mental health issues. And also, we want to touch on this as well. Women are more likely to ask for help. And asking for help means you’re much more likely to receive help. Men are significantly less likely to ask for help and therefore less likely to receive help.

Rachel Star Withers: And not just that whole stereotypical, well, men are prideful, not willing to ask for help. You take that plus schizophrenia making you withdraw inside yourself and it’s sometimes asking for help isn’t even an option. It’s not that the person is well, I’m just too prideful to ask for help. It’s that’s just something that’s too far gone to even be an option for the person.

Gabe Howard: And going back to what Jason stressed, women are likely to ask for help for other women because women have fostered a culture where this is acceptable. Men, unfortunately, have fostered a culture where you must be tough. You must be strong. So men are much less likely to ask other men for help. And I know that Jason stressed repeatedly that this is a culture that has to change, not just for people to receive help with schizophrenia, but for all sorts of issues, especially mental health issues from PTSD to depression to anxiety. Men really have to change because our own biases are impacting the way that we are being treated for and getting help for schizophrenia. It is not surprising that our society is influencing mental health care and schizophrenia care. Rachel, let’s switch gears and talk about something that men have more of than women do, and that’s testosterone. How does having more testosterone affect schizophrenia?

Rachel Star Withers: Studies have found that low levels of testosterone appear to be associated with the more severe negative symptoms of schizophrenia. So negative, which we’ve talked about before, is lacking from a quote unquote normal personality. So your depression, your speech deficits, things like that, testosterone deprivation, which results also in low estrogen levels, which we talked about the role that estrogen plays last episode, has been related to increased psychosis. So a lot with these hormones, that’s completely out of our control what’s going on. When you’re talking about men or women, the different hormones that are coming into play and it affects our schizophrenia so much.

Gabe Howard: One of the studies showed that men with low testosterone levels in the schizophrenia group had significantly worse face recognition results than did those with high to normal testosterone. Can you explain that a little bit? Because I thought that that was very compelling information.

Rachel Star Withers: This is actually a very interesting symptom that we have not talked about much in our podcast on schizophrenia, but yes, being able to recognize people’s faces, it plays into our memory. And yeah, the low testosterone seems to, for whatever reason, affect that part of memory of being able to recognize people by their face. I always tell people, you know, I teach modeling and acting and I have so, so many students in the hundreds. And I always tell them I’m not going to remember your name, but I’m also not gonna remember your face. So if you see me like out shopping at Wal-Mart, walk up to me and tell me who you are and how I know you. I just want to put it out there. It’s not that I don’t like you, I just I remember nothing. And that I’ve learned over the years, though, is part of schizophrenia and how it affects your memory. That’s kind of what that study was discussing.

Gabe Howard: We will be right back after this message from our sponsor.

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Gabe Howard: And we’re back discussing how schizophrenia impacts men. Rachel, let’s move on to Dr. Hayden Finch. Now, for those of you who listened to last month’s episode, you know that Dr. Hayden Finch is awesome. And she gave us lots of great information on how women present with schizophrenia. And of course, this month, she’s going to give us some information on how men present with schizophrenia.

Rachel Star Withers: She is absolutely lovely.

Gabe Howard: All right, are you ready? Let’s roll it.

Rachel Star Withers: We’re here speaking again with Dr. Hayden Finch. She joined us last episode, that was about women who have schizophrenia. And she’s joining us again to focus now on men. Thank you so much for being here with us again, Dr. Finch.

Dr. Hayden Finch: I’m happy to be back, especially to talk about the men who were neglected last time.

Rachel Star Withers: So let’s dive right in. What issues do men with schizophrenia tend to seek help with?

Dr. Hayden Finch: Well, men with schizophrenia tend to have more problems with substance use. So that’s definitely something that will bring them into treatment. We also see more negative symptoms. So in the last episode, we talked about positive symptoms being things that are added to the experience like hallucinations and delusions, whereas negative symptoms are things that are missing that ought to be there. So men with schizophrenia will come to treatment for those negative symptoms. So there’s things like apathy or loss of motivation, nothing really seeming fun or interesting, a decreased social drive, or a lack of social interest and just really not paying attention to social or cognitive input.

Rachel Star Withers: Are there therapies that tend to work better for men than women with treating schizophrenia?

Dr. Hayden Finch: Not really. Interestingly, even though the illness presents a little bit differently in men and women, most of the treatments that we have for schizophrenia are equally effective in men or women. Or actually a little bit more effective for women, which we think is just because women tend to be a little bit better about adhering to their treatment plans than men are. But in general, most of the therapies that we have are equally effective.

Rachel Star Withers: Men with schizophrenia tend to have higher homelessness rates than women. What’s the cause of that?

Dr. Hayden Finch: I think there are a lot of things that contribute to it. One is that because they tend to develop schizophrenia earlier in life than women do, they don’t have opportunities to develop their full social skills and occupational skills. And those skills can protect people against homelessness. So when you have really good social skills and really good occupational skills, you’re more likely to be able to get a job and keep a job. So without those skills being as well developed, they’re at higher risk for homelessness, but also women are more likely to be married and that domestic partnership can protect them against homelessness, whereas men don’t as often have that protection. The substance use is another factor. With greater substance use, the risk for homelessness increases. It affects jobs, stability and security of housing. But also, there are slightly more resources available for women who are at risk for homelessness. There are domestic violence shelters. There are shelters for women and children. And there are more opportunities for women than for men. Still, we’re really lacking in that area and we need more resources. But men have fewer of those resources than even women do.

Rachel Star Withers: Why is substance abuse much worse with men?

Dr. Hayden Finch: We don’t really know. It’s partly, we think, just the way that they are culturally conditioned or taught to deal with feelings. There’s often a family history of substance use so that’s modeled for them. Their parents were struggling with alcohol or addiction. We see that a little bit more with men than women.

Rachel Star Withers: Is there a particular substance?

Dr. Hayden Finch: The most common, of course, is cigarettes, which we don’t really think of as substance use. But the majority of people with schizophrenia smoke cigarettes. So that’s most common. And then after that would be alcohol. And beyond that, I really am not sure what the most common substances are.

Rachel Star Withers: It’s funny because you said women tend to adhere to taking their medications and following treatment

Dr. Hayden Finch: Yes.

Rachel Star Withers: More strictly. But then men tend to be more likely to add to their

Dr. Hayden Finch: Yes.

Rachel Star Withers: Treatments. So.

Dr. Hayden Finch: Well, you know, and part of the reason that they smoke cigarettes is because it affects how the antipsychotics work. And I talked about this in my book. But nicotine affects the way the medications work in the body and can reduce the side effects. So it actually gives you ultimately less medication and then fewer side effects. So some people are sort of medicating themselves against the side effects of antipsychotics with things like nicotine. So it’s sort of this very complicated interaction between seeking treatment and self-medicating against the medication.

Rachel Star Withers: That’s interesting. No one’s ever worded it that way. Why are men with schizophrenia more likely to have trouble holding down a job than women? And we talked a little bit about the negative emotions, but going into that more.

Dr. Hayden Finch: So the biggest thing that predicts occupational functioning, which is how well we perform in our jobs, the biggest thing that predicts that are how good your social skills are, how long you were sick before you ever got treatment, and how much support you have from people around you. And in all three of those areas, men tend to suffer more than women. So men’s social functioning is less well developed than women. They tend to be a little bit longer than women are before they finally get treatment and they have less support, unfortunately, from friends and family than women do. So all of those things put men at more of a disadvantage than women. The other thing is that because women aren’t usually diagnosed until mid to late 20s. So, now they have more of a chance to complete their education before the illness starts. And that’s another factor that can make it easier for them to get and keep a job than men do.

Rachel Star Withers: We actually did an episode about violence and schizophrenia, but men are seen to be more violent than women, and I think more people, if you have a woman who’s having a psychotic break, versus having a man, people get a lot more afraid. Can you talk to us about that, Dr. Finch?

Dr. Hayden Finch: Sure. So it’s true that men tend to show a bit more verbal and physical aggression than women do. But also we know from some research that came out in 2016 that the relationship between psychosis and violence is explained by three things. One is paranoia. Another is substance use. And the third is not sticking to your treatment plan. So we talked earlier in this episode about how men tend to use substances more than women do. And so that can increase risk for violence and also that women are better at adhering to their treatment plans than men are. So those are some factors that can affect violence in men with schizophrenia.

Rachel Star Withers: And that’s a very good point. It’s a lot of factors. It’s not just schizophrenia.

Dr. Hayden Finch: And of course, all that being said, we know, and I’m sure you covered this in your earlier episode, that people with schizophrenia are far more likely to be victims of violence than perpetrators.

Rachel Star Withers: Yes. If I’m a loved one who has a man, whether it’s a son, husband, cousin, good close friend with schizophrenia, knowing all of this can be a little overwhelming.

Dr. Hayden Finch: Sure.

Rachel Star Withers: How could I help that person? That man in my life with schizophrenia?

Dr. Hayden Finch: The most important thing is usually the relationship and relationships can become very strained when a person is in the depths of the illness, and if they haven’t received any treatment yet and they’re really experiencing some pretty significant symptoms, that compromises relationships. But the relationship you have with a person with schizophrenia is super important. That’s going to help you get the person to treatment and get them to go to appointments, take the medicine. So preserving the relationship is the most important thing, but that is really difficult, but it’s critical. So doing anything you can to make sure that the person is feeling supported rather than alienated. That is where I would focus my energy.

Rachel Star Withers: And we talked last episode that there were some options that women tend to have more of, that they can contact as far as dealing with homelessness and different things like that, getting help when it comes to children. What about men? What type of options are there for men?

Dr. Hayden Finch: Well, many of the options are similar. Communities are all different in terms of what services are available, but a lot of services are available to both men and women. So, things like transportation services, in-home services, where they will come to your home to teach you how to cook or how to mend a shirt that needs fixing. There’s respite care that’s available for men as well. If they need a break from their roommate or they need a safe place to stay for a night. And of course, there are clinical services for people with mental illness. We were talking last episode about mothers with schizophrenia. But of course, there are fathers with schizophrenia. And so all of the services that are available for parents are not just for moms, they’re also for dads. So support groups for parents with mental illness and the specialized clinical services for parents with mental illness would apply to dads as well.

Rachel Star Withers: And that’s something we spoke about in the show as I was doing research for these episodes. It was frustrating for me because I found article after article about motherhood, pregnancy, dealing with children and having schizophrenia. And I couldn’t find anything on fatherhood. Being a father

Dr. Hayden Finch: Right.

Rachel Star Withers: With schizophrenia. So definitely it’s something that’s not addressed as much.

Dr. Hayden Finch: Yeah, absolutely. Unfortunately, a lot of women who get pregnant, the pregnancy is unplanned, unwanted, or sometimes from a sexual assault, and so often they don’t know who the father is. And then when they do, sometimes the father just chooses not to be involved. And so the woman is there left to raise the baby on her own. But you’re right. We don’t have many services for dads with schizophrenia. We don’t know much about them. And as difficult as it is for a mom with schizophrenia, there are probably different factors affecting fatherhood.

Rachel Star Withers: Hayden, now you have a book coming out if you want to tell us about this.

Dr. Hayden Finch: Yeah, I wrote a book, it’s called The Beginners Guide to Understanding Schizophrenia. It is my take on all the latest information on the symptoms of schizophrenia. What causes it. What it looks like in the brain and how to treat it. I’ve written it in the plainest language possible. I just wrote it, so I went through all the research that’s available right now to write it. But my goal was to give people the real technical information, all the details we know. But in language that is super easy to understand. So it’s called The Beginner’s Guide to Understanding Schizophrenia. You can find it on Amazon, ultimately. But, I’ll link to it on my Web site at HaydenFinch.com/SchizophreniaBook. And it’ll also be in the show notes.

Rachel Star Withers: And this book, is it more geared towards loved ones, friends, family, or people with schizophrenia?

Dr. Hayden Finch: I wrote it for both, actually, so the person I didn’t write it for is any sort of clinician or researcher. It’s not for them. It’s for people who don’t know anything about mental health or treatment, who have no scientific knowledge. That’s who I wrote it for. So I wrote it for people who are just trying to understand schizophrenia, whether that’s because you have it or you have a loved one who has it or you’re just kind of curious to know more about it.

Rachel Star Withers: That’s awesome. Thank you so much, Dr. Finch, for joining us once again. Very, very interesting. And thank you for shedding light on these subjects. And we definitely got to check your book out.

Gabe Howard: Rachel, as always, incredible interview. Now, I know that that you talked to Dr. Finch for a couple of hours and obviously we edited it down. Did you learn anything about men with schizophrenia from her that you didn’t know before this interview?

Rachel Star Withers: I learned so much from her and I like that she’s able to explain kind of that medical side and the way she’s able to just explain it so, I guess, simply. Like at a level that me and you can understand, Gabe, you know, we’re not doctors, but being able to like break that down. I really like that kind of explaining the homelessness and then, of course, the substance abuse and all of that playing in more so with the males.

Gabe Howard: Yeah, she’s incredible. Once again, thank you, Dr. Finch, for being here, and please, if you have a moment, pick up her book. She helped us with both episodes, and, you know, she does it free of charge. She’s a great advocate for people with schizophrenia and mental health in general. So once again, hats off to Dr. Finch.

Rachel Star Withers: Yes. Gabe, I want to ask you first, as someone who does not have schizophrenia. What is your take away from these past two episodes on the gender differences?

Gabe Howard: I was surprised and I don’t know why. I feel like I shouldn’t have been surprised. I feel a little guilty. But knowing that the way that society treats the genders so heavily impacted the outcomes and the treatment for schizophrenia from diagnosis to treatment to asking for help to getting care, that really kind of put me on my rear a little because it’s just so sad. Both men and women have the same illness and yes, there’s variance in the presentations, etc. But the thing that made me, I’m gonna go with saddest, is that the outcomes were different based on how society effectively sees men and women. And it’s like, wow. Just wow.

Rachel Star Withers: No, I agree with that completely. We obviously all know the society and, you know, we have these different ideals in our heads. But yeah, to see how it can really affect people who are dealing with serious mental illnesses. It’s definitely eye opening. I see the past two episodes for me have been very fascinating because there are so many factors that are out of people’s control. And whether you’re talking about from hormones that the body creates, like to how your body actually processes the medications. Learning to thrive with schizophrenia is not as simple as take your pills every day. It’s not as simple as make sure you’re going to the doctor. You can be doing everything right. You can be doing everything correctly. Be taking your medication on time. Be going to the doctor religiously. And the deck is still stacked against you. And that’s frustrating. It’s depressing, to say the least, situation to be in. In those times, that’s when it’s time to change the game. I love how Jason hit on how he used to hate it when people would ask him what he did, workwise. And then he came to the realization that, wait a minute, he’s a mental health advocate. He works with veterans. He’s leading a council for veterans. And he’s an author, a public speaker. And it just goes on and on. And that’s like so much. That’s amazing. Like, he does all this, like, incredible stuff. And I don’t know. That gave me so much hope, Gabe. It’s easy to just kind of look at the negative of what maybe someone isn’t doing and not pay attention to all of the amazing, incredible things that they are.

Gabe Howard: And to your point, when you say that it’s easy to look at all the negatives in somebody’s life and ignore the positives, we have to put that on ourselves. Right? It’s easy for us to ignore our own positives and only focus on the negative. As much as I would love to say that stigma and discrimination against people with schizophrenia is all external, there is an internal component, and I agree with you. When Jason realized that he was doing all of this volunteer work in his community. And Jason was using his experience for so much positivity, especially in the veteran community. The fact that he can work with veterans and understand both the mental health aspect and the veteran aspect, it makes him a hot commodity. And him realizing that obviously paid huge dividends for him. So I would put a challenge out to everybody listening. Find the thing that you and you alone are uniquely good at and powerful and keep that in mind.

Rachel Star Withers: That’s awesome. Absolutely, Gabe, well-put. Very cool. Thank you so much for listening. Please like, share, subscribe. And we’ll be back next month with another episode of Inside Schizophrenia, a Psych Central podcast.

Announcer: Inside Schizophrenia is presented by PsychCentral.com, America’s largest and longest operating independent mental health website. Your host, Rachel Star Withers, can be found online at RachelStarLive.com. Co-host Gabe Howard can be found online at gabehoward.com. For questions, or to provide feedback, please e-mail talkback@PsychCentral.com. The official website for Inside Schizophrenia is PsychCentral.com/IS. Thank you for listening, and please, share widely.

from World of Psychology https://ift.tt/2WkQE6R via theshiningmind.com

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Look for one that assists the heavyweights in e Book printing, like Kindle and also Nook. Moreover, pick a plan that assists a lot of the absolute most common data layouts, including EPUB, PDB, PDF, video, HTML, LIT and also MOBI.A few of the platforms our team reviewed mimic social networks profiles-- just about like Connected In make up self-publishers. Our team suched as solutions that allow you personalize your account and also bring in expert links so you can publish your job to as lots of position on the web as feasible. Licensing & Trademarks See to it you examine any sort of agreements and also fine print at the bottom related to the e Book designer software program you pick to ensure you may not be transferring component or all of your liberties to what you composed. Decide On Source Import Content or Go Back To Square One Designrr works with all sites, Word or any sort of publisher Merely enter the link when you start a brand new job. Our team'll start packing the web content in the background, neglecting all the site navigating, adverts, sharing images and also anything you definitely would not want in an e-book. Sigil-1.0.0 exemplifies a major milestone in Sigil's background. The need that all epubs have to be actually reorganized to comply with Sigil's long-held standard has actually ultimately been actually raised. Individuals can still personally pick to reorganize epubs to the old Sigil standards if they pick, yet it will no more be actually performed immediately upon position.

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Because we understand a little concerning releasing content online, we have excellent understanding in to what functions work for content development. We explore these websites extensively-- reading customer reviews and documents concerning the software program, inspecting their help possibilities and reviewing their solution agreements-- before downloading or registering for each one to execute hands-on examinations. Lots of still download and install to you desktop, but more recent, more up-to-date courses usually tend to throw their system software online. You commonly pay for per project or for a membership for on-line courses, while you buy more conventional courses outright. We definitely would not consent to a membership setting you back greater than $10 a month or a single payment more than $fifty, unless you are actually releasing frequently. We awaited the amount of report kinds each software program procedures and the number of theme kinds each solution has, keeping in mind of those that feature qualified devices or help instructors. We also searched for companies that associate with the absolute most preferred e Book outlets, consisting of Amazon.com and Barnes and Royalty. We made use of the help possibilities, like email, Frequently Asked Question, tutorials and guidebooks to observe if they were actually quick and easy to know and used sufficient information to make sure that you can manage your projects successfully. We developed accounts in each body and attempted out all of the courses' devices to acquire a feeling of exactly how they well they benefit common duties. We loaded material in to each software program and timed how much time it required to process the data. We also kept in mind if the plan malfunctioned or carried out slower than other e Book producers. As such, we searched for companies that give help and plainly condition what kinds of release agreements are actually accessible-- whether for revenue or the general public-- and verbalize the variations in between all of them so you can bring in an enlightened selection concerning exactly how and where to discuss your work. Key Components to Seek Convenience of making use of Creating a book is hard enough, and you shouldn't have to take care of clunky, unintuitive e Book posting software program on top of it. Throughout our research study, we focused on each plan's layout and style and delegated it a quality based upon exactly how instinctive its own user interface is. Multi-Language Abilities If you desire to compose a story partially or fully in a language other than English, double-check that the e Book producer you select supports it. Cloud vs. Desktop It is actually worth keeping in mind exactly how the software program you select outlets your work. Does it save it to its own hosting server using the cloud, or perform you download and install the software program onto your personal computer? To make use of cloud software program, you need a strong net relationship, so it is a really good option if you plan to compose in the home or a coffee shop. There are actually advantages and disadvantages to each, so consider your situation before choosing. Assisted Formats The additional format possibilities you have, the far better. Treatments and companies that permit you publish personal diaries, journals, qualified text messages, guides, guidebooks, comics and other kinds of work in addition to e Books provide the most effective market value. We discovered that the most effective software program features sufficient guidance and help that extra functions are actually valuable as opposed to a hindrance. We also took into consideration just how much help each deals. e Book producers that have tutorials, user's manual and contact information are actually a lot easier to make use of total and got higher credit ratings.

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Puritan’s Obsession with Superstitions

  Puritans believed that God was present everywhere in the world and they needed to strive for the grace of God. Spiritual warfare presented itself daily, so they needed to determine which they were facing, God or the Devil. They also relied on almanacs to conduct their everyday life; when to plant, slaughter animals, the best days to build, etc., yet colonists demanded they include “Anatomy” and zodiac signs associated with astrology. Comets and earthquakes were believed to be indications of an angry God. Puritan Ministers played on those fears to get colonists to repent and turn from their wicked ways before destruction came. Another belief was that stars, planets, and eclipses had a direct influence on their lives. The religious duties of the Puritans combined with their superstitious reliance on Almanac’s, astronomy and astrology made it difficult to separate their faith from natural events.

 Picture 1:  John Winthrop aboard the Arabella 1630 www.gerard-tondu.blogspot.com/2014/11

   John Winthrop stated in his famous essay aboard the Arabella creating a covenant with God, “to establish a truly Christian community, in which wealthy were to show charity and avoid exploiting their neighbors while the poor were to work diligently. If they abide by this covenant, God will make them an example with the world—a “city upon a hill.” But if they broke the covenant, the entire community would feel God’s wrath.” (Winthrop 1630). What separated a Puritan from other religions during Colonial America? Puritans believed in reform, not separation from the Church of England. Everything in life was predestined. They also believed that one could not choose salvation, that was God’s doing. Just believing there is a God isn’t enough and just practicing the sacraments wasn’t sufficient to be saved. The English Literatures of America, 1500-1800, states, “Sanctification is evidence of salvation, but does not cause it.” (p. 434). Kay Kizer at the University of Notre Dame said it best when she wrote, “While repression was not encouraged in principle, it was evident in their actions. God could forgive anything, but man could forgive only by seeing a change in behavior. Actions spoke louder than words, so actions had to be constantly controlled.” (Puritans). The Puritan colonists were constantly looking to be found pleasing in God’s eyes, ultimately to receive salvation. One of the ways to accomplish this was to know their enemy and the many faces the Devil presents in the world. Sun Tzu wrote In The Art of War, “It is said that if you know your enemies and know yourself, you will not be imperiled in a hundred battles; if you do not know your enemies but do know yourself, you will win one and lose one; if you do not know your enemies nor yourself, you will be imperiled in every single battle.” (ch. III). Puritan’s needed to be strong in their faith to know whom they are fighting or they will eventually sub come to the wiles of the Devil. Birth defects, sickness, even unexpected death was considered signs God cursed a family or individual.  

  Picture 2:    Edward Holyoke's 1742 Almanac http://iiif.lib.harvard.edu/manifests/view/drs:47006029$13i

   Puritan’s relied daily on the Almanac which served serval purposes. One being for the astronomical information, for example, eclipses of the moon and sun, and moon phases. Astrological signs were included, “Anatomy” with zodiac signs marking each part of the body and how it relates. With the astrology information, Puritan’s knew the best days each month to plant their fields and gardens, when to harvest and build, even slaughtering animals. The almanacs were also used as diaries to log daily events, travels, even household spending. These were printed yearly, primarily in Boston and Cambridge, Massachusetts.  Almanacs became reliant on by the Puritan’s that they “outsold the Bible” according to Jon Butler’s Journal Magic, Astrology, and the Early American Religious Heritage, 1600-1760. (p. 328).  

Picture 3:    Comets www.loc.gov/pictures/resource/cph.3b36267  

     According to Edward Holyoke’s 1743 Almanac, comets were believed to be “planets at one time that had a rich variety of necessities for animal life. As a punishment for their guilt, the planet fell like a blazing star.” (Holyoke, 1743 Almanac). Puritan ministers like Increase Mather who incorporated comets into his sermons as “God’s warning to a sinful earth that transgressors should repent their sins or prepare for disaster.” (Yeomans, p. 419). To capitalize on the saint’s fears that comets were a precursor to a natural disaster and “the comet’s tail to arrows drawn in the bow of an avenging God.” (Yeomans, p. 419). Picture 3 gives us a visual of what the Comets looked like to the colonists.  The website differencebetween.com defines astronomy as “a scientific study of the motion of celestial bodies.” Astrology as the “study of the movement of celestial bodies, astrology is a set of beliefs and thoughts that movement of the sun, moon, planets, and stars, etc. have an effect on an individual’s personality and also have a bearing on his present and future.” (Difference Between website).           

Picture 4: Astronomical Characters  https://iiif.lib.harvard.edu/manifests/view/drs:45561503$58i

   Picture 4 is a page from the journal of an unknown student of John Winthrop’s at Harvard College (now Harvard University). In this picture, it shows us the symbols of astronomy and the zodiac signs that are found in the almanacs. Astronomy and astrology are very different yet intertwined at times, especially in the Almanacs. So why was astronomy accepted and astrology not? Puritan ministers were also scientists who studied the celestial movements, it was science based and rejected astrology because it was used to predict horoscopes, a person’s future, specifically fortune telling, which went against the word of God. Increase Mather, a Puritan minister, believed “that the stars, planets, and comets all had an influence on man’s life was undeniable” and went on to condemned William Lilly, an astrologer, by writing, “a blind but insolent Buzzard of our own Nation.” (Yeomans, p. 420-421). In the journal Astrology in Colonial America: An Extended Query it states that Mather had little patience with astrology when he wrote: “If men did with understanding read the Scriptures more, they would mind Judicial Astrologers less.” (Stahlman, p. 558-559). Picture 5 is another page from the same student of Winthrop’s showing us a Solar and Lunar projection. This student was meticulous with details in his drawing.    

 Picture 5: Solar & Lunar Projection  https://iiif.lib.harvard.edu/manifests/view/drs:45561503$54i 

Picture 6: The Solar System www.archive.org/stream/treatiseonastron00phil#page/n7/mode/2up

 Picture 6 is a map of the Solar System with the orbit of a comet around Mercury. I’m not sure of the year for this particular map. However, if you look closely, there are only six planets, Jupiter, Earth, Mercury, Venus, Mars, and Saturn, which I found interesting.

 Puritan’s had to be mindful of their spiritual faith yet was not able to separate it from natural events. In my research, I have reached the conclusion that Puritan’s justified some of their superstitions through moral reasoning and rejected others. Jon Butler agreed when he wrote, “English society simply did not clearly divorce Christianity from magic, astrology, and divination. They adopted eclectic beliefs about superhuman powers and beings in their quest to understand the world and master their lives.” (p. 323).

 Works Cited

Ames, Nathanael. 1743. Almanac. Boston: Booksellers.

Butler, Jon. 1979. "Magic, Astrology, and the Early American Religious Heritage, 1600-1760." American Historical Association 317-346.

n.d. Difference Between. www.DifferenceBetween.com/difference-between-astrology-and-vs-astronoy/1.

Jehlen, Myra, and Michael Warner. 1997. The English Literatures of America, 1500-1800. New York: Routledge. http://books. google.com/books.

Kizer, Kay. n.d. Puritans. http://www.3.nd.edu/~rbarger/www7/puritans.html.

Stahlman, William D. 1956. "Astrology in Colonial America: An Extended Query." The William and Mary Quarterly, Vol. 13, No. 4 551-563.

Winthrop, John. 1630. "Digital History." Digitial History. Accessed Feb. 21, 2017. http://www.digitalhistory.uh.edu/disp_textbook.cfm?smtid=2&psid=3579 .

Yeomans, Donald K. 1977. "The Origins of North American Astronomy-Seventeenth Century." History of Science Society (The University of Chicago Press) 68 (3): 414-425. http://www.jstor.org/stable/231317.

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