CRAZYWISE - the Brecon screening

“Crazy…or wise? The traditional wisdom of indigenous cultures often contradicts modern views about a mental health crisis. Is it a ‘calling’ to grow or just a ‘broken brain’? The documentary CRAZYWISE explores what can be learned from people around the world who have turned their psychological crisis into a positive transformative experience.”

On the longest (and probably hottest) day of 2017 I was at The Wellington Hotel in Brecon with PAVO colleagues, community groups, staff from mental health services and individuals to watch this new documentary film by directors Phil Borges and Kevin Tomlinson. The free community screening had been arranged by Avril Meyler of Emerging Paradigms in partnership with PAVO and Brecon community organisations. My colleagues Anne Woods, Philip Moisson and Jane Cooke helped organise the event and also facilitated the open discussion sessions following the screening.

Regular readers of this blog will know that we are keen to promote alternative approaches to looking at mental health distress, asking what has happened to a person who is in mental health crisis rather than concluding that something is wrong with them. So we were delighted to be asked to be involved in the first screening of this groundbreaking, powerful and as it turned out, very moving film, in Powys.

Avril explained in her introduction that she first saw CRAZYWISE at an #EmergingProud event in London during Mental Health Awareness Week in May and knew immediately that she wanted to bring it to her local community. (She has written about the Brecon screening on her blog: A Multidimensional Paradigm).  Avril anticipated that the documentary would prompt much interesting discussion, and suggested some of the questions we might ask at our tables once we'd watched the film, such as: “What can we learn from people who have successfully navigated a psychological crisis?” and “Is it time to pay more attention to the psycho/social and spiritual underpinnings of mental health and bring a more balanced approach to mental health care?”

Phil Moisson, Anne Woods, Avril Meyler, Jane Cooke, Andy Hall, Paul Stephens

And so to the film. “CRAZYWISE follows two young Americans diagnosed with “mental illness.” Adam, 27, suffers devastating side effects from medications before embracing meditation in hopes of recovery. Ekhaya, 32, survives childhood molestation and several suicide attempts before spiritual training to become a traditional South African healer gives her suffering meaning and brings a deeper purpose to her life.” 

Interspersed with Adam and Ekhaya’s stories are interviews with mental health professionals and indigenous peoples, and the director Phil Borges discovers: “a growing movement of professionals and psychiatric survivors who demand alternative treatments that focus on recovery, nurturing social connections, and finding meaning.” 

In the early scenes of CRAZYWISE, human-rights photographer and filmmaker Phil tells us what inspired him to start filming. After many years documenting indigenous cultures, he realised that their interpretation of “psychotic” symptoms as a journey of spiritual transformation is completely different to the way that psychosis is regarded in the West and a deep curiosity drew him to find out more. In an interview with Frontier Therapy magazine Phil describes changing his mind about “mental illness” – which he used to think was caused by a “chemical inbalance in the brain. “I now look at it as a natural transformational process waiting to happen. Unfortunately our culture does not look at it this way and so there is little support in helping the individual find meaning and purpose in their suffering."

Round table discussions

The film prompted some really thought-provoking discussion throughout the remainder of the day. Without divulging personal stories, I picked up on several key themes: 

The not so good…

• Questions about what has happened to you are never asked.
• In Powys the first port of call for someone in mental health distress is the GP – so people are set on to the medical route right at the start.
• If a GP was amenable to other options what would they offer? What is the alternative in Powys?
• It is horrendous trying to fight for help if labelled as an “alcoholic” or “nicotine-dependent.”
• People are labelled as having a problem when often the problem is external, such as work-related stress.
• If you have a problem outside Mon-Fri 9 – 5 you are stuck mental health-wise.
• Some people feared that if they referred to a spiritual experience that this would just add to their medical diagnosis.
• Patients with a physical illness are trusted to understand and monitor their medication. This happens far less with mental “illness”. 
• Being challenging is not an illness.
• Doctors will always be in control as they prescribe the medication.

Jane Cooke, Senior Officer Mental Health at PAVO and Tania Dolley, Psychologist at Powys Teaching Health Board

The opportunities for different approaches…

• “When I am in emotional crisis I want a community that welcomes the symptoms and says it will be alright. That is so healing.”
• “This could be a half-way house that accepts me for who I am. I don’t mind if the people there are peers or professionals, so long as they are the right people. This would save money as it would prevent long-term issues from developing and also possibly hospitalisation.”
• There should be a support system for people using services to empower them to question treatments and medication.
• In the film the professionals who supported The Diagnostic and Statistical Manual (DSM) are now against it. Some people in the system are more open-minded.
• "It would be nice to present a “basket of fruit” to the world – what works for one person is different for another. Someone might want a peach one day and a nectarine the next."

Andy Hall edits One in Four three times a year, available from Brecon & District Mind

And other questions and comments…

• Several people were keen to find out more about shamanism. (In some cultures a psychotic experience is viewed as a calling to become a healer or shaman). Others pointed out that a spiritual way is different for everybody – it could be a drumming session…. it could be being a mother….
• Medication works for some people and sometimes it can be helpful. In the film this was also stated.
• There are no psychiatrists or community psychiatric nurses in the room today. Where are they? We want them to hear our story.
• Are the professionals the community leaders of our time in terms of spiritual growth and connection? Or can it just be about grassroots social connections?

The hope now is that we can acquire the licence to show CRAZYWISE to many more audiences throughout Powys, so that further discussion can be stimulated and ideas gathered about changing the response to mental distress in the county.

What do you think? Would you be interested to see the film? If so, get in touch, or leave a comment below. You may also like to find out more about Open Dialogue, the Spiritual Crisis Network, and the Hearing Voices Network.

Whilst the film was running I was transfixed. It’s compelling stuff. I lifted my pen only once to write down a quote from mental health advocate and counsellor Will Hall who said: “The Diagnostic and Statistical Manual is basically a sophisticated way of not listening to people...” 

But as the film reinforced over and over again – people just want to be listened to no matter what they're going through.

Top mental health vloggers & videos

Happy New Year! Traditionally we start the New Year by recommending some of our favourite blogs. In the past we have covered mental health and also dementia. This year we’re looking at videos and vlogging.

“A vlog (or video blog) is a blog that contains video content. The small, but growing, segment of the blogosphere devoted to vlogs is sometimes referred to as the vlogosphere.”

There are a surprising number of people vlogging about mental health. Many of these are young people around the world who have grasped the opportunity that the video site YouTube provides to talk about their personal experiences online. Many report that they find it therapeutic to do this, and hope that their experiences will also help and support others who are struggling with mental health issues.

A high proportion of these vloggers regard their distress as an illness and their experiences are very much phrased around the medical model relating to mental health. There are, however, some videos which take the social model view, and others where the boundaries are blurred. You can read more about the debate around the medicalisation of mental health on this blog, suffice to say most (though not all) of the recommended vlogs and videos here tend towards the view that mental distress is, as campaigner, writer and speaker Jacqui Dillon states, “a normal response to abnormal stress”, as opposed to an illness. 

And so whilst we’re on the topic of Jacqui, we may as well start the list by highlighting a video of her on our very own PAVO YouTube channel. This was made at the 2013 Powys “Shaping Services” conference.

The channel Crazywise is run by photographer and film maker Phil Borges and features videos questioning how 'Western culture defines and treats severe mental disorders'. Phil is also working on a feature length documentary 'challenging the current mental health system in crisis'. Many of the Crazywise films are interviews with "experts" talking about their experiences in the field, including British psychiatrist Russell Razzaque who has a background in mindfulness meditation and is currently leading a clinical trial into Peer-Supported Open Dialogue.

Rai Waddingham hears voices and sees visions. She is an 'independent trainer specialising in innovative ways of supporting people who struggle with extreme states (including ‘psychosis’, ‘dissociation’ and post traumatic reactions).' This video from her channel focuses on her experiences of hearing voices.

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Laura Delano, an American who also features on the Crazywise channel, has her own independent channel where she vlogs regularly about her own experiences of psychiatry and the psychiatric system. She describes herself as an ‘ex-"Bipolar" patient, (and) discusses life after psychiatric labels and psychotropic drugs’.

Another Laura, Laura Nuttall, vlogs about her experiences in psychiatric hospital with real insight given to the actual experience of being on a mental health ward in the UK.

LikeKristen is a young American vlogger with a very watchable style. Her videos include all kinds of mental health topics, ranging from experiences of self harm, to stigma and practical suggestions to help recovery. Here is a link to her journaling video. 

Fixers is a UK organisation featured previously on our blog. Sarah Harmon, who lives in Powys, talked for Fixers about her experience of mental health issues and the work she does in schools to help combat stigma. Fixers is a project of the Public Service Broadcasting Trust, and uses short film and other media to enable young people have their voices heard and help make positive change. Check out the Fixers website to watch videos relating to mental health and young people in Wales.

Kati Morton is an American therapist who provides information about “conditions” and “treatments” that are very easy to follow. As the National Health Service in the UK uses much of the same terminology it can be helpful to watch these if you want to find out more about treatments such as Cognitive Behavioural Therapy (CBT) that are available to people here too.

And finally, the Spiritual Crisis Network has some excellent videos on its website, including a 5 minute animated film called "Compassion for Voices: a tale of courage and hope", produced by King’s College, London.

We hope you enjoy watching some of these videos and vlogs, and would love to hear about others that you recommend. Let us know in the comments box below.

All the best for 2016 from the mental health team at PAVO – Angharad, Anne, Glynis, Jane and Jackie.