Mental Notes - Johns Hopkins Medical Institutions
Mental Notes - Johns Hopkins Medical Institutions
Mental Notes - Johns Hopkins Medical Institutions
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HEALTH / By Jane Marion<br />
<strong>Mental</strong><br />
<strong>Notes</strong><br />
A famous <strong>Hopkins</strong> psychologist gets personal<br />
when it comes to talking about bipolar disorder.<br />
A<br />
Even in <strong>Hopkins</strong>’s hallowed halls, Jamison<br />
is considered a luminary—known for her<br />
ability to offer acute insight on the disease<br />
as clinician and patient, as well as for her<br />
eloquent writings on mood disorders (among<br />
them: the bestselling Night Falls Fast: Unt<br />
first glance, the works of art in Kay Redfield Jamison’s<br />
sparsely decorated office don’t seem to have much in common.<br />
There’s a charcoal drawing of composer Gustav Mahler; a delicate<br />
print of Romantic poet Lord Byron; a black-and-white<br />
photograph of one of Jamison’s many muses, “confessional”<br />
poet Robert Lowell. But beyond their extraordinary contributions<br />
to the world of music and poetry, the thread that binds<br />
these men—and what particularly interests Jamison, the<br />
co-director of The <strong>Johns</strong> <strong>Hopkins</strong> Mood Disorders Center<br />
and a professor of psychiatry of The <strong>Johns</strong> <strong>Hopkins</strong> Univer-<br />
Pictured:<br />
Doctors in the<br />
House: Kay<br />
Redfield Jamison<br />
at home with<br />
Thomas Traill.<br />
sity School of Medicine—is<br />
their struggle<br />
with bipolar illness<br />
(also known as manicdepression),<br />
a mood<br />
disorder characterized<br />
by episodes of severe depression and mania.<br />
Although this enigmatic illness (suffered<br />
by more than 10 million people in the United<br />
States alone, according to the National Alliance<br />
on <strong>Mental</strong> Illness) was first classified<br />
dating back to the time of Hippocrates, it<br />
has lately found its way into the mainstream,<br />
thanks to the success of the feature film Silver<br />
Linings Playbook and Showtime’s wildly<br />
popular Homeland, whose producer once<br />
contacted Jamison to advise on an episode.<br />
Of course, to Jamison, the disease is<br />
nothing new: She is one of the most widely<br />
regarded experts on mood disorders in the<br />
world and has spent the greater part of her<br />
66 years not only studying bipolar illness,<br />
but living it. After years as a clinical psychologist<br />
first at UCLA and then at <strong>Johns</strong><br />
<strong>Hopkins</strong>, she “outed” herself in her 1995<br />
bestselling memoir An Unquiet Mind: A<br />
Memoir of Moods and Madness.<br />
“There were many concerns in writing<br />
the book,” admits Jamison, who gave up<br />
her clinical practice after An Unquiet Mind<br />
came out, but continues to teach <strong>Hopkins</strong><br />
medical students and residents. She feared<br />
that she might lose her license. (She didn’t.)<br />
And beyond that, there was a fear of “how<br />
one’s work would be perceived once you<br />
have this diagnosis on your forehead. . . . it’s<br />
very easy to be defined by that.”<br />
There were more personal concerns<br />
as well. “In my own WASP military family,<br />
you didn’t talk about mental illness,” says<br />
Jamison, with a smile. “You are brought up to<br />
be private. The first time I got up and spoke<br />
publically about this, all I could think about<br />
was my grandmother and her white gloves<br />
and her hat and her D.A.R. meetings, and<br />
what on earth she would be thinking?”<br />
derstanding Suicide, Exuberance, and a<br />
1,262-page tome that is considered the<br />
definitive textbook on bipolar disorder).<br />
Associate professor of psychiatry at<br />
Yale School of Medicine Thomas Styron,<br />
whose father, the late literary titan<br />
William Styron, was a close friend of<br />
Jamison’s, has high praise for her.<br />
“She is an absolute giant in the field of<br />
psychiatry as someone who has been able<br />
to combine top-notch academic work<br />
with this incredible personal story, which<br />
has been such a huge service to people<br />
who suffer from mental illness,” he says.<br />
Her students are starry-eyed, too.<br />
“When medical residents come to look<br />
at <strong>Hopkins</strong>, they say, ‘If I’m here, do I<br />
actually get to work with Dr. Jamison?’”<br />
says Dr. Karen Swartz, associate professor<br />
of psychiatry and behavioral sciences<br />
at <strong>Hopkins</strong>. “Ray DePaulo [co-director<br />
of the Mood Disorders Center] once said,<br />
‘She may be the most famous person with<br />
bipolar disorder in the world.’”<br />
She lives the more low-key life of a<br />
scholar, though, as she shuttles between<br />
the charming circa-1800’s renovated<br />
barn in Sparks she shares with her husband,<br />
<strong>Hopkins</strong> cardiologist and professor<br />
of medicine Thomas Traill, and their<br />
stately 1920s home in Washington, D.C.,<br />
where Jamison spends most of her time<br />
immersed in the life of Lowell, who is the<br />
subject of her next book.<br />
“He’s someone I read after my<br />
first breakdown when I was 17,” says<br />
Jamison, who obtained access to Lowell’s<br />
hospital records to write her book.<br />
“He has just stuck with me. I am writing<br />
about him because I admire him as an<br />
artist and a great, great original poet.<br />
He was hospitalized 20 times for mania,<br />
but he had depressions after each one<br />
of them. He was a remarkable man; a<br />
remarkable human being.”<br />
Jamison’s husband can’t help but to<br />
gush a bit when he discusses his wife’s<br />
work. “She’s a major-league scientist,”<br />
weighs in Traill, who laughs that their<br />
obvious mutual affection for each other<br />
can be “nauseating.” “You have to set<br />
that against the fact that not only is<br />
she someone who wrote a memoir, but<br />
106 baltimoremagazine.net | MAY 2013 PHOTOGRAPHY BY DAVID COLWELL<br />
MAY 2013 | baltimoremagazine.net 107
HEALTH<br />
she’s also passionate about language and<br />
writing. These books come from a prodigious<br />
love of words and literature and<br />
serious, worked-over writing.”<br />
Given her long list of accolades, it would<br />
be easy to assume that Jamison’s disease has<br />
scarcely hindered her. But Jamison’s accomplishments—from<br />
earning the MacArthur<br />
Award to an honorary degree from Brown<br />
University to being named Time magazine’s<br />
“Hero of Medicine” in 1997—are not the<br />
whole story, she is quick to point out.<br />
“My life isn’t my C.V.,” says Jamison. “My<br />
professional accomplishments mean a huge<br />
amount to me, but it’s scarcely the only thing<br />
in my life. There are years lost to pain. When<br />
I would stop my medication, I would stop living.<br />
I would get manic and then depressed—I<br />
wouldn’t wish a day of that on anyone.”<br />
As the youngest child of three, Jamison spent<br />
most of her formative years around Andrews<br />
Air Force Base in Washington, D.C.,<br />
where her father, Marshall, was a meteo-<br />
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rologist and pilot. “I had a great childhood,”<br />
she says. “I couldn’t have been any happier.<br />
My father was in love with life and with<br />
ideas. My mother was the best mother—if<br />
you had to put together a mother, you<br />
would say, ‘This was God on a good day.’”<br />
Early on, a young Kay showed a passion<br />
for science, receiving her first copy of Gray’s<br />
Anatomy at 12 and touring St. Elizabeth’s,<br />
the federal psychiatric hospital, when she<br />
was 15. (“I found it fascinating and horrifying,”<br />
she recalls.) “I knew I wanted a life in<br />
science because the questions were always<br />
interesting to me.”<br />
By age 17, while a senior in high school,<br />
Jamison experienced her first manic-depressive<br />
episode. “I wasn’t sleeping very<br />
much,” she recalls. “I was full of what I<br />
thought were fabulous ideas, which, in fact,<br />
were pretty terrible ones and, at the time, as<br />
with a lot of people who get manic, I didn’t<br />
see it as anything strange—it was pretty<br />
much an extension of my natural personality.<br />
Life was just too wonderful.”<br />
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-Baltimore magazine,<br />
2010, 2011<br />
& 2012<br />
Until it wasn’t. “At some point, I<br />
crashed,” she says. “I could scarcely get out<br />
of bed. I had never thought about suicide<br />
in my life, and I started thinking about<br />
ways to kill myself.”<br />
In the ensuing decade, Jamison managed<br />
to convince herself that her violent mood<br />
swings were merely an extension of her passionate<br />
personality. It wasn’t until Jamison<br />
was already an assistant professor of psychiatry<br />
at UCLA in 1974, a full decade later, that<br />
it became clear to her that she needed help.<br />
“I was full of what<br />
I thought were fabulous<br />
ideas, which,<br />
in fact, were pretty<br />
terrible ones.”<br />
“I [had gone] floridly, psychotically manic,”<br />
recalls Jamison who, among other things,<br />
went on a wild shopping spree at the height<br />
of her mania and purchased a stuffed fox<br />
from a taxidermist in Virginia. “Buying that<br />
fox was absolutely characteristic of being<br />
manic. I knew I needed it; I couldn’t wait,<br />
and it took on a cosmic significance for me.”<br />
By the time the fox arrived at her office,<br />
Jamison had long forgotten about her<br />
purchase. “I was sitting in my clinic one<br />
day, and there were lots of patients in the<br />
waiting room, and one of the secretaries<br />
said, ‘Dr. Jamison, there’s a big shipping<br />
crate out here,’ and it was this fox, which I<br />
had somehow felt the need to fly first class.<br />
It was just completely ridiculous,” she says,<br />
now able to laugh at the memory.<br />
She began treatment with “a tremendously<br />
good psychiatrist,” she says. But even with<br />
excellent care, Jamison attempted suicide in<br />
1976 after going off of her lithium, a mood<br />
stabilizer often used to control mania. “I<br />
think about it all the time,” she says quietly. “I<br />
think about the people who haven’t survived.”<br />
Having been to the brink and back, these<br />
days, she has made it her mission to advocate<br />
and educate, particularly on college campuses<br />
across the country.<br />
“The major age of onset for mood<br />
disorders is late teens, early 20s,” says<br />
Jamison, who also sits on the advisory<br />
board of the National Network of<br />
Depression Centers, a mental-health<br />
network working to transform the field<br />
of depressive illness and related mood<br />
disorders. “It’s a hard disease, but it’s<br />
a common disease. People consistently<br />
underestimate how serious these illnesses<br />
are. They also don’t understand<br />
how treatable they are.”<br />
While Jamison chose to come clean,<br />
she advises others to think it through<br />
before coming forward. “You don’t know<br />
what the consequences are going to be,”<br />
she says. “In many instances, people find<br />
it has a freeing effect, but you don’t know<br />
how people are going to take it. I’ve had<br />
incredible support from my colleagues<br />
and friends, but there were also people<br />
who have said wicked things—there’s<br />
a lot of animosity out there. It’s not<br />
simple; it’s not straightforward.”<br />
And yet, thanks to her breaking the<br />
silence, she is widely credited with helping<br />
to lift the stigma often associated<br />
with mental illness. “That she has been<br />
so accomplished has got to challenge<br />
people’s assumptions about bipolar disorder,”<br />
says Karen Swartz.<br />
Despite her severe illness, Jamison<br />
is undaunted. “I’ve had a great life and<br />
would have no cause to complain at all,”<br />
says Jamison. “One of the things my<br />
mother believed is that you absolutely<br />
have to play the hand you’ve been dealt<br />
and not sit around wishing your cards<br />
were different. In life, you are dealt high<br />
cards and low cards, but it’s really about<br />
how you put them on the table and use<br />
them to help other people.”<br />
JANE MARION is a senior contributing<br />
writer for Baltimore.<br />
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