Get ready for Season 4 of Look Again: Mental Illness Re-Examined. This season, we're diving deep into the 'big questions' that families can face during different stages of the mental illness journey. From recognizing initial symptoms to the pursuit of a diagnosis, navigating the complexities of symptoms to the search for effective treatment, and addressing the daunting task of dealing with serious mental illness. 

Host Faydra Aldridge, CEO of the BC Schizophrenia Society (BCSS) along with co-host Melissa McKenna, Marketing and Communications Manager at BCSS, bring you personal stories of individuals living ‘close’ to schizophrenia or other serious mental illnesses—providing a unique and personal perspective. That's not all – we talk to experienced researchers and medical professionals across the globe who will shed light on the latest developments in the field. 

As we unravel these narratives, we'll start to see how they're intertwined with broader questions about the social impact of mental illness and the role it plays in all our lives. The journey begins in the New Year on January 3rd. We invite you to join us. Stay tuned and hit subscribe so you don't miss an episode!

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Does a person's race affect the treatment they may receive for a serious and chronic mental illness? As we have heard through our discussions with experts, people living with schizophrenia, and family members—conscious and unconscious biases can play a huge role in how a person is treated within the health care system. Multiple studies and reports have also illustrated that systemic racism influences access to, and the experience of, mental health care for racialized Canadians. The treatment of serious mental illness for racialized Canadians is a huge topic—not something that can be covered in only one episode—but we’re going to start the conversation today with Dr. Amy Gajaria, a clinician and Associate Director, Equity, Diversity, and Inclusion for the Department of Psychiatry at the University of Toronto.

Resources:
Dr. Amy Gajaria - Bio
What’s race got to do with it? A proposed framework to address racism’s impacts on child and adolescent mental health in Canada

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Like any prescription medication, Abilify, Risperdal, Clozapine, and other anti-psychotics have side effects. And like any medication, they are prescribed to help a person manage an illness. Anti-psychotics can help with a number of different illnesses, but often used to help manage a person's symptoms of schizophrenia, including paranoia, delusions and hallucinations. However, there’s a movement that wants to shift mainstream thinking away from using medication to manage the symptoms of a serious mental illness. It's encouraging people to accept and live with the symptoms of serious mental illness, symptoms like voices, hallucinations, and other symptoms. It’s a controversial topic and we’ve brought back a familiar voice from our first season – Dr. Diane McIntosh, Psychiatrist and Clinical Assistant Professor at the University of British Columbia. In this episode, we talk about the use of medications in treating serious mental illnesses like schizophrenia.

Resources:
Dr. Diane McIntosh - Bio
Blindsided - Dr. Diane McIntosh's podcast
Antipsychotic Selection Is Important for Reduced Nonadherence in Schizophrenia
Look Again Season 1, Episode 5: The Truth Behind Psychiatric Medication
Anti-Psychotic Medication - CAMH

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Television and film like to portray people with schizophrenia as young, white men. And yet, in real life, schizophrenia is not as seen on TV — especially for women. Scientists are now seeing how illnesses like schizophrenia can impact men and women differently, which means more research needs to be done around women and serious mental illnesses. Does this affect women getting an accurate diagnosis or accessing care? And what additional stigma or discrimination might a woman experience?

We will cover all of these questions and more with this episode's guest, Dr. Araba Chintoh, associate professor in the University of Toronto's psychiatry department and a Clinician Scientist at the Campbell Family Mental Health Research Institute in the Schizophrenia Division at the Centre for Addiction and Mental Health (CAMH). She's a researcher and clinician committed to exploring the knowledge gaps around treatment resistant schizophrenia, and assessing the differences in the diagnosis, prognosis, adherence, and treatment of psychosis and serious mental illness for women.

Resources:
Dr. Araba Chintoh's bio
Why is schizophrenia different in women - Discover Magazine
Women and psychosis - CAMH

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It’s not easy to talk about the effect schizophrenia can have on one’s family members, especially a sibling. It can have a significant emotional, psychological, and physical impact on loved ones, as they balance their love for their family member and the sharme around this disease. In this episode, we have a very honest, frank, and vulnerable conversation with Yusuf Faqiri about his brother Soleiman who lived with schizophrenia until 2016, when he died in an Ontario jail. Yusuf shares his own journey coming to terms with his brother's schizophrenia, the important role his mother played in their family, and how leading with compassion can show us that people are more than their illness.

Resources:
Family Support Groups- BC Schizophrenia Society
Sibling Support Group - BC Schizophrenia Society
Yusuf Faqiri - Twitter
Yusuf Faqiri Op-ed - The Globe and Mail
Family Toolkit - HeretoHelp
The Story of a Family Forever Changed
A Brother's View - Rethink Mental Illness

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If you’re the child of a parent who lives with mental illness, you can be faced with a lot of tough challenges. You may feel overwhelmed, sad, scared or even angry. You may resent your parent for not being like the other parents. Or you could also wind up as a caregiver and try to fix everything. In her lifetime, Dr. Grace Cho, author of her memoir Tastes Like War, says she has had three mothers. The mother of her childhood, before schizophrenia. The mother of her adolescence, a woman who is visibly deteriorating mentally. And the mother now, a woman trapped by schizophrenia and the voices and delusions that it brings. In this episode, Dr. Cho reflects on her journey from teenager to adulthood and how her mother’s schizophrenia shaped the direction of her life and her work. She talks about the social factors that left her mother feeling vulnerable and the stigma that prevented her from getting treatment. And how she found a way to build a loving relationship and connect with her mother.

Resources:
Grace Cho's Book: Tastes Like War
KIC Children's Booklet
Kelty Mental Health Resource Centre
Supporting Children of Parents with Mental Illness in the Classroom (Heretohelp)

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While there's no way to predict whether a person with a mental illness will become violent, there's still a common understanding that those diagnosed with a serious mental illness, such as schizophrenia, are unpredictably aggressive. This can be seen in how people living with mental illness, substance use, and violence are portrayed through the news, TV, or movies. But these misconceptions can fuel the stigma towards people living with severe and persistent mental illness. How do we address the role that violence plays in the lives of people living with a mental illness and everybody else around them? In this episode, we speak with Dr. Rakesh Lamba, who is the medical director with BC Mental Health and Substance Use Services, a clinical assistant professor of psychiatry at the University of British Columbia, and someone with a wealth of experience conducting risk assessments with Correctional Services Canada and the Parole Board of Canada.

Resources:

Schizophrenia - Warning Signs of Voilence
Dr. Rakesh Lamba’s bio
PHSA Forensic Psychiatric Services 

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It is not an easy decision to call the police or an ambulance to take a loved one to a psychiatric facility - all in the hopes that they get the treatment they need and deserve. But sometimes people with an untreated mental illness lose insight into the fact they are ill and will not accept voluntary treatment, even when their illness may be causing harm to themselves or others. The BC Mental Health Act allows people experiencing a serious mental health crisis to get help through involuntary treatment. But what's the impact of that decision on a family member? And what happens to someone once they are admitted to a psychiatric facility? In this episode, you'll meet a mother whose daughter  was diagnosed with schizophrenia at 18 and is now 22. In these few years, her daughter has been involuntarily detained under the BC Mental Health Act many times. This is a mother's journey through the twists and turns of her daughter's mental illness and the role involuntary treatment has played in keeping her daughter alive.

Resources:
BC Mental Health Act in Plain Language
What does it mean to be certified - Here2help
Demystifying the Mental Health Act - Webinar by BCMHSUS

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In its third season "Look Again: Mental Illness Re-examined" wades into some controversial territory. Launching Oct. 12th, join us every two weeks as we dive into some hot topics -- involuntary treatment, the consequences of refusing medication, how race and gender impacts diagnosis and treatment, just to name a few. Host Faydra Aldridge, CEO of the BC Schizophrenia Society (BCSS), challenges you to "look again" and reconsider your beliefs, perceptions and understanding of serious mental illnesses such as Schizophrenia. Expect candid conversations with people living with mental illness and leading experts about the harmful stigma that is still attached to mental illness. No topic is off-limits this season. This podcast is for anyone who wants to keep these discussions alive, and shining a light on how we are all touched by the effects of mental illness—whether we know it or not.

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Most people have seen movies or TV shows that have used schizophrenia as part of their story. But how often do we stop to think about what those representations actually mean or look like? Do they portray the experience of people living with schizophrenia accurately? As studies have shown, schizophrenia is one of the conditions that the general public views most negatively and generates a lot of stigma. Societal stigma is one aspect, but for those living with serious mental illnesses like schizophrenia, there's an additional challenge of managing their own internalized stigma when it comes to being diagnosed with schizophrenia. However, there are people living with schizophrenia who are trying to change that. One of those people is Adria Roberts, who works as a mental health peer support worker. It's a job she says gave her hope and helped her regain her life after her diagnosis. In this episode, she shares how she came to terms with her diagnosis.

Resources:

• Lost in Reality: Hearing Voices - Adria Roberts' TEDxChilliwack Talk
• Read: Into the Eye of the Storm - The Chilliwack Times (pp: 1, 23)
• Follow Adria on Twitter: @adria_the
• Watch Adria on CBC's 'You Can’t Ask That' – S2E4: Schizophrenia

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