1

CUMBERLAND and

PERRY COUNTIES, PA NEWS

P. 1 - Information about NAMI Convention

P. 2 - Program schedules; Member-ship solicitation; and Board Roster

P. 3 - Article by Dr. E. Fuller Torrey regarding MH hope; Info about NAMI Keystone inaugural con-ference

P. 4 - Mental Illness Awareness Month Activities; NAMI Con-vention speakers ; directions to STAR; Notice of OCD sup-port meeting

P. 5 - Family Survival Guide P. 6 - Need for Better Primary Care P.7- Understanding the Spectrum

of Bipolar Disorder

March 16th-Support Mtg in Carlisle

March 20th-Support Mtg in Hsbg

April 6th-Support Mtg on West

Shore

April 17th-Support Mtg in Hsbg

April 20th-Speaker at St. Paul’s in

Carlisle

April 20th-Support mtg in Carlisle

May 1st-MH Awareness Walk

MARCH MEETING

NAMI PA of CUMBERLAND and PERRY COUNTIES

THURSDAY, MARCH 16, 2017 at S.T.A.R.

253 Penrose Place, Carlisle, Pa. [See page 4 for directions]

7:00 —8:30 Support Meeting

P.O. Box 527 Carlisle, PA 17013

http://www.namipacp.org

namipacp.info@gmail.com

Message line number:

240-8715

Many who are newly in crisis due to a loved one with the onset of a serious mental illness are comforted to find a support group where they can talk to a dozen or so other individu-als who have dealt with the same or a similar problem. It is very helpful to realize that you are not alone in such matters.

If you believe it is comforting to be with a dozen of others giving support, imagine the com-fort you will receive to be among approximately 4,000 others gathering for support and edu-cation. Also, imagine how helpful it is to receive information from national experts including renowned psychiatrists on the issues that are now relevant.

This is what you will find at the Annual Convention of NAMI. This convention comes back to Washington D. C. every four years, and we live close enough to take advantage when it is in D.C. D.C. is an easy drive of only slightly more than 2 hours [approximately 110 miles].

NAMI C/P of PA is offering five scholarships with a value of $350 each to facilitate attend-ance. The scholarships will be awarded on a first requested, first awarded basis. If you need a scholarship to attend [this is your own call] and you want the scholarship you should send a written request to NAMI PA C/P, PO Box 527, Carlisle, PA 17013. Indicate your name, address, phone number, and email address if you have one. Scholarships are only available to mem-bers of NAMI. If you are uncertain about your membership you can check at the NAMI web-site at www.nami.org. You can also send in a membership form with dues just to be safe. Requests must be mailed by April 30th.

Do not miss this opportunity to get valuable support and education.

Duplication and distribution of this Newsletter is made possible by the MH/IDD Board of Cumberland/Perry Counties

Inside this issue: PLAN NOW TO ATTEND THE NAMI ANNUAL CONVENTION IN D.C.

Scholarships are available

NAMI is the largest nationwide, grassroots membership organization devoted to improving the lives of those affected, directly and indirectly, by serious mental illness. NAMI is comprised of family members, friends and consumers.

Volume XX, Issue 3 March 2017

Calendar:

Contact Us:

2

NAMI Pa. Cumberland/

Perry Counties

P.O. Box 527

Carlisle, PA 17013

http://www.namipacp.org

Message line number:

240-8715

Officers:

President:

Kathleen Zwierzyna 717-877-7214

namipacp.info@gmail.com

Vice President:

Thom Fager

Treasurer: Stephen

Zwierzyna

Secretary: Maureen

Baumgartner

Board of Directors:

Laryssa Gaughen

Sarah Roley

Dolores Stevens

Tonia Milliken

Publisher:

NAMI Pa. Cumberland/ Perry

Counties

Editor: Taylor P. Andrews

243-0123 or 243-1645

March 2017 Vol. XX No. 2

What: Support Group Meeting When: Meets 3rd Thursday of each month Location: STAR (253 Penrose Place Carlisle, PA 17013) Time: 7:00 pm up to 8:30 pm there will occasionally be an edu-

cational program. When there is an education program it shall run from 7:00 PM until 7:50 PM, and the support meeting shall follow at 8:00 until 9:00 PM

March 16,

2017

7:00 up to 8:30 PM—Support Meeting

WEST SHORE SUPPORT GROUP

Meets at 6:30 PM on the 1st Thursday of each month at St. Timothy’s Lutheran

Church, 4200 Carlisle Pike, Camp Hill, PA. There may be an education program 1x

per quarter. Call Hazel at 737-8864 for information.

April 6, 2017

6:30 to 8:00 PM—Support Meeting

support

DAUPHIN COUNTY SUPPORT GROUP [Assoc with NAMI PA Dauphin County]

Meets at 7:00 on the 3rd Monday of each month at the Epiphany Lutheran Church

at 1100 Colonial Rd., Harrisburg, PA. Contact Marge Chapman at 574-0055 for more

information.

March 20,

2017

6:30 to 8:00 PM—Support Meeting

$35.00 For an individual

Membership includes membership in NAMI [national] and NAMI PA, and Subscriptions to The Advocate,

The Alliance, and NAMI PA C/P News.

$35.00 For a Family

Same price as an individual. A family consists of two people living at the same address. A family has one

vote, and will receive one copy of subscriptions.

$3 - $35.00 For “Open Door” membership

Anybody can opt to join as an open door member. Dues are any amount that can be afforded. This

option is available so that membership is not denied due to financial hardship. Open door members are

regular members with all the privileges and powers of membership including all subscriptions.

$50.00 For Professional Membership

A Professional member shows support for the mission and goals of the organization. Upon request, NAMI

PA C/P will provide multiple copies of our newsletter for the waiting room of Professional Members.

Make Payment to: NAMI PA C/P

Send Payment to: NAMI PA C/P , Box 527, Carlisle, Pa 17013

JOIN NOW TO BECOME PART OF THE NAMI FAMILY

Memberships submitted now will extend for a year

3

A RAY OF HOPE FOR MENTAL HEALTH By Dr. E. Fuller Torrey and John Snook

Published in National Review February 14, 2017

Yes, President Trump is shaking up Washington, but some things definitely need to be shaken up. Exhibit A is the nation’s mental-health services — or lack of same. As if we needed an-other reminder, when a man with a gun walks into an FBI office hearing voices and complaining that the CIA is pushing him to become a member of al-Qaeda, he is asking to be treated for his psychosis. Instead, he was given some anti-anxiety medica-tion, released after three days, and given back his gun, which he then took to Ft. Lauderdale. Alaska or Arizona, Colorado or Connecticut — it is the same story, year after year, differing only slightly in detail and diagnosis. But the outcome is the same: innocent people needlessly killed and injured. On the horizon of this bleak landscape, a light recently appeared.

Within the 21st Century Cure Act, passed by Congress in an unusually bipartisan fashion in December, is a provision for an assistant secretary of mental health and substance abuse. This new position will have authority to coordinate efforts by the dozens of federal agencies that have mental-health programs. Equally important, the person will also have authority to re-form the dysfunctional Substance Abuse and Mental Health Services Administration (SAMHSA), the $3.5 billion federal agency that is officially charged with reducing “the impact of substance abuse and mental illness on America’s communi-ties.” Thus, it is critical that Representative Tom Price (R., Ga.), now confirmed as secretary of the Department of Health and Human Services, select as assistant secretary a mental-health professional who is strong, clinically and administratively expe-rienced, and unafraid to rattle federal cages. Changing the di-rection of an aircraft carrier is simple compared with changing the direction of a federal agency.

What might we expect from successful leadership by an assis-tant secretary? We should expect improvement in the many measures of a failing mental-illness-treatment system that were brought to light by congressional hearings held by Repre-sentative Tim Murphy (R., Pa.), the author of the original legis-lation that proposed the creation of an assistant-secretary po-sition. These measures include homicides by people with un-treated serious mental illness, suicides, homelessness, increas-ing numbers of mentally ill individuals in jails and prisons, in-creasing numbers sitting for days in emergency rooms waiting for psychiatric beds, and increasing encounters between men-tally ill individuals and law-enforcement officials.

Since SAMHSA came into being in 1992, the nation is signifi-cantly worse off on every one of these measures. We should also expect the many federal agencies that have mental-health programs to speak to one another and meet regularly, which has not happened for years. Medicaid, Medicare, Social Securi-ty, and the Veterans Administration, for example, all spend huge amounts on mental-health care, but there is virtually no coordination among them or with SAMHSA’s mental-health

block grant to the states. Since the states have the ulti-mate responsibility for delivering the services, there must also be coordinated, federally funded demonstration pro-jects and data collec-tion to identify the programs that are most effective in stabilizing and providing rehabilitation and recovery for mentally ill individuals. The fund-ing of assisted outpatient treatment (AOT) programs under the recent legislation is a step in this direction. Finally, we should expect better leadership within the federal agency that is sup-posed to be coordinating mental-health initiatives. Remarkably, among its 553 employees, SAMHSA has gone for months at a time without employing a single psychiatrist. Under previous SAMHSA leadership, the psychiatrist regularly called upon to represent the agency at public hearings, for example, denied that schizophrenia is a disease of the brain, calling it instead, “severe emotional distress,” “a spiritual experience,” and “a creative experience for growth development.” Indeed, SAMHSA’s previous chief medical officer, who resigned in 2015 in disgust, publicly claimed that some SAMSHA staff question “whether mental disorders even exist.”

All Americans are losers for having this lack of federal leader-ship, but the biggest losers are the people with serious mental illness and their families. The new assistant secretary, for the first time in many years, provides a ray of hope.

— E. Fuller Torrey, M.D., is the author of American Psychosis and the founder of the Treatment Advocacy Center. John D. Snook is the executive director of the Treatment Advocacy Cen-ter.

COME TO HEAR

DR. KIM WEIKEL OF SHIPPENSBURG UNIVERSITY

TALK ABOUT FAMILY FRUSTRATIONS

ST. PAUL’S EVANGELICAL LUTHERAN CHURCH 201 W. LOUTHER ST., CARLISLE, PA

THURSDAY, APRIL 20TH

7 PM TO 9 PM ADMISSION IS FREE

4

WATCH FOR THESE ACTIVITIES FOR

MENTAL ILLNESS AWARENESS MONTH

Cumberland/Perry Community Support Program is pleased to announce the activities that are planned for this year's recogni-tion of Mental Health Awareness Month. Mental Health Awareness Month will kick-off with our 11th Annual Mental Health Awareness Walk on Monday, May 1, 2017 beginning at 10:00 AM at Letort Park, with a rally at the Old Courthouse Steps at 11:00, and lunch back at the park at noon. This year's theme is Let's Walk Through This Together! New this year, we are asking that everyone invite at least one person to attend this year's Mental Health Awareness Walk. To make it easier to invite people we are creating a limited num-ber of invitation business cards with the information about this year's walk. View and Share the Facebook Event at https://www.facebook.com/events/1813860225530069/ This year's Dauphin/Cumberland/Perry CSP Conference will be held on Monday, May 15th, 2017 at the Red Lion Hotel, 4751 Lindle Road, Harrisburg; from 9:00 AM to 3:30 PM. Pre-registration is required. This year's theme is Understand Us: We Are More Than Our Challenges. View and Share the Facebook Event at https://www.facebook.com/events/1761448327508555/ Our third event for this year's Mental Health Awareness Month is our Wellness Fair which will be held on Friday, May 19, 2017 from 10:00 AM to 2:00 PM at Stuart Community Center, 415 Franklin Street, Carlisle. If you know a business or organization that focuses on enhancing minds, bodies or spirits in Cumber-land and Perry County, contact us so that we can invite them to participate in the Wellness Fair. View and Share the Facebook Event at https://www.facebook.com/events/234261666983368/ Cumberland/Perry Community Support Program 134 N Hanover St Carlisle, PA 17013 (717)254-6060 cspcp@cspcp.org<mailto:cspcp@cspcp.org> http://www.cspcp.org/ Joseph Alex Martin, Chairperson Karen Sunday, Secretary

DIRECTIONS TO S.T.A.R.

From I-81:

Take Hanover St. Exit and turn towards town, [Rt. 34 North]:

At the major intersection at Noble Blvd, turn left on Noble

Blvd.

Proceed straight ahead at the first Stop sign at West St.;

Turn right after the gas station on Penrose Pl.;

The Penrose Plaza is immediately on your left;

STAR is the last store front on the right end of the

Plaza. From Downtown Carlisle:

Take Hanover St. out of town [Rt. 34 South].

At the major intersection at Noble Blvd, turn right on Noble

Blvd.

Proceed straight ahead at the first Stop sign at West St.

Turn right after the gas station on your right;

The Penrose Plaza is immediately on your left;

STAR is the last store front on the right end of the Plaza.

OCD SUPPORT GROUP

ENCOURAGING, INFORMATIVE, MEETINGS FOR PERSONS WITH OCD AND THEIR FAMILIES AND FRIENDS

Third Monday of each month - 6:30 p.m. ‘til 8:00 p.m.

Trinity Evangelical Lutheran Church, 2000 Chestnut St., Camp Hill, PA 17011

PROFESSIONALLY FACILITATED - FREE OF CHARGE

(this is not a NAMI group)

ANNOUNCING THE FIRST-EVER NAMI KEYSTONE PENNSYLVANIA

MENTAL HEALTH AND WELLNESS CONFERENCE

WORKING TOGETHER TO BUILD A BETTER FUTURE!

REGISTRATION IS NOW OPEN! REGISTER NOW AT http://www.namiswpa.org

FOR THE EARLY BIRD RATE.

NAMI Affiliates and Stakeholders will gather in Harrisburg, for this two-day inaugural event. Together we will focus on connec-tion, collaboration, and community so we can envision a better Pennsylvania for those affected by mental illness and their fami-lies.

Individuals living with mental illness and family members; edu-cators, students and other young adults; mental health profes-sionals; local community leaders; and regional, county and state government leaders are all welcome.

Join us May 12-13, 2017 at the Best Western Premier Hotel and Conference Center in Harrisburg, Pennsylvania! A special meeting and reception will take place the evening of May 11 for Affiliate Leaders from across the state.

Sponsorship Opportunities Available

5

FAMILY SURVIVAL GUIDE By Chris Aiken, M.D. | Feb. 06, 2017 From www.nami.org

“You seem like you’re walking on eggshells,” our family thera-pist told me with a wise nod. The image of cracked eggs under my bare feet was strangely comforting compared to what our family was really going through. We were living with mental illness, specifically bipolar disorder.

Psychiatrists don’t know enough about how to help families in this situation. I should know—I’m a psychiatrist myself. When mental illness hit my home, I read everything I could. With some trial and (a lot of) error, I found a few principles worth leaning on when someone in your family has a mental illness:

Body Language

There’s a paradox to mood disorders, like bipolar. They make the family anxious, and they make the patient misread that anxiety as anger. This is no one’s fault—it’s due to a faulty switch in the part of the brain that reads faces (the amygdala). The raised eyebrows, tense muscles and pitched voice of anxie-ty feel like an attack to someone going through mania or de-pression.

In contrast, body language that conveys warmth, acceptance and compassion has a healing effect on the brain. Calming in-teractions help stabilize the neurohormones that regulate mood. Families that make frequent empathic comments have higher recovery rates in bipolar. These can include simple em-pathic statements like, “I see your point” or “I know what you mean,” as well as more specific ones like “It must be hard to go through the motions each day when you’re depressed.”

These gentler emotions are hard to come by during a crisis, so if you’re not feeling it you may need to practice acting the op-posite of your emotions. Visualization can help. Just as an ath-lete imagines the ball going through the goal, picture someone who exudes warmth and calm. A favorite uncle, a minister or an actor like Judd Hirsch or Fred Rogers. You may feel like an actor yourself at first. As they say – “fake it ‘til you make it.”

Nothing’s Wrong, Don’t Fix It

Mental illness doesn’t respond well to ordinary problem-solving. In fact, looking for problems to solve can make the situation worse. Families have much greater success when they give up all that poking and prodding. Look for the positive in your relative—like the progress they’ve made. Notice how they came to dinner, instead of reminding them that they stayed in bed all day. It helps to know the signs/symptoms of mental illness, but it doesn’t help to point them out. Notice the healthy parts of your relative, because what you shine a light on is what will grow.

Of course, you’ll still need to discuss problems, but reserve those for a regular, scheduled family meeting. Without this kind of structure, people can feel as though they are never safe from criticism and attack. During your meeting, use a neutral,

“just-the-facts” tone. Avoid discussing peo-ple’s intentions or how the illness affects you personally—those are hot-buttons that can quickly spiral into con-flict when you’re living with a mood disorder.

Don't Aim for Perfection—Just Improvement

If this advice sounds hard to follow, it’s not. It’s impossible. No one can get it right all the time. Fortunately, it’s usually good enough just to adjust your ratio: Raise the warmth and positivi-ty, and decrease the anger, criticism and tension. When you can’t do that, insert a long pause by going into separate rooms. Make an agreement with your relative to stay apart if either of you get too hot-headed. Decide on a signal for this time-out, like hanging a scarf on the doorknob.

Know Your Limits

The message here is not to just accept everything, rather, it’s that words alone won’t solve your problems. Families need to plan ahead for dangerous or destructive behavior. This involves action, not words. Your relative experiencing mental illness should have a strong voice in the plan. Problems to anticipate include violence, suicidal behavior, substance abuse, overspend-ing and fights that impact children in the home. Hospitalization is not the only solution. Consider temporarily living apart, lock-ing away guns or extra medication and allowing family members to contact the treatment team or come to an appointment.

These tips are unlikely to lead to dramatic cures, but they do improve the lives of people experiencing bipolar, depression, and schizophrenia. It’s a short list, and Dr. Jim Phelps and I have gathered a few more in our book, Bipolar, Not So Much.

The hard part is sticking to the basics, because grander problem-solving tends to backfire. Recovery is often slow, and it takes patience and some bravery to make it through. The world may accuse you of enabling the illness—and your relative may not thank you either—but you are doing what’s best for your loved one. And don’t forget to reward yourself along the way—you’ll need a healthy dose of warmth and positivity as well.

Chris Aiken, MD, is a psychiatrist and co-author of “Bipolar, Not So Much” (WW Norton, 2017). His work focuses on natural and lifestyle methods that enhance recovery from depression and bipolar. As a psychiatrist, he founded the Mood Treatment Cen-ter and serves as an instructor at the Wake Forest University School of Medicine

6

BETTER PRIMARY CARE TREATMENT NEEDED FOR BIPOLAR DISORDER

The average time between the onset of bipolar disorder (BP) symptoms and diagnosis is six to eight years in the United States. For a chronic disease that is treatable but not curable, this delay deprives patients of medical interventions that could reduce their psychiatric symptoms and the consequences that often ensue when symptoms go untreated. Faster detection ultimately could improve long-term outcomes.

"Bipolar disorder remains a leading cause of disability in the United States," Joseph M. Cerimele and colleagues write in a new paper in Psychiatric Services. "A significant need exists to improve the health of the population - or entire group - of indi-viduals with bipolar disorder." In "Bipolar disorder and popula-tion health," the authors argue for improving BP treatment in primary care settings as one approach.

Better Treatment for Bipolar

At least nine out of 10 individuals with BP receive treatment for the disorder at some point in their lifetimes, and about two-thirds have a lifetime experience of seeing a psychiatrist. But most BP patients are not seen by a psychiatrist in any given year, and large numbers are treated by primary care physi-cians, where "few receive effective medication treatment," according to the authors.

"These patients have high symptom severity and functional impairment but are less likely to receive mood-stabilizing med-ications," the authors report. "Not receiving effective medica-tion treatment is a significant problem, because individuals with bipolar disorder often experience chronic but treatable symptoms." For individuals with bipolar disorder who do not receive treatment or receive ineffective medication treatment, "opportunities may have been missed for adjusting or intensi-fying treatment to manage recurrent or chronic symptoms."

One approach for improving this situation, the authors con-clude, is improving the quality and intensity of mental health care in the general medical setting, where there are "numerous barriers that prevent primary care clinicians from prescribing mood-stabilizing medications." Removing those barriers requires equipping general medical physicians with screening tools to make accurate diagnosis in general medical settings and providing increased professional support so they

can confidently prescribe mood-stabilizing medi-cations and psy-chotherapies.

Collaborative Models

"The collabora-tive care approach, originally developed for treating patients with depression in primary care, may need to be strengthened or adapted for treating patients with bipolar disorder," the au-thors write. "Strategies such as telehealth or enhanced collabo-rative care that also addresses psychosocial needs may be need-ed to effectively treat patients with bipolar disorder seeking treatment in primary care."

Psychiatrists could either collaborate as consultants, weighing in expertly in the initial states of treatment, or by directly manag-ing medication aspects of treatment, perhaps via telemedicine, Cereimele and colleagues concluded.

With a severe shortage of psychiatrists in the United States and

more than half of US counties without a single mental health

professional within their limits, reliance on primary care and

other general practitioners for diagnosis and treatment of bipo-

lar and other psychiatric disorders is inevitable, making the

quest for improved care outside of psychiatry urgent.

References:

Cerimele, J.M. et al. (February 2017). Bipolar disorder and population health. Psychiatric Services

Doris A. Fuller

Chief of Research and Public Affairs

7

UNDERSTANDING THE SPECTRUM OF BIPOLAR DISORDER By Cheryl Cranick | Feb. 01, 2017 From www.nami.org

We do a great disser-vice to peo-ple diag-nosed with bipolar disor-der by ignor-ing the con-dition’s types. Too often I see "bipolar dis-order" used alone, yet the illness actually exists on a spectrum.

For most of my teenage years, I struggled with sadness, lack of energy, rapid mood cycles and suicidal thoughts without know-ing the cause of the symptoms. By age 16, I had been diag-nosed with OCD and depression, but treatment wasn’t helping.

At age 20, my mother found a home screening test to deter-mine if my depression might actually be bipolar disorder. When the results placed me on the spectrum, I was deeply confused. Based on my understanding of the disorder, its symptoms did not match what I experienced. My dominant symptom was depression, and I never reached mania.

After receiving a formal diagnosis from a mental health profes-sional, I began to better understand how I could have bipolar disorder without the "typical" symptoms I had heard so often. My condition is bipolar II disorder—I just didn’t know there was more than one type.

This was back in the early 2000s, when talking about mental health was still rather hushed. While, we know more now, and we talk more about mental illness, it still seems the bipolar disorder types are often left out.

Why the Details Matter

Beyond the occasional reference to Types I and II, bipolar disor-der is usually grouped as one condition. Ignoring the spectrum prevents the public from better understanding the complexity of this illness, and what’s worse is the prevalence of misdiagno-sis. Studies have found 40% of patients with bipolar disorder were initially diagnosed with unipolar (major depression). This does not surprise me. With bipolar II disorder specifically, de-pression is usually the most common or stronger symptom of the high/low mood scale, whereas manic symptoms may go unreported to a doctor because the elevated (or increased) mood is not severe enough to affect the person's life.

Understanding the Spectrum

For those who don't know the difference—or want to easily explain the difference to others—I often hold up my two hands. One hand is unipolar (depression). The other hand is bipolar I (manic depression). What exists in the middle is the

bipolar II spectrum. Unfortunately, the spectrum is wide and unique to each person.

You can also think of the bipolar spectrum as a hill, with unipo-lar (depression) at the bottom and bipolar (manic depression) at the top. The space between the upward curve is the spectrum and each person with bipolar II disorder exists somewhere along it. The closer a person’s symptoms are to one end, the more likely that person is to receive a diagnosis of major depression or manic depression.

With bipolar I, the mania is usually quite clear. In bipolar II, the mania is "milder." Depression is usually present in both, and may be more severe and prevalent in bipolar II. However, these conditions rarely feature across-the-board symptoms for every-one. It's the cluster of symptoms that need to match up for a diagnosis.

I am somewhere in the middle. My lows are low and have reached suicide ideation. My mania, however, is classified as "hypo," and expresses itself in behaviors such as talking faster than normal, staying up late with lots of energy or being quick to anger.

Educating Others

The spectrum is not new to people who live with the disorder, but it is news to many. As a NAMI In Our Own Voice presenter, two responses I received during presentations last year have stuck with me.

After sharing my story at a CIT training, one officer asked me: "How am I able to help people in my community if I don't even know this exists?"

Months later, while speaking at a NAMI Family-to-Family class, a woman told me about her husband, noting his depression treat-ment was not working. Visibly relieved, she said: "I've never heard of this. I think you just diagnosed my husband, daughter and sister-in law."

While only a health care professional can diagnose, we must be active self-advocates and educators. We must be clear when referencing this illness in hopes that fewer people will endure the pain and frustration that comes with misdiagnosis.

For more information on the bipolar spectrum, check out the book: "Why Am I Still Depressed? Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorder" by Jim Phelps.

Cheryl Cranick fictionalized her bipolar II misdiagnosis and se-vere weight gain into a novel titled "Becoming" (http://www.cherylcranick.com). The book hopes to educate about bipo-lar II and encourage empathy, as her character struggles through college. Cheryl lives with her two rescue dogs in Jupiter, FL.

8

Place

Stamp

Here

NAMI PA

CUMBERLAND and PERRY COUNTIES Enclosed is my membership or my tax deductible donation (check or money order)

Payable to NAMI PA C/P - mail to PO Box 527, Carlisle, Pa. 17013

___Individual membership [$35] ___Family membership [$35] ___Open Door [3$] ___Professional membership [$50]

___ New member or ____Renewal

NAME:_____________________________________________________________________________________ Date__________

STREET:__________________________________________________________________email:___________________________

CITY:____________________________________________STATE_____________ZIP_________________

PA, CUMBERLAND and

PERRY COUNTIES NEWS

P.O. Box 527, Carlisle, PA 17013