1. Mental Health
Singer and songwriter,
Demi Lovato,discusses
her own diagnosis
and reminds those living
with mental health
conditions to speak up
and seek help.
MentalHealthAmerica’s
PaulGionfriddourges
ustochangethe
narrativesurrounding
mentalillness. P14
An Independent Supplement by Mediaplanet to USA Today
MAY 2015
FUTUREOFPERSONALHEALTH.C​OM
Yourwordsmatter,and
canbepartofthe
problem.Let’sre-think
howwetalkabout
mental health. P3

2. A
s we celebrate
May as Mental
Health Month,
it’s important
to be honest
about the ong-
oing dispari-
ties in how we view mental health
conditionsandhowwelookatother
chronic health conditions.
Power in words
Just think of thewords thatwe hear
every day in our schools, workpla-
ces and communities: crazy, nuts,
insane, psycho. There are also the
distortions of the diagnoses them-
selves. A person is “schizo” if he
changes his mind, or “OCD” if she
keeps a neat desk.
IN THIS ISSUE
2
Mental Health:
Changing the Conversation
FUTUREOFPERSONALHEALTH.COM
Mary Giliberti,
Executive Director,
National Alliance
on Mental Illness (NAMI) Hope and
recovery often
come from
speaking out and
helping others.
READ MORE ON FUTUREOFPERSONALHEALTH.COM
Community
Involvement
Answering mental
illnesswith a
network of health
careprofessionals,
families and schools.P6
Veteran
Mental Wellness
ForTousha Barnes,
returning to civilian
lifeafterAfghanistan
brought a newset
of challenges.P15
Can’t Get Enough
of Demi?
For a deeper look at our
cover storyfeaturing
mental health advocate,
DemiLovato,readthe
full interview online.
Neither of these accurately
describes these conditions. Schi-
zophrenia,forexample,hasnothing
to do with changing your mind or
split personalities. It’s a condition
characterized by hearing voices and
delusional thinking. People with
obsessive-compulsive disorder get
thoughts stuck in their head and
are unable to free themselves from
constantworry.
Misusing these medical terms to
describe normal human reactions
belittlesthemandmakesthosewho
have the medical conditions feel
worthless and detested.
The movement
What kind of slang do we use to
describe cancer, diabetes, and heart
Publisher: Lane Wollerton Business Developer: Jourdan Snyder Managing Director: Luciana Olson Content Manager: Lauren Hubbard Lead Designer: Alana Giordano Designer: Alex Konsevick Copy Editor:
Sean Ryan Contributors: Paolo del Vecchio, Mary Giliberti, Paul Gionfriddo, Pamela Greenberg, Debra Houry, Christine Moutier, Linda Rosenberg, Barbara Van Dahlen Send all inquiries to editorial@
mediaplanet.com Cover Photo: Isaac Sterling All photos are credited to istockphoto unless otherwise credited. This section was created by Mediaplanet and did not involve USA Today or its Editorial Departments.
Please recycle after readingStay in Touch facebook.com/MediaplanetUSA @MediaplanetUSA @MediaplanetUSA pinterest.com/MediaplanetUSA
of individuals and families affec-
ted by mental illness. Their efforts
include ending the stigma and
discrimination these individuals
face, offering education classes,
support groups and community
presentations in schools,workpla-
ces, houses of worship and other
organizations.
Everyone plays a part
Taking action includes challenging
someone who uses slang words for
mental illness, explaining why the
words are wrong and how they can
discourage people from seeking
help when they need it or interfere
with recovery.
Hopeandrecoveryoftencomefrom
speakingoutandhelpingothers.n
Mental Health is an often misunderstood and maligned subject. In order to help those who suffer,
it’s crucial that we see the person—not the illness.
disease?Dowemisusethediagnosis
of conditions such as melanoma,
lymphoma or leukemia? No.
What would it be like if we lived
in a world where the same could
be said for mental health? And how
many more people would be willing
to recognize their mental illnesses
and get help?
A number of groups have begun
a movement to improve the lives

3. Inside the stigma
According to the Centers for Disease Control and Preven-
tion (CDC), only 25 percent of people with mental health
symptoms believe that people are caring and sympathe-
tic toward someone living with a mental illness.
Even if mental illness does not affect you directly, it
likely affects someone you know or care about. One in
two of us will have a mental health issue during our life-
time. Despite the fact that so many people have a mental
illness, terms like “crazy” and “psycho” are commonly
used to insensitively describe those living with a mental
health condition.
These terms reinforce the stigma and negative attitu-
des associated with mental illnesses.We must start using
person-centric language when talking about mental
illness.
Flip the script
You would never tell someone with cancer to “just get
over it,” or someone with a broken leg to “stop looking for
attention.” This should not be the language we use when
talking to a person living with a mental illness.
People should not be referred to as “schizophrenics”,
“alcoholics,” or “anorexics.” People have disorders; they do
not become a disorder. Instead, use such phrases as “people
with schizophrenia” or “individualswho have anorexia.” Be
sensitive to the use of words that connote negativity, such
as “problem,” to describe a medical condition.
Talking points
Here are some other tips:
• Do not describe an individual as “mentally ill”
• Avoid descriptions that connote pity, such as “afflicted
with,” “suffers from” or “victim of”
• Do not use derogatory terms like “insane,” “crazy,” “crazed,”
“nuts” or “deranged”
Many do not realize saying “committed suicide” is
inherently judgmental, as it sounds like a person com-
mitted a crime. Next time you hear someone talk about a
person who committed suicide, let them know that “died
by suicide” is a better phrase to use. Speak out and help
reduce stigmatizing language.
See the difference
Living with a mental illness can be challenging on its
own, and the unnecessary and demeaning stigma only
makes it worse. Take the time to consider the language
you use.
Talking about mental illness in a respectful way can
make a big difference in people’s lives.Harmfully labeling
someone with a mental illness only hurts those in need
of support. Nobody wants to be labeled or known for their
illness; they want to be known for their talents or their
unique qualities as a person.
It’s time to stamp out stigma and realize that mental
health is just as important as physical health. Start using
person-centric language to talk about mental illness.
By Pamela Greenberg,
President & CEO, Association for Behavioral
Health and Wellness
INSIGHT
The language we use to talk about mental illness can be stigmatizing.
Here are a handful of helpful reminders to recast the conversation in a healthier light.
HERE’S
A SAD
REALITY:
Are Your Words
Part of the Problem,
or the Solution?
Thirty-one
percent of adults
surveyed say they
would not seek
treatment because
they fear what
others may think.
SOURCE: THE AMERICAN
PSYCHI
ATRIC
ASSOCIATION(APA)
3MEDIAPLANET

4. YOURCHILD’S
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4 FUTUREOFPERSONALHEALTH.COM
Demi Lovato’s
Story Gives
Hope, and Voice,
to Others
The popular singer-songwriter and actress
opens up about her personal history
with bipolar disorder, and how it has
forged her path as both a philanthropist
and advocate for others in need.
Whyareyou speaking up
aboutyour experiencewith
bipolar disorder?
There were so many times when
I felt like I was alone, especially
when I was dealing with bipolar
depression. It was only when I
finally hit rock bottom, started
speaking up and got help that
things started to change.As some-
ADVOCACY
On Tour
Lovato speaks at the
2014 NAMI National
Day of Action as part
of The Mental Health
Listening Engagement
Tour. PHOTO: AP IMAGES
FOR NATIONAL ALLIANCE

5. To find out what advice Demi has for those being diagnosed with a mental
health condition, visit futureofpersonalhealth.com
We believe that with the right treatment and support
one can live well with mental health conditions.
This is not always easy and requires collaboration
between individuals, families and communities, as well
as industry, healthcare providers and policy makers.
This is our commitment at Sunovion –
because everyone deserves a bright future.
SUNOVION and are registered trademarks of Sumitomo Dainippon Pharma
Co., Ltd. Sunovion Pharmaceuticals Inc. is a U.S. subsidiary of Sumitomo Dainippon
Pharma Co., Ltd. ©2015 Sunovion Pharmaceuticals Inc. All rights reserved.
5MEDIAPLANET
one who has learned to live well
with bipolar disorder, I really
want to share with others that
there can be life on the other side
of hard times.
How can people living with
mental health conditions
speak up for themselves?
The most important thing to
remember is that asking for help
and speaking up for what you
need is a sign of strength. For
me, being open and honest with
my doctor and others in my life
is key. It was only when I spoke
up about my full experience—
both the depression and mania—
that I was able to get the right
diagnosis and find a treatment
plan that was right for me.
How did you get involved in
the Be Vocal initiative?
Be Vocal evolved out of The Men-
tal Health Listening Engage-
ment Tour, where I learned from
our country’s top mental health
advocates about the power of
advocacy—why it is important
for myself and others and how to
use my voice to help the mental
health community. By working
with these advocates, I became
a stronger, more informed men-
tal health advocate and realized
... I really want to share
with others that there
can be life on the other
side of hard times.
how important it is for all of us
to speak up for mental health.
What would you like to
happen as a result of
encouraging others to speak
up for the mental health
community?
People living with mental health
conditions face many chal-
lenges, from misunderstanding
to limited access to programs
and services. Whether it’s
through meeting with elected
officials or getting the word out
through social media, we need
to work together to end bias and
improve understanding. n
At Ease
Lovato snuggles
at home with
her dog, Buddy.
PHOTO: ISAAC STERLING

6. INSIGHT
Less than simple
Aboutone-thirdofpeoplewithaseriousmedicalcondition
alsohavesymptomsofdepression.Inaddition,10percent
of young adults with major depression, as well as 7 per-
cent of adultswith a serious mental disorder like bipolar
disorder,havemultipleprimaryhealthconditions.These
includeaddictionsandothersocialproblems.
Given the complexityof mental illnesses and over-
all health,what is the best solution?
An integrated solution
For many illnesses, integrated care that treats the
wholepersonholdsthemostpromiseforrecovery.
Integrated care is based on a patient-cente-
red,coordinated care approachwhere the patient’s
individualized needs are served by a multi-discipli-
nary team. This team can consist of a partnership
between families, schools, doctors and commu-
nity organizations to coordinate comprehensive
services.
On the Whole:
A Comprehensive Solution
for Mental Health
Mental health is essential to overall health—and thanks to the rise in integrated
medical care, we are beginning to effectively address the complex complications
ofmentalillnesses,whichrarelyexistinisolationfromothermedicalconditions.
6 FUTUREOFPERSONALHEALTH.COM
Taking stock
This approach to treatment is producing positive out-
comes, such as reduced thoughts of suicide, fewer
dropouts and improved emotional and behavioral
functioning.
Integrated care reduces health care costs. A
recent report by the American Psychiatric Associ-
ation in April 2014 concluded that $26-48 billion
could be saved with effective integrated medical
care.
Recovery from behavioral health disor-
ders means having good health. This entails
managing symptoms of a mental or phy-
sical disorder, having a safe, stable home, a
purpose in life and being part of a supportive
community.n
By Paolo del Vecchio, MSW,
Director, Center for Mental Health
Services, SAMHSA

7. NEWS
MEDIAPLANET
Attention
to Mental
Health Is
Smart
Business
With 1 in 5 people bound to suffer from
a mental health condition, employers need
to update their approach to mental
health today if they want a profitable future.
U
ntreated mental
health condi-
tions can drama-
tically impact
personal lives,
and in the workplace they can
translate to decreased produc-
tivity, poor decision-making,
absenteeism and other problems
that impact the bottom line.
Acting now
Organizational structures can be
slow to move forward. But smart
leaders can steward change,
and those leaders have both the
incentive and the opportunity to
change our nation’s approach to
mental health.
may not recognize that their
problems stem from a mental
health condition like depression.
But there are interactive pro-
grams companies can also pro-
vide them with to assess their
mental health, reach out to a
counselor for an anonymous dia-
logue about their concerns and
the treatment options available.
The next workforce
Businesses could learn a lot from
universities. Many college cam-
puses have counseling centers
and are implementing such out-
reach programs to increase enga-
gement with students who need
treatment and are reluctant to
seek mental health services.And
there’s evidence to show that it’s
working.
More students are connec-
ting to treatment, and that may
mean businesses will have to
change regardless, because the
workforce of tomorrow won’t
just expect their employers to
be smart about mental health—
they’ll demand it. n
Got a case of the “Mondays”
every day of the week?
If every day seems the same, that’s a problem. Have you lost
interest in things you used to enjoy? It makes work even harder.
Right Direction is an effort from the Partnership for Workplace Mental Health, a program of the American Psychiatric
Foundation and Employers Health Coalition, Inc., and is supported by Takeda Pharmaceuticals U.S.A., Inc. (TPUSA)
and Lundbeck U.S. © 2015 Right Direction.
and get started on the path to wellness.
RightDirectionForMe.com
Visit
Take a step in the right direction. It doesn’t have to be UNBEARABLE.
Christine Moutier, M.D.,
Chief Medical Officer,
American Foundation
for Suicide Prevention
They can provide healthy work
environments with responsible
work-life balance initiatives and
easy-to-access employee assis-
tance programs. They can train
employees, especially leaders
and managers, in programs that
educate about recognizing the
onset of mental health condi-
tions in themselves and others.
Positive trends
Still, even with training, some
employees don’t feel comforta-
ble going to a clinician, or they
7

8. IMPORTANT RISK INFORMATION
Elderly people with dementia-related psychosis (having lost touch with
reality due to confusion and memory loss) taking antipsychotic drugs,
including SAPHRIS®
(asenapine), are at an increased risk for death.
SAPHRIS is not approved for treating people with dementia-related
psychosis. An increased risk for stroke and ministroke has been
reported in elderly people with dementia-related psychosis.
Severe liver impairment: Do not take SAPHRIS if you have certain
liver problems.
Serious allergic reaction: Do not take SAPHRIS (asenapine) if you
are allergic to any of its ingredients. Get emergency medical help if
you think you are having an allergic reaction. Symptoms may include
difficulty breathing; itching; swelling of the face, tongue, or throat; or
light-headedness.
Neuroleptic malignant syndrome (NMS): Stop taking SAPHRIS and
call your healthcare provider right away if you have high fever; stiff
muscles; confusion; changes in pulse, heart rate, or blood pressure; or
sweating. These can be symptoms of a rare but potentially fatal side
effect called NMS.
Tardive dyskinesia (TD): Tell your healthcare provider if you cannot
control the movements of your face, tongue, or other body parts. These
could be signs of a serious and sometimes permanent side effect
called TD. TD may not go away, even if you stop taking SAPHRIS. TD
may also start after you stop taking SAPHRIS.
Manic symptoms
can emerge suddenly

9. SAPHRIS
can help you handle them
For the acute treatment of manic or mixed episodes associated
with bipolar I disorder in adults
• SAPHRIS effectively helps manage the symptoms
of mania in manic or mixed episodes of bipolar I
disorder in adults
– A manic episode includes symptoms of mania,
while a mixed episode includes symptoms
of mania and depression
• SAPHRIS is an FDA-approved prescription
medicine that is proven effective:
– When taken alone, OR
– When taken with the mood stabilizers
lithium or valproate
Ask your doctor about SAPHRIS today
Please see additional Important Risk Information and Brief
Summary of full Product Information on the following pages.
SAPHRIS
can help you handle them
For the acute treatment of manic or mixed episodes associated
with bipolar I disorder in adults
• SAPHRIS effectively helps manage the symptoms
of mania in manic or mixed episodes of bipolar I
disorder in adults
– A manic episode includes symptoms of mania,
while a mixed episode includes symptoms
of mania and depression
• SAPHRIS is an FDA-approved prescription
medicine that is proven effective:
– When taken alone, OR
– When taken with the mood stabilizers
lithium or valproate
Ask your doctor about
SAPHRIS can cause problems with your metabolism, which may increase your risk for heart disease or stroke, such as:
• High blood sugar and diabetes: If you have diabetes or risk factors for diabetes (such as being overweight or a family
history of diabetes), your blood sugar should be tested before you start SAPHRIS and regularly during treatment.
Complications of diabetes can be serious and even life threatening. Tell your healthcare
provider if you have symptoms of high blood sugar or diabetes, such as feeling
very thirsty or very hungry, urinating more than usual, or feeling weak.
• Increased blood cholesterol or triglycerides: Your healthcare provider may
decide to check your cholesterol and triglyceride levels during your
treatment with SAPHRIS.
• Weight gain: Your healthcare provider should check your weight regularly.
*Restrictions apply. For details, please visit www.SAPHRISsavings.com.

10. IMPORTANT RISK INFORMATION (CONTINUED)
Also tell your healthcare provider if:
• You have or had low white blood cell counts, because low white
blood cell counts and related conditions have been reported with
SAPHRIS and similar medicines
• You have any reactions under your tongue (where you place
SAPHRIS), such as sores, blisters, peeling/sloughing or
inflammation, because these reactions have been reported with
SAPHRIS. SAPHRIS may also cause numbness or tingling of the
mouth or throat
• You have certain heart conditions such as irregular heartbeats,
or take certain medicines that can cause irregular heartbeats,
because SAPHRIS should be avoided in these circumstances
• You have a seizure disorder, have had seizures, or have conditions
that increase your risk for seizures
• You are taking or plan to take prescription or over-the-counter
medicines, because there is a risk for drug interactions with
SAPHRIS
• You have thoughts of suicide or of hurting yourself or others. If you
have these thoughts at any time, tell your healthcare provider or go
to an emergency room right away
• You have or have had swallowing problems, because SAPHRIS and
medicines like it have been associated with swallowing problems
and choking
• You experience a lack of menstrual periods, leaking or enlarged
breasts, or impotence, because SAPHRIS and medicines like it may
raise the levels of prolactin. The levels may continue to be high when
SAPHRIS is used over time
• You are pregnant or planning to get pregnant while taking SAPHRIS
Other important information to remember:
• Get up slowly after sitting or lying down to avoid getting dizzy,
especially at the start of treatment, or when your dose is increased.
Light-headedness or faintness caused by a sudden change in heart
rate and blood pressure when rising quickly from a sitting position
has been reported with SAPHRIS
• Do NOT drive or use dangerous machines until you know how
SAPHRIS affects you, because SAPHRIS and medicines like it can
affect your judgment, thinking, and motor skills
• Be careful when exercising or when doing things likely to cause
dehydration or make you warm, because SAPHRIS may make you
more sensitive to heat. You may have trouble cooling off
• The most common side effects that occurred with SAPHRIS in adults
were sleepiness, dizziness, uncontrolled movements of the body and
face, muscle stiffness, weight gain, numbing of the mouth, and
restlessness
This is not a complete summary of safety information. Please discuss
the full Prescribing Information, including Boxed Warning, for SAPHRIS
with your doctor.
The trademarks SAPHRIS, SAPHRIS Star Design, and Star Design are used by Actavis, Inc. or its affiliates under license from Merck Sharp Dohme B.V.
Actavis™, its design, and The One Under the Tongue™ are trademarks of Actavis, Inc. or its affiliates.
© Actavis 2015. All rights reserved. SPH30882 05/15
Please see additional Important Risk Information, including
Boxed Warning, on the previous pages, and Brief Summary of
full Product Information on the following page.
You are encouraged to report negative side effects of
prescription drugs to the FDA.Visit www.FDA.gov/medwatch,
or call 1-800-FDA-1088.
To learn more about SAPHRIS, visit www.SAPHRIS.com

11. Brief Summary of
Important Risk
Information
SAPHRIS®
[SAF-ris]
(asenapine) sublingual tablets
This information does not take the place of talking to your
healthcare provider about your medical condition or your
treatment.
What is SAPHRIS?
SAPHRIS is a prescription medicine used for:
• Acute treatment of manic or mixed episodes of bipolar I
disorder when used alone in adults or in children (ages
10-17)
• Acute treatment of manic or mixed episodes of bipolar I
disorder when used with a mood stabilizer (lithium or
valproate) in adults
• Treatment of schizophrenia in adults
What is the most important information
I should know about SAPHRIS?
Serious side effects can happen with SAPHRIS, including:
• Increased risk of death in elderly patients with
dementia-related psychosis: Medicines like
SAPHRIS can increase the risk of death in elderly
people who have lost touch with reality due to confusion
and memory loss (dementia-related psychosis).
SAPHRIS is not approved for treating people with
dementia-related psychosis
Who should not take SAPHRIS?
People with certain liver problems should not take SAPHRIS.
Talk with your healthcare provider before taking SAPHRIS if
you have any liver problems. Also, do not take SAPHRIS if you
are allergic to asenapine or any of the ingredients in SAPHRIS.
Also see “What are the ingredients in SAPHRIS?”
What should I tell my healthcare provider
before taking SAPHRIS?
Tell your healthcare provider if you have or have had:
• Diabetes or high blood sugar in you or your family.
Your healthcare provider should check your blood
sugar before you start SAPHRIS and during therapy
• High levels of total cholesterol, triglycerides or
LDL-cholesterol or low levels of HDL-cholesterol
• Seizures or conditions that increase your risk for seizures
• Low or high blood pressure
• Low white blood cell count
• Heart problems such as irregular heartbeats, or if you
take medicines that can cause irregular heartbeats,
because SAPHRIS should be avoided
• Pregnancy or plans to become pregnant. It is not known
if SAPHRIS will harm your unborn baby
• Any other medical condition
Tell your healthcare provider about all the
medicines that you take or recently have taken,
including prescription medicines, non-prescription
medicines, herbal supplements, and vitamins. SAPHRIS
and other medicines may affect each other, causing serious
side effects. SAPHRIS may affect the way other medicines
work, and other medicines may affect how SAPHRIS works.
How should I take SAPHRIS?
Take SAPHRIS exactly as prescribed by your healthcare
provider.
IMPORTANT:
• For sublingual (under your tongue) use only
• Do not remove tablet from the tablet pack until you are
ready to take it
• Use dry hands when handling tablet
Your SAPHRIS tablets
STEP 1. Firmly press and hold
thumb button, then pull out the
tablet pack.
Do not push tablet through the
tablet pack. Do not cut or tear
tablet pack.
STEP 2. Peel back the colored tab.
STEP 3. Gently remove the tablet.
Do not split, cut, or crush the
tablet.
STEP 4. Place the whole tablet
under tongue and allow it to
dissolve completely.
Do not chew or swallow the
tablet.
Do not eat or drink for
10 minutes.
STEP 5. Slide the tablet pack back
into case until it clicks.
What should I avoid while taking SAPHRIS?
• Do NOT drive, operate machinery, or do other dangerous
activities until you know how SAPHRIS affects you.
SAPHRIS may make you drowsy
• Avoid getting over-heated or dehydrated: Do not
over-exercise; in hot weather, stay inside in a cool place
if possible; stay out of the sun; do not wear too much or
heavy clothing; drink plenty of water
What are possible side effects of SAPHRIS?
SAPHRIS can cause serious side effects, including:
• See “What is the most important information
I should know about SAPHRIS?”
• Stroke that can lead to death can happen in
elderly people with dementia who take
medicines like SAPHRIS
• Neuroleptic malignant syndrome (NMS): Stop
taking SAPHRIS and call your healthcare provider right
away if you have high fever; stiff muscles; confusion;
changes in pulse, heart rate, or blood pressure; or
sweating. These can be symptoms of a rare but
potentially fatal side effect called NMS
• Tardive dyskinesia (TD): Tell your healthcare provider
if you cannot control the movements of your face, tongue,
or other body parts. These could be signs of a serious and
sometimes permanent side effect called TD. TD may not
go away, even if you stop taking SAPHRIS. TD may also
start after you stop taking SAPHRIS
• Problems with your metabolism, which may increase
your risk for heart disease or stroke, such as:
n High blood sugar (hyperglycemia) and
diabetes: Extremely high blood sugar can lead to
coma or death. If you have diabetes or risk factors for
diabetes (such as being overweight or a family history
of diabetes), your blood sugar should be tested before
you start SAPHRIS and regularly during treatment.
Call your healthcare provider if you have
symptoms of high blood sugar while taking
SAPHRIS, such as feeling very thirsty or very hungry,
urinating more than usual, or feeling weak
n Increased blood cholesterol or triglycerides:
Your healthcare provider may decide to check your
cholesterol and triglyceride levels during your
treatment with SAPHRIS
n Weight gain: You and your healthcare provider
should check your weight regularly
• Serious allergic reaction: Do not take SAPHRIS if
you are allergic to any of its ingredients. Get emergency
medical help if you think you are having an allergic reaction.
Symptoms may include difficulty breathing; itching,
swelling of the face, tongue, or throat; or light-headedness
• Decreased blood pressure (orthostatic hypoten-
sion), including light-headedness or fainting caused by
a sudden change in heart rate and blood pressure when
rising too quickly from a sitting or lying position
• Low white blood cell count. This may increase your
risk of infection
• Increases in prolactin levels: You may experience a
lack of menstrual periods, leaking or enlarged breasts, or
impotence, because medicines like SAPHRIS may raise
prolactin levels. Your healthcare provider may do blood
tests to check your prolactin levels
• Seizures
• Impaired judgment, thinking, and motor skills:
Do NOT drive or use dangerous machinery until you know
how SAPHRIS affects you
• Increased body temperature: SAPHRIS may make you
more sensitive to heat. You may have trouble cooling off
• Thoughts of suicide or of hurting yourself or
others: If you have any of these thoughts at any time,
tell your healthcare provider or go to an emergency room
right away
• Difficulty swallowing
Common side effects with SAPHRIS include the following:
• In adults: sleepiness, dizziness, uncontrolled movements
of the body and face, muscle stiffness, weight gain,
numbing of the mouth, and restlessness
• In children (ages 10-17): sleepiness, dizziness, strange
sense of taste, numbing of the mouth, nausea, increased
appetite, feeling tired, and weight gain
In addition, patients taking SAPHRIS have reported reactions
under the tongue (where you place SAPHRIS), such as sores,
blisters, peeling/sloughing or inflammation. Choking has also
been reported.
These are not all the possible side effects of SAPHRIS. Tell
your healthcare provider about any side effect that bothers you
or does not go away.
Call your doctor for medical advice about side effects. You
may report side effects to FDA at 1-800-FDA-1088.
Keep SAPHRIS and all medicines out of the reach of
children.
What are the ingredients in SAPHRIS?
Active Ingredient: asenapine maleate
Inactive Ingredients: gelatin, mannitol, sucralose, and
black cherry flavor
Need more information?
• This page summarizes the most important information
about SAPHRIS. Talk to your healthcare provider for more
information
• To learn more, go to www.saphris.com or call
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12. NEWS
12 FUTUREOFPERSONALHEALTH.COM
Families and friends are losing loved ones to suicide
at an increasing rate. If this trend is to change, we must
make clear that suicide is preventable—not inevitable.
Closer inspection
Between 1999 and 2013,suicide among 35-64-year-olds rose 30
percent.Therewere more than 22,300 suicides in 2013,making
it the fifth-leading cause of death in this age group.
Another 202,000 adultswere treated in U.S.emergency
departments for self-harm injuries,though mostwho attempt
suicide do not seek medical treatment.
Inside the numbers
We’ve learned a lot aboutwhat contributes to suicide.Mul-
tiple factors interact over time,among them child abuse and
neglect,lack of social connectedness,untreated mental health
problems,substance abuse,impulsive behavior and a family
history of suicide.
Arecent study of NationalViolent Death Reporting System
data shows financial concerns such as home foreclosure can
contribute to a crisis leading to suicide.
The gravity of this problem cannot be underestimated.Sui-
cide and suicide attempts devastate friends,families,workpla-
ces and communities.
Closeto10%whoattemptsuicideandsurvivediefromsuicide
lateron.Thereforeit’simperativewedevelopeffectivepreven-
tionstrategiestailoredformiddle-agedadults,tobuildonthe
foundationoftheNationalStrategyforSuicidePrevention.
Identifying strategies
One strategy is creating opportunities for social connectedness.
Being involved in others’ lives and the community helps people
cope,boosts mental health and decreases isolation.Efforts that
improve access to quality mental health care and reduce stigma
associatedwith seeking help are also needed.
We must help communities usewhatworks to prevent
and address problems that acutely affect middle-aged adults:
economic challenges,intimate partnerviolence,care-giving
stress,legal issues,drug abuse and chronic health issues.
As individuals,we can connect,keep lines of communication
open and let those struggling know there is hope. n
AreWeDoingEnoughfor
At-RiskAdults?
A CLOSER LOOK
Debra Houry, M.D.,
Master of Public Health, Director, Centers
for Disease Control and Prevention Injury Center
Changing the Culture
of Mental Health
The serious repercussions of mental illness go beyond
economic and human statistics. But to foster true change,
we must reset how our culture views mental health.
Although we have a lot of infor-
mation about the state of mental
health in America, we don’t yet
have a way of ensuring those in
need of support receive the care
they deserve. Approximately 42.5
million Americans—about 1 in 5
adults—experience a diagnosable
mental disorder in a given year,
according to The Substance Abuse
and Mental Health Services Admi-
nistration. The National Institute
of Mental Health reports one-half
of all lifetime cases of mental ill-
ness begin by age 14, three-quar-
ters by age 24 (NIMH 2005). Also
according to NIMH, mental disor-
dersaretheleadingcauseofdisabi-
lityintheU.S.
Today,wearelosingmorelivesto
suicide than we do to car crashes.
In 2011, there were approximately
39,000suicidesintheUnitedStates
compared to approximately 32,000
fatalities from car accidents,accor-
ding to Centers for Disease Control
andPrevention.
Seeds of change
Although mental health disorders
occur among all ethnic, socioeco-
nomic, and geographical groups,
many of those who experience
challenges do not get the support
they deserve.Those in need frequ-
ently feel shame and guilt and are
often treated with disgust or pity
bythosearoundthem.
Can our cultural views of men-
tal health change? We have seen it
before.CampaignslikePinkRibbon,
MothersAgainstDrunkDrivingand
Red Dress all tackled critical issues
and changed the way Americans
thinkandshowsupport.
ThereareindicationsthatAmerica
isreadyforchange.Leadersandcele-
brities such as Demi Lovato, Glenn
CloseandLadyGagaarelendingtheir
powerful voices to this important
conversation.Attherecentlaunchof
the Campaign to Change Direction,
First Lady Michelle Obama spoke
passionately about the need for cul-
turechange:
“Wehavetoofferourcompassionso
thatourfriendsandfamiliesandneig-
hborsandourveteranscangetthehelp
they need, just like we would if they
were diagnosed with cancer or heart
disease or anything else...We all know
that our mental health is just as vital
as our physical health, so it’s time we
startedtreatingitthatway.” n
In 2011, the U.S. saw
approximately
39,000
suicides
compared to
approximately
32,000
fatalities
from car accidents,
according to Centers
for Disease Control
and Prevention.
By Barbara Van Dahlen, Ph.D.,
Founder President,
Give an Hour
Changing Direction
Michelle Obama and Dr. Barbara
Van Dahlen urge Americans
to care for their mental health just
as they do their physical health.
PHOTO:GIVEANHOUR

13. 13
Visit changedirection.org to #changementalhealth
Join us – Know the five signs
Founding Members: Give an Hour, Aetna, America’s Promise Alliance, American Foundation for Suicide Prevention, American Psychiatric Association/
American Psychiatric Foundation/American Psychiatric Publishing, American Psychological Association, Booz Allen Hamilton, Case Foundation, Easter Seals,
Logistics Health Inc., National Association of Social Workers, Optum, Umttr – where every person matters, Volunteers of America. Special Partners: Bell
Let’s Talk mental health initiative, Edelman, G.R.L., Farmacopea Inc., Substance Abuse and Mental Health Administration (SAMHSA).

14. 14 FUTUREOFPERSONALHEALTH.COM
INSPIRATION
For too many today,the understanding of mental illness assumes it’s best
to wait until those suffering become a danger to themselves or others.
And when the inevitable crisis occurs,our only option is to call the police
to keep everyone safe.This narrative is both captivating and wrong.
Root of the problem
If we apply that “dangerous” standard as a trigger for treatment, we
are ignoring concerns until they become crises. We become trapped in
a Stage-4 mentality that wouldn’t be acceptable for any other chronic
condition.
Yet like every other chronic condition, mental illnesses do not begin
the first time someone is in crisis. They often start years before, with
symptoms that can be subtle and only appear serious after the first crisis
occurs.
Proactive solutions
Exposure to violence and trauma causes some mental illnesses. Redu-
cing exposure to trauma can prevent many mental illnesses from even
beginning. For people at risk, we should make early detection the norm,
and mental health screening as common as vision or blood pressure
screening.
We need to integrate health and behavioral health care. Let’s treat the
whole person, not just one condition at a time in different health care
settings.Let’s make our goal recovery from mental illnesses from the day
they emerge. n
Waiting for drastic shifts in behavior or until someone is in crisis
isn’t how we approach other chronic illnesses—why should mental
illness be any different?
By Paul Gionfriddo,
President CEO, Mental Health America
Changing the Narrative: Acting Before Stage-4
50% of us
will experience at least one mental
illness at some point in our life.
Few of these
mental illnesses
will ever be associated with
violent or dangerous thoughts.
Half of all
mental illnesses
merge during childhood typically
as part of a gradual process,
not suddenly when people become
young adults.
10 years
can pass before people with
symptoms get a proper
diagnosis and treatment (more
than enough time to change
the trajectories of their lives for
the better).
THE FACTS

15. 22
15MEDIAPLANET
INSPIRATION
30%of active duty and reserve
military personnel
deployed in Iraq and
Afghanistan have a
mental health problem
requiring treatment.
Of that,
LESS THAN
HALF
of returning veterans in
need receive any mental
health treatment.
VETERANS
DIE BY SUICIDE
EACH DAY.
At Home, Some Veterans
Face Foreign Challenges
Returning home from deploy-
ment in Afghanistan should have
been an exciting new chapter for
Army SpecialistTousha Barnes.
“I presumed I’d find a job really
quick and move forward with
my life,” says Barnes. Instead,
she struggled with unemploy-
ment and developed symptoms
of depression, anxiety and post-
traumatic stress disorder (PTSD).
Not alone
Thousands of American veterans
live with PTSD. Countless more
strugglewithanxietyordepression.
What made the difference for
Tousha Barnes? After a close
friend recognized the signs
and intervened, she eventually
found effective treatment and
peer support, which put her on
the path to recovery. The Vete-
rans Administration estimates
22 veterans die by suicide every
day. Roughly 30 percent of mili-
tary personnel deployed in Iraq
and Afghanistan have a mental
health problem requiring treat-
ment, yet less than 50 percent
of them will receive the services
they need.
Strength in seeking help
“When soldiers come back to civi-
lian life, we have to retrain our
thinking,” says Barnes. “You can’t
ever be the person you once were
when you’ve seen war. We have
to learn that there is strength in
reaching out for help with our
mental health.”
Peer support is especially valu-
able to members of the military
community living with mental
illness. Just being able to talk to
someone who understands can
be crucial.
Knowledge and support dras-
tically improve outcomes for the
hundreds of thousands of men and
women in uniform who return
fromwarwithemotionalscars.
“You never know when you’re
going to come across a veteran or
family member in need,” Barnes
adds. “And you can’t be afraid to
reach out and offer help.” n
By Linda Rosenberg,
President CEO, National
Council for Behavioral
Health
In the U.S., an estimated 22 veterans die by suicide every day. So why are so few veterans
and service members receiving treatment for mental health problems?
PHOTO:NATIONALCOUNCILFORBEHAVIORALHEALTH