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Archive for category: Behavioral Health

Self-Care… In A Pandemic

January 4, 2021/in Behavioral Health/by Health Partnership Clinic

Amy GrayBy Amy Gray, LSCSW, Behavioral Health Clinician

Self-Care

Self-care almost always evokes an image for people, whether it be a hot bath, a vacation, or pampering in some way. Self-care is not one-size-fits-all and can come in all shapes and sizes. Some people are filled up by meditation or yoga, others prefer walking in the woods or journaling. Self-care requires time and attention and focus, is developed over time, and should be a part of our regular routine to keep ourselves healthy and mentally strong. Self-care is an act, a habit, or a practice.

There are several types or categories of self-care, including: Emotional, Mental, Physical, Pleasure, Sensory, Social, and Spiritual.

Emotional Self-Care Ideas

The website www.developgoodhabits.com identifies the following Emotional Self-Care Ideas:

Self care idea

Emotional Wellness

TeaEmotional wellness is difficult in our world in a regular year, yet during a pandemic year, the obstacles can seem monumental. Break things down into doable steps. Ask for help when needed. Cry if you need to, and use grounding to keep focused. There is no precedence for how you should respond in times like this, it is a pandemic and nothing about that is natural.

Physical self-care is important for mental and emotional health and aids in sleep and eating habits. Motivation might be hard to come by, start small and get moving. Social self-care allows us to connect with others. Finding ways to spend time with people (via social media apps, social distancing, etc.) is important. Spending time in prayer or at online church services can mitigate the loss of church family, church events and spiritual practices. In all areas important to you, try to make new traditions that feed your needs and raise your spirits.

…In A Pandemic!!

Stacked StonesIn the past year, many people have struggled due to the changes COVID19 has made to our daily lives. Our safety and security has been threatened by a very real virus, and mental health effects have been significant. An increase in anxiety, depression, alcohol and drug use, and relationship issues have been evident in the patients seen at Health Partnership. Patients who have never experienced anxiety and depression are reporting problems for the first time, and many patients with a history are reporting a significant increase in symptoms.

More than one-third of Americans have displayed clinical signs of anxiety, depression, or both since the coronavirus pandemic began.

The American Psychological Association (which typically issues an annual mental health survey) has been releasing a monthly report, Stress in America 2020: Stress in the Time of COVID-19.

Signs of BurnoutAccording to PEW Research, one-third of Americans (33 percent) have experienced high levels of psychological distress at some point during the extended period of social distancing undertaken to slow the spread of COVID-19, the disease caused by the novel coronavirus. More than half (55 percent) of adults who describe their financial situation as poor have experienced high levels of distress, as have half of those who report having a disability or handicap that keeps them from fully participating in work, school or other activities.

It is important to normalize the effects a global pandemic, including widespread shutdowns and stay-at-home orders, remote-only school attendance and the loss of connection that people are experiencing. Weddings have been canceled or rescheduled. Funerals have been delayed or family members have been unable to travel to say goodbye. Baby showers and birthday parties and bar mitsvahs and graduations and anniversaries and holidays…the list goes on and on. In a global pandemic, the rules change, and “normal” is simplified and redefined. In a pandemic, the main goal is survival.

Dr. Joy Osofsky in Psychology Today writes: “Self-care is crucial to support health and mental health, which starts with establishing regular routines for this “new normal” environment that include getting enough sleep, eating regular meals, exercise and making connections virtually with family and friends.”

Helpful Hints for Surviving, or Even Thriving, in a Pandemic

Surviving or Thriving in a Pandemic

ADAPT: Individual self-care in a pandemic needs to adapt to the current circumstances. Work on making small changes, don’t try to change everything all at once. Set a daily or weekly goal and find JOY in celebrating the small wins and good efforts you make.

GRATITUDE: Practice gratitude by journaling 5 good things that have happened, and/or make sticky notes and place them on your bathroom mirror as a reminder of positive things happening.

PROPS: A bright light or light box are used for Seasonal Affective Disorder (SAD) and mimic daylight, which can be very helpful for people who get down during the dark winter months. As little as 10 minutes a day can help lift your mood. Finding light, in a light box, a conversation, or at the end of this very long pandemic tunnel, is critical.

JOY: Find some JOY….and celebrate everything!!! Celebrate getting the laundry done, getting out of bed, feeding yourself healthy food, and making time for self-care activities. Celebrating helps focus on success and progress. Practice gratitude and celebrate surviving the year 2020.

PRACTICE…PRACTICE…PRACTICE

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Are you at risk for addiction? Surviving the holidays substance free.

December 7, 2020/in Behavioral Health/by Health Partnership Clinic

Tristen WinstonBy Tristen Winston, MA, PsyD, LP, LCAC, Licensed psychologist and Behavioral Health Director, Health Partnership Clinic

The holidays are usually a time of stress. This year will be unlike any other with additional stress related to the COVID-19 pandemic. While we may not have family stress from large gatherings, this year, the pandemic may lead to feelings of loneliness and isolation. To reduce these feelings, stay connected by phone or video as much as possible. Continue with holiday traditions, with a new twist or start all new traditions.

With an increase in stress, especially around the holidays, it can be tempting to turn to the use of substances, like alcohol. Unfortunately, these unhealthy coping skills can only provide temporary relief and lead to harmful consequences. For those at risk of addiction or in recovery, the holiday season stress can be a trigger for relapse.

This holiday season, plan to use healthy habits to manage stress and use alternative activities to celebrate that do not include alcohol or other substances. Including alcohol as a part of festivities can lead to problems for many of our family and friends. Remember that the holiday season is about gratitude and not simply material gifts. Find new ways to focus on the meaning of the season.

Family Fun

Here are some tips to have a substance-free holiday:

  • Reading the Letter she wrote to SantaStay connected to family and friends virtually
  • Enjoy activities such as playing games or watching movies
  • Enjoy a cup of hot apple cider or warm cup of hot chocolate
  • Celebrate the festivities by singing holiday songs
  • Spend time cooking or baking
  • Volunteer in the community to help those less fortunate, serve meals at a shelter, join a clothing or food drive, or participate in an adopt-a-family or child program

At Health Partnership Clinic, we provide affordable substance use services at our Olathe clinic and through telehealth services at the Shawnee Mission, Paola and Ottawa sites. Services, including assessment and treatment, are available to adults and adolescents, 12 and older.

If you or a loved one are at risk and need help, please call 913-730-3664.

Coffee and Cookies

https://hpcks.org/wp-content/uploads/2020/11/coffee-and-cookiesweb.jpg 528 800 Health Partnership Clinic https://hpcks.org/wp-content/uploads/2018/01/HPCLogo-v2-300x135.jpg Health Partnership Clinic2020-12-07 06:00:512020-11-23 14:40:08Are you at risk for addiction? Surviving the holidays substance free.

September is National Suicide Prevention Month

August 24, 2020/in Behavioral Health/by Health Partnership Clinic

Delanie Barnard, MA, Kansas City University, Doctoral CandidatePost written by Delanie Barnard, MA, Kansas City University, Doctoral Candidate

September is National Suicide Prevention Month, a time when mental health advocates, prevention organizations, survivors, allies, and community members unite to promote suicide prevention awareness. In 2017, suicide was the tenth leading cause of death overall in the United States claiming the lives of over 47,000 people. Suicide was the second leading cause of death among individuals between the ages of 10 and 34. Overall rates of suicide have steadily climbed in all age groups since 1999.

What can you do to help prevent suicide?

The first step is to know the 12 suicide warning signs:

  • Feeling like a burden
  • Being isolated
  • Increased anxiety
  • Feeling trapped or in unbearable pain
  • Increased substance use
  • Looking for a way to access lethal means
  • Increased anger or rage
  • Extreme mood swings
  • Expressing hopelessness
  • Sleeping too little or too much
  • Talking or posting about wanting to die
  • Making plans for suicide

National Suicide Prevention LifelineWhat can you do if someone you know is showing these warning signs?

ASK them about their suicidal thoughts, BE THERE and stay connected with that person, KEEP THEM SAFE by asking if they have a plan to hurt themselves, HELP THEM CONNECT to suicide resources, and FOLLOW UP with them to see how they are doing.

You can find more resources for how to support someone in crisis at https://www.bethe1to.com.

If you or someone you know is in crisis, you can call The National Suicide Prevention Lifeline at 800-273-TALK (8255) (en Español 1-888-628-9454) 24 hours a day, seven days a week. You can also text NAMI to 741-741 to be connected to a free, trained crisis counselor on the Crisis Text Line.

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April is Autism Awareness Month!

April 13, 2020/in Behavioral Health/by Health Partnership Clinic

Amy GrayPost written by Amy Gray, LSCSW, Behavioral Health Clinician

April is Autism Awareness Month. Awareness month efforts promote knowledge and increase awareness about widespread issues, popular subjects, or diseases to help educate the public. APRIL is the month to get educated about AUTISM!

What is Autism?

Autism is also known as Autism Spectrum Disorder (ASD). ASD now includes autistic disorder, pervasive developmental disorder not otherwise specified (PDD-NOS), and Asperger syndrome, which are conditions that were previously diagnosed separately. ASD is a developmental disability characterized by significant social, communication and behavioral challenges. People with ASD often communicate, behave, and learn in different ways. Some people with ASD are gifted and some may be severely challenged. Some people with ASD may need help in their daily lives and others may need very little.

Autism Awareness

How prevalent is Autism?

Data and Statistics on ASD

Autism AwarenessWhile there are a lot of efforts to evaluate and treat Autism, the prevalence is difficult to assess. Estimates are used to extrapolate data of known cases to determine how prevalent it actually is. Here are some key findings from the 2018 Community Report from the Autism and Developmental Disabilities Monitoring Network’s most recent report.

  • About one in 59 children has been identified with ASD according to estimates from Centers for Disease Control and Prevention (CDC) Autism and Developmental Disabilities Monitoring (ADDM) Network.
  • ASD is about 4 times more common among boys than among girls.
  • ASD is reported to occur in all racial, ethnic and socioeconomic groups
  • Kansas has approximately 724,766 youth under the age of 18, which is 26 percent of the total Kansas population of 2,774,044. Using the statistics from the above report of one in 59 children having ASD, as many as 12,284 Kansas youth under the age of 18 could potentially have a diagnosis of Autism.

Missouri has approximately 1,422,225 youth under the age of 18, which is 24.5 percent of the population. Using the statistics from the above report of one in 59 children having ASD, as many as 24,106 youth under the age of 18 could potentially have a diagnosis of Autism.

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Winter Blues?

December 12, 2018/in Behavioral Health/by Health Partnership Clinic
Moore,Rhiannon

Rhiannon Moore, MA, PSYD | Licensed Psychologist Assistant | Behavioral Healthcare Director

Post written by Rhiannon Moore, MA, PSYD
Licensed Psychologist
Assistant Behavioral Healthcare Director

The fall and winter months can be riddled with stressors. Holidays, financial strain, inclement weather, changing work and school schedules, cold and flu season, final exams, and family demands and conflicts.

Grief and loss can also be especially difficult during this time of year and physical pain can be exacerbated by cold or damp weather. As a result, many people may experience changes to mood, sleep, appetite, and/or interactions with others to some degree during this chaotic time of year.

However, some people experience symptoms that are more severe, more impairing, and longer lasting. These people may have a form of Major Depressive Disorder commonly known as Seasonal Affective Disorder (SAD).

Common symptoms of SAD include depressed mood, sleeping more or less than normal, appetite and/or weight changes, anxiety, fatigue, irritability, low energy, social isolation, and/or difficulty concentrating.

In more severe cases, individuals may experience thoughts of suicide or self-harm. People experiencing SAD will notice symptoms which persist for at least two weeks at a time and lead to difficulty in various areas of living including work, school, positive socialization and relationships, hygiene, family or financial responsibilities, and/or physical and medical care.

Individuals with true SAD will experience a pattern of symptoms recurring during particular times of year (most commonly in fall/winter) and resolving as the weather changes (typically in spring/summer) for several years.

Teens experiencing SAD may appear more irritable, argumentative, or withdrawn. This irritability can have a negative impact on family and social relationships. Focusing/concentrating may become more difficult which can impair school performance and worsen mood.

Low energy and fatigue can make it harder to socialize with friends and/or participate in work or extracurricular activities such as sports or clubs. Additionally, because teens are more likely to have poorer sleep habits in general, mood fluctuations can be more extreme as a result of inadequate sleep.

Like other forms of depression, SAD has multiple contributing factors. SAD is associated with decreased exposure to sunlight during the colder fall and winter months. This limited exposure disrupts the brain’s production of melatonin, a chemical essential in regulating sleep.

winter manAs sleep quality and quantity decline, symptoms can worsen. Lower Vitamin D and serotonin (a neurotransmitter associated with depression) levels from reduced sun exposure also play a role in SAD.

Environmental factors (i.e. increased stress) and genetics may also contribute in some cases. People most at risk for experiencing SAD are those with a personal or family history of depression.

If you think you or someone you know may be experiencing SAD (or any other mental illness), there are steps you can take.

If thoughts of suicide or self-harm are present, seek immediate attention by calling 9-1-1, using the National Suicide Prevention Lifeline (1-800-273-8255), or visiting a medical provider or therapist.

It is always beneficial to schedule a medical appointment to rule out physical factors (such as thyroid conditions, menopause/perimenopause, diabetes, et cetera) which may be contributing to or causing symptoms.

Additionally, it is not uncommon for symptoms of other depressive and mood disorders to worsen in response to stressors or weather patterns. As a result, it is important to distinguish SAD from other types of mental illness by visiting with a psychiatric specialist.

For SAD specifically, “Happy Lights” mimic sunlight and can relieve/reduce symptoms in 50 to 80 percent of people. These lights can be purchased without a prescription. Antidepressant medications and therapy should also be considered. As with other forms of depression, self-care and coping strategies are important for managing symptoms and potentially preventing onset/relapse.

Because physical and emotional wellness are so closely related, people experiencing SAD can benefit from efforts to regulate sleep, improve nutrition and get regular physical activity.

Engaging in positive/meaningful activities and developing a strong social support network can also be helpful. Visit this link for some coping skills.

Some people find it beneficial to set weekly goals (“baby steps”) toward changes related to diet, sleep, exercise, and positive socialization.

Here are some resources:

Sleep

Nutrition

Physical Activity

 

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