SUICIDE AWARENESS

SUICIDE AWARENESS

"Suicide is a taboo subject.  Nobody is eager to mention that they have had even a vague thought of ending their life, but those thoughts happen often.  According to the CDC, 1.6 million Americans made a suicide attempt in 2022..."

"It is the second leading cause of death between ages 18-24, when being different is a burden, and bullying is overlooked."

"Depression is a major risk factor for suicide, and so is grief, at a time of bereavement, or divorce, or serious medical diagnosis, or job loss; but the behavioral health diagnosis associated with greatest risk of suicide is a chronic condition: Bipolar Disorder.  By one estimate, a third of overdose deaths from Opioid addiction were unrecognized suicides...

"Suicidal thoughts are prevalent, but people conceal them.  What can we do?"

Navigating the Landscape of Grief - A Compassionate Guide

Navigating the Landscape of Grief - A Compassionate Guide

"Grief is a heavy, complex emotion..."

"The rollercoaster of emotions, the moments of intense sadness followed by glimmers of hope - it's a lot to process. However, I've also seen firsthand that with the right support and coping strategies, it is possible to work through grief and emerge stronger on the other side.

Grief is often described as a journey, but I find the metaphor of navigating a landscape to be even more apt."

5 Stages of Grief

Healing from Grief in 4 steps

Cultivating Mental Health

Cultivating Mental Health

By Lynn Schlossberger, LPC

May is a time of blossoming, a good time for Mental Health Awareness Month.  The health of mind, body, and spirit can be easily overlooked, until something goes wrong and we get pain signals.  Care of the whole person does not have to wait until we are distressed by symptoms of trouble, in the form of nightmares, shame, blame, substance abuse, insomnia, worry, or anger that erupts unexpectedly.  We live in a stress-saturated world, and care of our emotional wellbeing really can’t wait. 

Cultivating mental health is a form of preventative self care.  Emotional wellness is a life strategy that helps us prepare for unforeseen stress, with calm confidence.  Cultivating our emotional wellbeing requires us to learn coping skills that increase our resilience, our ability to respond with strength to change we didn’t ask for, and to adverse events; to bend, if need be, without breaking.   

Emotional self care involves awakening to our needs.  We are accustomed to functioning on autopilot, doing what we have always done, as if our routines were unchangeable.  We pride ourselves on being constantly busy, multitasking while snacking compulsively, and medicating our stress in unproductive ways.  The seeking of wellness, of flourishing rather than just getting by, invites us to stop and take a breath.  When was the last time you made self care a thoughtful priority?  In this noisy world, we may benefit from taking a break from constant chatter, by unplugging from social media for an hour or a day or a week.  Could you do that? What actually nurtures you?  Care of our own spirit often benefits from caring for the wellbeing of another person, by listening to them, by reconnecting with those who have gone missing, by volunteering in the community.  Wellness may involve finding an activity in which you feel creative, productive, and challenged.  It might be your job or your hobby, sudoku, or your passion for music or good food.  Wellness involves mindful pursuit. 

Mindfulness is a discipline that promotes wellness, by helping us become more aware of our immediate environment, our sensations, and our inner lives, awakening to the present moment, and cultivating self acceptance without judgment.  Mindfulness has crept into the behavioral health literature and into our clinical practice.  Mindfulness meditation practice has been shown to improve our ability to focus, and to reduce our rumination on the negatives of life.  Mindfulness can help us observe ourselves more accurately, and express our emotions in healthier ways.  Mindfulness promotes empathy for others, and helps us with the more difficult challenge, compassion for ourselves. 

How do we incorporate mindfulness in our already overwhelmingly busy lives?  By doing the things we already do, with purpose and curiosity, living fully in the present moment.  We can breathe mindfully, noticing the body sensations we normally overlook.  We can walk mindfully, putting down worries and digital distractions, and noticing the grass beneath our feet, the small details of the world we inhabit.  We can eat mindfully, using our senses to more fully appreciate the aroma of coffee and the texture of pretzels.  We can listen mindfully, offering our undivided attention, understanding the moment as a fragile gift.  We can be present.  Happy spring. 

Lynn Schlossberger LPC

Mental Wellbeing in the Hottest Summer on Record

Mental Wellbeing in the Hottest Summer on Record

By Lynn Schlossberger, LPC

The world feels inhospitable when it’s 98 in the shade, and feels like 109.  Extreme heat takes a toll on our physical, mental, and emotional wellbeing.  Care of the body requires planning: scheduling activities in the cooler part of the day; wearing light colors and fabrics that breathe, like cotton; drinking extra water.  SAMHSA (Substance Abuse and Mental Health Services Admin) treats extreme hot weather as a public health issue, and created Heat.gov as a resource.  Care of the mind when the world feels like a sauna, takes extra care too.  Extreme heat creates emotional hazards, including insomnia, fatigue, increases of depression and anger, and increased risk of both suicide and violence.  The rate of inpatient admissions during a heat wave for people with behavioral health diagnoses, increases more than the average population.  Their coping resources may be limited.  Psych meds do wonders, but antidepressants and antipsychotics may have more side effects in extreme heat conditions, and may impair the body’s ability to regulate body temperature.  People with Schizophrenia are at greatest risk.

Needless to say, the risk of heat related stress is greater for some populations than others. Lack of access to secure housing with air conditioning creates hardship.  So does crowding, and living in densely built urban areas, surrounded with concrete and asphalt that stores and radiates heat.  But it’s not just physical discomfort that undermines us, in the midst of a Louisiana summer for the record books.

Extreme weather is a result of climate change, and that phenomenon has increased our ambient anxiety.  Researchers are finding growing “eco-anxiety,” which is a response of fear and hopelessness, to growing changes in our environment.  Overheating of the Gulf puts us at risk of more severe hurricanes.  That anxiety is completely rational.  When we notice changes in the Louisiana coastline, we may experience “sostalgia,” a disrupted sense of safety caused by changes to the surroundings we call home. 

Eco-anxiety is not in the DSM yet, but it is present in abundance.  A Yale University study in 2020 found that half of respondents were anxious about the effects of climate change on their mental health.  Care providers have some catching up to do; complaining about the heat is more than just  superficial venting, and needs to be taken seriously.  Environmental hazard is the context in which people present with depression and anger, and needs to be addressed, just as we address background stress from toxic relationships, stigma, and cultural bias.  We need to listen.  Gen Z, currently teens and 20-somethings, is particularly prone to eco-anxiety, because they worry about where this climate trajectory is leading.  Eco-anxiety rarely comes up in therapy, because patients don’t know it’s valid.

We don’t have easy answers for how to respond to eco-anxiety.  The American Psychological Association has some thoughts about how to manage it.  They recommend getting educated, because accurate information about climate change is empowering.  They suggest we focus on resilience, to cope with serious challenges to our wellbeing.  Identify achievable goals.  Find supportive relationships with people who share one’s core values, such as a desire to have a healthy planet to call home.  Avoid isolation.  Avoid maladaptive thinking, that any problem is “unsolvable”.  Reconnect with nature, even if it’s hot hot hot out.  And please, while you do that, stay hydrated.

 

Lynn Schlossberger LPC

Housing is Healthcare

Blog Post Submitted by: Dr. Jamie L. Barney, Vice President of Behavioral Health Services

When accessing safe and stable housing, people can focus on their health and healthcare. Persons who are housed are more likely to have health insurance, a primary health care provider, and have few admissions to emergency rooms. Their life expectancy increases, by some estimates, 27 years. 

Open Health Care Clinic has provided housing services for over 25 years, since 1996. Shortly after the organization was established, it became clear that housing was one of the greatest needs in the community. I oversaw the management of the housing program for almost 5 years. My eyes were opened to the experiences of persons experiencing homelessness and housing insecurity in a way that they have not been before.  

Dr. Jamie L. Barney

A part of this role included visiting persons at the best place they could find shelter: abandoned businesses, abandoned homes, and wooded areas. One person showed me the shed that she slept in and the fan she used to try to keep the bugs from crawling on her throughout the night. Another person drove to our agency in the rental truck that she and her children slept in; and how they kept the gate slightly raised while they slept because of the heat. Another person showed me the abandoned business that she and her four-year-old son used for shelter. She showed me how she tried to cover the dirty mattress in the corner for him to sleep and the bucket they used for toileting.  

Parents are forced to make decisions to allow children to be split up to live with other family members (if that is an option) or to remain with their parents in cars, wooded arears, or under overpasses.  

Additionally, I fielded calls from persons who were pending eviction and had no where to go. No safety net, no parents or siblings that can help, no plan. Just desperation. I am a social worker and I did what I was trained to do. I listened. I provided information on any resources I could find. I did everything I could to explore the situation and try to find a solution for the short term or long term.  

Several barriers come into play. There are not enough shelters for the number of persons who do not have housing. There are only a few emergency shelters in our community. One shelter prohibits boys over 6 years old and persons with certain medical diagnosis. Another shelter for pregnant mothers will not allow the mother to return after childbirth if she does not choose to put the baby up for adoption. Shelters also have time frames within which you must discharge, usually a few months.  

The barriers to securing an apartment can be hefty. Credit checks, renting history, funds needed for the rental deposit and first month’s rent before you can move in, criminal background, and the rising cost of rent make it extremely difficult for some persons to secure their own housing.   

Public housing options are some persons only hope of avoiding homelessness. Health centers, like Open Health Care Clinic, understand the unique barriers that these patients face and the trauma that they carry with them. We meet our patients where they are. We will assist them in enrolling in insurance plans. We will educate them on the importance of preventative medical care and walk them through the process. With an in-house pharmacy, we can fill prescriptions when patients come in. In addition to medical care, we provide oral health care, behavioral health care, case management, housing, and an array of other supportive services. A one stop shop removes barriers to accessing services.  

We are committed to doing what we can to improve all of our patients’ health - without judgement. We show every person who enters our doors respect and provide high quality services. Many of our community members are facing homelessness or are at risk of homelessness. These conditions do not diminish their worth as a person. Public housing is the only tangible option for some people. Staff work tirelessly to help where they can. Although it seems like it is never enough, the work that is done in public housing changes lives. Housing and healthcare go hand in hand.  

Housing is healthcare.