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    1. 10 Books To Better Understanding Mental Health Issues In 2022

      New year; new resolutions, right? Let this be the year we try to better understand issues surrounding mental health - for ourselves and for our friends and loved ones who may be dealing with them. In this spirit, we’ve curated 10 books that may be helpful to both clinicians and individuals who want to learn more about mental health issues such as depression, anxiety, bipolar disease, PTSD, OCD, postpartum depression, and more. We broke them into two categories for ease of organization. The factors we considered when choosing which books to feature included: positive reader reviews, consistently high ratings, and author qualifications. All of these books are available at amazon and other online retailers, as well as in independent bookstores. Which books would you add to the list?
      Books about and/or authored by people living with mental health disorders
       
      A Beautiful Mind: The Life of Mathematical Genius and Nobel Laureate John Nash by Sylvia Nasar
      This iconic and Pulitzer Prize-nominated story of mathematical genius John Forbes Nash, whose brilliant career was cut short by schizophrenia, was published in 1997 but remains a classic, especially after it was turned into an award-winning movie starring Russell Crowe. Nash was eventually honored with a Nobel Prize in Economics, but struggled with schizophrenia his whole life. The book describes his mental health journey and its effects on his family, friends and career.
       
      Hello I Want to Die Please Fix Me: Depression in the First Person by Anna Mehler Paperny
      After hitting a breaking point in her early 20s, journalist Anna Paperny decided to do what she does best - use her investigative skills to find out everything she could about her own debilitating condition - depression. And thanks to that quest for knowledge, readers benefit from her concise descriptions of everything from types of therapy available to the effects of medication to the stigma around mental illness. Includes interviews with leading medical experts in the US and Canada.
       
      Everything Here Is Beautiful by Mira T. Lee
      One sister starts hearing voices while the other struggles to find a way to support and protect her in this book about how mental illness impacts friends, family, and caregivers. The book chronicles bipolar disease from the caregivers’ perspective - how one must always walk a bittersweet tightrope between helping and protecting, and backing off to provide independence.
       
      The Man Who Couldn’t Stop: OCD and the True Story of a Life Lost in Thought by David Adam
      The author is a noted scientist and editor at The Journal Nature, and has lived with Obsessive-Compulsive Disorder (OCD) for 20 years. This multiple award-winning book is an exploration of both his mind and the history of the condition that makes his mind a hectic place. He explains what it's like to be plagued by intrusive and obsessive thoughts and compulsions, like hoarding and his multiple but necessary home rituals, and provides research into the history of OCD diagnosis and treatment.
       
      Down Came the Rain: My Journey Through Postpartum Depression by Brooke Shields
      When actor Brooke Shields welcomed her daughter Rowan Francis into the world, something unexpected followed – debilitating postpartum depression. She assumed she’d bounce back in a few days - but things only got worse. This honest memoir offers a first-person perspective on the devastating condition faced by millions of women after giving birth. Shields talks candidly about her struggles and offers hope for recovery by describing her own.
       
      Irritable Hearts: A PTSD Love Story by Mac McClelland
      Human rights journalist Mac McClelland spent 2010 reporting on Haiti’s earthquake but when she returned home to California, she was surprised by the lasting effects of the trauma she’d witnessed - nightmares, anxiety, insomnia, crying jags and more. After a diagnosis of PTSD, and in an attempt to help herself heal, she began investigating PTSD, its symptoms and treatment, and how she experienced it in her own mind. 
       
      Books written to help those living with mental health disorders
       
      Permission to Come Home: Reclaiming Mental Health as Asian-Americans by Dr. Jenny Wang
      The author is the founder of the Asian, Pacific Islander, and South Asian American (APISAA) Therapist Directory and created this comprehensive resource especially for Asian-Americans, immigrants, and other minorities who may be experiencing behavioral health issues, to provide resources for improving self-care and mental health - a community she feels is underserved for various reasons.
       
      It Didn't Start with You: How Inherited Family Trauma Shapes Who We Are and How to End the Cycle by Mark Wolynn
      Research has recently shown that the roots of mental health disorders may not just reside in our own current life experiences or in the chemical imbalances inside our brains, but in the lives of our parents, grandparents, and even further back. The author is a leading expert in the field and in this book, he looks at how trauma experienced by relatives may be passed down to the next generation and how to address those issues.
       
      Black Pain: It Just Looks Like We're Not Hurting by Terri Williams
      When successful business executive and mental health advocate Terri Williams was diagnosed with depression, she found that the topic was still taboo especially in the Black community. In this book, she discusses the emotional pain of depression and how it uniquely affects the Black experience, encouraging readers to seek help without feeling ashamed. She reminds readers that they are brave for facing emotional difficulties head-on and finding solutions with the help of others.
       
      This Too Shall Pass: Stories of Change, Crisis and Hopeful Beginnings by Julia Samuel
      This may be a useful resource for clinicians. In it, psychotherapist Julia Samuel uses hours of conversations with patients to show how individuals act and adapt differently in the face of hardship. Backed by research, her analysis of the stories she shares explains how mental health is different for everybody, yet evidence-based treatment and coping skills work across multiple populations.
       
      If you need help with behavioral health issues, consider contacting a qualified mental health professional
      If you’re a client, request an appointment online or call our live support for assistance in scheduling care today. Our mental health professionals are trained in multiple mental health disorders and have experience treating them. If you’re a behavioral health provider looking to join our network, see all the benefits and learn how to apply here.
    2. 10 National Veteran-Owned Businesses Giving Back to the Community

      Veterans fight for our country and dedicate their lives to keeping people safe. Their brave and selfless acts should never go unnoticed. Even after returning home, some veterans continue to advocate for the people. Spending time on the front lines can come with many battles, whether with physical or mental health. Many veterans return home lacking tools and resources to readjust to everyday life.
      Plenty of companies support veterans' causes, but special recognition goes to veteran-run ones. Veteran-run small businesses continue to help other veterans every day. Many provide employment opportunities, donate to veteran causes, and support veterans in need.
      Shop These 10 Veteran-Owned Small Businesses
      These 10 veteran-owned businesses are doing just that. From donating products to giving back a percentage of sales to military causes, the following businesses focus on serving the community.
      1. Boldfoot Socks
      Boldfoot Socks aims to show the true meaning of “American-made.” With a unique variety of socks ranging from patriotic to argyle, Boldfoot Socks has something for everyone. And with an incredible cause. Boldfoot Socks donates 5% of each sale to veterans and the U.S. military to improve health services, help with jobs, and reduce homelessness.
      Boldfoot Socks goes the extra mile in customer service, granting three-month sock insurance to replace socks with rips, tears, or holes without question. Every pair of socks is sourced from American-manufactured products and materials with a distinct message. Boldfoot Socks exemplifies what it means to be American-made, striving to repay those who risk their lives to defend our country.
      2. Gatorz Eyewear
      Launched in 1989, Gatorz Eyewear turned a passion for motorcycles into a sunglasses empire. Backed by the U.S. Navy SEALs Foundation, Gatorz Eyewear withstands high speeds, whether on the battlefield or freefalling from the sky. After passing the ultimate performance test, Gatorz Eyewear is the preferred choice of the U.S. Navy SEALs. Each pair of sunglasses is crafted from billet aluminum, with a sleek look that’s equally durable.
      When it comes to giving back, Gatorz Eyewear fights just as hard. Along with the U.S. Navy SEALs, Gatorz is a proud supporter of the Green Beret and Global SOF Foundation. Veterans, military, and first responder personnel can also receive a special discount for their service.
      3. Frag Out Flavor
      An American patriotic celebration just isn’t complete without a barbecue. Combat veteran Patrick Flynn knows this too well. Founded in 2017, Frag Out Flavor boasts exciting flavors to spice up your next cookout. From Honey BBQ to Mango Habenero blends, these best-selling spices support a bigger mission.
      Your next BBQ will boast exciting flavors while supporting a larger mission. Purchasing Frag Out Flavor products means sharing the flavor with deployed veteran troops. Frag Out Flavor donates to the veteran community while supporting those who defend our country with every sale.
      4. 4Freedom Apparel
      Honoring heroes with USA-made clothing, hats, and accessories, 4Freedom Apparel takes pride in giving back to veterans. Owned and operated by military couple Jonathan and Shari, each piece of 4Freedom Apparel gear stylishly boasts the American flag. 4Freedom Apparel is for those who are proud to be American and want to represent their dedication to those who gave their lives to fight for the U.S.
      A proud supporter of multiple foundations that give back, like the Wingman Foundation, Vets 4 Vets, and K9s For Warriors, 4Freedom Apparel donates a portion of its sales to help support each cause.
      5. Nine Line Apparel
      A lifestyle brand founded by Patriots for Patriots, Nine Line Apparel strives to start conversions between those who have served and people who support them. “Nine Line” is an emergency call used during combat. It’s often the difference between life and death for the many severely wounded soldiers. Nine Line Apparel creates patriotic accessories and clothing for men, women, and kids, inspiring unity and camaraderie for Americans nationwide.
      With an emphasis on dedicated support, Nine Line Apparel raises awareness for military and first responder charities, along with disaster relief, veteran initiatives, and more through the Nine Line Foundation.
      6. Snap-On Tools
      One hundred years of advertising has made Snap-on Tools a legend in the tool sales industry. Developed in 1920, Snap-on Tools started with “five unique handles and ten sockets.” Today, this company sells directly to professional technicians, with 80% of its products manufactured in the U.S.
      Snap-on is a proud partner of the Honor Flight Network, an organization that raises funds to fly WWII veterans to Washington, D.C. to see their memorial. Since the program's beginning in 2013, Snap-on has sent over 700 veterans, guardians, and family members to experience this once-in-a-lifetime moment.
      7. Boss Dog
      Boss Dog pays homage to the essential role dogs play in the military and our daily lives. With nothing less than the best, this award-winning line of top-quality dog treats gives canine companions the nutrients they need. From Boss PROBALLS with probiotics to freeze-dried, complete meals, ingredients like raw goat’s milk, taurine, DHA, and Greek yogurt show your dog they are indeed a boss. Boss Dog also sells several durable accessories for your best friend, like harnesses, leashes, and collars.
      With every sale, Boss Dog works to give the best to our heroes. The company sponsors and supports vet and military charities like Heroes for Healthcare, Victory Service Dogs, Folds of Honor, Pets for Vets, and Trails of Purpose.
      8. Bravo Sierra
      Developed within the U.S. military community in 2018, Bravo Sierra brings high-performance personal care to people nationwide. Bravo Sierra only uses clean, skin-friendly ingredients that smell great even in the most demanding conditions. From aluminum-free deodorant to sunscreen, these 100% American-made products serve a higher purpose than just keeping civilians fresh.
      With 40% of its founding team and 30% of all current employees made up of veterans, Bravo Sierra works to provide opportunities for vets in need. The company also donates 5% of all sales to the Morale Welfare and Recreation (MWR) program and provides a 15% discount on Bravo Sierra products for all active duty, veterans, and military family members.
      9. Oscar Mike
      Oscar Mike goes above and beyond to support veterans. Its products aren’t just American-made, from production to stocking and shipping. Oscar Mike also donates 100% of its apparel profits to help veterans in need. With a wide range of apparel and accessories like T-shirts, hoodies, and canteens, the Oscar Mike Foundation supports injured Vets who need to stay active.
      This mission hits home for the founders, a group of injured vets dedicated to creating a space where vets can continue a competitive lifestyle after injury. Focused on creating camaraderie and spaces for injured vets, Oscar Mike has raised over $2.5 million in funds to build a new adaptive sports facility. Oscar Mike bands together to stay active, even competing in Spartan races across the nation.
      10. Hero Soap Company
      Hero Soap Company is a veteran-owned body wash and bar soap company with most ingredients sourced in the U.S. With captivating, natural scents from cedarwood to lavender, these handmade soaps keep civilians and veterans clean and smelling fresh.
      Hero Soap company donates a portion of every sale to charities that support active military, veterans, and first responders, including the 14th Hour Foundation, Operation Finally Home, Gary Sinise Foundation, and Operation Interdependence. It's donated over 1,200 bars to deployed troops and prides itself on being the most American company in the USA.
      Support a Veteran Small Business
      Giving back is a wonderful feeling. So why not give back to the people who have sacrificed a huge part of their lives for this country? People can support small businesses with every purchase from a veteran-owned business and help provide resources.
    3. 13 Military Spouse Resources You Should Know About

      Sometimes, new military spouses don’t know what to expect from military life. They often have to rely on the information from their service member, which is sometimes frustratingly limited or, worse, full of confusing acronyms.
      Fortunately, many incredible resources are available, whether you’re a military wife or husband.
      Numerous charities, national organizations, and programs on base strive to make military life a little easier. From deployment support programs that strengthen a military marriage to online mental health offerings, there are different benefits military families can take advantage of.
      Military Spouse Benefits on Base
      Whether a military family chooses to live on base or off base, many spouse resources are available.
      1. Relief Programs
      Every branch has its own Relief Program or Aid Society to provide emergency relief through interest-free loans. If a military spouse has an unexpected bill for car repairs or a broken appliance, this is a great resource. Army Emergency Relief, the Air Force Aid Society, the Navy-Marine Corps Relief Society, and Coast Guard Mutual Assistance have offices on their respective military installations.
      Note that the service member must apply in person for a loan because it will be slowly deducted from their future paychecks.
      2. Family Center
      Most military installations have a Family Center or Readiness Center with multiple programs that support local military families. They know the challenges military families face, so they provide orientation classes for those new to the base, which is a great resource when you have just moved to a new installation. Family Centers also teach new parent classes, offer resume writing support, advise on financial aid for college, and much more. Some support special events and guest speakers throughout the year. Stop by a Family Center for a full list of their local resources.
      Military Spouse Resources for Deployments
      Deployments can be a stressful challenge for military families and exhausting for any military wife or husband. These military spouse resources make life a little more bearable during deployments.
      3. Care Package Kits From USPS
      When a service member is deployed, they’ll want care packages with their favorite snacks, any essential toiletries they need, and photos or reminders of home. The good news is that deployment addresses use an APO address, so military spouses won’t pay for international shipping.
      The United States Postal Service (USPS) sells flat-rate boxes that cost a steady shipping fee, no matter how much is packed inside the box. Here’s a great benefit: The USPS will send a free care package kit to military families. It includes multiple sizes of flat-rate boxes, plus packaging tape, shipping labels, and customs forms. Order through their website to get the kit delivered for free.
      4. GreenCare for Troops
      Yard work can be a struggle when the service member is away. Luckily, volunteers around the country want to help military families with lawn care, leaf removal, and clearing snow during deployments. The GreenCare for Troops program connects a military wife or husband with local volunteers who do their yard work for free! Taking just one task off a military spouse’s shoulders can be an incredible military spouse benefit during deployment.
      5. Build-a-Sign
      At the end of deployment, many military spouses love to celebrate by decorating their house or yard with a welcome home banner. Build-a-Sign provides free customizable canvas banners to military families. These are high-quality, durable banners that celebrate homecoming in any weather. Military families can choose from several designs to welcome their hero home in style and add photos or names to personalize their banners.
      Military Spouse Resources for a PCS
      Some military families move often, while others only experience a few PCS moves. Either way, receiving PCS orders is one of the biggest challenges military families face because they must make a plan to relocate the entire household to a new location — sometimes on the other side of the world! These military spouse benefits help families make the most of PCS season.
      6. PCSgrades
      When a service member comes home with PCS orders, the military wife or husband usually starts frantically searching online for everything they can learn about the new location. It’s difficult to figure out housing, schools, and local information on short notice! PCSgrades has Area Guides with details about 100 duty stations, including BAH rates, housing options, schools, and more. If a military family is buying or selling a home when they move, PCSgrades can connect them with a military-friendly real estate agent in the local area. Since military families often need to buy a home from a distance or in a hurry, it’s comforting to work with real estate agents who understand the challenges of PCS moves and know how to navigate the VA home loan.
      7. School Liaison Officer
      For military families with school-aged children, PCS moves bring a new set of challenges. It can feel exhausting trying to learn about school zones near the next military base while also searching for homes and trying to transfer student records. A school liaison officer, or SLO, helps military families moving into the area so they are informed of their school options. The SLO can also help transfer records, register EFMP children, or reinstate any special IEP that needs to be continued at the new school.
      8. ASYMCA
      Military families who live off-base may consider paying high rates for membership at a local gym. Instead, they should check with the ASYMCA to see if there is a YMCA location nearby. The ASYMCA offers military discounts at locations across the country. Their on-site childcare can be used for up to two hours daily, which is a great benefit that can enable spouses to exercise, get work done, or just relax away from the kids for a while. There are additional programs for military spouses and services for military kids from ASYMCA centers around the country.
      Military Spouse Benefits for Education and Employment
      In a military marriage, the service member’s career often determines where the family lives and how often they move. This can make it difficult for a wife or husband to maintain a career during the frequent changes of military life. The following resources address the education and employment challenges military families face.
      9. Military Spouse Preference
      The Department of Defense civilian jobs have a special category for military spouses to assist them in their job search and career opportunities. They will have additional “points” added to their application, so military spouses who meet all job qualifications are selected for interviews over other candidates. When looking for work on USAJobs, search the category for military spouses to see the hiring preference details.
      10. G.I. Bill
      Most service members earn the G.I. Bill to cover the cost of college tuition. The service member may transfer this benefit to their spouse or children (under specific conditions), allowing them to get several years free at colleges across the country. The G.I. Bill covers tuition and books and will also provide a housing fee for the service member. If the service member isn’t planning to attend a four-year college, they can share the benefit so the military spouse can get financial aid toward a college or professional certificate that will help them advance their career.
      11. LinkedIn Premium
      LinkedIn provides one free year of LinkedIn Premium to active duty members, veterans, and military spouses. This is a great resource for anyone looking for a job or trying to build their professional network. The Premium plan includes numerous educational videos and certificate programs, plus enhanced insights to job postings.
      Military Spouse Benefits for Mental Health
      Military families often undergo constant change and uncertainty, which can lead to increased feelings of stress or depression. It can be difficult to maintain a healthy lifestyle and strong connections with loved ones near and far. The following military spouse resources support mental health needs.
      12. Military OneSource Counseling
      Military spouses who want to talk to a counselor about the stresses and challenges of military life qualify for 12 free non-medical counseling sessions through Military OneSource. They can request a counselor through the website and be connected to one that same day. Sessions can be in person, over the phone, or via video chat. Military OneSource counselors cannot diagnose conditions or prescribe medicine, but they can offer great strategies to work through challenges like deployments, help with adjusting after a PCS move, tips for raising military children at different ages, and marriage counseling.
      13. Telemynd
      For those seeking mental health care, Telemynd is a great option. They have a national network of licensed therapists and prescribers who provide TRICARE-covered mental health services. Telemynd therapists and prescribers do not require a referral or authorization for TRICARE Prime active duty families, so it’s easy to access and get started. They offer virtual sessions with secure video chat, so spouses and children can get the care they need, no matter where they are stationed. It’s convenient to connect with a professional virtually, especially if they have children at home or can’t drive themselves to appointments.
      You can easily book an appointment today on their website.
    4. 2023 at a Glance: Telemynd's Year-End Wrap-Up

      Celebrate with us as we reflect on Telemynd's achievements in 2023, including our Glassdoor Best Place to Work award, expanded patient access through strategic partnerships, and our commitment to empowering heroes and their families with accessible mental health care. Explore our notable contributions to military spouse employment, Holidays for the Heroes, and featured placements, showcasing our dedication to mental health advocacy. Join us in recognizing the key milestones that define Telemynd's success in the mental healthcare world.

      Awarded Glassdoor Best Places to Work
      Unlike other workplace awards, there is no self-nomination or application process, instead it’s entirely based on the feedback our team has voluntarily and anonymously shared on Glassdoor. A huge thank you goes out to everyone on our team who took the time to share their perspective on what it’s like to work here. We appreciate all the valuable feedback as it only helps us improve. Below are just a few words employees shared on Glassdoor that contributed toward the award.
      Innovative and Supportive, Clinical Care Manager
      “Telemynd has been incredibly supportive since I started about a year and a half ago. They are a company who cares about their clients, employees and care providers. Genuinely interested in making their own footprint in the teletherapy world and bridging gaps in underserved communities. While the company may be virtual it feels anything but. Everyone is very connected and there is an emphasis on human connection and that personal touch.”
      Professional and Pleasant Working Environment, Licensed Marriage and Family Therapist
      “I very much enjoy working with Telemynd as an independent contractor, very professional and caring staff, quick response to questions, very supportive to both patients and therapists, I highly recommend this company to those who have the love and passion for treating patients toward their healing process.”
      Great Work/Life Balance, Licensed Clinical Social Worker
      “I love working for Telemynd! The people are great and I am able to schedule my own appointments and see as many clients or as few as I wish. I am not stuck in an 8-6 setting seeing clients every hour and then working until late at night to get my notes done (sound familiar?). If you value your work/life balance and want to work for a company that truly appreciates your contribution to the mental health field, please consider Telemynd.”

      Expanded Patient Access Through Partnerships
      Telemynd is constantly pursuing its mission to expand access to care and has done so through its strategic alliances with prominent healthcare providers including Aetna, Horizon Blue Cross Blue Shield of New Jersey, TRICARE, and the Veterans Association (VA). Towards the end of 2023 Telemynd significantly broadened their patient access with its partnership with UnitedHealthcare. This collaboration has enabled us to provide mental health services to an extensive network of over 82 million individuals.

      Obtained URAC Accreditation
      We're incredibly proud of the entire Telemynd team for achieving URAC accreditation for Telehealth. It's a testament to our unwavering dedication to providing top-notch digital healthcare services to those who need it most. This accreditation is a reflection of the hard work and commitment of every member of our organization. We're excited to continue our mission of expanding access to quality mental healthcare through innovative telehealth solutions

      Continued Putting People First
      Our commitment to delivering care and putting people first has never been more evident than reviewing the number of lives we've been able to positively impact over the past year. We've had a record year of helping tens of thousands of patients receive care for the first time. With 98% of survey respondents saying they plan to continue using Telemynd. Our dedication to the military and veteran community remains our top priority, expanding access and delivering more than 300,000 hours of care to service members and their families over the course of the past year.

      Empowering Heroes & Their Families
      At Telemynd, we wholeheartedly believe that our service members and their families deserve nothing less than the best in mental health care. To fulfill this commitment, we've developed a national network comprised of highly skilled therapists and prescribers. What's more, we've seamlessly extended our secure platform to encompass TRICARE and VA-covered mental health services.
      4+1 Military Spouse Employment
      Telemynd is proudly joined Blue Star Families and Hiring Our Heroes in the 4+1 Commitment to combat military spouse unemployment. As a leading military community mental health services provider, we are dedicated to supporting military families, retirees, and veterans across all 50 states.

      Our commitment goes beyond mental health services, emphasizing the recruitment of military community members to enhance our understanding and support on a deeper level. 🇺🇸

      Explore more about this important initiative on the Blue Star Families website and click here to watch a clip of the event.
      Holidays For The Heroes
      Holidays for the Heroes is a heartfelt initiative dedicated to spreading joy and support to military personnel and their families during the holiday season. Through organizing special events, distributing festive care packages, and facilitating the homecoming of 43 active-duty service members this year, the initiative goes above and beyond to foster a sense of community for those far from home. Telemynd is proud to contribute to this wonderful effort, having donated $2,000 to support the cause this year. To learn more or donate to this wonderful organization check out their website here.

      Featured Placements
      PopSmoke Media Feature: Telemynd - A New Tool Against Military Suicide — PopSmoke Media, a veteran-run Media Production and Distribution platform, recognized Telemynd as a valuable resource in the battle against military suicide. Originally founded to bring laughter to troops worldwide, PopSmoke has evolved its mission to entertain, educate, and advocate for the military and veteran community. Read the article here Smoke Pit Podcast: TeleMYND, Body & Soul (Season 6, Episode 😎 — Telemynd's impactful presence was acknowledged on the Smoke Pit podcast during an episode titled "TeleMYND, Body & Soul," hosted by Jamie Goldstein with a special interview with Grant Khanbalinov, a navy veteran and mental health advocate. This podcast aims to destigmatize mental health in the military community, emphasizing Telemynd's role in fostering open conversations and support for mental well-being. Listen to the full episode here. Military Family Magazine: Telemynd’s personalized approach to supporting military mental health ‘saves lives every day’ — At Telemynd, we're thrilled to share how our personalized telebehavioral health services are making a significant impact in addressing the immediate mental health needs of the military community. This article highlights our commitment to providing swift assistance without the typical wait times, emphasizing our TRICARE approval and distinctive people-first approach that prioritizes personal connections. With over 200,000 hours of annual mental health care and an impressive 98% satisfaction rate, Telemynd stands as a reliable solution amid the ongoing military mental health crisis. Read the Article here or visit our website at www.telemynd.com to learn more. Wives of the Armed Forces: How To Use Telemynd: Empowering the Military Community with Comprehensive Mental Health Solutions — This article, by the Wives of the Armed Forces, explores Telemynd's approach to addressing unique mental health challenges, offering tailored telepsychiatry and teletherapy services. The platform's network of licensed professionals specializes in military culture, trauma, PTSD, anxiety, and depression, ensuring personalized support. Telemynd's commitment to accessible care is highlighted, providing comprehensive services, including psychiatric evaluations and counseling. The article guides readers on starting with Telemynd, emphasizing a personalized matching process for the right mental health professional. By offering convenient, tailored, and comprehensive solutions, Telemynd empowers the military community to prioritize emotional well-being. Click here to read the articl Milspouse Matters: Dealing with Anxiety as a Military Spouse  — This podcast is committed to providing support for military spouses through insightful interviews that delve into the genuine experiences of being a part of this community. Their aim is to foster a supportive community where military spouses can connect, share stories, resources, and practical tips. In this episode Jen McDonald, the host of the podcast interviews Erin, widely known as The Short Wife across social media channels. Beyond offering a glimpse into her daily life, they also tackle the topic of dealing with anxiety as a military spouse, as Erin is a passionate advocate for mental healthcare. Follow the provided link here to join this conversation, gaining profound insights into Erin's journey and discovering her endorsement of Telemynd as an exemplary mental health service for the entire military community. The Short Wife: My Greatest Anxiety: Having Kids — Sponsored by Telemynd, The Short Wife's blog article delves into her anxiety journey, particularly the fears around having children. It candidly explores her challenges, starting in 2016 when the idea of parenthood triggered intense anxiety. Overcoming this fear involved years of therapy and support. The Short Wife emphasizes the vital role of professional help, praising Telemynd as a nationwide online telehealth service providing comprehensive mental health care. Accepting various plans, including TRICARE and the VA, Telemynd supports anxiety, depression, family, marriage counseling, and more. The article concludes with gratitude to Telemynd for sponsoring essential mental health care, encouraging readers to seek support and highlighting the significance of therapy in navigating life's challenges. Don't miss out on The Short Wife's engaging and relatable content! Stay connected with her journey by exploring her blog and following her on various social media platforms today.
    5. 30-Day Wellness Challenge

      Get ready for National Wellness Month! At Telemynd, we believe that everyone deserves access to mental health and well-being practices that promote a healthier and happier life. That's why we're excited to present our 30-Day Wellness Challenge, focusing on activities and practices to enhance your mental health. Join us on this journey of self-care and discovery, as we embark on a month-long quest to prioritize our mental well-being one day at a time.
      Day 1-5: Mindfulness
      Start the challenge by incorporating mindfulness into your daily routine. Practice deep breathing exercises, meditation, or simply take a few minutes each day to be fully present in the moment. If you need guidance for your mindfulness practice, YouTube offers a wide range of resources, including guided meditations, calming background sounds, and other videos, to help you cultivate mindful environment wherever you are.
      Day 6-10: Get Moving
      Physical activity is essential for mental well-being. Try engaging in free workout videos available online or take a walk in nature. Invite friends or family to join you, making exercise both fun and social.
      Day 11-16: Journal Your Thoughts
      Journaling is a therapeutic practice that allows you to express your thoughts and emotions freely. Invest in an affordable notebook or use digital journaling apps to track your progress and reflect on your feelings throughout the challenge.
      Day 17-21: Cultivate Gratitude
      Practicing gratitude can significantly improve your mental health. Each day, write down three things you are thankful for. Whether it's a beautiful sunset, a supportive friend, or a small achievement, expressing gratitude can shift your focus to the positive aspects of life.
      Day 22-26: Connect with Nature
      Spend time outdoors and connect with nature during this phase of the challenge. Enjoy a picnic in the park, take a hike, or have a relaxing day at the beach. Nature has a calming effect on the mind and soul, helping you recharge and rejuvenate.
      Day 27-31: Embrace Creativity
      Engaging in creative activities can be incredibly therapeutic. Try drawing, painting, writing poetry, or learning a musical instrument. You don't need expensive art supplies; simple materials will do. Let your creativity flow freely and notice the positive impact on your mental well-being.
      Bonus Tips:
      Social Support: Reach out to friends and family for emotional support during the challenge. Share your experiences, feelings, and progress with them.
      Get Inspired: Try exploring various online resources or ideas to discover activities or practices you may want to try during each week of this challenge. Remember, everyone's wellness journey is unique, so feel free to personalize the challenge to suit your needs and preferences. Let your individuality shine as you embark on this transformative and enriching experience!
      Telemynd Resources: Telemynd offers affordable and accessible mental health services. Consider exploring our virtual therapy sessions and mental health resources for expert guidance and support.
    6. 4 Facts About The Connection Between Addiction And Mental Health

      Addiction to drugs and alcohol (often called Substance Use Disorder or SUD) is a mental health problem. It can be caused by a combination of behavioral, biological, and environmental factors, and like other mental health issues, can disrupt the ability to function at work or school, maintain healthy relationships, and cope with stressful situations. According to the Substance Abuse and Mental Health Services Administration (SAMSA), over 20 million people aged 12 or older have a substance use disorder related to their use of alcohol or illicit drugs.
      It’s important to know that mental health problems and substance use disorders often occur together (you’ll hear medical and mental health professionals refer to this as comorbidity) - but sometimes it's hard to predict which came first. In this article, we’ll discuss the close connection between addiction and mental health, four facts about that connection, general warning signs, and how to get help.
      What causes the connection between addiction and mental health issues?
      Multiple scientific studies have found that about half of those who experience a mental illness during their lives will also experience a substance use disorder at some point and vice versa. The 2019 National Survey on Drug Use and Health found that an estimated 9.2 million adults aged 18 or older had both a mental health problem and an addiction to at least one substance in the past year, while another 3.2 million adults had a co-occurring severe mental health problem and substance abuse. Medical and mental health professionals theorize that these problems frequently occur together for various reasons, such as:
      Certain kinds of illegal drugs can cause people with addiction issues to experience one or more symptoms of mental health problems Some people with a mental health problems may misuse drugs or alcohol as a form of self-medication Mental and substance use disorders share some underlying causes, including changes in brain composition, genetic vulnerabilities, and early exposure to stress or trauma The bottom line is that dealing with substance abuse and drug addiction is never easy, and it’s even more difficult when you’re also struggling with mental health problems. And to make matters worse, these co-occurring disorders can affect each other. For example, when a mental health problem goes untreated, the substance abuse problem usually gets worse. And when alcohol or drug abuse increases, mental health problems usually increase too.
      To expand on the information above, here are 4 important things to know about the connection between addiction and mental health.
      Untreated mental health disorders increase the risk of substance abuse. People who suffer from mental disorders are often more likely to turn to drugs or alcohol to relieve their symptoms. And although the substances may provide temporary relief, they can exacerbate symptoms in the long run, leading to further addiction problems and ultimately, an unhealthy cycle.  Substance abuse can cause depression, anxiety, and other mental health problems. Although not everyone who misuses substances like drugs or alcohol will develop mental health problems, if someone is predisposed to a mental health disorder, those symptoms can be triggered by substance abuse.  Substance abuse shares common symptoms with some mental health issues. Alcohol and other central nervous system depressants can trigger symptoms of depression. Conversely, stimulants, such as cocaine, can cause drug-induced psychosis - a symptom usually associated with schizophrenia. In both cases, chronic use can result in irreversible changes to brain chemistry. Mental disorders and substance use disorders - even when occurring together - are treatable. The good news - whether a person has a mental disorder, a substance use disorder, or both, there are a number of treatment options that can result in effective and long-term management of symptoms.  Getting help for co-occurring substance use and mental health disorders
      It can take time to tease out which symptoms are associated with a mental health disorder and which are associated with a drug or alcohol addiction problem. The signs and symptoms may also vary depending on the type of mental health problem and type of substance being abused. However, there are some general agreed-upon warning signs that someone may have a co-occurring disorder:
      Using alcohol or drugs to cope with unpleasant memories or feelings, or to control pain or mood intensity Feeling depressed, anxious, or plagued by unpleasant memories when using drugs or alcohol  Feel depressed or anxious even when sober A family member who has also struggled with both a mental disorder and alcohol or drug abuse Mental health professionals can help diagnose and treat co-occurring disorders, so the first step if you notice any of these symptoms in yourself or a loved one, is to consult a professional. Although the combination of mental health and addiction issues may seem complicated, there is help. Some people respond to treatment right away. Others will need to try different treatments before finding a combination that works for them. But stick with it as they have been proven effective.
      If you or a loved one need help with substance abuse or mental health issues, consider contacting a qualified telebehavioral health professional
      If you’re a client, request an appointment online or call our live support for assistance in scheduling care today. Our mental health professionals are trained in multiple mental health disorders and have experience treating them via online appointments - from the convenience and privacy of your home or wherever works for you. If you’re a behavioral health provider looking to join our network, see all the benefits and learn how to apply here.
      Sources
      Substance Abuse and Mental Health Services Administration (SAMSA) National Institute on Drug Abuse MentalHealth.gov
    7. 5 Self-Care Goals For The New Year & How They Can Help Manage Depression

      Have you made your goals for the New Year? Make sure self-care is on the list! Looking after yourself (self-care) is critical to your physical, emotional, and mental well-being. Most often we read about practical self-care practices that keep us healthy, like balanced eating and good sleeping habits. But it's also important to identify and make time to do things that really nurture you, like connecting with friends and family, doing hobbies, or just sitting still with a good cup of tea.
      Living With Depression Can Make Self-Care More Difficult
      However, when you live with Depression (sometimes called Major Depressive Disorder), the idea of self-care may feel like adding another burden to your already heavy load. 
      And here’s why. Depression is a clinical mood disorder that affects how you feel, think, and behave and can lead to a variety of other problems if left untreated. It’s defined by the medical community as “feelings of sadness intense enough to interfere with functioning and/or a decreased interest or pleasure in activities”. You can find the symptoms of Depression here. And it’s not uncommon - Depression affects an estimated one in 15 adults in any given year, and one in six people will experience it at some time in their life.
      Often, Depression leaves you feeling like your physical and emotional self is “running on empty”, and so you’re drained of the ability to look after yourself. Self-care takes a back seat. And to complicate things, when you start to feel better, you may even ditch certain self-care habits - thinking you don’t need them anymore. It’s common when people start to improve, to get relaxed about therapy and treatment plans, and before you know it, you’ve suffered a relapse.
      Scientists say there's a neurobiological reason for this. The frontal lobe region of our brain is responsible for executive function—a set of skills that involves judgment and reasoning. The issue is that Depression is associated with dysfunction of the frontal lobes, so it's no surprise that people with depression find it hard to judge whether they need self-care or not.
      Skipping Self-Care Is A Slippery Slope To Relapse
      But There Are Ways To Prevent it
      As a whole, the best thing you can do to stave off a relapse is to stick to your treatment plan and create a healthy environment with basic self-care goals. Try not to think of self-care as a big, burdensome project, but rather a series of small choices that add up to a healthier lifestyle. And set realistic goals for yourself - don’t aim so high that your goals are unattainable or you may end up disappointed.
      Here Are 5 Attainable Self-Care Goals To Try In The New Year That Can Help Manage Depression:
      Stay tuned to your body. Mental illness doesn’t impact our brains alone; it’s physical, too. Depression can decrease energy, make you feel exhausted, and experience body aches or headaches. Start by noticing how you feel – both physically and emotionally – on a daily basis. Watch for physical symptoms that may provide clues as to what is happening in your brain. Noticing symptoms early can help you practice better self-care and potentially stave off a full-blown episode.
      Attend your therapy sessions consistently. Even if you’re tempted to skip a session or two, trust the process and attend them all. Consider discussing your reluctance with your therapist. He or she may be able to spot some faulty reasoning on your part. Or, if indeed you are better and changes are warranted, you and your therapist can make those necessary adjustments together.
      Take your meds as prescribed. Missing a dose can interfere with the medication’s effectiveness, and symptoms may return. Always talk to your behavioral health provider about stopping or changing doses. And remember, alcohol or drugs can also interrupt the efficacy of prescription medications, so avoid them.
      Learn deep-breathing or meditation and practice it every day. Scientists say this is one of the most effective self-care methods. Even though it seems unnatural at first, taking a series of deep breaths can help slow down racing or irrational thoughts. The act of slowly and deliberately inhaling and exhaling increases circulation releases endorphins, and relaxes muscles. And do this throughout the day - even just for 30 seconds - not just when you start to feel anxious or depressed. It will make a big difference in the way you feel.
      It’s the little things. Finally, self-care doesn’t have to mean fancy spas, big vacations, or running a marathon. Taking better care of yourself can happen at home. Making time regularly to take a walk, read a book, play with an animal, chat with good friends on the phone, watch a movie, or practice a hobby can help you cope with Depression more effectively. If you’re lonely, volunteering can be a great way to meet people and feel better about yourself - and again, it doesn’t have to be a big time commitment - maybe it’s just one or two hours every couple of weeks.
      Do You Recognize Any Of These Signs Of Depression? 
      You can access licensed psychiatrists, psychiatric nurse practitioners, and therapists who provide treatment for depression from the convenience of your home. Click here to find your current insurance provider and request an appointment today!  
      Sources
      CDC: Mental Health and Coping with Stress During the Pandemic
      CDC: Taking Care of Your Emotional Health
      NIH | National Institutes of Mental Health: Self-care for anxiety and depression: a comparison of evidence from Cochrane reviews and practice to inform decision-making and priority-setting
      NIH | National Center for Complementary and Integrative Health: Meditation in Depth
    8. 5 Tips for Designing an Effective Therapy Space

      As a mental health professional, it's important to create a therapy space for yourself and your clients that is polished yet comfortable and conducive to the interactions needed for successful treatment. Much research has been done over the years on elements like comfort and privacy that can help inform the design of an effective therapy space. "A space should be something that supports you as you try to achieve specific goals…that means creating a calm and refreshing environment to balance the rigorous mental and emotional work of therapy," says Dr. Sally Augustin, an applied environmental and design psychologist. 
      Conversely, therapy space that in any way puts your clients on edge or makes them feel uncomfortable can have an adverse impact on their progress. Creating the right space for online therapy is just as important to get the most out of your therapy sessions. In this week’s article, we provide 5 tips for creating a comfortable and effective virtual therapy space.
      Choosing the right technology. Investing in your virtual practice is critical to establishing confidence in your ability to deliver care, and to offer a clear environment for your clients to openly engage in the therapeutic process - even when they are far away. Start by ensuring your camera is enabled and the resolution is acceptable (we recommend 720p display resolution or higher). Make sure your internet connection can support a video session and that the audio quality is clear and concise without degradation. The best position for your camera is at face level and centered so you are able to maintain eye contact. That may mean purchasing a stand for your computer or laptop. In session, the goal is to establish a relationship with new clients, to do this we suggest minimizing the appearance of multi-tasking . In addition, if you provide virtual therapy, choose a platform that meets the needs of your clients like Telemynd. Make your online therapy space calm and comfortable for clients. Set up a designated private space that is conducive to critical conversations. Use ambient light, calming wall art, and soft-colored walls in the background to keep distractions to a minimum. If your space doesn’t have good lighting, consider buying a ring light which is specifically designed to provide lighting for cameras and computers. And keep your office clutter-free, as that can give the impression of focus, clarity, and skill in your relationship with clients. You can also utilize a virtual background during your sessions if your space cannot be augmented.  Privacy is an important ingredient to the therapeutic process. Clients should always feel safe during your therapy sessions, and since they’ll be sharing thoughts they usually keep to themselves, feeling a sense of privacy is key. Even though it may be tempting, don't do your therapy sessions from the car, or with others in the background. Close doors and windows in your workspace so it feels private for your clients to open up. And make sure your phone is turned to silent as ringing phones or alarms can disrupt the session. Eliminate negative distractions from your therapy space. Keep personalization to a minimum in the background (i.e., family photos, personal mementos) to help clients feel “at home” within the space. Keep background artwork calming and neutral; if the colors or images are too loud, too specific, or evoke sadness or violence, they may be disruptive to the therapeutic process. Other distractions to avoid: open doors or views of other rooms in your residence if you are working from home, or doing your sessions in anything other than professional attire (for example, PJs definitely give the wrong impression).  Make the space comfortable for you! Don’t forget to get the right chair - since you’ll likely be sitting for extended periods of time every day, it’s important to find one that is ergonomic and comfortable for you. Some therapists sit in an armchair during an online session, and some prefer to sit in a more typical “desk” chair in front of their computer. Try them out before buying and choose what works best. While there is no single right way to design an online therapy space, you can help ensure your clients have a comfortable therapeutic experience by creating a welcoming, private, and technologically-sound space for when they need to be emotionally vulnerable. What tips would you add to the list? Let us know in the comments.
      Sources
      Hospital Community Psychiatry: Design considerations for mental health facilities
      Healthcare: Telemedicine Workplace Environments: Designing for Success
      Psychiatry Advisor: Designing the Therapeutic Space: Using Layout, Color, and Other Elements to Get Patients in the Right Frame of Mind
    9. 5 Ways to Address This Year’s Increased Back-to-School Anxiety

      Back-to-school can be a time of heightened stress and excitement for kids in normal years, but this year, add in increased health worries and new routines associated with the covid-19 pandemic, and the level of ‘back-to-school anxiety’ is higher than ever. In fact, at Telemynd, we’ve recently seen an uptick in requests for mental health visits for kids and adolescents. So, with families in mind, this article will look at the reasons why back-to-school may cause extra anxiety this year and some actionable ways to address it. 
      The number of mental health issues in young people has increased in the pandemic
      A recent study published in the Journal of the American Medical Association (Pediatrics) found that the number of young people struggling with mental health issues has likely doubled compared to pre-pandemic levels. The study found that 1 in 4 kids are experiencing elevated symptoms of depression and 1 in 5 have higher levels of anxiety. A CDC study found that in 2020, emergency room mental health visits increased 31% for kids ages 12 to 17, and 24% for ages 5 to 11, compared to the same period the prior year.
      And it's no wonder. For many young people, the pandemic has increased worries about sickness, family finances, separation from friends, disruption in routine – even coping with grief from loss. A year of remote learning, although necessary for safety, may have taken an emotional toll on many – some may have fallen behind in their studies, or suffered from lack of academic support. 
      Back-to-school transitions will be harder this year
      Most mental health specialists agree that, in general, kids are realizing that the world is not as safe as we all thought it was – and that increases anxiety. Dr. Jennifer Louie, a clinical psychologist at the Child Mind Institute, says, “There’s just anxiety in the air, and I think kids feel that. They are wondering: Are we sure it’s safe to go back (to school)? And are other people safe? And is it safe to touch this?”
      To be sure, some kids have enjoyed homeschooling and spending more time with family. But for those who are predisposed to anxiety, depression, or other mental health issues, transitioning back to classroom learning this Fall may be harder than ever.
      How to help kids deal with back-to-school anxiety
      For parents and caretakers, it may feel complicated – on the one hand you want to reassure them that it’s safe to go back to school in-person, while also encouraging them to be cautious, and preparing them to be flexible if rules or situations change. 
      Here are 5 ways to address additional back-to-school anxiety:
      Emphasize safety measures. Talk about how schools have done months of planning to minimize risk and keep everyone safe — and how kids can do their part by following the rules. It's fine to explain that we can never be 100% sure everyone will stay healthy, but that there are measures in place to try to ensure best possible outcomes if people get sick. 
      Validate their feelings. Validate any worries by acknowledging that, like any new activity, going back to school can be hard, but with time, it will get easier. For younger kids, praise ‘brave’ behaviors, e.g., “I love how willing you were to take the bus this morning.” Make sure they know they aren’t alone - that teachers and administrators are watching out for them and that you’ll deal with any safety and health issues together.
      Have a routine. Making sure that your child has a predictable school morning routine can help everyone feel more secure. Try to do things at the same time, the same way every day. And practice problem-solving if issues come up; for example, if they worry they can’t find their way around school, help them think through who to ask for help.
      Make sure they get enough sleep and good nutrition. The shift from summer to school-year wake-up times can be challenging for a lot of kids, but lack of sleep can make them more vulnerable to anxiety. To deal with this, consider leaving TV, phone, or laptop outside the bedroom at night. And have lots of healthy snacks and lunch material in the house to ward-off unhealthy eating (which also contributes to stress).
      Observe your child's behavior. Watch for signs of depression or anxiety, for example, becoming more withdrawn, angry, or having trouble concentrating. Also watch for physical changes like abdominal or other physical pain - which also can be warning signs. Be sure to regularly and directly ask them how they're feeling. It is also not uncommon for kids who struggle with anxiety and depression to “hold it together” during the school day and have a “meltdown” when they arrive home to release some of the pent up feelings they have kept inside while in school. It is important for parents to be prepared for this type of response and to create space for their child to decompress when they arrive home before trying to engage them about their day. Understanding “why” your child may be acting in a way that is unlike them is the first step in recognizing the signs that they may be struggling with a mental health issue.  
      When to seek additional help
      If you see any of the warning signs mentioned above (and see more here), or if a young person’s worries about school start to interfere with their ability and willingness to attend school or participate in normal activities, like sports, or socializing with peers, consider consulting a licensed behavioral health professional. In some cases, kids may be resisting going back to school because last year’s learning at home “felt” easier than going to school (e.g., kids with a lot of social anxiety, or those with learning disorders may have had an easier time when they could work at their own pace). Mental health professionals can sort out real anxiety and depression symptoms, and provide recommendations to help.
      If a young person in your life is showing signs of heightened back-to-school anxiety, consider contacting a mental health professional
      With the right mental health support, kids can adjust to school this Fall, make new friends, learn new things, and thrive. If you’re a client, request an appointment online or call our live support for assistance in scheduling care today! If you’re a behavioral health provider looking to join our network, see all the benefits and learn how to apply here.

      Sources
      Harvard Medical School
      Centers for Disease Control (CDC)
      Behavior Analysis in Practice
      JAMA Pediatrics
    10. 6 Signs Of Holiday Anxiety

      Holiday songs, the media, friends and co-workers urge us to be merry during the holiday season. However, that’s not always easy to do! As much as we love the holidays, they are invariably a stressful time of year. According to the American Psychological Association, 61% of us describe our anxiety as elevated during the holiday season.
      What causes this extra anxiety? Many things. The additional financial demands of the season, travel, interpersonal family dynamics, balancing work, shopping, cooking and decorating, too many social events, memories of past holidays, as well as unrealistic expectations can contribute to creating the perfect storm of emotions.
      Even in normal times, many living with Generalized Anxiety Disorder – a chronic state of anxiety and stress which can make a person feel constantly worried even when there is little to no reason to. The stress can become debilitating and can lead to a loss of perspective on the current situation. GAD is treatable by a behavioral health specialist but nonetheless requires those who live with it to take extra care of themselves with a balance of healthy diet and exercise. The added psychological pressure of the holidays can present a special challenge for those struggling with GAD. You may feel like crawling under a comforter and sleeping until the new year!
      It’s important to recognize key signs that things are becoming overwhelming and to know some coping skills to reduce the anxiety as it happens.
      6 Signs You Are Experiencing Extra Anxiety During The Holidays
      Key signs to look for are changes in mood or behavior that differ from your norm.
      Be On The Lookout For:
      Erratic or unusual behavior, irritability or impulsivity.
      Physical symptoms of anxiety, such as a rapid heartbeat, shortness of breath, shaking, dizziness, sweating, an upset stomach, or a dry mouth.
      Social withdrawal as some individuals try to avoid situations that will bring on feelings of anxiety or panic. You may also lose interest in activities you used to enjoy.
      Changes in appetite and weight – either up or down.
      Insomnia, extra exhaustion and other sleep disturbances.
      Panic attacks that cause faintness, trouble breathing, pounding heartbeat, or nausea.
      How To Cope With Holiday Anxiety
      Below are some practical tips you can do to decrease stress during the holidays. We also recommend creating an Anxiety Action Plan containing helpful coping mechanisms beforehand, so that if you start seeing some of the early anxiety indicators listed above, you can put it into place. 
      Prioritize your health. Make sure you are eating healthy foods, staying physically active, and getting enough sleep. Think twice about overindulging in alcohol—as it can worsen anxiety symptoms.
      Plan ahead. Think about your triggers and try to head them off. For example, if you're worried about money, put together a budget before the holidays. If holiday shopping causes stress, try to do it early, and avoid the stores by shopping online. If social situations make you uncomfortable, accept just a few invitations in advance and ask a good friend to attend with you. Use a calendar to plan specific days for shopping, baking, or gift-wrapping.
      Stick to a routine as much as possible. Wake up at the same time, try to eat at the same time every day, take your regular walk, and journal if you normally do that. Don’t schedule a new hair style or make drastic changes to your environment during the holidays!
      Schedule worry time. Yes, you read that right. Instead of worrying all the time, schedule a dedicated time –maybe even once a day – to do nothing but worry for a few minutes. Write the  worries down if possible and even brainstorm solutions. This way, constant worrying won’t burn you out.
      Make time for self-care. Schedule time in your day to relax with yoga or meditation, drink a cup of coffee or tea, listen to a podcast, play with the dog, or even take a quick nap. Choose something that relaxes your body and calms your mind.
      Ask for support. Let your friends and family know that you might need extra support. It’s always ok to ask for help. Some experts even suggest practicing a secret signal with someone you trust who can help you during events if you become overwhelmed or anxious. And don’t forget to reach out to a behavioral health professional for additional help and resources.
      In general, experts advise lowering your expectations during the holiday season, try to keep things as simple as possible, and remember that you're not alone – many others are experiencing holiday anxiety like you.
      Do You Recognize Any Of These Signs Of Anxiety? 
      You can access licensed psychiatrists, psychiatric nurse practitioners, and therapists who provide treatment for anxiety from the convenience of your home. Click here to find your current insurance provider and request an appointment today!  
      Sources
      National Alliance on Mental Illness (NAMI): Mental Health and the Holiday Blues
      Harvard Women’s’ Health Watch: A Holiday Advisory for Your Emotions
      Harvard Mahoney Neuroscience Institute: Holiday stress and the brain
      U.S. Army Health: Handling stress and anxiety during the winter holidays
    11. 6 Tips To Prepare For Your First Therapy Session

      When someone makes the critical decision to start therapy, it can provoke a great deal of nervousness—beyond the underlying anxiety, depression, or other mental health issues that are prompting them to seek therapy in the first place. This is especially true if they've never been in a setting where they've been expected to focus solely on themselves and the sensitive aspects of their lives for a fixed period of time.
      As a new therapy client, preparation is key to help calm the nerves. Here are the top six tips for how to prepare for a first therapy session.
      1. Have a Quick Reference for Health-Related Information
      Psychological and physical health are intricately connected, and during a first therapy session, it'll be important to come prepared to discuss health history details. People should make sure to have a readily accessible list of the medications they are currently taking, including supplements. This can be especially helpful if a person would like to start a new medication in conjunction with their first therapy session.
      Beyond current medications, being prepared with a list of medications one has taken in the past can be helpful, especially if certain medications caused adverse side effects or were otherwise ineffective. Be ready to discuss other health conditions, too, as many medical conditions can influence mental health or stress levels—including endocrine conditions (such as thyroid disorders), chronic pain syndromes, or chronic illnesses.
      Having these health details written down in a single place can serve as a handy reference and reduce stress during a first therapy session.
      2. Think About the Functional Goals of Therapy
      Often when starting therapy, the broad goal is to feel better overall. While this is certainly a realistic and achievable goal, it can be helpful to break this goal down into smaller pieces. This way, it's easier to assess progress during a therapeutic journey. Before a first therapy session, people need to take some time to reflect on what they're looking to get out of therapy.
      If a person is experiencing depression and hoping that therapy will help their condition improve, they should reflect on the most challenging aspects of their current condition. For example, depression-related sleep challenges are very common. If sleep has been difficult, a goal of therapy could be to increase the number of nights per week that they get quality, uninterrupted sleep. Or, if a person is experiencing tearfulness with their depression, a practical goal of therapy would be to see a reduction in crying episodes per week. Tracking these symptoms can help a person measure the impact of their therapy and make sure they're recognizing improvement in their condition. It's important to ask one's therapist during a first therapy session about how they view and measure progress, as well.
      3. Prepare First Therapy Session Questions
      Thinking too much about a first therapy session can make it difficult to open up and start a conversation and relationship with one's new therapist. However, going into a first therapy session with a completely blank slate can also make it difficult to know where to start. It can help to prepare a few questions to ask during the first therapy session. Examples include:
      What to expect from therapy? What is the therapist's counseling style? How do practical issues like billing work? A good way to come up with questions is for people to think about what details about the first session are nagging at them the most—and then reframe those as a question. For example, if a person is worried about what they should be doing during a therapy session (i.e., should they be sitting at their computer desk, or is it okay for them to be lying on their couch), they should simply ask. Or, if a person is concerned about the billing or financing aspect of a session, they should feel free to get those questions out in the open as well.
      4. Focus on Creating a Supportive Environment for the Session
      Virtual mental health counseling sessions can help people fit therapy into their busy lives in a way that was never possible before. However, people need to think about where in their living space they will want a session to occur. Being strategic about this can ensure that a first therapy session is as productive and beneficial as possible. Some factors to consider include the following:
      Selecting what to wear. Choosing comfortable clothing can be a great way to feel at ease during a therapy session. People shouldn't worry about dressing to make an impression or to appear professional. Instead, they should wear clothing that makes them feel as relaxed as possible. Choosing where to have the session. If possible, people should choose to have a first therapy session in an area of their home where they're free from mental distractions. If having a therapy session in the kitchen means staring at a to-do list on the fridge, or a sink full of dishes, this can introduce more stress into the session. Instead, choose a peaceful, meditative space with as few distractions as possible. Ensuring that this is free from disruption (i.e., by locking the door to prevent roommates from wandering in) can also help one feel more comfortable during a first session. Being intentional about the physical space and nearby items. Once a person has chosen what to wear and where to set up their device for a first therapy session, it can also help to have a few items nearby to make the setting as calm and supportive as possible. Think about keeping a candle, a favorite scent, a comfort item, a framed picture, or a cozy blanket nearby. Practical items, like a box of tissues, may be helpful to have on hand, too. 5. Think Ahead of Time About Conversation Starters or Jumping Off Points
      One of the most intimidating aspects of a first therapy session may be the initial ice breaker or conversation starter that answers the question: "What brings you here today?" This question can feel so big that it becomes difficult to answer or even to know how to start answering. However, instead of thinking of a first therapy session as this giant, inaugural jump into a new frontier, it's helpful to realize that each therapy session is simply a resource for whatever a person may be needed at the moment.
      Here are some potential topics for jumping-off points people can use when it comes to talking to their therapist during a first therapy session:
      When was a period in their life, or a specific moment, that they felt truly happy or joyful? What factors contributed to that moment—who was there, and what was the context? Comparing that moment to the present moment, what factors are different or the same? When was a period in their life that they felt the lowest, and what factors contributed to this? How quickly did they come out of this lowest moment, or what feelings or emotions are residual from this moment and continuing into the present day? What relationships in the past have they considered to be the most nourishing and constructive? On the flip side, what relationships in the past have been the most toxic or difficult? What present hardship or situation would they want to change first if they could? What worries them the most about the future? What are they hoping will happen in the future? What small, annoying thing happened yesterday? What choice did they make recently that they regret? 6. Congratulate Oneself on the Reality of a First Therapy Session
      It takes a lot of courage to be vulnerable and to go through the process of seeking therapy and showing up to a first session. A final tip for preparing for a first therapy session is simply acknowledging the groundwork that a person has laid to get themselves into the position of attending a first therapy session.
      Showing up for oneself is often more than half the battle, as practicing true self-care takes enormous bravery. Before a first therapy session, people should take a moment to pat themselves on the back for taking this big, important next step forward.
      How to Learn More About First Therapy Sessions
      The above tips about how to prepare for therapy consultation can make it easier to leap into this rewarding journey. At Telemynd, our mental health professionals view therapy sessions as a resource for clients, and each session can serve whatever purpose is needed at the moment. Telemynd providers understand the dynamics that go into embarking upon a therapeutic journey, and they excel at easing clients into a first session. For more information about Telemynd's personalized approach to therapy, contact us to get started with an appointment today.
       
    12. 8 Tips for Coping with Travel Anxiety

      Summer is upon us and many of us are anticipating a return to travel. Whether staying stateside or going overseas, travel conjures up images of exciting new places, beautiful or unusual sights, visiting with family or friends, and in general, lots of relaxation and fun. But for many people, travel can also create feelings of discomfort and worry — a sensation psychologists refer to as "travel anxiety." If this describes you, you are not alone: feeling anxious about travel - before and during a trip - is very common.
      And of course, if you have a mental health diagnosis, you’ll want to check with your medical professional before your trip as they can make sure you are up-to-date on prescriptions, and even provide travel advice for your condition. In addition, this article offers 8 ways to cope with travel anxiety, from giving yourself extra time for transportation transitions to packing a calming item or book that provides comfort during stressful situations. Hopefully these suggestions will help reduce the anxiety and allow you to enjoy the journey! 
      Alleviate potential anxiety before you go
      Experts suggest you start by thinking in advance about what situations on the trip might cause anxiety, recognize when your anxiety may be disproportionate, then challenge it with facts and planning. It’s a good idea for any traveler to do upfront research to make sure destinations and activities are safe. But if your fears about possible disaster get in the way of fully enjoying your experience, your anxieties may be at least partially unfounded. It may help to look at statistics to see how rare certain scary events really are. You can also find out in advance where to go or who to call if you do have an emergency. Often these upfront methods can provide a better sense of control and therefore alleviate some of the advance anxiety.
      Other Tips for coping with travel anxiety during your trip
      Build in extra time. This probably goes without saying. Almost every form of transportation - plane, train, even car rental - will almost certainly experience delays, lines, or schedule changes - causing even the most patient among us to feel overwhelmed. It makes sense to allow for extra time for each, as well as to plan what you’ll do in case of delays (bring a book, load up a movie on your phone, etc.), and learn to accept - rather than fight - these common inconveniences. Keep important documents handy. To reduce freak-outs at the airport or at border crossings, always keep your passport and ID in the exact same holder or bag while you travel (as well as in the same spot at home when not traveling!). Make paper copies of important documents just in case. Consider printing out copies of maps or have an up-to-date, hard copy guidebook in case GPS doesn’t work. Establish a routine that sets the tone for your trip. Familiarize yourself with your surroundings, and if you can, integrate activities that you’re used to doing at home (e.g., getting coffee at a local coffee shop each morning, reading before bed, etc.) to bring a sense of comfort and routine. Practice relaxing breathing exercises. Use these in traffic, in security lines, and whenever necessary. Also integrate physical activity like walking and stretching to relieve stress. Get the appropriate amount of sleep, eat a healthy diet, and stay hydrated.  Try to stay positive — or at least neutral. Frustrating or disappointing situations are bound to happen while traveling. However, your attitude may make a difference. Boston University clinical psychologist and phobia expert, Dr. Todd Farchione, says,  “A lot of times, by pulling from a mindfulness and acceptance-based approach, you can go into a situation in a way where you’re not judging it so negatively… To be calm, you have to act calm.” Know your mental and physical limits. Regularly reassess your original plans and change them to minimize stress levels. Let your fellow travelers know in advance that you will be prioritizing your mental health and that there may be activities along the way that you may not partake in. Finally, give yourself time on the back end of a trip. If possible, plan an extra day or two off after you return, to mentally and physically recover from your trip. This will help you get back into your daily routine with less stress. If you are still facing travel anxiety after trying these stress-reducing tips, a qualified mental health professional can help you work on further coping strategies for dealing with travel anxiety, or help you consider whether medication can help fulfill your wanderlust with as little stress as possible.
      Sources
      International Association for Medical Assistance to Travelers (IAMAT): Travel and Anxiety
      Conde Nast Traveler: What Does Travel Anxiety Look Like?
      CDC: Mental Health and Travel
    13. A Deep Dive Into Teacher Mental Health

      Teaching is one of the most important professions, especially when it comes to shaping the future. Supporting teachers is critical for ensuring productive communities nationwide, as well as globally. However, teachers face a disproportionate number of professional stressors, which can lead to decreased mental health. Read on for a deep dive into teacher mental health and strategies to help teachers prioritize their mental wellness.
      What Factors Are Behind the Decline in Teachers’ Mental Well-Being?
      Compared to adults in other full-time professions, teachers report higher rates of anxiety, depression, and burnout. Prior to the pandemic, teachers were burdened with many constraints, including increasing class sizes, lack of resources and funding, safety concerns, and longer work hours. However, the COVID-19 pandemic introduced a whole new host of stressors for teachers. Fears about physical health, personal well-being, and the well-being of students have only increased the psychological burden on educators. In the post-pandemic era, numerous studies reveal that teachers experience significant job-related stress, which can often lead to mental health conditions such as anxiety and depression.
      What Do Statistics Say About Teacher Mental Health?
      A recent survey of teachers and principals conducted by RAND Corporation showed that almost 75 percent of teachers and 85 percent of principals faced frequent on-the-job stressors, compared to only 33 percent of working adults. More than half of the teachers surveyed reported feeling burned out.
      Other RAND survey statistics showed that:
      26 percent of teachers sometimes or often feared for their physical safety at school 23 percent of teachers reported that they were likely to leave their jobs by the end of the school year 25 percent of teachers noted that they either did not know if their job provided mental health support or that there was no mental health support available to them at work More troubling still, recent research in the International Journal of Environmental Research and Public Health showed rates of anxiety symptoms among teachers ranging from 38 to 41 percent and depression symptoms as high as 77 percent.
      Expert Strategies for Improving Teacher Well-Being
      While taking back control of mental wellness can seem intimidating, especially with the numerous challenges facing the education profession, several tips and tricks can help teachers stay above water and continue to enjoy the critical contributions they make to the profession and society at large.
      Tip #1: Prioritize Self Care
      Teachers are often “helpers” to a fault, meaning that they prioritize the needs of everyone in their orbit before turning to address their own needs. The first step to re-prioritizing one’s mental well-being is recognizing a tendency to defer one’s needs. After acknowledging that underlying trait, teachers can begin to take steps toward putting a greater emphasis on their well-being. Self-care looks a little different for every teacher. These are common self-care activities that many teachers find helpful.
      Routine exercise Focusing on nutritious foods Improving sleep hygiene Taking scheduled and unscheduled time off Spending time with sources of positivity, whether family, friends, or pets Engaging with nature Routine spa appointments, massages, facials, or other body-focused therapies Experts at Mental Health America recommend that teachers physically write self-care activities into their schedules or onto their personal calendars in order to safeguard these activities and limit deferrals or excuse-making.
      Tip #2: Set Healthy Boundaries
      Teachers are altruists at heart, devoting themselves to the education and promotion of others. As such, they often have a difficult time saying “no” and end up taking on more responsibilities and tasks than they truly desire.
      Teachers can refocus on their mental health and reduce their sense of being overburdened by setting healthy boundaries and working to maintain them. This means saying “no” despite the fact that it might cause them discomfort in the moment. Playing defense is crucial to controlling one’s time and schedule and, therefore, feeling agency in one’s own life.
      To help teachers set healthy boundaries, one expert on maintaining resilience in education suggests the following habits:
      Sticking to specific grading times instead of letting work bleed into personal time Scheduling set office hours to help students in order to protect personal time Making no exceptions to the boundaries that are set Enforcing personal breaks that cannot involve work Considering each day a fresh opportunity instead of wallowing or letting emotions carry over from previous days that were challenging Tip #3: Find Social Connection
      The power of social connection is real. Staying connected with others in a similar situation can often be particularly therapeutic, as long as it’s done intentionally and does not dissolve into pure commiseration. Experts at Mental Health America suggest that in order to protect their mental health, teachers should routinely check in on one another. This can allow them to express and share their own vulnerabilities, which can go a long way in combatting feelings of isolation. Establishing a group of fellow teachers who can regularly come together to vent and praise each other can help buffer the daily stress of the job.
      Tip #4: Deliberately Pursue an Activity Outside of Teaching
      Teaching is the ultimate example of a career that “follows one home,” and this is often because teachers are highly dedicated to their jobs and to the well-being of their students. However, allowing the job to bleed into one’s personal life can be detrimental to mental health. One way that teachers can avoid the temptation to fixate on work at home is to deliberately pick up an extracurricular hobby or activity. This can help teachers keep things in perspective, which is an important element of teacher mental health, according to the Mental Health Foundation.
      Tip #5: Lean Into Mental Health Support Channels
      Focusing on mental health can sometimes feel like one more task for busy teachers who are already experiencing job-related stress and burnout. However, professional mental health support can be an amazing addition to the tips listed above. Teachers who seek professional support can benefit from tailored mental health plans with trained counselors to talk to in a confidential setting.
      Telemynd is an online resource that offers virtual appointments with licensed mental health professionals. Telemynd is included in many benefits programs, and it allows teachers and other busy professionals the ability to schedule appointments anytime, anywhere. Its secure platform and licensed therapists and prescribers are ready to give teachers the support they need to keep doing what they love. To learn more, contact us today.
    14. Access to Mental Health Care Is Not Equal Across All Populations: What Can Be Done?

      Recent research shows that 42% of U.S. adults are reporting anxiety and depression symptoms - up 11% over previous years. While that is alarming news, many of us are able to reach out to a qualified professional to seek help for mental health conditions if we need it. However, the reality is that the gap between individuals who need mental health care and those who receive it is sizable and grows bigger every year. Certain communities - for example, those who live in rural areas, certain ethnic communities, and even those within the military community - are often unable to find and receive the care they need. 
      As far back as 1999, the Report of the Surgeon General on Mental Health found that “despite the existence of effective treatments, disparities lie in the availability, accessibility and quality of mental health services for minorities, and those living in some rural and urban areas.” In this article, we look at underserved communities, the reasons why they are underserved, and what can be done about the problem. 
      Communities that are often underserved
      Ethnic minority communities. Studies show that ethnic minority populations are as much at risk for mental health issues as the population as a whole, but receive substantially less treatment. For example, for individuals diagnosed with depression, 69% of Asian-Americans, 64% of Latinos, and 59% of African-Americans do not access mental health treatment, compared with 40% of the general population.  Rural communities. Studies have shown that 20% of residents of nonmetropolitan counties in the US have a diagnosable mental health disorder but have significantly less access to care than those who live in metropolitan areas. In this case, the gap is most often due to a chronic shortage of local mental health professionals and facilities. Underserved urban communities. The CDC says that individuals living below the poverty level in urban communities were nearly 2.5 times more likely to have depression than those at or above the poverty level. And recent research finds that that depression may be linked to characteristics of the neighborhoods in which they live - poor-quality housing, few resources, and unsafe conditions impose stress, which can lead to depression. Yet, these individuals are less likely to be able to access the quality mental health care they need. Veterans. Thousands of returning military personnel struggle with mental health conditions, including PTSD, depression, and substance use disorders. But studies show that only 50% of returning vets receive the mental health treatment that they need. Some of the barriers have included long wait times and mental health stigmas.  Older adults. Studies show that up to 20 percent of adults aged 65 and over have a mental health condition, yet this population also struggles to get the help it needs - most often due to inability (lack of transportation) to get to treatment, or inability to navigate complex medical insurance systems. What are the barriers to accessing mental health care?
      There are many reasons why certain communities aren’t getting the mental health care they need. These include:
      Lack of local availability and resources. Underserved city neighborhoods and rural areas often lack the resources needed to maintain necessary community services, and private treatment facilities tend to locate in areas where they can guarantee a steady income stream - which may not be the case in these areas. Hence the chronic lack of mental health facilities and providers.  Transportation issues, including difficulty finding childcare or taking time off work. Cultural stigmas about mental health. Even when resources are available, cultural stigmas about the nature of mental health prevent many individuals in some communities from seeking proper care when needed. Racial/Ethnic implicit bias. Unfortunately, multiple studies found levels of implicit bias between patient-provider interactions and health outcomes. Concluding that a more rigorous examination should be conducted as it may be contributing to health disparities for people of color. Language barriers and an insufficient number of providers who speak languages other than English. Lack of adequate health insurance coverage. Despite the reduction in the number of uninsured Americans since the ACA was implemented, there are still 28 million lacking any type of health insurance. As well, even for those with insurance, high deductibles and co-pays sometimes make care difficult to afford.  What can be done to address behavioral health access issues?
      Interest from academics, practitioners, communities, patients, and families to address the gap in mental health care is growing - and that’s promising. Here are some of the ways we can address the problem (note that none of these will change the problem overnight - all of these suggestions need additional research and validation):
      Expanding outreach efforts outside of clinic walls with mobile clinics and technologies like digital and virtual treatment. Technology for telebehavioral health services has shown to help break down barriers, remove stigmas, and increase access Creating local marketing and communication campaigns designed to reduce mental health stigma and educate communities about treatment options. Inviting feedback from individuals about their mental health needs and obstacles to care, in order to better understand the issues. Encouraging mental health organizations to include underserved community members on staff or boards of directors. Contacting legislators—both local and federal—to support efforts to improve access to and the quality of mental health services in local areas. Improving payment options Whether you have personally experienced the challenges associated with mental health care access, or whether you’re advocating for a better mental health system, all of us can help make a difference.
      If you need help with mental health issues, consider contacting a qualified mental health professional
      If you’re a client, request an appointment online or call our live support for assistance in scheduling care today. Our mental health professionals are trained in multiple mental health disorders and have experience treating them. If you’re a behavioral health provider looking to join our network, see all the benefits and learn how to apply here.
      Sources
      Journal Administration and Policy in Mental Health
      American Psychological Association
      National Alliance on Mental Health (NAMI)
      Journal of the American Academy of Child & Adolescent Psychiatry
    15. Advantages Of Telemedicine For Mental Health Professionals & Their Patients

      The Covid-19 pandemic has led to a dramatic increase in the use of virtual mental health services, (also known as telemedicine or telebehavioral health). The lockdowns and fear of infection have left patients in need of more care, yet with little choice but to move away from in-person care, and clinicians to quickly figure out how to adapt to new technology to order to offer it.
      The CDC has urged greater adoption of telemedicine, saying it “can facilitate public health mitigation strategies during the pandemic by increasing social distancing. These services can be a safer option for clinicians and patients by reducing potential infectious exposures.”
      Among the benefits, many clinicians are finding that telemedicine has allowed them to make behavioral health access available to more patients than ever before – which has positive implications for addressing the well-known shortage of mental health services in the US (which we wrote about in last week’s blog).
      Studies Show Patients Prefer Virtual Visits With Their Clinicians
      How well does telebehavioral health work? And are patients receptive to it? A resounding ‘yes’ say multiple studies done over the past few years. Overall, most show virtual mental health care to be as effective as in-person care in treating disorders such as Depression, Anxiety, and PTSD.
      For example, a 2016 meta-analysis of 452 studies of telepsychiatry found high patient satisfaction and quality equal to in-person care. A 2020 Veterans Administration study found telemedicine was as effective as in-person office-based care for treating Depression and PTSD in veterans and military personnel. And in another recent study on telebehavioral health, Accenture reported that 46% of patients “would choose to receive mental health appointments virtually.”
      What Are The Benefits To Telemedicine When Treating Mental Health Issues?
      Obviously, telemedicine isn’t appropriate in some cases  – for instance in most emergency situations we recommend patients seek immediate help. But for many others, the convenience and accessibility make Telemedicine a preferred care solution.  Benefits for patients and clinicians alike include:
      Improves affordability of care.
      Enables screening and evaluations to be done virtually, saving time, and getting patients quicker access to care.
      Offers more access for those with chronic conditions and medication management needs.
      Expands access for patients who have difficulty accessing care (e.g., those who live in rural areas, older adults, or those with limited mobility). Allows access to residents in long-term care facilities or other specialized residential facilities.
      Enables access to mental health specialists and specialized treatment centers that normally are geographically distant from some patients.
      Provides more personal care: patients receiving care from the comfort of their own homes feel more relaxed and open to new ways of thinking.
      Helps remove the “stigma” of mental health: patients can seek care from their homes rather than having to drive to an office where they may feel more “out in the open” or “exposed”.
      In addition, telemedicine has these further benefits to clinicians:
      Clinicians don’t need the overhead of a brick & mortar practice.
      Enables greater flexibility in scheduling and a better work-life balance.
      Removes the need to commute.
      For those clinicians who want to and are able to travel, they can see patients from virtually anywhere within the country.
      With Telemedicine, Clinicians Can Be Better At What They Do
      With all its benefits, study after study reveals that telemedicine is now a fundamental component of our healthcare environment. The American Journal of Managed Care says it predicts that telemedicine will continue to gain adoption and become a staple of modern-day patient care, even post-pandemic. And given that, telemedicine with an easy-to-use, award-winning EHR platform like Telemynd is a great way to expand your practice geographically and demographically - allowing you to reach new populations of patients you may not have had access to before. 
      And With Telemynd, Clinicians Build A Practice On Their Terms
      Telemynd clinicians say things like “...plenty of referrals to choose from so my caseload was full within two months. Gentle entry into telehealth with user-friendly EHR”, and “...work-life balance… family and community atmosphere even though I am states away”, and “...feeling like you did something worthwhile that day”.
      If you’re a mental health professional and are looking for a way to expand your career or practice, Telemynd is a nationally delegated telebehavioral health provider offering a better way to see patients and deliver care through our secure cloud-based solution. Check out more recent reviews from your peers, and consider joining our network with access to millions seeking telebehavioral health!
      Sources
      Centers for Disease Control (CDC): Using Telehealth to Expand Access to Essential Health Services during the COVID-19 Pandemic
      Harvard Business Review: Digital Tools Are Revolutionizing Mental Health Care in the U.S.
      American Journal of Managed Care (AJMC): Patient and Clinician Experiences With Telehealth for Patient Follow-up Care
    16. After the Games are Over: Olympic Athletes & Mental Health

      As the 2022 Olympics and Paralympics wind down in Beijing and athletes return home, the glow of their accomplishments is sure to last for a while. But what happens after the glow dies down - after the hometown celebrations, victory parties, and media interviews subside? Holly Brooks, a well-known therapist to Olympic athletes, says, "A lot of athletes fall into a deep depression after the Olympics… (They) need a lot of support, a lot of people reminding them of their worth beyond just their athletic achievements and results."
      In this article, we look at the mental health issues that returning Olympians often face, and what can be done to address this.
      Post-competition mental health issues are not uncommon
      It is estimated that one-third of elite athletes around the world experience symptoms of depression or anxiety. In recent years, athletes like Simone Biles, Chloe Kim, and Michael Phelps have helped raise awareness and normalize mental health issues by talking openly about their own anxiety and depression. At the same time, the number of research studies around this topic has increased - confirming the high incidence of mental health issues in this group.
      Studies have found there are several reasons that athletes may experience post-competition depression. Some athletes are dealing with disappointment over performances that didn't seem to measure up. But even for those who walk away with gold, that post-competition, somewhat “lost” feeling of “what do I focus all my energy and attention on now?” can loom large. One athlete said, “When you get home it’s really lonely… It’s quite depressing, and it is a little bit overwhelming, starting from square one again.”
      Sports psychologist and director of the Performance Psychology Center at the University of Michigan, Scott Goldman, explains it this way: “This ninety-mile-per-hour ride comes to a screeching halt the second the Olympics are over. …This emotional drop is not that different from the drops we all feel after major milestones, such as getting married or giving birth…. But in the case of Olympic athletes, some find themselves at such a loss they can’t stop the slide—and wind up in clinical depression.”
      What can be done to address mental health issues faced by athletes?
      Some experts suggest that athletes should have a plan in place for what to do after the excitement of the competition ends - from going on vacation to beginning a degree, a new job, or even a new athletic season. The key may be in an athlete’s willingness to build and maintain an identity off the playing field - and this may be where these other life goals come in.
      Support is also critical: The U.S. Olympic and Paralympic Committee formed a mental health task force in 2020 and among other things, made sure Olympic athletes now have access to a dedicated team of counselors and other mental health resources, such as wellness and meditation apps and support groups - during and after the games.
      One athlete summarized the challenge this way: "People are finally recognizing that these athletes are not superhuman robots like everyone thinks they are. It's like, 'Oh they're a normal person who has their own mental health issues.'" 
      If you or a loved one need help with mental health issues, consider contacting a qualified telebehavioral health professional
      If you’re a client, request an appointment online or call our live support for assistance in scheduling care today. Our mental health professionals are trained in multiple mental health disorders and have experience treating them via online appointments - from the convenience and privacy of your home or wherever works for you. If you’re a behavioral health provider looking to join our network, see all the benefits and learn how to apply here.
      Sources
      NPR
      Frontiers in Psychology
      British Journal of Sports Medicine
    17. Are Mental Health Disorders Genetic?

      Mental health disorders affect more than 25% of the population in any given year, and for a while now, scientists have understood that these disorders arise from a combination of genetic influence and environmental factors. Even early physicians made clinical observations noting the tendency of mental illnesses to run in families. Recently, several new studies have confirmed that psychiatric disorders do indeed have genetic roots. But how much can genetics be a contributing component to your mental health? Which disorders are you more susceptible to and which have no genetic correlation?
      What The Current Science Says About The Role Genes Play In Mental Health 
      Advances in genomic research have identified hundreds of genetic variations that contribute to a range of psychiatric disorders. Recent studies published in science and medical journals such as Molecular Psychiatry, The American Journal of Psychiatry, and Cell, have confirmed that most major psychiatric disorders have a familial and heritable component. What they found was that no individual gene contributes much to the risk of a disorder; instead, hundreds of genes each have a small effect. The way it works is this: your genes are made up of segments of DNA; and any alteration in the DNA sequence produces a gene variant, which can then increase the risk for a disorder. 
      Specifically, scientists found that the genetic causes of different mental health disorders can range from 20% to 45% for anxiety disorders, obsessive-compulsive disorder, and major depressive disorder; from 50% to 60% for alcohol dependence and anorexia; and from 75% and up for autism spectrum disorder, ADHD, schizophrenia, and bipolar disorder.
      These studies should not be inferred as an absolute that any one individual will develop a disorder. People with no family history of mental illness can be diagnosed with mental health disorders too. And even for those at higher genetic risk, environmental factors such as poverty, childhood trauma, exposure to certain toxins, substance abuse and others, also play a significant role in whether or not someone develops a disorder, or the severity of the illness.
      One Example: Bipolar Disorder
      According to the National Institutes of Health (NIH), irregularities in many genes may combine to increase a person’s chance of bipolar disorder (a disorder associated with episodes of mood swings ranging from depressive lows to manic highs). More specifically, scientists can now predict the chances for getting the illness in this way: there is a one in 100 chance of developing bipolar disorder if you are in the general population; however if one of your parents has it, the chances go to 10 in 100; and if one of your siblings has it, the chances go to 13 in 100.
      Remember, just having a genetic predisposition to Bipolar Disorder is not enough to trigger its development. Environmental factors must be present also. It’s also important to note that just because someone has a greater chance of the illness, doesn’t mean they will ever develop it.
      Why Research The Genetics Of Mental Health?
      Beyond identifying genetic risk variants, a major benefit of this research and its findings is the ability to provide new clues about the biological pathways that contribute to mental illness. Learning how mental health disorders are related at a biological level may inform how we classify and diagnose them in the future. As well, the findings may help develop new treatments that benefit multiple conditions.
      While we’ve got a good start, scientists all agree that much more research into the genetics of mental health is needed. Until then, it is still recommended during initial sessions with behavioral health specialists to share your family history of mental health in order to better recognize and treat underlying conditions. If you recognize potential symptoms of a disorder, it is important to receive a proper evaluation from a qualified behavioral health specialist, most mental health disorders can be managed through a combination of therapy and/or prescription medication..
      Consider Telebehavioral Health
      Telemynd offers patients the ability to connect with providers from the safety and convenience of their homes. If you’re a patient, choose your current insurance provider to request an appointment or call our live support for assistance in scheduling care today! If you’re a behavioral health provider looking to join our network, apply online. 
      Sources
      Massachusetts General Hospital: Largest study of its kind reveals that many psychiatric disorders arise from common genes
      The Journal Nature: The hidden links between mental disorders
      American Journal of Psychiatry: Psychiatric Genetics Begins to Find Its Footing
    18. Back to School Guide: Tips for Empowering & Supporting Your Kids

      Beyond the frenzy of school supply shopping, lies a more crucial task on the back-to-school agenda for parents – helping their children manage the stress that often accompanies this transition. As the school year brings forth new teachers, friends, and expectations, it's important for parents to play a pivotal role in establishing routines and nurturing a positive mindset that can help children tackle change confidently. In this comprehensive guide, we delve into practical strategies that empower parents to support their kids' emotional well-being during the back-to-school period.
      Reducing Back-to-School Anxiety Through Routines
      The shift from summer's carefree days to structured school routines can trigger anxiety in children. Establishing a new routine can help ease this transition by providing predictability and a sense of control. Here’s how parents can guide their children in crafting an effective routine:
      Step 1: Crafting a Realistic Schedule Parents should work backward from fixed constraints, like school start times, to build a routine. Allot extra time to account for learning curves and unforeseen delays, ensuring a stress-free start to the day.
      Step 2: Involving Children in the Process Foster a sense of ownership by involving children in the routine creation process. Encourage them to participate in decisions, such as choosing an alarm tone or a morning activity, instilling a sense of empowerment.
      Step 3: Preparing Through Practice Parents can ease children into the new routine gradually by adjusting sleep schedules and practicing the routine in the weeks leading up to school. Conduct a "practice morning" to allow kids to visualize and adjust to the changes.
      Step 4: Embracing Flexibility Accept that unexpected factors may influence the routine. Flexibility is key in adapting to unforeseen circumstances, allowing both parents and children to feel more empowered.
      Supporting Mental and Emotional Well-Being
      Beyond routines, providing mental and emotional support is paramount for a successful transition. Parents can take several steps to help children cope with back-to-school stress:
      Open Communication: Establish an "open door" policy where children feel comfortable sharing their concerns. Active listening can go a long way in managing anxieties effectively. Creative Outlets: Encourage children to express their emotions through journaling, art, or other creative avenues, offering alternative channels for communication. Trusted Support System: Inform children about other supportive adults they can turn to, such as family members or caregivers, giving them multiple outlets to address their worries. Positive Mindset: Foster enthusiasm and a positive outlook about the new school year to help children approach change with optimism. Additional Support
      For children facing heightened back-to-school anxiety, seeking professional help is a viable option. Telemynd offers a range of expert mental health services, including licensed psychiatrists and therapists who can provided personalized support tailored to children's needs.
      Empowering children during the back-to-school transition involves more than just checking off school supply lists. By creating effective routines, fostering open communication, and supporting mental well-being, parents lay a strong foundation for their children's emotional resilience. This comprehensive guide equips parents with practical tools to guide their kids through the journey of change, ensuring a confident and successful start to the new school year.
    19. Barriers To Accessing Behavioral Health Care - And How Virtual Care Can Help

      It’s estimated that almost half of all Americans will experience a mental health issue at some point in their lives. We’ve discussed some of these issues in previous posts - Generalized Anxiety Disorder, Major Depressive Disorder, PTSD, Bipolar Disorder to name a few. Although research shows that 76% of Americans believe behavioral health is just as important as physical health, and 56% want to access a mental healthcare provider, there are many barriers. This article discusses those hurdles, as well as possible solutions to getting every individual the care they deserve.
      Reasons For Not Being Able To Access Behavioral Health Services
      Lack of access to behavioral health providers does not come as a surprise to most Americans. 74% of us do not believe such services are accessible for everyone, and almost half of us (47%) believe options are limited. This is a situation that must be addressed, as without readily accessed mental health services, there can be a significant impact on jobs, relationships, and overall physical health on the individual level. And these individual impacts ultimately affect the economy as a whole.
      There are a multitude of reasons for not being able to access behavioral healthcare.
      Shortage Of Providers. There are mental health professional shortage areas in every state, according to a study by the Kaiser Family Foundation. This same study showed that nearly 40% of Americans live in regions with a shortage of mental health providers, leading to limited or delayed access to services. Regional shortages cause long wait times (38% of those trying to get help waited longer than a week for care), and some people simply give up rather than wait. Unfortunately, one of the main issues resulting from the behavioral healthcare shortage is that 60% of mental healthcare visits are through a primary care provider and not the specialty care that is necessary to truly address mental health. 
      Transportation To Facilities. Related to the above is the fact that not all individuals have reliable transportation to healthcare - whether that is because of the distance they have to travel to seek help or the fact that they have their own mobility issues. This issue often impacts low-income communities, disabled individuals, and those who live in rural areas. 46% of patients report that they or someone they know has had to travel more than an hour to access care in a timely manner.
      Lack Of Awareness Or Understanding Of Where Or How To Get Help. While most Americans do try to find care, research shows that 29% who wanted treatment for themselves or loved ones did not seek it because they didn’t know where to go. Leading to a greater need for visibility and education to help identify behavioral health issues and understanding the right type of care to seek for treatment.
      Stigma. Several weeks ago, we wrote about the stigma around behavioral health that causes people to avoid or delay seeking treatment due to their perception that they may be treated differently, or that seeking treatment may impact their jobs or social status. In fact, research shows that nearly one-third of Americans worry about others judging them when they told them they sought mental health services. And a study specific to older adults found that the most commonly reported barrier to treatment for that age group was the personal belief that "I should not need help". 
      How Virtual Behavioral Health Care Can Help
      So how do we address this problem? The issues are complex and will likely require further study and changes to public policy and education. But virtual behavioral health care (also called telebehavioral health) may be one of the solutions. Virtual care expands access to providers, eliminates the problem of transportation or mobility, reduces wait times, and eases concerns about the stigma since visits take place in the privacy and convenience of patients’ homes.
      The CDC recently concluded that “telehealth… can improve health care access outcomes, particularly for chronic disease treatment and vulnerable groups.” Another published, peer-reviewed study found that “behavioral health virtual visits deliver the same outcomes as in-person visits for many conditions, and meet the same standards of care set by the National Committee for Quality Association.” And the good news is that 45% of Americans who have not already tried virtual behavioral health services said they would be open to the idea of trying it to address a current or future mental health need.
      Considering A Career In Telebehavioral Health Or Know Someone Who Could Benefit From Virtual Access To A Licensed Mental Health Professional?
      Telemynd offers patients the ability to connect with providers from the safety and convenience of their homes. Providers can join our network by applying online. If you’re a patient, choose your current insurance provider to request an appointment or call our live support for assistance in scheduling care today!
      Sources
      UnitedHealthcare
      National Council for Behavioral Health
      NIH
    20. Beginner’s Guide to Self-Care: Essential Tips for Starting Your Journey

      When people hear the term “self-care,” they may envision someone taking a spa day or a long vacation to the Caribbean. Ahhh, sounds dreamy … but that’s not exactly self-care.
      While those activities may be relaxing, they are not an accurate depiction of practicing self-care, and they are too costly to help anyone on a regular basis.
      True self-care is a routine of repeated activities that help someone care for their physical, mental, and emotional well-being. While the specific habits will look slightly different for everyone, the overall goals are always balance and a healthy lifestyle.
      This article will provide a beginner’s guide to self-care. Anyone starting their self-care journey can begin with confidence and find helpful tips in this self-care guide.
      Self-Care for Beginners
      Before anyone can begin practicing self-care, they must first understand what it is — and what it is not.
      The general goals and practice of self-care are similar for everyone: Find balance in life by making time for activities that refresh them physically, mentally, and emotionally.
      Self-care is not typically lavish events or expensive vacations. It's not something to do just once or twice a year. And self-care is not something that only happens when the rest of life is put on hold.
      More commonly, self-care looks like small daily activities or routines taking 20 minutes or less. Some may cost money — like buying a face mask or enjoying a specialty coffee. But others are free: petting a dog, reading a book from the library, or talking to a friend.
      Self-care activities are important for general health and well-being. Not only are they enjoyable, but they also serve a scientific purpose for the body. Engaging in self-care activities releases “happiness chemicals” in the brain: serotonin, endorphins, dopamine, and oxytocin. Keeping these chemicals flowing helps prevent depression and improves overall mood and health.
      Anyone beginning to practice self-care can take small steps toward improving their mental health and well-being.
      Essential Tips for Starting Self-Care
      Self-care for beginners may take some practice before someone feels any results. People who are already overwhelmed and near burnout find it difficult to add one more thing to their schedule. But truly, everyone deserves self-care. It is available to anyone who makes an effort to take care of themselves for a few minutes a day or throughout the week.
      Beginners to self-care should follow these essential tips for starting self-care routines.
      1. Assess Needs
      The first step in self-care for beginners is to pause and assess their needs. Where are they feeling the least balanced and healthy right now? For example, if they have been feeling tired and overworked lately, the most obvious need is a physical one: sleep.
      But it's important to take the time to look a little deeper to assess all needs. Sleep is a physical need, but it is closely related to mental health. If the thing keeping someone awake at night is a stressful relationship, they may have unmet emotional needs. If they’re restless because their brain keeps worrying over to-do lists, their true need may be relaxation and a mental break.
      All these situations can make someone feel tired, but the answer to solving them looks different in each scenario. Self-care is a unique process for everyone. It’s most effective when someone takes the time to assess their needs first and then find self-care habits to meet those needs.
      A self-care beginner can assess self-care needs in the following categories:
      Physical: Are they getting balanced meals, exercise, feeling strong and healthy, getting sleep? Mental: Are they able to function at work, make decisions, think clearly, and complete long-term projects? Emotional: Do they feel valued, respected, fulfilled? Do they have people to talk to about challenges? Depending on their answers to these questions, someone can focus on the self-care routines that will fill in the gaps for their current mental and physical well-being.
      2. Set Obtainable Goals
      Self-care can bring balance to many issues, but it doesn’t work overnight. It’s also not a replacement for prescriptions from a doctor. When someone is starting a new self-care routine, they need to be realistic about what they want to achieve with self-care and how much time they can realistically commit to self-care.
      For example, a relaxing bedtime routine may be an ideal solution for someone struggling to get enough sleep. But it may be unrealistic for them to spend an hour every single night taking a bath, writing in a journal, practicing meditation, and listening to relaxing music. Instead, they may need to break up these activities into smaller chunks of time throughout the week.
      It’s important to set reasonable goals and a realistic timeline for a self-care journey. It usually takes about a month of repeated effort before something becomes a habit. A self-care beginner should try their new self-care routine for several weeks before reevaluating and making adjustments. It helps to review the assessment questions above to see if there have been any changes or improvements.
      3. Create a Self-Care Toolkit
      Any self-care guide for beginners will include a list of self-care activities to try. These are considered self-care toolkits because they are things someone can pick and choose to support their overall well-being. The tools are generally the same, but people will use different options for various situations, depending on their self-care needs.
      Self-care means valuing oneself enough to carve out time for the things they need most:
      Physical needs, like exercise and healthy meals Intellectual stimulation, like learning a new skill Emotional connection, like talking to friends Relaxation needs, like soaking in a hot bath If none of those activities sound appealing, don’t worry! There are many paths for a beginner to start practicing self-care. Don’t get caught up in the details because self-care habits look a little different for everyone.
      Keep reading to discover more detailed suggestions for a self-care toolkit.
      4. Overcome Challenges and Setbacks
      Any time someone begins a new habit, they are bound to encounter difficulties. They may forget to set aside time for the self-care activities they want to enjoy. Or someone may try a few self-care routines and feel awkward, like they aren’t a good fit.
      These challenges are common, especially for self-care beginners. The most important thing is persistence. No one should give up on their own self-care! If one type of activity isn’t working, switch to a different option from the self-care toolkit. If fitting self-care into a daily routine is difficult, someone can try scheduling it into a calendar or setting reminders on the phone.
      It’s worthwhile to make self-care a priority and keep those self-care “appointments” in the schedule.
      5. Celebrate Progress and Self-Reflection
      Since self-care routines impact physical and mental health in tiny ways throughout the day, someone may not see a dramatic change immediately after beginning to practice self-care. Remember, change is gradual. So it’s important to celebrate baby steps and small improvements along the way.
      An essential tip for starting self-care is to take time to reflect on progress. Someone who reviews the assessment questions every few weeks will start to notice improved answers. When self-care becomes an automatic part of their routine, that’s a sign of success. If a self-care activity becomes the highlight of the day, that means it’s working!
      To maximize self-care benefits, celebrate progress with small rewards or monthly treats. Celebration can be self-care too.
      How to Create a Self-Care Toolkit
      Ultimately, self-care comes down to the individual activities and routines someone chooses to prioritize for their own well-being. The activities may look different for each person, but the self-care message is always the same:
      “I’m doing this because I value myself, and I’m worth it.”
      For example, one person may enjoy taking walks in the woods, while someone else prefers reading a book, but both are making time for activities they enjoy.
      Self-care for beginners means picking and choosing activities from the following lists to see which ones best fulfill their unmet needs. As needs change, it’s natural to try different self-care activities from the toolkit.
      Self-care activities to nurture physical well-being:
      Go for a walk (preferably in nature) Drink water Do stretching exercises Take deep breaths Close your eyes, give them a break Eat a healthy meal Get a good night’s sleep Soak up sunlight Take a bath or shower Exercise for 10-20 minutes Buy new clothes or makeup Use a cleansing face mask Bake something yummy Get a massage Take a 20-minute power nap Get a manicure or pedicure Dance to music Self-care activities to cultivate mental and emotional well-being:
      Listen to music Write in a gratitude journal Call or text someone Laugh Practice meditation Write down positive affirmations Spend time with a friend Light a candle Drink a cup of tea Pet a dog or cat Water plants or flowers Color or paint in a de-stressing coloring book Read a self-help book Snuggle with a weighted blanket Listen to inspiring podcasts De-clutter your space Put together a puzzle Try a creative hobby Read mental health blogs Smell flowers or essential oils Do an act of kindness for someone Plan a social event Hug someone Create and enforce boundaries Talk to a coach or therapist Anyone beginning their self-care journey can choose several fun ideas from the self-care toolkit here. They should select the activities that best meet their personal needs based on the assessment questions. After trying at least one a day for a week, they can repeat the activities that were most helpful to them.
      Self-care for beginners doesn’t have to be intimidating! With the tips from this self-care guide, anyone can take steps toward self-care and improving their physical and mental well-being.
    21. Building Support For Those Struggling With Mental Health Issues

      Last week, we wrote about how a good social support system of friends can help strengthen our mental health. Friends benefit us by providing a sense of belonging, keeping us motivated, and supporting us through challenging times, among other things. So in this article, we thought it would be a good idea to demonstrate specific ways that friends and family members can support those struggling with mental health issues, as well as to highlight support resources in the community beyond friends and family.
      How To Support Friends Or Family With Mental Illness
      First, know that there is no ‘one size fits all’ way to support someone with a behavioral health issue. How you provide support depends on their issues and needs, as well as your relationship with them. But at the top of the list is knowing the warning signs of mental health problems; in fact, you may be able to spot these before someone recognizes them in themselves. For example, if someone withdraws from social interaction, or has unusual problems functioning at school or work, or has dramatic changes in sleep and appetite, it may be a good idea to encourage them to see a medical professional to rule out specific mental health issues. 
      The following are additional ways to offer support:
      Offer to be available for support. They may not even realize you are ready to be there for them, so make sure that they know they are not alone. Reassure them that you care about them – even if they don’t always feel like talking or being with you, it can be a comfort just to know that you care.
      Ask what you can do to help. You can leave this open-ended (“I want to know how I can best support you.”) or suggest specific tasks that might be helpful (“Can I drive you to your appointment?”).
      Don't try to diagnose or second guess their feelings. Try not to make assumptions about what is wrong or jump in too quickly with your own diagnosis or solutions. 
      Listen patiently. Allow the person to talk openly with you without hearing dismissal of their thoughts or feelings. If they choose to share personal information with you, don’t share it with others. (However, if you hear talk of suicide, contact the National Suicide Prevention Hotline at 1-800-273-TALK (8255), Option 1)
      Stay calm and low-key. It’s possible that the person you care for may have very challenging and complex behavior. 
      Talk about suggestions for wellbeing. For example, ways of de-stressing or practicing self-care like exercising, eating a healthy diet, and getting a good night’s sleep.
      Experts advise that in supporting a friend with mental health issues, you don’t need to be available 24/7. Nor should you put yourself in danger to watch over your friend, or stay in a relationship that’s not working for you. At the end of the day, you aren’t responsible for another person’s mental health, so take care of yourself while you are taking care of them.
      Finding Local & National Support Mental Health Resources
      Beyond the support of family and friends, there are also community resources for mental health, and even resources at the national level – all of which can provide helpful information and services. To find help at a local level, reach out to medical professionals, and also check your local library, place of worship, or community center to learn about nearby resources. The National Association of State Mental Health Program Directors lists the names and contact information of public officials who head up each state’s mental health program.
      Also consider joining a virtual or in-person support group to connect with people who are facing similar mental health diagnoses or are caring for someone with similar issues. The National Alliance on Mental Illness (NAMI) has an online resource that can direct you to local support groups, as does the Depression and Bipolar Support Alliance.
      At the national level, we have a Mental Health Crisis Resource Center to locate not-for-profit organizations and government entities provide high-quality information and resources for various types of behavioral health issues.
      Considering A Career In Telebehavioral Health Or Know Someone Who Could Benefit From Virtual Access To Licensed Behavioral Health Professionals?
      Telemynd offers patients the ability to connect with providers from the safety and convenience of their homes. Providers can join our network by applying online. If you’re a patient, choose your current insurance provider to request an appointment or call our live support for assistance in scheduling care today!
      Sources
      American Psychiatric Association: Helping a Loved One Cope with a Mental Illness
      Psychology Today: How to Help a Loved One with Mental Illness
      National Alliance on Mental illness (NAMI): Community Support Builds Better Lives
    22. Challenging Mental Health Stigma: 5 Inspiring Celebrities Leading The Way

      With their unusual schedules and extreme exposure to public scrutiny, it’s not surprising that many celebrities have mental health conditions. Thankfully, celebrities talking about mental health challenges and solutions can pull back a curtain on conditions often considered private or taboo.
      Decades ago, seeking medication or treatment for a mental health disorder could be viewed as a career-ending decision. Now, with the help of numerous celebrity mental health advocates, Hollywood and many other industries are beginning to destigmatize mental health. From Selena Gomez’s mental health documentary to Lady Gaga’s PTSD discussions and Jim Carrey’s mental illness honesty, celebrities are removing the stigma of mental health topics.
      Now, anyone suffering from conditions like depression, anxiety, bipolar disorder, OCD, or PTSD can find a celebrity who has faced a similar challenge and found a way to work through it. When celebrities promote mental health awareness, fans of those actors and performers will realize they aren’t alone. Destigmatizing mental health means people can openly discuss and learn about the resources available to support someone through a mental health disorder.
      The following people have been outspoken about their own challenges and have become celebrity mental health advocates.
      Selena Gomez Battled Bipolar Disorder, Anxiety, and Depression
      In 2016, during her Revival tour, actress and singer Selena Gomez began hearing voices and suffering from paranoia. After years of suffering from depression, periods of mania, and suicidal thoughts, she finally checked into a mental health hospital and was diagnosed with bipolar disorder.
      Since then, Selena Gomez has become one of the more prominent celebrities talking about mental health. Her recent mental health documentary, Selena Gomez: My Mind and Me, explored her bipolar diagnosis and how living with mental illness has impacted her life.
      In 2022, Gomez launched the “Your Words Matter” campaign to help destigmatize mental health treatment. As part of the campaign, she encouraged people to consider the ways they refer to mental health conditions and diagnoses. Using people-first language can remove some of the negative stigma from seeking treatment for mental health. For example, it’s better to refer to someone as “a person with bipolar disorder” rather than “a bipolar person.” Language can empower those who are seeking help to improve mental wellness.
      The recent campaign isn’t the first time Gomez has spoken up in support of mental health awareness. In 2021, for Mental Health Awareness Month, Gomez launched a campaign called Mental Health 101. In 2020, she established her mental wellness website, WonderMind, where she shared her own bipolar diagnosis. In 2019, she won the McClean Award for mental health advocacy.
      Gomez treats her bipolar disorder and depression with medication and cognitive behavioral therapy. She informs those following her story that her illness isn’t over, and it never will be. Mental health is something she will continue to work on for life. Gomez wants others, particularly teens and young people, to know that education and research are important tools for mental wellness.
      Her honesty about her own struggles has made Gomez one of the most relatable celebrity mental health advocates.
      Lady Gaga Raises Awareness of PTSD and Trauma Therapy
      Many people associate the term PTSD (post-traumatic stress disorder) with service members who have been scarred from combat experiences. However, performer Lady Gaga is on a mission to help people understand that PTSD is a mental illness, which can affect anyone who has been through a traumatizing event.
      In Lady Gaga’s case, her PTSD resulted from being raped repeatedly when she was 19 years old. She made her PTSD diagnosis public in 2016. In a 2020 interview with Oprah, Lady Gaga explained:
      “I developed PTSD as a result of being raped and also not processing that trauma … I never dealt with it, and then all of a sudden, I started to experience this incredible intense pain throughout my entire body that mimicked the illness I felt after I was raped.”
      PTSD is an extreme form of stress that usually results from specific traumatic events. It can cause flashbacks, sleeplessness, anger, depression, and physical pain. For Lady Gaga, the pain of unprocessed trauma became fibromyalgia that gave her "head-to-toe pain."
      While PTSD can be a frightening mental health diagnosis, the good news is that it can be treated with therapy and anti-anxiety medication. In cases of sexual assault or abuse, there is no timeline for recovery. So even if someone is suffering from a childhood event, they will still find support and can take steps toward mental wellness if they go through therapy as an adult.
      Lady Gaga reminds her listeners that mental health is a medical condition and should be treated that way. In a letter to fans of her Born This Way foundation, Lay Gaga writes, “No one’s invisible pain should go unnoticed … I am continuing to learn how to transcend this because I know I can. If you relate to what I am sharing, please know that you can too.”
      Daniel Radcliffe Discusses OCD and the Value of Therapy
      Before becoming a childhood star in the Harry Potter movies at age 11, actor Daniel Radcliffe suffered from compulsions to repeat activities like flipping a light switch or re-stating his own words. Beginning at age 5, he was diagnosed with OCD, or obsessive compulsive disorder. There were times when it took him 5 minutes to turn off a light. He needed to hear his own words repeated after he said them, so he learned to repeat them in his mind or under his breath.
      While these challenges have caused him many internal struggles, they have not held Radcliffe back from external success. In a 2020 interview, Radcliffe said the most important thing he did to cope with his disorder was going to therapy.
      “I would encourage everyone to undergo therapy. It doesn’t mean you’re insane or weak.”
      The more Radcliffe speaks out about his own struggles with OCD, the more he is destigmatizing mental health treatment. Radcliffe is one of the most recognized celebrities talking about mental health, and his experience inspires others to get the support they need.
      Jim Carrey Challenges Depression
      Actor Jim Carrey is best known for his comedic roles, where he uses exaggerated facial features to make his audience laugh. But the person behind these humorous characters is someone who has struggled with sadness and depression ever since childhood.
      Carrey grew up in a stressful environment. His father was often unemployed, and his mother was frequently unwell. Comedy and acting became an escape for Carrey after he dropped out of high school to earn money. He has talked openly about his depression since 2009.
      Jim Carrey’s mental illness perspective is unique. He views depression as the result of people pretending to be someone they are not. When someone’s mind can no longer play the “character or avatar” they are trying to be, the mind rebels by going into depression mode.
      In a video interview, Carrey quotes author and spiritual healer Jeff Foster, who says the word “depressed” could be described as “deep rest.” When the mind and body need a deep rest from the work of pretending to be more satisfied than they are, depression settles in.
      Depression is a mental illness where someone feels extremely sad and disinterested for more than a few weeks at a time. Depression is an extremely common mental disorder, but it can be treated successfully with medication and therapy.
      Carrey uses medication to manage his depression. But he also mentions how important it is for people to give themselves a “fighting chance” to battle depression by eating healthy food, exercising, getting enough sleep, spending time in the sunlight, and surrounding themselves with support.
      Jonah Hill Documents Treatment for Anxiety Attacks
      Sometimes, celebrities battling mental disorders are the best advocates for destigmatizing mental illness. This is the case with actor and director Jonah Hill, who recently made the Netflix film Stutz to share the mental health advice and strategies of his therapist, Dr. Phil Stutz.
      But because of Hill’s 20-year struggle with anxiety, which is made worse through media appearances, Hill didn't make any public appearances to promote the film. In a letter to fans, Hill wrote:
      “I’m hoping to make it more normal for people to talk and act on this stuff [mental wellness] so they can take steps toward feeling better and so that the people in their lives might understand their conditions more clearly.”
      Anxiety is a mental disorder where someone suffers from feelings of worry, anxiety, or fear that are powerful enough to disrupt their daily activities. There are many symptoms of anxiety, but attacks may include feelings of impending doom, rapid breathing, sweating or trembling, and difficulty concentrating.
      Hill’s documentary Stutz has a powerful message for anyone suffering from anxiety. He made the film to share the tools that helped him in his battle with anxiety and panic attacks. In the film, Dr. Stutz gives this advice to viewers:
      “You can’t move forward without being vulnerable. Vulnerability is connection to the rest of the world. Take action, no matter how frightened you are. If you can teach somebody that, they can change their whole life.”
      Celebrities with mental health conditions have a choice to treat their disorders in private or share their pain with the world. Everyone benefits from celebrities talking about mental health because it normalizes the need for medication or therapy and lets people know that mental health resources exist.
      Celebrity mental health advocates like Selena Gomez, Lady Gaga, Daniel Radcliffe, Jim Carrey, and Jonah Hill help destigmatize mental health conditions. Fans who may be struggling with mental health can view their documentaries and read their stories to learn they aren’t alone. These celebrity mental health advocates are slowly changing perceptions about mental health stigmas.
      Anyone who needs mental health care should not hesitate to seek support. There are many professionals willing to offer advice, support, and therapy that can improve lives. Begin by visiting Telemynd to connect with quality health care providers from the comfort of home.
    23. Choosing A Career In Mental Health - The Guide To Making A Difference

      Thinking about a career in mental health? Good! You are needed! An estimated 31% of U.S. adults experience an Anxiety Disorder at some time in their lives, and almost 20% will experience Major Depressive Order. Mental health disorders are not at all uncommon, yet over 89 million Americans are not able to find or get the treatment they need from mental health professionals because there just aren’t enough. This article provides an introduction to the types of jobs available in the field, the traits needed, and general schooling and licensure requirements.
      “Making A Difference” Is The Biggest Reason Many Chose This Career Path
      Clinicians already in the field say that their desire to help people better their lives is the biggest reason why they chose a mental health career. They agree that personality traits like compassion, empathy, patience, caregiving, and good communication are typical of those in the field. And while those traits may seem obvious, there are other less obvious traits necessary for a successful career in mental health:
      Flexibility - The field is ever-evolving, clients’ needs change, and your own daily work schedule may need to adapt to your patients’ schedules - ‘nine to five’ is not typical in this field.
      Confidence - You’ll be helping clients to reconsider and relearn their thinking patterns, so you’ll need to be aware of your own issues, challenges and expectations before treating others.
      Tech-Savvy - Not only is the field itself making more and more use of technology to solve privacy, productivity, and access issues, but you’ll need to understand your clients’ technology habits as it may impact their mental health.
      Life-Long Learner - The requirements for licensure and accreditation are typically ongoing annual coursework in updated theory and treatment, so a natural curiosity and openness to new ideas is an important trait for anyone considering the field.
      Multiple Types Of Professionals Can Choose A Career In Mental Health — Each Has Its Own Schooling & Licensing Requirements
      If you feel these traits describe you, you’ll have multiple paths to choose from as you think about what kind of mental health professional you want to become. Professional job titles and specialties can vary by state, but the list below is a general overview of the most common, along with schooling and licensure requirements. 
      Regardless of job title, as a mental health professional, you may work in an inpatient facility (hospitals and psychiatric facilities) or an outpatient facility (community mental health clinics, schools, private practice) depending on what patient population you want to serve. You may even choose to see and treat patients virtually as the technology to do so has matured and the pandemic has created the need for remote patient visits.
      Psychiatrist - licensed medical doctor who has completed psychiatric training; can diagnose mental health conditions, prescribe and monitor medications, and provide therapy; MD plus completion of a residency in psychiatry required; need to be a licensed physician in the state where they practice; may also be designated as a Board Certified Psychiatrist.
      Psychiatric Nurse Practitioner (NP) - can provide assessment, diagnosis, and therapy for mental health conditions; qualified to prescribe medications depending on the state; requirements also vary by state as to the amount of supervision by a licensed psychiatrist; requires M.S. or Ph.D. in nursing with a specialty in psychiatry; must be a licensed nurse in the state where they are practicing. 
      Psychologist - trained to evaluate patients’ mental health using clinical interviews, psychological evaluations, and testing; can make diagnoses and provide individual or group therapy but not prescribe medicine; need a Ph.D. in clinical psychology or other specialties such as counseling or education; licensed by licensure boards in each state.
      Counselor, Therapist - trained to assess mental health and use therapeutic techniques based on specific training programs; requires master’s degree (M.S. or M.A.) in a mental health-related field such as psychology, counseling psychology, marriage or family therapy, among others; licensure varies by specialty and state but examples include LPC (Licensed Professional Counselor) or LMFT (Licensed Marriage and Family Therapist).
      Clinical Social Worker - trained to evaluate mental health and use therapeutic techniques based on specific training programs; are also trained in case management and advocacy services; master’s degree in social work (MSW) required; licensure examples include LICSW (Licensed Independent Social Worker) and LCSW (Licensed Clinical Social Worker).
      Social Worker - provide case management, inpatient discharge planning services, and other placement services; requires B.A. or B.S. degree in social work.
      Job Growth Outlook For Careers In Mental Health: Excellent
      The field is experiencing growth, so if you’ve been thinking about jumping in, now is the time. In fact, employment for all professionals in the field of mental health is expected to increase 22% through 2028, according to the Bureau of Labor Statistics. 
      If you’re considering a career in mental health, take a look at the types of jobs available with Telemynd - to get an overview of the number and range of choices in this field. 
      Already a mental health professional and seeking a way to expand your career or practice? Telemynd is a nationally delegated telebehavioral health provider offering a safe and convenient way to see patients or meet with providers using our secure cloud-based solution. Check out recent reviews from your peers, and consider joining our network with access to millions seeking virtual behavioral health!
      Sources
      Substance Abuse and Mental Health Services Administration (SAMSA): Behavioral Health Workforce Report
      National Alliance on Mental Illness (NAMI): Types of Mental Health Professionals
    24. Controlled Substance Prescriptions in Telehealth: Q &A

      Controlled substances are used to treat many common mental health conditions, like anxiety, depression, sleep disorders, and more. Prior to the COVID-19 pandemic and national health emergency, federal rules regulated how these meds were prescribed and dispensed - including a requirement for an in-person health evaluation prior to a prescription being written. However, during the pandemic, federal regulators temporarily waived these regulations to permit patients the ability to manage their medication and access to prescriptions, including controlled substances via telehealth visits. 
      With the national health emergency waivers expected to expire soon, some states have stepped in to draft their own medication management legislation; the result has been growing confusion over which rules apply and where. In this article, we attempt to answer all your questions about prescribing controlled substances, and have included resources to find out more.
      Why are Some Medications Deemed Controlled Substances?
      Controlled substances by definition are medications with a likelihood for physical or mental dependence. Many of the more common drugs for ADHD, anxiety, sleep disorders, depression, and more, such as Xanax, Klonopin, Lunesta, and Adderall are listed as ‘controlled substances”. The U.S. Controlled Substances Act (1970) puts all substances which were in some manner regulated under existing federal law into one of five schedules. This placement is based on the substance’s medical use, its potential for abuse, and safety or dependence liability. Medications listed as Schedule I have the tightest controls, and those listed as Schedule V have the least restrictive controls. These controls are mandated by the federal government.
      This may all sound complicated - but it boils down to prescribers and pharmacies taking extra precaution to ensure these medications are prescribed for and delivered to the right individuals, for the right reasons.
      What Are the Extra Steps Clinicians Must Take to Prescribe Meds that are Deemed Controlled Substances?
      In general, to prescribe a controlled substance, a clinician must have a DEA (Drug Enforcement Administration) license, and to fill a prescription, a pharmacist must also have a controlled substance license. Further, for a pharmacist to dispense a controlled substance, the prescription must include specific information such as date of issue, patient’s name, address, and DoB, clinician name, address and DEA number, drug strength, number of refills, and the signature of the prescriber. For these kinds of medications, there are also legal limits on the number of refills and the amount that a prescription may contain. Some drugs have zero refills, and the maximum quantity dispensed is 30 days - meaning patients must contact their clinician each month a refill is needed.
      In addition, the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 specified that “any practitioner issuing a prescription for a controlled substance must conduct an in-person medical evaluation. A conservative recommendation to support compliance with the act is to conduct an in-person exam at least once every 24 months.”
      How did the COVID-19 Pandemic Impact Prescriptions of Controlled Substances?
      The unprecedented public health emergency created by COVID-19 caused action by state and federal regulators to ensure greater access to health care, while simultaneously limiting the spread of the virus. Therefore, as of March 2020, the DEA declared that practitioners “may issue prescriptions for controlled substances to patients via telemedicine, even for patients for whom they have not conducted an in-person medical evaluation, provided the prescription is issued for a legitimate medical purpose by a practitioner acting in the usual course of their professional practice, the telemedicine communication is conducted using an audiovisual, real-time, two-way interactive communication system, and the practitioner is acting in accordance with applicable federal and state laws.” At that time, the DEA also ruled it was “permissible to write controlled substance prescriptions to cover a 90-day supply.”
      However, depending on where you live or who prescribes your meds, you may have had a different experience as certain states and practitioners elected to retain pre-COVID protocols of in-person evaluations given the sensitivity of the medication being administered.  
      What is the Current Status of Controlled Substances Prescriptions?
      As we move through 2022 and the threat of COVID-19 has lessened, requirements for prescribing and dispensing controlled substances in some states have begun making permanent changes to expand policies implemented under the public health emergency, while others have passed laws restricting them. This website has made an attempt to track these ongoing changes - but to be safe, always check with your own state’s official website, or contact your state or federal representatives. 
      The DEA at the federal level said in a March press release, that it “wants medication-assisted treatment to be readily and safely available to anyone in the country who needs it."  However, in the end it is up to each state and provider to do what they feel is best for the safety of constituents and/or patients. Therefore, check with your provider or prescriber to find out if you will need an in-person visit to continue receiving prescriptions of controlled substances or if telehealth visits are an option for you. Telemynd operates as a national practice, meaning that our national network of licensed providers may prescribe many types of medications, they follow federal regulation which prevents the prescribing of controlled-substances via our virtual telemedicine environment. 
      Sources
      DEA.gov: Rules for Control Substances
      NIH | National Library of Medicine: Pharmacy Prescription Requirements
    25. Coping With Postpartum Depression (PPD)

      One of the less-talked-about mental health conditions today is postpartum depression (PPD). A CDC study shows that about one 1 in 10 women in the US reports symptoms of depression after giving birth; in some states, it’s 1 in 5. But despite its prevalence, almost 60% of those women do not receive a clinical diagnosis. And if any group needs support, it’s new mothers, yet of those who do screen positive for the condition, less than 25% receive follow-up care, often because they don’t fully understand their symptoms or are worried about a perceived stigma around the condition.
      During the pandemic, PPD levels in new mothers have been higher than normal. It’s thought that this is due to the general stress that hit us all during this life-threatening global event, as well as necessary hospital covid-19 policies like quarantining, separating family members in the birthing area, and reducing skin-to-skin contact between mother and baby after birth.
      In general, postpartum depression can be a highly disruptive condition if not addressed – and often comes at a time when women are still trying to recover from the physical effects of childbirth – so it’s important to raise awareness of what it is, what causes it, who it affects, and ways to cope with it.
      What Is Postpartum Depression (PPD) & What Causes It
      Postpartum depression (sometimes called peripartum depression) is a serious mental health condition that involves the brain and affects behavior and physical health. Much more than the “baby blues”, PPD causes sad, flat, or empty feelings that don’t go away and often interfere with your day-to-day life. You might feel unconnected to your baby, as if you are not the baby’s mother, or as if you can’t love or care for the baby. These feelings can be mild to severe.
       Symptoms of postpartum depression are similar to symptoms for depression (see our symptom list here), but may also include these symptoms which can last for weeks or even months:
      Crying more often than usual
      Feelings of anger
      Withdrawing from loved ones
      Feeling numb or disconnected from your baby
      Worrying that you will hurt the baby
      Feeling guilty about not being a good mom
      It’s thought that normal pregnancy hormonal changes in estrogen and progesterone may trigger symptoms of postpartum depression. In the first 24 hours after childbirth, these hormones quickly drop back to normal pre-pregnancy levels, and scientists think this sudden change may lead to depression in some women. Levels of thyroid hormones may also drop after giving birth, and in some women, low levels of thyroid hormones can cause symptoms of depression.
      In addition, social and psychological factors play a large role in determining who develops PPD and who does not. For example, women with lower or poorer quality social support, and less stable domestic situations may be at increased risk of PPD. Also, a family or previous history of depression, having multiples like twins or triplets, being a teen mom, or experiencing a preterm birth and/or birth complications can also increase the risk of PPD. It’s also important to note that PPD can also occur in women with a healthy pregnancy and birth.
      Treatment Of Postpartum Depression
      The best way to know is to watch carefully for the symptoms described above, in yourself or your loved one who recently gave birth. If you notice any, the first step to getting treatment is to talk to your health care provider or mental health professional who can diagnose and prescribe a course of treatment.
      Like other types of depression, postpartum depression can be managed with talk therapy, medication, lifestyle changes, and a supportive environment, or a combination of all of these. Women who are nursing should discuss the risks and benefits of medication with their doctors.
       Tips For Coping With Postpartum Depression
      In the meantime, here are some tips to help you cope with postpartum depression (note, these do not replace treatment with a trained professional):
      Talk to your partner, friends, and family about your symptoms and your need for support.
      Don’t overdo it on housework and baby care once home from the hospital; balance these duties with your partner or a loved one or try to get outside help if that is not possible.
      Join a support group of new parents, many of which are now online, making them easier to attend - try looking here or here.
      Eat a healthy, balanced diet - again, ask for cooking help from friends and family, or consider a meal delivery service.
      Get physically active, as much as possible - even if just a 20 min walk around the block; researchers have found that those who engaged in at least 2 hours per week of moderate intensity exercise were less likely to report depression or anxiety symptoms after birth.
      Engage in mindfulness and relaxation, such as meditation or yoga.
      Consider Telebehavioral Health
      Telemynd offers patients the ability to connect with providers from the safety and convenience of their homes. If you’re a patient, request an appointment online or call our live support for assistance in scheduling care today! If you’re a behavioral health provider looking to join our network, see all the benefits and learn how to apply here.
      Sources
      Centers for Disease Control
      US Department of Health and Human Services, OASH
      Postpartum Support International (PSI)
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