Articles & Trainings

As summer comes to a close, parents and students across America start preparing to head back to school. Some students understandably have anxiety about returning to the classroom in light of the school shooting in Uvalde, Texas, and other recent incidents of school shootings. How can we help children who feel anxious about school violence? Let’s look at ways back-to-school anxiety is expressed and examine strategies for helping students with concerns about school violence.

What are Signs of Anxiety in Children?

Anxiety over school shootings has become common in America. Even when children aren’t directly involved in episodes of school violence, they are deeply affected by these traumatic experiences. Exposure to violence can cause learning and behavioral problems in students. Children may feel anxious or fearful, and they may not express the distress they are feeling in a way that adults can easily recognize.

If a child isn’t directly communicating their worries about returning to school, look for symptoms that may indicate anxiety is present. These signs can include:

  • Excessive worry
  • Seeks constant reassurance from teachers and caregivers
  • Avoids school or summer camp
  • Sadness/depression
  • Withdrawn
  • Difficulty enjoying activities that were previously pleasurable
  • Irritability/anger
  • Argumentative
  • Negative thinking patterns
  • Hypervigilance
  • Difficulty concentrating
  • Poor or declining school performance
  • Poor appetite
  • Headaches
  • Nightmares

How Can I Help Anxious Students?

The most important way you can help school-age children coping with anxiety around school violence is to talk to them. Do not avoid the scary topic—that makes it scarier. Ask them what they are thinking and feeling. Listen attentively, and use the information you gather as a basis for how much information they need and can handle, in addition to the child’s age and whether or not they have experienced trauma before.

Children’s concerns and questions tend to be different than adults’. Kids often want to know who is to blame, what could be done to prevent the tragedy, or whether it could happen at their school. Being truthful in your response—while keeping in mind developmental appropriateness—is crucial to building and maintaining trust and open communication with the child.

Validate the child’s feelings. Avoid downplaying their concerns or fears. And keep the conversation going—this is not a one and done talk, and it might be best to handle in smaller doses, especially for younger children. An open-door policy and a continued dialogue encourage children to share their concerns at any time.

Anxious kids also benefit from routines. Keep schedules predictable to the extent you are able. The consistency of their daily routine will help them feel secure and safe.

Limit their exposure to violence. While we want to keep an open, honest dialogue, seeing the same event televised or in the papers repeatedly is not helpful and may in fact be harmful. This can mean developing new household rules to limit screen time or access to newspapers and/or social media, especially after a school shooting or other traumatic event.

For parents, caregivers, and therapists of older kids, such as those in middle school or high school, we can help them convert anxious or angry feelings into plans for action. Older students may find that becoming an advocate for school safety helps them channel their anxiety into action, creating a helpful, healthy coping strategy for dealing with feelings around school violence. Also encourage them to report specific incidents that concern them, such as bullying or threats, and occasionally check in about how they are feeling or what they are experiencing at school.

Finally, as an adult, manage your own anxiety around school shootings. Kids are very adept at picking up on their parents’ fears, which can contribute to increasing the intensity of their own fears. To reassure a child, you need to be taking care of yourself, too. Ensure you have another adult to talk to about how you feel, de-stress, and engage in regular acts of self-care. When you model healthy ways to cope with stress and fear, children will learn from that behavior. Ultimately, we want to teach children skills for self-soothing and effective, lifelong coping mechanisms in dealing with stressful events to develop their resiliency for all they might encounter.

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

Summertime… and the living isn’t easy for everyone. Depression in the summer is more common than you might guess. While many equate summer with school vacation, outdoor camps, water fun, and blooming gardens, others can and do feel depressed during the sunny season—and the social expectation that you’re supposed to have fun can make that depression feel even lonelier and more isolating.

How to Identify Summer Depression

While summer depression shares common symptoms with depression (feeling depressed most of the day, having low energy levels, losing interest in activities you used to enjoy, difficulty concentrating on tasks, and feeling hopeless or worthless), summer depression has specific symptoms that include:

  • agitation and restlessness
  • loss of appetite
  • trouble sleeping (insomnia)
  • weight loss
  • anxiety

If you feel depressed come June each year and it seems to improve around September, you may be experiencing summer depression. The National Institute of Mental Health indicates a patient may be diagnosed with summertime seasonal affective disorder if they have symptoms of major depression, have lived with depressive episodes in the summer months for two consecutive years, and have a tendency to have depressive periods more frequently in the summer than in than in other times of the year.

Symptoms of summertime blues, by contrast, are similar (low mood and a lack of energy) but less debilitating.

Where Does Summer Depression Come From?

Like all forms of depression, summertime depression can have biological, psychological, and/or environmental causes. Summer schedules are often disruptive to our usual schedules, and this sudden, big change can be hard to handle, especially for people who are vulnerable to depression.

Biologically, some studies suggest that, like other forms of major depressive disorder (MDD), summer depression may be linked to the brain chemical serotonin. The risk of developing summer depression is higher for women, those with relatives with a mental illness, or those who have major depressive disorder, bipolar disorder, or another mental illness.

More than 3 million American adults experience seasonal affective disorder, or SAD. Of those, about 10% of people who have a MDD with a seasonal pattern, such as SAD, have their depression symptoms begin at the onset of summer, not winter. It’s unclear why this happens to a subset of those with MDD or SAD. Some experts point to too much sunlight, heat, and humidity as possible culprits.

How to Help Your Clients Cope with Summertime Depression

A number of tools and strategies can be employed by mental health practitioners to help their clients cope with summer depression.

  • Change dosage. If you are licensed to prescribe medications, consider temporarily increasing the dosage of your client’s medication for depression. Or, if you are not, encourage your client to speak to their medication prescriber about gradually increasing their dosage in late spring and easing off slowly in the fall.
  • Respect the worry your client may be feeling. With summer depression in particular, people who are struggling with their mental health are apt to feel something is wrong with them: Why does it seem like everyone else is having fun and I’m not? What’s wrong with me? While this is a typical response, it is not helpful to compare how we’re feeling with how we think we’re supposed to feel. Instead, gently encourage your client to focus on the causes of their summertime depression and how it can be resolved.
  • Evaluate triggers. Consider what past experiences your client may be associating with summer, whether it’s the death of a loved one, an important anniversary, or another traumatic event. Working through triggers may lessen or release some of these associations.
  • Experiment with darkened rooms. Following some mental health professionals’ theory that too much sunlight could be causing summer-onset MDD, spending more time in darkened rooms—the opposite of light therapy—may be advisable. For similar reasons, wearing sunglasses may help.
  • Advocate for regular exercise. Numerous studies demonstrate that regular physical activity can help depression and mood disorders.
  • Recommend a good night’s sleep. Insufficient sleep can trigger depression. Rule out this cause by ensuring your client is getting enough ZZZs (generally 7 to 9 hours a night for adults).
  • Engage in mindfulness. Yes, there’s that oft-mentioned recommendation to develop a meditation and mindfulness practice again! Evidence shows mindfulness has a significant impact on mental wellbeing, combating fatigue and naturally bolstering one’s defenses against depression.

Get Help

If you or someone you know thinks they might be depressed, regardless of the time of year, please get help. Do not take summer depression lightly or downplay its symptoms. Talk to a mental health practitioner. We are here to help, and there are effective treatments available. You do not need to suffer in the summer.

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

We explore the common co-occurrence of mental health and substance use conditions in this six-hour training for clinicians.

Fri, September 16, 2022
Fri, September 30, 2022
9:00 AM – 4:15 PM EDT

About this event

About the Training:

This highly interactive six-hour training will review best practices for working with clients who have addictions as well as comorbid psychiatric disorders. The presenter and participants will explore various treatments and treatment issues for clients with addictions and mental health disorders. In addition, participants will learn skills to manage their own reactions to clients who present challenging behavior patterns. Case examples, surveys and group discussion will be used to illustrate key points.

This training is worth six (6) contact hours.

By the end of this workshop, participants will be able to:

1. Identify major diagnoses and diagnostic categories of addictions.

2. Discuss treatment approaches to addiction and psychological disorders.

3. Categorize ethical issues that emerge in working with clients with co-morbid addiction and mental health issues.

4. Increase empathy and personal ability to manage countertransference in dealing with clients who present challenging interpersonal behaviors.

 

Agenda for the Day:

9:00-10:30:

Empathy/sympathy/pity/compassion

Countertransference

Self-care

Neuroscience and addiction

Stages of Change

10:30-10:45: Break

10:45-12:15:

Assessment

Evidence-based treatment Medication-assisted treatment (MAT)

Case #1

12:15-1:00: Lunch on your own

1:00-2:30:

Treatment dilemmas

Who is the client?

Documentation

“Manipulation”/Triangulation

Communication/Collaboration

Scope of practice/expertise

Case #2

2:30-2:45: Break

2:45-4:00:

Ethical issues

Telehealth

Case #3

4:00- 4:15: Discussion/Question/Wrap-up

 

About the presenter:

John M. O’Brien, Ph.D. ACC, NBC-HWC earned his doctorate in Counseling Psychology from Michigan State University in 1996. Since 1998, he has been in private practice in Portland, Maine, providing psychotherapy and consultation services with specialties in addition, trauma, grief and LGBTQ+ clients. He is an adjunct faculty member at the University of Maine at Augusta, teaching courses in psychology and addictions. He served as president of the Maine Psychological Association and is currently co-chair of Continuing Education for the APA Society of Consulting Psychologists.

John is an ICF ACC Certified Coach and NBHWC Certified Health and Wellness Coach. He coaches leaders in a variety of fields, including business, health care and the law.

In his spare time, John enjoys motorcycling, skiing, biking and furthering his ability in German.

Register here for the Friday, September 16 session!
Register here for the Friday, September 30 session!

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

More than 52 million American adults—or one in five—live with a mental health issue. Despite its prevalence, we hold an unhealthy stigma of mental illness. As a result, some individuals who live with mental health issues experience challenges accessing quality care and coverage, a challenge that can be exacerbated by their backgrounds and identities. This needs to change.

Reducing the stigma associated with mental illness is central to Health Affiliates Maine’s vision. By recognizing that we are all affected by mental health and substance issues, we reduce the stigma associated with accessing care, and in doing so, we increase the opportunity for everyone to participate in their own journey to wellness.

That’s why we’re proud to raise awareness for the Bebe Moore Campbell National Minority Mental Health Awareness Month this July. “Together for Mental Health,” we proudly stand up for a shared vision of a nation where anyone affected by mental illness—no matter their class, culture, ethnicity, or identity—can get the appropriate, quality care and support they need to live healthy lives.

“We need a national campaign to destigmatize mental illness, especially one targeted toward African Americans…It’s not shameful to have a mental illness. Get treatment. Recovery is possible.” –Bebe Moore Campbell, 2005

 

Anyone can experience the challenges of mental illness. Mental health conditions do not discriminate based on race, color, gender, class, sexual orientation, or any other elements of our identity. While BIPOC have rates of mental health disorders similar to white people, people in the BIPOC community are disproportionately affected by a lack of access to quality healthcare and cultural stigma, according to US News.

Of the 52 million+ Americans who live with a mental health condition, nearly 5 million are black people—and yet only 33% of those seek appropriate treatment, such as regularly meeting with a mental health professional, compared to nearly half of white people. As writer and policy analyst Brakeyshia R. Samms describes, there are many factors that contribute to whether or not a person with a mental illness receives treatment, including under/misdiagnosis, lack of access to quality care, and community stigma. We all experience these factors, but some communities experience them to a disproportionate degree—and suffer as a result. Bebe Moore Campbell summarized the issue: “No one wants to say, ‘I’m not in control of my mind.’ But people of color really don’t want to say it because we already feel stigmatized by virtue of skin color or eye shape or accent, and we don’t want any more reasons for anyone to say, ‘You’re not good enough.’”

How to Help

Samms suggests four activities we can all engage in to take action against the stigma around mental illness: gather information to counter “negative preconceived notions,” speak up, remain open, and believe people. “Stigma stems from a lack of knowledge,” Samms writes, “and the best way to fight a gap in information is by educating others in our community.” To this end, understanding and then communicating the complex issues at play helps spread acceptance and inclusivity, which in turn fights the inequities and stigma we have developed and now need to unlearn as a culture.

 

Sources: www.nimh.nih.gov, nami.org, rtor.org, mhanational.org

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

You’re in the middle of a forest on a beautiful day in Maine. Sunshine peeks through the leaves and scatters in fascinating, eye-catching patterns on the moss-covered ground, soft under your feet. You breathe in the scent of pine and become aware of the stillness and the small sounds of scurrying chipmunks and birdsong echoing across the land. Green leaves, brown soil, and glimpses of blue sky fill your vision for as far as you can see. Warmth from the sun spreads across your face. You can feel your whole body relax as you walk slowly through the woods, breathing and sensing each moment fully.

Immersing ourselves in nature cultivates a sense of mindfulness, a practice that is now widely known for promoting mental wellbeing. What is it about being outside that restores us so?

Many workers spend hours indoors in a busy state of focused concentration, and one of the results can be mental and physical fatigue. Fatigue and stress are risk factors for depression, as is the lack of vitamin D many of us experience during Maine’s long winters. Treatment for mild to moderate depression may include cognitive behavior therapy (CBT) and other interpersonal therapies. Many also find strategies such as aerobic exercise, yoga, and the Japanese practice of forest bathing helpful, whether they are experiencing mild depressive symptoms or simply daily stressors.

In addition to sometimes leading to depression, fatigue can result in reduced attention, and forest bathing seems to provide a respite from the long hours of concentration that typical workdays require. Screentime, a modern near-requisite, can exacerbate the problem, as can urban living and spending much of our time indoors.

In psychological parlance, Stephen Kaplan’s theory of attention restoration proposes that when we use quite a bit of directed attention, or effortful attention employed to focus on a task we’re choosing to pay attention to, we need to exercise involuntary attention, which naturally occurs in nature, to restore our balance. Directed attention, in other words, such as you employ during the workday, can cause fatigue and mental exhaustion (even if you enjoy the work you are doing), and you need regular breaks to offset the effects.

Research has demonstrated that the Japanese practice of Shinrin-yoku, or “forest bathing,” has positive physiological and psychological benefits, including a reduction in blood pressure, an improved immune system, and improved mental health—and one study in particular, published in Environmental Health and Preventive Medicine in 2019, found the improved state of mental health especially pronounced for those with depressive tendencies. This natural remedy for mild depressive symptoms can alleviate negative emotions and moods such as anxiety, fear, anger, and disgust, and increase positive emotions such as joy.

Since a number of studies in the 1980s touting the benefits of Shinrin-yoku, Japanese doctors have included the practice, which they often describe as preventative medicine, in what is called “social prescribing.” Other social prescriptions include gardening, mountain walking, exercise and sports, swimming, caring for animals, and cooking—all activities, you may note, which engage our senses.

To practice forest bathing, we can fully immerse ourselves and our senses in a walk in the forest. Put away your phone. Slow down. Quiet your mind. Notice the details from all of your senses. It is not as simple as taking a walk outside; “immersion” is precisely the right word to truly experience all of Shinrin-yoku’s benefits. And if you don’t have access to a forest, parks can serve as a substitute space.

More research is needed to fully explore the therapeutic aspects of Shinrin-yoku, including studying whether its effects apply to those with high stress and depressive tendencies. In the meantime, forest bathing can be a stress-reducing, preventative, healthy outdoor activity for everyone to enjoy—and summer in Maine is a great time to try it out.

 

Sources: psychologytoday.com, ncbi.nlm.nih.gov, mentalhealthtoday.co.uk

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

Many things happen in our lives that we cannot control or predict. Unexpected, large-scale traumatic events like the COVID-19 pandemic and the invasion of Ukraine can be sources of stress, as can daily life stressors, such as conflicts in relationships, money troubles, or an upsetting interaction. Psychological flexibility, or the ability to adapt our thinking and behavior when new or unexpected events arise, is an important skill we can use to increase individual wellbeing now and in the future.

Let’s say you are being tailgated by an aggressive driver on a two-lane highway. You feel scared and worried about what will happen if you need to use your brakes. No one is around to help.

Employing psychological flexibility in a given situation can be seen as a three-stage sequence of events:

  1. Evaluating the needs and demands of the situation or context;
  2. Selecting a response or coping strategy; and
  3. Monitoring the success of the approach you employ and modifying it as needed.

In the example we illustrated above, where the stressor was a tailgater, this sequence might look like:
Context sensitivity = There is potential for danger here. You need to remove yourself from its threat. The other driver may not react quickly enough if you brake.
Repertoire = Continue going the exact same speed and be extra alert for the possibility of needing to brake.
Feedback = You feel stressed and scared. You still don’t feel safe. They have not stopped driving too closely to your car.

You may then decide, from the feedback loop, to modify your approach and select a new behavior in your repertoire. Perhaps you can use your right turn signal to indicate you would like them to pass you, for instance. The feedback loop can continue until you have met your goals for the situation.

This sort of flexible thinking, as you might imagine, is a predictor of resiliency and creativity. Research shows psychological flexibility is associated with a better quality of life, particularly in older adults. In the workplace, exercising flexible thinking tends to lead to better job performance, improved learning on the job, innovation, and better overall mental health, including lower levels of stress and emotional exhaustion. In clinical settings, psychological flexibility training has been shown as effective in treating a myriad of disorders, such as anxiety, depression, and substance use, and this training works whether it is delivered in person or online.

The great news is psychological flexibility can be practiced and improved. But how?

Create optimal conditions for being flexible. By practicing mindfulness, doing yoga and aerobics, and engaging in relaxation techniques, we give ourselves a solid foundation to deal with stress in a purposeful, thoughtful manner.

Cultivate optimism. Rather than focusing on what the pandemic has negatively impacted in our lives, for instance, we can reframe our thinking and consider what has made us change for the better. Choose to view your struggles as part of being human, rather than something that happens to you.

Pause. Focus on your reactions and attitudes. What are you feeling? Why might you be
feeling this way? Allow yourself the space you need for an intentional response.

Exercise creative thinking. Consider unusual solutions. Seek outside perspectives. Frame issues from different angles. Challenge your own beliefs. By utilizing divergent thinking, we can overcome embedded thought patterns and see the situation from a new angle, which could provide a fresh perspective on the matter.

Keep your decisions aligned with your values. When you use your core values to guide your decisions, you gain peace of mind by keeping your integrity intact. At the same time, our values can change over time, and some situations present an opportunity to reflect on and evaluate which values are true for us and which may need to be reconsidered.

In clinical settings, we can employ cognitive behavioral therapy (CBT) as well as structure learning, or the ability to extract information about the structure of a complex environment and decipher streams of sensory information, to promote psychological flexibility.

Psychological flexibility helps us see that what we’re doing in response to a given stressor is not leading to a successful outcome, and it shows us how to make the appropriate changes to our behavior to achieve our goal. It is a handy tool in our kit to cope with stress. The more we exercise flexible thinking, the stronger it gets, providing us with a protective buffer between everyday stressors and possible negative outcomes.

 

 

Sources: ethicalsystems.org, psychologytoday.com, weforum.org

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

As a compassionate behavioral and mental health care provider, you incorporate many modalities to treat your clients. For those clients seeking recovery from addiction or substance use, one lesser-known, relatively new model is Motivational Interviewing (MI). Developed in the early 1980s, MI requires an approach based on collaboration, understanding, and empathy. 

What is Motivational Interviewing?
Motivational Interviewing (MI) is a technique commonly used in the treatment of clients with addiction or substance use. This style of treatment can be thought of as an evidence-based conversation that truly encourages behavior change from within and guides clients toward a specific end goal (in this case recovery from addition). 

Motivational Interviewing is highly collaborative. Through approachable dialogue, the client is encouraged to explore their desire for change, receiving kindness, compassion, and acceptance both from their counselor and from themselves. 

This style of treatment is not meant to manipulate, coerce, or “get people to change” as in an intervention. Motivational Interviewing is an on-going conversation between clinician and client that takes time, practice, and the client’s own self-awareness.

Essential Processes of Motivational Interviewing
There are four main processes to successful Motivational Interviewing or “keeping the conversation going.” During the “conversation” (Motivational Interviewing treatment), the clinician must always be: 

  • Engaging. The foundation to MI: actively listening, reflecting on, and affirming a client’s experience and perspective. 
  • Focusing. Steering dialogue toward the end goal of positive change.
  • Evoking. Helping clients build on their “why.”
  • Planning. The “how” to the process of change for a client.

Signs Motivational Interviewing May Benefit a Client 
Although not an exhaustive list, a client may benefit from MI if the following is present:

  • Ambivalence: having mixed feelings about change
  • Low confidence: doubting their ability to change
  • Apathy: low desire or uncertain if they want to change 

Is this tool aligned with my treatment style and will it be beneficial to my clients?
Be honest with yourself if this tool may be right for you, your clients, and your practice. Not every clinician or behavioral health provider is a good fit for motivational interviewing, just like not every client will be a good fit for this type of treatment.

The following are important characteristics in clinicians for the success of Motivational Interviewing:

  • Partnership and collaboration. Clinicians guide toward change, not force it.
  • Acceptance. Clinicians are non-judgmental and actively seek to understand their client’s perspective and life experiences. 
  • Compassion. Clinicians express unending empathy and promote their client’s wellbeing in a selfless way.
  • Patience and understanding. Clinicians actively listen, ask meaningful questions, and provide affirmations to build up client confidence

Behavioral and mental health providers should consider if Motivational Interviewing would be an impactful approach for those clients who are willing and wanting to change. It is proven to be a successful, client-centered approach to encouraging change, promoting resilience, and building confidence particularly in those seeking recovery. 

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

In a previous blog, Moral Injury Part One, we discussed the differences between workplace burnout and moral injury. While often used interchangeably, the two are markedly different and require a differing approach to addressing and coping with them.

Burnout is the result of chronic workplace stress. It’s not a medical diagnosis, but if left unaddressed could potentially lead to physical and mental health concerns. For more information on burnout including common symptoms read Moral Injury Part One: Are You Experiencing Burnout or Moral Injury?

Moral injury, on the other hand, refers to psychological, behavioral, social and/or spiritual distress that is experienced by individuals who are performing, asked to perform, or exposed to actions that contradict their moral values and personal ethics. Moral injury is being recognized in frontline and healthcare workers of the COVID-19 pandemic.

Symptoms of moral injury could be acute or appear slowly months or years after the event. Symptoms can include:
• Feelings of guilt, shame, disgust, anger
• Self-blame, self-sabotage
• Feeling unworthy
• Feeling detached from sense of self

Note: If you’re feeling severe symptoms such as those related to PTSD, depression, anxiety or substance use issues, it’s important to see a behavioral healthcare provider as soon as you can.

Everyone has individual experiences and may require different strategies to cope with moral injury. What may work for one person may not work for another, and that’s okay. Consider the following:

Lean on existing support systems. Seek support from family, friends, colleagues, and spiritual leaders. Be vulnerable and express your feelings. Often, having a listener is helpful in relieving the burden of our feelings. Also consider reaching out to other support groups locally or even virtually for a place to share your thoughts, feelings, and help others by supporting them.

Create a stress management system. You know yourself best and know what strategies work for you. Common techniques include focusing on proper sleep, a consistent exercise routine, incorporating healthy foods, and a mindfulness practice. Would it be helpful to have an accountability partner? Ask someone from your support system if they will walk around the neighborhood with you a couple times a week. Or discover a new recipe with nutritious ingredients. Consider cooking the meal as a form of mindfulness and allow yourself to get lost in the process.

Slow down. Recognize that you may be in a vulnerable and raw emotional and spiritual place. Remind yourself that this is okay. We all go through traumatic events, witness unethical practices, or are asked to perform duties that go against our very nature. Allow yourself to slow down, feel and process your feelings. Take all the time you need. Healing yourself isn’t a race.

Attend therapy. If you don’t yet attend, we suggest that you start. As a behavioral healthcare provider, you know first-hand the benefits of scheduled therapy sessions. Additionally, it’s likely that your provider will be sympathetic to the effects of moral injury as they may have experienced it before themselves.

Take action. Experiencing moral injury has the potential to detract us from our sense of self. What we believe in, our ethics, our values. Reunite with your inner self by remembering what it is that you believe in. Take time to reflect inwardly on what strengthens your sense of self, your morals and your beliefs. Then take action! Maybe it’s in the form of activism for a cause you care deeply about or volunteering in your community. Determine what’s important to your deepest self, what reinforces your core beliefs, and then, reconnect with it.

 

 

 

Sources: hhs.gov, ncbi.nlm.nih.gov, drpaularedmond.com, mentalhealthfirstaid.com

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

Your mental and emotional health directly affects your ability to provide quality care to your clients. Healthcare professionals in various industries—and mostly due to factors of the coronavirus pandemic—are feeling guilt, shame and exhaustion, all symptoms of burnout. But are you experiencing something more complicated?

What is Burnout?

First, let’s discuss what burnout is. Burnout is a non-medical diagnosis characterized as a specific type of work-related stress. Burnout causes physical or emotional exhaustion (or both) that typically includes a feeling that you’ve lost your personal identity and sense of accomplishment.
Experts don’t know the cause of burnout, but some believe that depression and other individual factors may be involved.

Signs of Burnout

One person may experience burnout entirely differently from another. Take a few moments to consider these work scenarios to see if you’re experiencing burnout:

  • You feel pessimistic, critical and/or irritable
  • You feel unmotivated, easily distracted, and less productive
  • You don’t feel satisfied by your achievements or your work
  • Your sleep habits have changed (extreme fatigue, insomnia, sleep disturbances)
  • You’re experiencing headaches, stomach aches or other physical ailments
  • You’re using food, drugs or alcohol to feel better or to not feel at all
  • You no longer have energy for the people or things you enjoy

Possible Reasons You May Experience Burnout

Again, reasons of burnout will be different for each individual. Common factors include:

  • Lack of support
  • Unclear job expectations
  • Toxic or dysfunctional workplace environment
  • Lack of work/life balance

You may also be experiencing a heavy workload, excessive or long hours, or having little control over your work or schedule. Unfortunately, if you work in a helping profession, you may be more susceptible to burnout. If you suspect burnout, discuss your feelings and possible options with your supervisor or an HR resource.

You can also seek the advice of a healthcare professional to help address and alleviate any physical or emotional effects that are troubling you. Without intervention, burnout could lead to excessive stress, sleep issues, substance misuse, high blood pressure and higher risk of other health-related conditions.

Identifying with typical job burnout may not be sufficient for those in the helping professions, particularly in the years of the COVID-19 pandemic. This is where moral injury is increasingly getting brought into the conversation.

What is Moral Injury?

Moral injury involves the stressful social, psychological, and/or spiritual effects of having witnessed or participated in behaviors that go against a person’s core beliefs and values.

The term was developed in the 1990s to describe the moral conflicts military professionals were feeling after returning from war zones. Later, it was used to describe healthcare professionals facing similar distressing environments.

In a healthcare setting, burnout is described as a type of “chronic work stress” while moral injury is explained as the “suffering that occurs in response to moral adversity.” Having our beliefs or ethics repeatedly dishonored at our workplace can create undue psychological injury including disrupting how we feel about our individual selves and how we show up in the world.

What does moral injury look like in the helping professions?

Moral injury can occur in any profession but is on the rise in the healthcare industry. Here are some examples of what that may look like:

Feeling a sense of responsibility to make decisions that entail conflicting morals, ethics and values. For example, taking on more clients to meet the needs of your community, despite the caseload size exceeding your typical self-care standard.

Doing something that goes against your beliefs (referred to as an act of commission). Behavioral health care workers may be faced with situations where they need to decide how best to prioritize clients in need of a session (e.g., which clients receive less/more frequent sessions and how to best use limited time when multiple clients need help or when many are waiting for services).

Failing to do something in line with your beliefs (referred to as an act of omission). Moral injury can also develop in behavioral health care workers when they feel unable to provide the type of care requested by the client (e.g., in person session) for sake of their own safety or their families.

Witnessing or learning about an act that goes against your ethics and beliefs.Some may feel guilt and shame because they felt numb in the face of suffering and death. Behavioral health care workers may also witness what they perceive to be unjustifiable or unfair acts or policies that they feel powerless to confront.

Experiencing betrayal by someone you trust. A person who experiences betrayal may also feel anger, resentment, and/or diminished confidence in peers, leaders or organizations.

In behavioral health and mental health professions specifically, moral injury is a common occurrence. However, neither moral injury nor burnout is the fault of an individual, and self-care alone will not eliminate them. If you’re experiencing or have experienced moral injury, consider the following:

  • If you don’t already, attend therapy sessions regularly
  • Connect with colleagues who feel or have felt similarly
  • Take the time to self-reflect often (journal, prayer, meditation, etc.)
  • Stay connected to your true self, beliefs and values
  • Align your personal values with your business’ values
  • If you’re not self-employed, look for a workplace that prioritizes care over quotas and encourages a work/life balance

Clinicians, therapists, and other behavioral health workers are in their line of work because they truly want to help others—but remember that being an impactful, successful, and respected healthcare professional doesn’t need to come at a personal cost.

Self-care for moral injury can be particularly challenging for people working in behavioral health care given that those in the field strongly value caring for others and may prioritize the needs of others over their own. It is often only in conversations with others that we can hear a different, more helpful way to think about or make meaning from morally distressing situations.

On the positive side, there is also evidence that indicates after potentially morally injurious experiences some people develop a redefined meaning in life and, with time and support, begin to incorporate the experience into growth or helping others. Further, some develop new insights about how to help the systems in which they work or that can help them grow in their own work or lives.

Behavioral health care workers, their colleagues, and leaders can use strategies to take care of themselves and each other both during and after potential morally injurious situations, to support recovery and growth.

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

Parts & People: An Overview of the Internal Family Systems Model

Presented by HAM affiliate Karen Hardy, LCPC, CADC 
Six CEUs (contact hours) 

Monday, March 14
Friday, March 25
8:30 am – 4:00 pm 

About This Training:

An evidence-based model of psychotherapy, Internal Family Systems is a way for people to understand themselves in a deeper way and offer insight about their relationships with others.

This interactive workshop will provide an overview of the Internal Family Systems model. Participants will have the opportunity to do some meditative, introspection work using this model, have the opportunity to ask questions, engage in discussion, and observe a recorded session.

If times allows, a live demonstration may be held for a member to experience the model first-hand while others observe.

Training Details:

Location: Online Event
Time: 8:30 am – 4:00 pm
Dates: Monday, March 14, 2022 OR Friday, March 25, 2022
Cost: $59; FREE for HAM affiliates


Register here for the Monday, March 14 session!

Register here for the Friday, March 25 session!

About the Presenter:

Karen Hardy, LCPC, CADC, worked as a counselor for 20 years at the Connecticut Department of Corrections. Upon her retirement in 2011, she began a Master’s program at Cambridge College in Springfield, MA. She now holds a M.Ed. in counseling psychology.

Much of Karen’s work has been related to addiction and trauma treatments, as she believes there’s a strong correlation between the two issues. She also works with family members affected by a loved one’s addictive behaviors. Her personal experiences offer a unique perspective to her clients; she values each individual as they are and helps them envision an empowered future.

Sign Up To Receive Our Latest Blog Posts!

Learn more tips on living well and understanding mental illness. Help to end the stigma, and hear inspiring stories of recovery. Sign up here!

WE’RE HIRING! Explore our open positions and discover the support and flexibility you’ve been looking for.

Learn More