Emergency Contacts, Lifelines, and Suicide Prevention Information and Resources

Suicide statistics in the U.S.

• Suicide is the 10th leading cause of death in the U.S. for all ages. (CDC)

• Everyday, approximately 123 Americans die by suicide. (CDC)

• There is one death by suicide in the U.S. every 12 minutes. (CDC)

• Depression affects 20-25% of Americans ages 18+ in a given year. (CDC)

• Suicide takes the lives of over 44,965 Americans every year. (CDC)

• Only half of all Americans experiencing an episode of major depression receive treatment. (NAMI)

• 80%-90% of people who seek treatment for depression are treated successfully using therapy and or medication. (TADS study)

• An estimated quarter million people each year become suicide survivors. (AAS)

Resource:
https://save.org/about-suicide/suicide-facts/

Suicide is a leading cause of death in the U.S.


According to the Centers for Disease Control and Prevention (CDC) WISQARS Leading Causes of Death Reports, in 2017:

  • Suicide was the tenth leading cause of death overall in the United States, claiming the lives of over 47,000 people.
  • Suicide was the second leading cause of death among individuals between the ages of 10 and 34, and the fourth leading cause of death among individuals between the ages of 35 and 54.
  • There were more than twice as many suicides (47,173) in the United States as there were homicides (19,510).

Resource:
https://www.nimh.nih.gov/health/statistics/suicide.shtml

No suicide attempt should be dismissed or taken lightly.


Why do people attempt suicide?

“A suicide attempt is a clear indication that something is gravely wrong in a person’s life. No matter the race or age of the person; how rich or poor they are, it is true that most people who die by suicide have a mental or emotional disorder. The most common underlying disorder is depression, 30% to 70% of suicide victims suffer from major depression or bipolar (manic-depressive) disorder.”

Resource:
https://www.mhanational.org/conditions/suicide


Do you know what to do if you think that someone is considering suicide?

If You Think Someone Is Considering Suicide:

• Trust your instincts that the person may be in trouble.

• Talk with the person about your concerns. Communication needs to include LISTENING.

* Listen to understand. *

You don’t have to know all of the answers or even some of the answers, just being with a person can be powerful.

• Ask direct questions without being judgmental. Determine if the person has a specific plan to carry out the suicide. The more detailed the plan, the greater the risk.

• Get professional help, even if the person resists.

• Do not leave the person alone.

• Do not swear to secrecy.

• Do not act shocked or judgmental.

• Do not counsel the person yourself.

Resource:
https://www.mhanational.org/conditions/suicide


List of national emergency resources for suicide prevention, substance abuse disaster distress, domestic violence, child abuse, adult and elderly abuse

Finish Stronger Counseling – Emergency Contacts and Lifelines

* Please note that this list may be subject to change as organizations, companies, and government update their websites and other information. *


Check out these charities and articles to find out how you can help

Charity Navigator


American Foundation for Suicide Prevention


Very Well Mind – Leading Mental Health Charities and Organizations


The Recovery Village – Mental Health First Aid for Suicidal Thoughts and Behaviors


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Connoquenessing Valley Heritage Trail, PA

You Will Keep Going


If you need support, reach out to a counselor, don’t hesitate. Most counselors are providing teletherapy now. You don’t have to leave your home and it is easy to get started.

I specialize in telemental health. Contact me if you are a resident of Pennsylvania and would like to talk.

Keep going!

Learn about teletherapy here.

Whetstone Ridge Trail, VA

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4 Ways to Reduce Anxiety

People are under an increased amount of stress due to the ongoing pandemic, which has no concrete ending. People who don’t have a mental illness disorder, such as anxiety, are also experiencing mental health vulnerabilities during this time. They report having issues like difficulty concentrating, difficulty remembering things, sleep disturbance, and decreased mood.


4 “M”s in mental health

  • Mindfulness
  • Mastery
  • Movement
  • Meaningful connection

Mindfulness

Mindfulness is living in the present moment in a non-judgmental way, and practicing it fosters awareness. People who have completed a mindful activity say that they feel more calm and peaceful afterwards. Download and use mindfulness apps on your phone, follow along on a YouTube video, and try a variety of other mindful activities like the three below. Building mindfulness takes practice because it is a skill.

Read about what mindfulness is here.

Mindfulness 5, 4, 3, 2, 1 Grounding Technique

Mindfulness Walk Activity

10 Minute Guided Mindfulness Meditation for Anxiety YouTube video.


Mastery

Mastery is about engaging your mind and doing what you’re good at. Ways of engaging can be tasks as simple as cooking and cleaning. Other ways of engaging your mind include creative writing and expressing yourself through art or music. Mastery can be thought of as a form of distraction. Lastly, it can be thinking about what we have already overcome in life.


Movement

Physical movement, such as walking, weightlifting, running, hiking, yoga, writing, painting, playing an instrument, and dancing are all ways to keep moving forward. Movement helps our minds de-stress and feel better. Another benefit is that mood is boosted.


Meaningful Connection

Stay connected to people. If you can’t meet in-person, then stay in-touch through video chatting, social media, phone calls, and sending letters in the mail. Another idea of staying connected is by having a digital picture frame and sharing the “add photos” link with your extended family. Then, extended family members can upload pictures to your frame. This is a good way to see what they (and their pets) have been up to.

Nixplay picture frame


These four tips take 10-15 minutes per day and everyone can apply them.

We should be taking advantage of mental wellness strategies like these daily to build up resiliency and improve overall wellbeing. Everyone should have mental health preparedness for situations like the pandemic. People need a list of resources and coping strategies. People should also re-engage with their mental health treatment professional or seek out one if counseling is new to them. Needing support from a professional does not mean that you are weak.

Watch psychiatrist, Sue Varma’s 03:31 video, practical tips to reduce anxiety here. The video is from March, 2020 during the Coronavirus pandemic, however it is still applicable today.

If you haven’t subscribed to my mental wellness blog yet, please enter your email below. I’d love to send you free tips and resources.

Taking Care of Your Emotional Health During a Disaster

Information from the CDC on taking care of your emotional health during a disaster.
A few steps that you can follow:

  • Take care of your body.
  • Connect with others.
  • Take breaks.
  • Stay informed.
  • Avoid too much exposure to the news.
  • Seek help when needed.

Common signs of distress to look for:

  • Feelings of numbness, disbelief, anxiety or fear.
  • Changes in appetite, energy and activity levels.
  • Difficulty concentrating.
  • Difficulty sleeping or nightmares and upsetting thoughts and images.
  • Physical reactions, such as headaches, body pains, stomach problems, and skin rashes.
  • Worsening of chronic health problems.
  • Anger or short-temper.
  • Increased use of alcohol, tobacco or other drugs.

* If you are experiencing these feelings or behaviors for several days in a row and are unable to carry out normal responsibilities because of them seek professional help. *
There is further information and additional resources on CDC’s website, here.

Jennings Environmental Education Center, Moraine State Park, PA

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Plant-Based Mental Health Counselor (and Plant-Based Doctors Directory)

Are you looking for a plant-based doctor or professional guidance on going plant-based?

Visit Plant-Based Doctors to find the right healthcare professional for you!

Plant-based counselor

Did you know that I’m a plant-based counselor?

I’ve been vegan for years, and I greatly care about being proactive towards my health and the environment.

I strive to encourage people to have a well-balanced lifestyle and to not only work on their mental health, but their physical health, as well.

If you think we’d be a good fit to work together, reach out and I’d be happy to answer your questions. – I’m not a certified dietitian, though I will probably recommend you find one if you need one. — I have experience working with people who battle eating disorders.

Finding Affordable Mental Health Counseling

You can find the right outpatient private practice counselor for you at an affordable rate, you just need to know how to go about doing so.

Almost everyone shops around looking for the right counselor who either accepts their insurance or that they can afford to see if they pay out-of-pocket. A breakdown in the process of seeking help occurs when someone finds out that the counselor doesn’t accept their insurance or their rate isn’t within their out-of-pocket budget, the person tends to cutoff the conversation right there. They hang up the phone or don’t reply to the email. Unfortunately, people will fully end their search because they aren’t sure what else there is to do.

Remain hopeful

There are alternative and proactive ways to maintaining the conversation when you find out that the counselor doesn’t accept insurance or the rate isn’t within budget. Ask questions.

Ask the counselor these questions

* Even if you want to use your insurance, keep your options open by considering out-of-pocket because part of your goal is to find a counselor who is the right fit to work with. Therapy can be a great experience with the right professional… laughter is allowed in therapy. When someone closes off the out-of-pocket option, they’re also possibly preventing finding the person who they feel comfortable talking to. *

• Do you offer a lower rate?

• Do you offer a sliding scale?

• Do you offer pro-bono?

• Can you recommend anyone who may be able to help?

• Do you offer other services that might be able to help me?

Counselors are open and willing to talk about fees and other services. They aim to be non-judgmental and want to meet people where they are at. It doesn’t hurt to find out if they are able to meet you where you’re at financially.

Keep on the lookout for free resources and tips that the counselor may offer. This could be an educational social media page, YouTube channel, blog that you could subscribe to, or ebook. Don’t pass up free resources, take advantage.

Tip: stay organized

Keep track of who you talked to, how to contact them, the questions you have, and their answers all in a notebook. Doing this will manage stress and remembering who said or offered what. Be mindful of where you keep your notebook to protect your confidentiality.

Article on How to Find the Right Counselor

Did somebody say free?

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Mesquite Flat Sand Dunes, Death Valley National Park, CA

Set S.M.A.R.T. Goals

How to set goals

Set S.M.A.R.T. goals

Specific

Measurable

Attainable

Realistic

Time-based

This is important framework for creating any goal, short-term or long-term. I keep this structure in mind when helping people set goals and intentions.

We work smart

▪︎ We are specific

▪︎ We look at the details of the desired outcome

▪︎ We talk about what already works for the person and if we can use it to reach the current goal

▪︎ We discuss how to go about the smaller steps towards completing the bigger picture

▪︎ We figure out a time frame and consider how much time a person has to devote towards the goal

▪︎ We explore appropriate alternative strategies and methods to reach the goal. There’s probably more than one way to go about it

▪︎ I teach people new strategies and we determine how they can be applied to reflect what we’re aiming for

Reach out to me if you think I can help with a goal.

Browse my blog (and subscribe) to see what kind of work that I do and for free, downloadable mental health resources!

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MH professionals, thought I’d share my current favorite books and resources.

Meaning

Man’s Search for Meaning by Viktor E. Frankl

[Check out his other books!]


Relationships

The Gaslighting Recovery Workbook: Healing from Emotional Abuse by Amy Marlow-MaCoy, LPC


Narcissistic Abuse Recovery Journal


Christian

Quick Scripture Reference for Counseling extended edition by John G. Kruis


Habits

Atomic Habits by James Clear


Mindful Eating

The Mindful Eating Workbook by Vincci Tsui, RD


Anxiety

Rewire Your Anxious Brain by Catherine M. Pittman, Ph.D. and Elizabeth M. Karle, MLIS


Trauma

Trauma-Informed Yoga: A Toolbox for Therapists by Joanne Spence, MA, E-RYT 500, C-IAYT


Transforming the Living Legacy of Trauma: A Workbook for Survivors and Therapists by Janina Fisher, PhD


Transcending Trauma: Healing Complex PTSD with Internal Family Systems Therapy by Frank G. Anderson, MD


Happiness

The Happiness Toolbox by Jonah Paquette


Awestruck by Jonah Paquette

Do you have a favorite from this list or a recommendation?

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Therapist Workshop: the emotional aspect of obesity. Instructor: Roni Maislish M.A. (psychotherapist and clinical social worker)

Meet Roni Maislish

I met Roni Maislish through LinkedIn (he is in Israel), as we both work in mental health and specifically with eating and emotions. We both recognize the emotional aspects of obesity and that it can be an emotional-mental-issue. Roni says, “Most of the time, when people talk about eating disorders, they forget the field of overweight and the emotional side of this field.” Roni created this workshop for therapists, family physicians, dieticians, and related professionals, which I will talk about more below.


Find four downloadable worksheets on emotions, eating, and body image at the bottom this article. I have used these worksheets when working with people over the years. Shannon Mick, NCC, LPC, CCATP, CTMH


Roni’s Workshop

By Roni Maislish

Therapist workshop – The Emotional aspect of Obesity (Introspection through the relationship with food and eating as a gate to change, cure and healing)

Background – How many times you had been surprised by overweight patients that told you to “fix them quickly”, who for years after years trying to lose weight, sometime seceded and then back again, gain the weight back? How many time your faith in your patient dissipate and  you felt anger and frustration that he or she is not committed enough to the process like you? And how many times you felt that you are not able to understand emphatically (near-experience) why those patients cant keep on fighting, controlling and avoiding in their food and eating’s issues? and how many time you realized and told yourself that something is missing?

For all of you therapist from a variety methods and approach who dealing with the emotional aspect of overeating, overweight, emotional eating, emotional non-eating, non-acute eating disorder, obesity and more – you all most welcome to workshop (short educating program) where you become familiar, study and also go in depth to a new dimension which will enable you to see, understand and experience the “food and eating’s issue” not as a “problem to solve” but as a unique way that a specific person use to “tell his story” while integrate and keeping safe his “self”. And From this kind of listening stance we will be able to make place to our patients, while helping them finding their subjective way toward healing and restoring their wounded, un-develop and neglected self.

The workshop – In the beginning I will present my attitude in the last 15 years (which changing and modifying in time) for dealing with emotional eating’s issues. I will share with you my straggles, dilemmas and personal questions that occupied me since early childhood and connect it to my journey (both personal, academic and professional) and how I established and combined theories which gradually help me to meet myself and my patients from a “different” perspective (that sometime we can feel as if you speak an ancient languish).

Doing so, I will manly focus in two theoretical and clinical paradigms to help us to understand ideas I formulate these years– I call it: “the fat remember”/”the fat’s emotional role” (or, “if the fat will able to talk, what it will say?”): 

The first paradigm based on Didier Anzieu’s work (manly his book :”I-Skin”, which written in French “Le Moi-Peau”) who dealt on the emotional-sensorial clothing (“I-Skin”) that a human beings wear from early childhood and making adaptation trough the years to avoid invasiveness and secure the self from hurts and fragmentation. In his work Anzieu present 8 function of this psyche soma’s envelop like holding, handling, protecting and more. In my work, regarding Anzieu’s ideas, I explore the fat, the overweight, mostly in the abdomen (but not always) and its role to establish and contributing the building of those 8 functions in case that the self no longer develop normally. For instance we will learn together about the connection of the stimulation-shield function in the “I-Skin” clothing to the gaining weight process to build “fat armor” against attacks on the self.

Later on, I will present the “self-Psychology” paradigm while understanding deeply that defense and resistance is not something that the therapist need to break, remove, overcome, or even to melt so we can see emotional aspects and reasons of gaining weight’s process as a reminder from a depress self which struggle to survive non-emphatic world. This self, as I see it, is still hoping that someone (maybe the therapist) will see beyond the “fat story” and help the patient to restart its “inner self program” and recover those years of deprivation.

Regarding the topic of this workshop and self-psychology, In his second book, “The restoration of the self” (1977, pp 80-81) Kohut refer to the triad: oral fixation, pathological overeating and obesity and present the understanding of the classical approach that deals with drive-awareness and the ability to control the drive (via its suppression, sublimation, inhibition of its aim, displacement, or neutralization). Instead, Kohut’s claim is that “the child asserts his need for a food-giving self-object” and “the child needs empathically modulated food-giving not food”. If this need remains unfulfilled, Kohut continue, then the child retreats to a fragment of the larger experiential unit, i.e., to pleasure-seeking oral stimulation (depressive eating). Kohut add that increasing awareness to those process renewed movement toward psychological health.

The combination between Anzieu’s theory and Kohut’s perspective, while adding the work of Eigen (Toxic Nourishment, Emotional Starvation), Ogden (The Autistic-contiguous position), McDougall (Theatres of the Body) – will all helps us to build new platforms and ideas which open new possibilities to understand the patient’s pain, to find beauty in the defensive-structure of the patient (his overeating patterns) and further on to develop the patient self-ability to heal and grow himself while seeing us ganging and flexible in our empathy enabling him to change too.

During our learning and in between the theoretical conceptualization that we will create, I will share with you some example from my clinical work. The main part in this section will be the “mindfulness meal” where we will be able , to search different possibilities for introspection of the connection between our relationship with food/eating and others relationship (family, marriage, career, friends, money, faith and more). In this mindfulness-experiential process, we will use motive like: choice, miss, lose, regret, planning, disintegration, aesthetics and more, to understand how a certain movement from our eating place’s seat to the buffet table represent original selfobject needs. That will help us to vary and enrich our empathic capability and responses to those patients that their selfobject need didn’t met yet and have a very complex relationship with food and eating. For example: One of the participants in the workshop can become aware that the way he choose the food was similar to how others choosing and he can realized that he didn’t ask himself what are his special and authentic needs. Then he can share about that kind of pattern in other relationship (for example – he choose where to study upon his unique need or was it a “social decision”).  That mindfulness experience of understanding will take us, as a group, to discuss  how some of our patients will prefer the “socially eating” pattern which can give them a response for their twinship’s (alter ago) needs (they eat the same food like everyone so they feel part of the group, and the world). Those kinds of introspections around the table will encourage us to think about more emphatic response’s possibilities for more kind of needs (mirroring, idealizing).

If we will have enough time we will practice in pair the question: “for what I am really hungry for? (The dialogue between emotional hunger and physical hanger) and mediate on the “role of the fat” and more. We will complete our journey with sharing our experience and understanding, we will ask ourselves what surprise us today and we will have some time for questions and answers. 

About the instructor –Roni Maislish M.A (psychotherapist and clinical social worker).

From 2005 I am working with overweight’s patients dealing with emotional eating that come from emotional long-term neglected. I the last 2 year I am working in Tel Hashomer (Sheba) hospital in an overweight treatment center (part of the endocrine institute) while between 2006-2011 I saw eating disorder’s patients (and their parents) in Soroka Hospital. From 2007 working as emotional eating’s therapist. Leading groups both for therapist and non-therapist, short workshop and year-long dynamic-study groups. Beside working with patients, I involve deeply in education-prevention roles schools, pre-school, eating disorder’s clinics, accompanying nutritionist, mantel health department, and much more .in 2008 I participated in a 5 days retreat in California leaded by Geneen Roth (the author of the bestseller “When food is Love”).

Download his workshop brochure below.


Additional information from roni

Watch these YouTube videos.

Eating and Emotions: APN Lodge Speaker Series with Roni Maislish

Roni Maislish, MSW & Jamie Anderson, PMHNP discuss The Emotional Aspects of Obesity/Overweight


“Mindfulness Meal” Workshop

Download information “mindfulness-meal” workshop below.


Take action

Reach out to Roni to learn more about his worksheet and how you can help.

+972-522811598

ronimaislish33@gmail.com

Get to know him more on his website, there are more videos on there, as well.


Downloadable worksheets from Shannon Mick, NCC, LPC, CCATP, CTMH

Mirror Work Activity

Uniquely Me, Body Image, Body Positivity

Journal Prompts: Healthy Relationship to Food

Get In-Tune with Satiety & Hunger Cues: Hunger Scale Tool and Questions to Consider

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Just Listen: don’t worry about giving someone the perfect piece of advice

Just being a listener is powerful. Depending on the person who needs listened to and the situation, listening can be the only thing needed to help somebody. We’re bombarded with messages about listening and responding in a particular way. That we must follow A, B, and C or we aren’t being effective or that we might cause harm to the speaker. While we should aim to listen skillfully and to do no harm, we still can’t forget [or minimize] that just listening is impactful. We don’t always need to know what to say, that should relieve some pressure, all you have to do is listen and be present.

Simply listen

If you have a friend or family member who is experiencing issues and concerns, consider just listening to them first, rather than listening and offering up advice. While listening, practice being an active (non-distracted) listener, paying attention to nonverbal messages, listening to understand, making some eye contact, and being empathetic.

Keep in mind, that the speaker might not need an in-depth conversation. They may just need someone to listen and be there for them. The act of sharing out loud helps lift weight off of shoulders and problem solve. The brain processes differently while speaking out loud, as opposed to keeping your thoughts to yourself.

Ivy, mentor and mental health advocate, wrote about the power of listening. She says, “I have always emphasized that it is important even if you don’t agree with or understand how someone is feeling, to simply just listen to them and what they are going through. Simply asking someone if they are okay and letting them know you are there for them, is something so simple, yet so extremely powerful. Too often we feel like we won’t have the right words to say to people who reach out to us in need, so we keep our distance as a safer alternative. But you can make such a huge difference by just listening to someone’s story.”

Ivy continues, “When we listen to others, we let them know without even saying the words that their feelings are valid, that they themselves are valid and that we care about them. When we listen to other people’s story and allow them to be vulnerable and honest with us, the unexpected benefit is that we too can feel empowered to tell our own story and feel confident that someone will also listen to us when we are struggling.”

Read more of this excellent article here.

Listen to someone’s story and let them know that you’re there for them.

When you want to help, but feel like you can’t

Have you ever felt overwhelmed or stressed out by feeling like you need to help that someone who is coming to you about their problems? Maybe you have your own things that you’re going through and don’t have enough space to hold what they’re going through, as well. Perhaps, you’re feeling burnt out and need to practice self-care. You shouldn’t try to help another person when your glass is empty. Nothing comes out of an empty cup when you try to pour from it. [Even if your glass is full, practice daily self-care.] Whatever your situation, if you still want to be there for them, then just being a listener takes some pressure off of you. You can be present for the other person, but not hold as much responsibility in giving advice.

When to suggest that someone considers talking to a professional counselor

Know when to suggest that someone needs to go seek a mental health professional’s services. Topics like abuse, neglect, addiction, suicidal ideation, and suicide are red flags. Report abuse and neglect when you suspect something serious is going on, so that it can be looked into. Know the signs of suicide in order to prevent it and know what to do. Non-Judgmentally, ask open-ended questions to see what’s going on. Gently suggest that they speak with a mental health professional. Mention two or three benefits of speaking with a professional.

For information on lifeline contacts and resources, visit here.

And more, go here.

Benefits of professional mental health counseling. Bust the myths and check out what counselors actually do.

What therapy actually is:

https://finishstrongercounseling.com/2020/12/22/mental-health-therapy-what-people-think-it-is-vs-what-it-actually-is/

The value of seeing a therapist:

https://finishstrongercounseling.com/2020/07/27/the-value-of-seeing-a-therapist-what-does-your-therapist-do-when-theyre-not-in-session/

Stuck on finding a counselor?

How to find the right counselor.

Consider talking with a counselor…

Other times when a person should talk with a professional is when what they’re going through has impacted their life in such a way that they have difficulty functioning and maintaining a normal routine. Their job, family, social life, sleep, eating, major areas like that have been impacted. Especially, if this has been going on for a few weeks or longer, but really anyone, at anytime should go talk with a professional. It’s easier to fix something before it gets out of hand. This distress scale can help keep tabs on the impact that what you’re going through has on you.

Final words on just listening

Mindy Pierce, MA, LPC of Grow Counseling adds this to help us think further as listeners.

“Here are a few questions to help us think further about the powerful importance of listening and how well we listen:

• Who is the best listener you know?

• What makes that person a good listener?

• How do you feel when you are with that person?

• What can you learn from that person that would make you a better listener?

• What do you hesitate to talk to your partner about? Why?

• What happens to those withheld thoughts and feelings?

• What are the consequences of that withholding for you? For the relationship?

• What conversations would you like to go differently?

• If people think you aren’t listening to them, what will they assume it means? What will this lead to?

The next time something is really bothering you, notice if something holds you back from sharing that with someone. What fears or expectations do you have about what would happen if you shared? And if you do share, what happens?”

The rest of Mindy’s thoughtful article can be found here.

Being present and listening can be helpful to someone. Your friend or family member might just need someone to talk to, so they can empty part of what they’re carrying, a way to problem solve, or process what they’re going through. As a listener, a response isn’t always required. Be there for someone by listening to their story and letting them know that you care. Don’t underestimate the power of just listening, it’s helpful.

Harmony Trail, Harmony, PA

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