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


follow my blog to receive mental health tips

Connoquenessing Valley Heritage Trail, PA

Live Now

One way to lift your spirits (taken from the book High Hopes by Patrick Lindsay)

‘Live Now’
Refuse to let time dictate your day. Lose track of it. Immerse yourself in whatever you’re doing. Surrender yourself to the activity. Commit your full attention. Notice the difference.” ~ Patrick Lindsay

“The happiest of all lives is a busy solitude.” ~ Voltaire (François-Marie Arouet) (1694-1778)

Learn about the book here.

Idea for if you work with teens

Years ago, I worked with teens at an inpatient home as a milieu counselor. I did this for two years. We had a big white board and I would pull something appropriate from High Hopes and write it on the board. The teens enjoyed that and would sometimes write it in their journal or decorate around it using dry erase markers.

If you work with teens, I have found that this gentle approach to engaging with teens is easy and can be inspiring. Some days, something I would write seemed to spark people who appeared to be really struggling, as I’d catch them looking at the board and writing in their journal. Occasionally, I observed a boost in positive emotions and peer interactions following.

You don’t have to use this book, there are plenty of good books to pull inspiration from and share with others. I do prefer this method over looking up quotes online. Quotes online seem to repeat themselves and you don’t always know the credibility or who said what. High Hopes is a small book, so it fit in my full bag that I’d take into work.

I hope that this article inspired you.

Be well.

If your haven’t subscribed yet to my mental wellness tips, please enter your email below. I’d love for you to receive my free tips.

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

Subscribe for mental health tips here if you’d like to be on my mailing list

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

Subscribe for mental health tips

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?

Receive mental wellness tips directly to your email inbox and “like” or “follow” on Facebook.

Subscribe for free mental wellness tips

Mesquite Flat Sand Dunes, Death Valley National Park, CA

Spinning Your Wheels: ask for help when you’re stuck

We don’t always like to ask for help, a lot of times we’ll wait until we’re feeling completely overwhelmed by emotions and stress. While there are multiple reasons that we might behave this way, such as fear of failure or rejection, for example… however, this article isn’t about that. Let’s get right to the point. Ask for help when you know you’re stuck vs spinning your wheels and wearing down. Find out why and how.

The video below has more details, I hope you like it, literally!

Who can help?

There are many support, helping, and healing professionals out there: medical professionals; birthing coaches; personal trainers; dietitians; chiropractors; physical therapists; occupational therapists; mental health professionals; running coaches; life coaches; business coaches; financial planners; attorneys…

Turn to your network, coworkers, family, and friends, and begin to just look and see who might be able to help or who knows someone who can help. When we need a helping hand with something, we’re in a vulnerable place and sometimes asking for a hand might involve sensitive information. As you look for someone to help, be aware of confidentiality, protect your privacy.

Possible signs of needing assistance

There is a wide range of signs and symptoms that point in the direction that you should ask for help. Depending on your situation, you may experience tension in your body, stress build up, upsetting emotions arise, feelings of helplessness or hopelessness, distress tolerance lowers, self-defeating thoughts, mental breakdowns… this can quickly start sounding like a commercial reciting the side effects of a meditation.

Go with your gut instinct and ask for help when you realize that you need it. Avoid the side effects.

Why you should ask for a hand

Don’t put off seeking help because sometimes symptoms will worsen. In some cases, the longer we spin our wheels, the further we sink down in the mud, the harder it is to get back out. The mud flies everywhere and then, blankets things around you. The longer we are stuck and sinking down, the greater the risk of other areas of our lives have at becoming harmed.

Keep in mind, this is incredibly important with mental health, that it is easier to be treated the sooner you seek help from a mental health professional. The sooner you reach out, the sooner you can feel relief.

Lower distress tolerance was mentioned above as a sign that you may need to reach out for help, but how do you know how to measure distress? How much distress is too much? Visit this little article and resource on distress tolerance and download the scale to increase awareness.

Even if you haven’t felt stuck for long, still consider reaching out. It’s better to ask a question, to have a second opinion or additional set of eyes on something than going alone.

Possible benefits of a helping hand, a second opinion, and another set of eyes

By taking action, we create the opportunity to grow personally and develop professionally. There is much to learn from other people. They have different opinions, experiences, and expertise.

Overcome the risks you feel that are keeping you down by taking a chance [By the way, sometimes the risks aren’t actually there, but our minds tell us they are. For example, making a mountain out of a mole hill. Our thoughts are catastrophizing. This is a part of cognitive distortions.] The benefits of getting help typically greatly outweigh the potential risks.

Some potential benefits are accelerating towards achieving goals, learning something new, becoming more flexible seeing from another person’s perspective, lessening the chance of getting stuck again with that same thing, and making a connection with someone you might not have otherwise.

You’ll feel relieved after reaching out. Opportunity awaits! Achieving goals are on the other side seeking help. You deserve help, you deserve to reach your goals! You’ve worked hard to get to where you are now, everyone gets stuck at some point, acknowledge your hard work and achievements. Asking for help isn’t admitting defeat, asking for help is a strength.

Thanks for watching this video, I hope that it provided valuable insight and a nudge in the direction towards asking for help if you need it.

Please, help others find this video by “liking” it and “subscribing” to my YouTube channel. Your support is so appreciated!

follow my blog to receive mental health tips

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?

follow my blog to receive mental health tips

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

follow my blog to receive mental health tips

How to Stay Afloat Financially While Searching for a Job

Guest article provided by Lisa Walker of neighborhoodsprout.org

No one denies that looking for work can be a difficult and stress-inducing time. There are many challenges you will have to face, and finding a way to support yourself financially is one of them. The good news is that there are many viable options, whether that means pet sitting, crafting and selling your goods, or teaching a musical instrument.

Get Crafting

If you enjoy working with your hands, consider starting a crafting or artistic venture to support yourself. There are many options to explore, so even if you don’t enjoy one form of crafting, you can try another. A craft needs to solve a problem or provide something that people want. What do people enjoy? What do they need that they don’t have? How can you bridge those two and create something desirable? What makes your version the one that people want? A good tip is to not overproduce right away, as it’s wise to experiment to see what adjustments might need to be made. You also don’t need to start out big, either. It could be as easy as a bracelet, a necklace, or even a treat for puppies. The fact is there are many, many avenues for you to try.

Find That Side Gig

If you are not the crafting type, there are plenty of alternatives. The benefit of a side gig is that it allows the flexibility to find a more permanent solution. If you’re good with words, you could try writing or editing as a freelancer. If you are looking for a way to get out of the house and get a little exercise to stay busy, pet sitting or even dog walking can be a lucrative solution. There are different websites you can use as a platform to find clients, or you can advertise yourself independently. However, if you do go independent, know that you will want to get insurance. When you work in other people’s homes or with another person’s pets, you want to have some financial security should something awful happen. However, this is a great side gig that can turn into a full-time position, especially if you love animals. What’s more, a side gig can allow you to set aside time to self-care, which is crucial for maintaining your physical and mental health.

Teach or Tutor

If you have previous experience, especially in fields where there is a lot of growth, you might want to market your skills as a teacher or a tutor. There are websites that allow you to find students, or, like pet-sitting, you can go it solo and advertise on your own. You just need a niche, and then you can go from there, even producing instructional videos or little teasers to get new clients. It could be business related, educational, or even something like music. If you play a musical instrument, you can make money teaching it to others. Even if you only did well in English in school, you can teach it. Also, tutoring in a subject like English to non-native speakers can be very beneficial and rewarding. It really doesn’t matter what you choose as long as you have the experience to advertise yourself as an authority.

Go Online

If you need some time to yourself, but you also need to earn an income, all you need is a computer and the internet to get started. A popular choice is being a virtual assistant. You don’t need experience, just the capacity to focus on multiple things at once. You could transcribe videos, take surveys, test websites, or even start a blog. If you know your way around a computer, you could try web development. Do you speak another language? If so, try your hand at becoming an online translator. Some things may require skills or experience, but many don’t. You could even try your hand at data entry.

Get the Right Help

Starting a new business is challenging, but there are services like ZenBusiness that can support you every step of the way. You might be wondering,  “What is ZenBusiness?” It’s a business support platform with tools and services for entrepreneurs just like you! They offer everything from business registration assistance to tax and banking information. With an all-inclusive go-to, you can focus on choosing the right money-earning role, rather than getting bogged down in the details of getting off the ground.

You can find a fulfilling way to support yourself during a stressful job search. You may need to experiment a bit before you find the right fit, but it is out there. Take care of yourself and work toward doing something you both enjoy and can use to achieve financial stability.

Does the stress of looking for work have you dealing with anxiety? Professional mental health services from Shannon Mick can help you reduce stress and achieve your goals. (724) 841-1963 shannon.mick@finishstrongercounseling.com  

Image Courtesy of Pexels.com

follow my blog to receive mental health tips