I was reading an article recently about Farm Stress, and the overall mental health crisis that is going on within our country’s farming communities. The pain and suffering is real, and very upsetting.
While I am not a farmer or rancher, I can try to understand the extreme conditions of the job: It’s physically dangerous, unpredictable because of weather, crop prices, and international relationships. Farmers are also making up a smaller and smaller portion of our population (less than 2%), and tend to be more geographically spread out than in years past. All of these factors – and others – combine to create a pressure-cooker of stress.
People are taking notice, however, and working hard to help those who are suffering. I discovered some wonderful resources through North Dakota State University. Here’s one:
For more information on farm stress and how to cope, check out this article:
After reading the last few posts about alcohol, drugs, and addiction; do you think you know someone who is struggling with some or all of these behaviors and symptoms? Watching someone you care about abuse substances can be painful. And it can also lead us to feel helpless in knowing how to help them. Obviously, we cannot force someone to abstain from use and become sober. Likewise, we cannot force them into treatment against their will. What we can do, however, is offer support, knowledge, and resources around addiction treatment.
Navigating the world of addiction recovery and treatment is tricky, so by becoming informed yourself, you can aide your friend or family member in understanding where to go to get help when they’re ready.
Luckily, there are a wide range of treatment options available for those wanting to achieve and maintain sobriety. Many experts in addiction treatment recommend that folks have more than one resource or treatment modality on board for the best chance of success. Here are the options:
Detoxification: “Detox” is a service offered by some addiction treatment and hospital facilities. A stay in detox typically lasts three to seven days and is intended to help you safely withdraw from drugs or alcohol with professional medical help. At the end of the stay, patients are referred on to other, longer-term treatment facilities or programs.
Inpatient Treatment: Residential/live-in treatment for addiction is the most intensive option for treatment of alcohol and/or drug addiction. Inpatient treatment can last anywhere from several days to one month or longer. While participating in residential treatment, you can expect to receive: individual psychotherapy, group psychotherapy, psychiatric/medication services and possibly family psychotherapy in one place.
Intensive Outpatient: Intensive outpatient treatment is a form of addiction treatment in which you continue to live at home while attending treatment sessions three to four days per week, two to four hours at a time. The idea behind intensive outpatient treatment is that you learn to live a sober lifestyle, while also going to school, maintaining employment, taking care of family members - whatever you normally do in life. Intensive outpatient treatment usually includes psycho-educational and psychotherapy groups, family therapy groups, and individual psychotherapy.
Individual Psychotherapy: For people wanting to achieve and maintain sobriety, individual psychotherapy is often recommended. Working one-on-one with a licensed mental health professional can allow you to explore, in a more individual way, your substance abuse and family history. These individual sessions also allow the mental health provider to assess for any underlying mental health disorders (anxiety, depression, etc) that may have been either exacerbated or masked by your substance use.
Group Support: Alcoholics Anonymous (AA) is the most well-known example of group support available to alcoholics. AA is a free, peer-led support group that has been around since 1939. AA’s 12-step program has been used for a long time, by many people and is very well established all across the world - making it easy to access for most people. Narcotics Anonymous (NA) is a very similar program that is specifically for people who struggle with drug (heroine, prescription painkillers, cocaine, etc) addiction. There are many other free, peer-led support groups in most communities across the country. For more information about what is available in your area, try asking your physician, mental health care provider, faith community, employer, or school.
Medication-Assisted Treatment: Medication-Assisted Treatment (MAT) programs combine medications and supplements, together with psycho-education to help you achieve and maintain sobriety. Naltrexone, Acamprosate and Disulfiram are some of the medications that are often used to help ease the discomforts of withdrawal symptoms, as well as decrease cravings 8.
If you need assistance immediately, you can always call 9-1-1, or go directly to your nearest emergency room.
Problematic use of drugs and alcohol can impact just about all areas of your life and functioning. There are obvious risks of over-using drugs and alcohol that are associated with:
Disruptions in education
Difficulty maintaining employments
Legal troubles/encounters with the criminal justice system
Drug and alcohol use can also cause many physical and mental health problems, including:
Changes in appetite
Changes in blood pressure
Change in mood
Additionally, when you spend much of your time impaired by alcohol or drugs, it can effect your ability to make healthy, sound decisions. Impulsivity and poor decision making are common when under the influence of drugs or alcohol. These poor decisions can lead to other health-related problems such as:
HIV/AIDS, hepatitis, and other communicable diseases
Being at higher risk for trauma or violence
Lastly, drug and alcohol abuse is costly! In fact, it is estimated that alcohol and illicit drug use cost the United States about 160 million dollars each year in lost work productivity, health care costs associated with addiction, and crime.
Alcohol and drug addiction and abuse are an unfortunate part of life for many Americans. Whether it’s by personal experience, or through watching a friend or loved one struggle, millions of Americans have an experience with drug and/or alcohol addiction each year.
In 2014, more than 16 million adults – that’s about 7% of the population – met criteria for Alcohol Use Disorder. Another 5 million American adults admitted to engaging in risky alcohol use that could lead to addiction in the future.
Alcohol is the most heavily used drug in the United States, followed by marijuana. And unfortunately, recent surveys have found that illicit drug use is on the rise in the United States. Illicit drugs include: marijuana, prescription drugs used other than as prescribed, cocaine, heroine, methamphetamines, etc.
Most people use drugs for the first time as teenagers, and more than half of illicit drug users begin their drug use by using marijuana. Drug use tends to be highest among teenagers and those in their twenties, but recent data suggests that drug use is increasing in people in their fifties and sixties as well.
Drug and alcohol use in children and teens is on the decline overall, with one exception: vaping. As of 2018, vaping among young people had increased dramatically, with 17.6% of 8th graders, 32.3% of 10th graders, and 37.3% of 12th graders admitting to vaping at least once in the last year.
Here’s the bad news: Many millions of children in the United States deal with some type of mental illness. Here are some numbers:
9.4% of children aged 2-17 years (approximately 6.1 million) have received an ADHD diagnosis. 7.4% of children aged 3-17 years (approximately 4.5 million) have a diagnosed behavior problem. 7.1% of children aged 3-17 years (approximately 4.4 million) have diagnosed anxiety. 3.2% of children aged 3-17 years (approximately 1.9 million) have diagnosed depression.
That’s a lot of kids! But here’s the good news: stigma around mental illness and psychological disorders is decreasing as more programs take aim at eradicating incorrect assumptions about mental health disorders and their treatments.
One of the best ways we can combat stigma around mental illness is by talking to our kids early and often about mental health and illness, as well as psychological treatment. The more we normalize these types of discussions, the better. Here are some tips for talking to your kids about mental health:
Be open about your own emotions. One way to help your kids become used to sharing their emotions, is by sharing your own on a regular basis. In a developmentally appropriate manner (i.e., using simple brief concepts with young kids, and progressively more complex words and concepts with older kids), try talking clearly about your own feelings: “Geez, that hurt my feelings when I didn’t get invited to Jenny’s birthday party,” or “I’m feeling a little overwhelmed with all the work deadlines I have this month,” or “I am so proud of the hard work you put into that homework assignment”
Be open about how you manage your psychological health. Try sharing with your kids what you do to manage your mental mental health. Sharing things like: “I’m going to be taking a walk this evening. It was a tough day at work, and the fresh air helps me feel less stressed.” or “I am feeling a little down today, I think I might call Grandma. Talking to her always helps me feel better.” Again, we want to keep these conversations developmentally appropriate, and our kids aren’t our therapists. However, sharing the healthy strategies we use to manage our emotions will provide them a template for when they need strategies to manage their own psychological health.
Make talking about mental health an everyday thing. We don’t need to talk about the state of our kids’ mental health every single day, but it’s best if it can be a pretty regular occurrence – say, a couple of times per week, for example. We want to get to a point where speaking about emotions and mental health is just as easy and normal as talking about the soccer team, your favorite TV show or the new super hero movie you want to see. Here are some questions to get you started: –”What are you excited about these days?” “What’s on your mind right now?” “How would you describe your mood today?” “What are you worried about?”
The possibilities are endless, and each family needs to find their own, unique language for talking about mental health. But here’s a quick tip: Try asking questions that are open-ended, these tend to produce much more interesting conversations than those that can be answered by a simple “yes” or “no.”
Accessing and paying for mental health care can be tricky. Many mental health professionals do not work directly with insurance, and those who do can have very long wait lists. But did you know that there are some other ways you can pay for mental health care with the assistance of employer-run programs?
Employee Assistance Programs (EAPs). These programs are offered by many employers (large and small). EAPs allow employees to see a contracted mental health professional for 3-10 sessions per year free of charge. Yes, free! Too often, employees don’t know this is a benefit to which they are entitled. So ask your manager or HR department for more information.
Health Savings Accounts/Flex Spending Accounts/Medical Savings Accounts. These aren’t technically a benefit as this is money that you put away pre-tax to use for approved medical expenses. So, your employer doesn’t (usually) give you the money for the accounts, but many do facilitate the opening of such an account. Again, ask your manager or HR department for details.
Seem to have more of everything (money, success, friends, possessions) than you
Appear better at their job than you
Whatever the specifics, it’s actually not all that unusual to have feelings of jealousy – particularly at work as we spend so much time with our co-workers. But what can you do to tame the green monster?
Check out my recent article over at Health eCareers for ideas about to 1) decipher why exactly you’re having jealous feelings 2) what to do about them.
Does work make you angry? Do you have trouble controlling your temper with your co-workers? Do you lost your cool on a regular basis?
Angry outbursts aren’t just annoying, unprofessional and upsetting to everyone; high levels of anger have also been linked to a number of health problems. These include increased risk for: heart attacks, heart disease and strokes. High levels of anger have also been linked to a weakened immune system.
I recently wrote an article on Health eCareers offering tips for how to manage your anger at work in particular. Here’s one tip:
Want more ideas about how to manage your irritability at work? Check out the entire article here:
In my last post I wrote about how to determine if you (or someone else) is using alcohol in a problematic way. In this post, I would like to talk about options for treatment. Because there are a lot.
We all know about AA, and 30 day residential programs, but there are so many more options available as well. In a recent article over at Health eCareers, I outline several of the most common treatment options, including: detox, inpatient, intensive outpatient and medically-assisted treatment. I also talk about individual psychotherapy, which is often an important part of a treatment plan:
In my practice, I often work with folks struggling with addiction. If you would like to talk more about how individual psychotherapy can help with sobriety, please give me a call at 303-828-3080.