by Andi Daniel, Technology Coordinator

August 19, 2025

President Trump’s “Ending Crime and Disorder on American’s Streets” executive order from July 24, 2025 is chilling. Under the guise of “law and order” this administration seems to be targeting the most vulnerable populations. This time it is unhoused people but the implications for a wider group of people are obvious. Do we have an issue with people being unable to find and keep adequate housing in this country? Yes, we cannot deny that is a rising problem. There is a misconception that being unhoused is due to laziness, weakness, or a moral failing when it is actually a lack of adequate employment and extremely limited access to affordable housing that are the main causes of homelessness. The Supreme Court’s Grants Pass ruling opened the door to more criminalization by local authorities. Criminalizing homelessness and closing housing programs does not eliminate the issues that cause homelessness in the first place. We can look at least one community in our own state whose elected officials have blamed services for unhoused people as attracting unhoused people to the community and if those services were eliminated, that problem would go away. They even went as far as removing bus stops and requiring people to access public transit through a phone app and credit card.

This executive order focuses strongly on substance use and mental illness as the causes of homelessness. It states that “Nearly two-thirds of homeless individuals report having regularly used hard drugs like methamphetamines, cocaine, or opioids in their lifetimes” with no reference to where this number came from. While this is a staggering number, it misrepresents the truth of the situation. Having used substances in a lifetime does not mean that those people are currently using substances. In fact, a recent study found that 37% of unhoused people reported using substances three or more times a week in the six months prior to the study-half of what the executive order claims. Likewise, mental health conditions can be a contributing factor to becoming or staying unhoused.  According to the National Coalition for the Homeless, behavioral health conditions are rarely the reason that people become unhoused in the first place.  Most people cannot financially survive a crisis such as an illness or injury. Issues compound. An injury requires recovery away from work which leads to decreased wages while off work and increased bills making it more difficult to pay rent. Being evicted for inability to pay rent, even if due to something outside the person’s control, makes it more difficult to find a new place because the person now has a delinquency on their rental history. These life stressors can lead to mental health issues which can lead to substance use, especially if mental health services aren’t readily available. This spiral can be fast. We have also seen the closing of some major employees such as Seeley Lake sawmill in Missoula displacing hundreds of employees. Interestingly, two of the reasons cited for the closure were lack of housing and the high cost of living in Western Montana.

Homelessness is rarely just about substance use or mental health but this executive order prioritizes civil commitment and is vague on what would constitute a reason for this civil commitment. Civil commitment may be necessary when someone is a danger to themselves or others. The order states that civil commitment could be used for people who have a mental illness and “cannot care for themselves in appropriate facilities for appropriate periods of time” with no definition of what mental illness, appropriate facilities, or appropriate periods of time actually mean.  Does being unhoused on its own mean that someone cannot care for themselves? Which mental illnesses qualify people for this civil commitment? How long would be appropriate for someone to be unhoused before they are civilly committed? Does couch surfing count as homeless? The order directs state and local governments to implement “maximally flexible civil commitment, institutional treatment, and ‘step-down’ treatment.” There is no flexibility in Montana for civil commitment. There simply aren’t enough beds available at Montana State Hospital, Montana Chemical Dependency Center, or community hospitals to meet the current needs. MSH lost federal funding in 2022 and that has not been restored. Mental health facilities struggle to maintain adequate staffing levels. Committing more people will only make this problem worse. Where do they go when there are no psychiatric or substance use treatment beds available? Likely jail or prison under the definition of “other appropriate facilities.”

The fact is, we have been here before. It was quite common for people with mental health disorders, intellectual disabilities, or even those considered odd in some way to be committed to asylums or hospitals, often with little to no treatment. People would remain in these facilities for extended periods of time, perhaps their entire lives. The system we have now is not even adequate, but the previous system was horrific for many people. I have seen video of people housed in the Boulder, MT facility in the 1970s. It was inhumane. “Patients” lined the hallways in hospital gowns yelling or crying, staff were rarely present, and there was no therapy to be found. These images were captured by a journalist with permission to be at the facility, so it isn’t hard to imagine that the conditions were actually much worse than what was shown. The concept of deinstitutionalization was a great goal and began during JFK’s administration but was not fully implemented until the Reagan administration. The issue was, and is, that the proper infrastructure was not in place to accommodate community support for those leaving the institutions. Even now it is difficult to create a discharge plan when people leave MSH because there are not adequate services available in their communities. Mass institutionalization is not the answer to this problem, without proper support, it becomes a revolving door. People enter an institution, are released at some point, begin experiencing symptoms again, have no support in their communities, return to the institution, and the cycle continues.

The order also removes any funding for harm reduction or safe consumption sites because they “Facilitate illegal drug use.” It even directs the Attorney General to file civil or criminal charges to housing assistance programs that provide these environments or even distribute “drug paraphernalia” with no definition of what those items are. Does Narcan count as paraphernalia?  There is significant evidence that these options save lives for those struggling with substance use issues. The order also calls for an end to “housing first” programs that focus on finding housing before addressing underlying issues. The claim is that providing unhoused people with housing deprioritizes accountability again, framing homelessness as a failing by the person experiencing homelessness. The ultimate goal is to move people into private housing and support networks. That word private is concerning. The order wants individuals “off the streets” but also out of public programs.  How do people who are leaving the state hospital after being civilly committed for being homeless have the resources to access private housing and services.

Finally, perhaps the most destructive part of this order is that it requires housing programs to collect “health-related” information and share that data with law enforcement and requires compliance to a treatment program in order to receive housing services. Forcing compliance with specific treatment programs is blatantly contradictory to the concept of recovery. Recovery cannot be coerced; it must be chosen. Effective recovery pathways are individualized and focused on strengths. Forcing people into specific treatment systems with the caveat that they will lose their housing if they don’t comply is ineffective at best and extremely harmful or deadly at worst. Who is paying for these treatment services? If someone misses an outpatient appointment, are they evicted from their housing immediately and unable to access any services such as shelters or warming centers? Where do they go if they are evicted and can’t get any additional services? Will they be detained by unidentified masked officers and incarcerated? It starts with housing programs, but does it expand to food programs or other services? Will people be barred from food banks, SNAP benefits, and community health centers for non-compliance?

The Secretary of Health and Human Services has already stated that he wants to create a database of people with autism which was rightfully met with backlash and now the administration is requiring people to be part of a similar database if they need housing assistance. Nothing good ever comes from government putting marginalized people on a list. I didn’t agree with the Obama administration when they discussed adding mental health information to the background check system to purchase firearms. There are definitely instances where people with mental illness should not have access to weapons-the tragedy at the Owl Bar in Anaconda is a recent example. However, in order to have people flagged in the background check system, a list of people with mental illness would have to be created. What gets someone on that list? How do they get off that list? Do other agencies have access to that list?

We have now seen federal law enforcement move into Washington, DC under the excuse of stopping crime even though statistics show that violent crime in DC is the lowest it has been in 30 years. The President posted on his own social media platform “The Homeless have to move out, IMMEDIATELY. We will give you places to stay, but FAR from the Capital.” He went on to state that criminals didn’t need to move out because they will be put in jail. He provided no details about where the unhoused people would be transported to or what type of housing they would be given. This seems to contradict the Executive Order unless the plan is to force all of those in DC into treatment programs. If unhoused people do not leave DC, does that make them criminals and justify incarcerating them?

This is how things started in Germany in the 1930s. There is a misconception that Hitler and the SS started with death camps for Jewish people. The reality is that they started in a much quieter way moving people into specific neighborhoods who were “undesirable” in some way.  The “asocials” included people with substance use issues, mental illness and intellectual disabilities, homeless people and beggars, nonconformists, LGBTQIA+ people, and pacifists. They were moved to camps later. Not all camps were labeled as extermination camps-some were labor camps or medical camps, but they almost always included some type of mass murder even if it was chalked up to malnutrition or illness.

The “Ending Crime and Disorder on American’s Streets” executive order is not about solving homelessness—it is about erasing unhoused people from public view and punishing poverty. Instead of addressing the root causes of homelessness—lack of affordable housing, economic instability, and underfunded community supports—this policy seeks to bring back failed policies of mass institutionalization, criminalization, and forced compliance. History has already shown us where these approaches lead: human suffering, civil rights violations, and systemic abuse. Every person deserves safe housing, access to healthcare, and the freedom to recover in ways that honor their dignity. Real solutions require investment in housing, healthcare, employment opportunities, and voluntary recovery supports—not coercion, surveillance, or incarceration. We cannot allow history to repeat itself. If we allow fear and discrimination to drive policy, we risk repeating the darkest chapters of the world’s past. If, instead, we center dignity, equity, and compassion, we can build a future where housing and safety are human rights, not privileges granted only to those who comply. This executive order is not a solution—it is a warning. If we stay silent, we normalize cruelty. If we speak up, organize, and act, we can build communities that protect—not punish—the most vulnerable among us.

by Jim Hajny, Executive Director

August 5, 2025

When I first got involved with mental health advocacy in 2009, we were urging the legislature to address the broken mental health system. In 2025 advocates are still urging the legislature to address the broken mental health system in Montana. Back then we had funding for a community-based crisis system. We had twice as many crisis beds available, and we had a psychiatric hospital that encouraged and promoted mental health recovery. Today we do not have sustainable funding for statewide crisis services, we have less crisis beds, and we do not follow national standards for Montana State Hospital or for crisis response in Montana. In 2022 Montana lost its federal funding for Montana State Hospital because it repeatedly failed to meet minimum federal standards for health and safety. I would also include the increase in unhoused individuals in nearly every community in our state, many of whom have a mental health diagnosis. From 2007 to 2023 the increase was 89%, second highest in the nation according to the 2023 Annual AHAR Report to Congress. Data also shows Montana continues to lead the nation in suicides per capita. Gun ownership in Montana is one of the highest in the nation, depending on which data source you look at. Ammo.com reports Montana as the highest with 66.3%, the national average is 46%. Red flag laws (Extreme Risk Protection Orders or ERPO) allow county attorneys to petition a court to prevent someone with a severe mental illness from possessing a firearm. A sort of warning system when someone is not well. There is federal funding to support red flags laws if state chooses to enact it. Montana does not. On May 8, 2025, Governor Greg Gianforte signed an anti-red flag law. We are only one of few states who have such laws. There is fear that this will lead to the “taking away of everyone’s guns” which is a second amendment right. Which could be argued and may have some merit. But that’s for another article. My own conclusion is that Montana is moving backwards in addressing our broken mental health system.

There are individuals who will say we have increased our funding annually to DPHHS, we have a $300 million dollar allocation of funds, we had community hearings. We have plans to build new psychiatric facilities to better serve Montanans. We are surveying providers; we even gave them a raise in reimbursement rates. Look what we have done!

The United States Secret Service 2023 report on mass shootings is intended to provide critical information to a cross-sector of community organizations that have a role in preventing these types of tragedies. Among the report’s key findings:

• Most of the attackers had exhibited behavior that elicited concern in family members, friends, neighbors, classmates, co-workers, and others, and in many cases, those individuals feared for the safety of themselves or others.
• Many attackers had a history of physically aggressive or intimidating behaviors, evidenced by prior violent criminal arrests/charges, domestic violence, or other acts of violence toward others.
• Half of the attackers were motivated by grievances, and were retaliating for perceived wrongs related to personal, domestic, or workplace issues.
• Most of the attackers used firearms, and many of those firearms were possessed illegally at the time of the attack.
• One-quarter of the attackers subscribed to a belief system involving conspiracies or hateful ideologies, including anti-government, anti-Semitic, and misogynistic views.
• Many attackers experienced stressful events across various life domains, including family/romantic relationships, personal issues, employment, and legal issues. In some of these cases, attackers experienced a specific triggering event prior to perpetrating the attack.
• Over half of the attackers experienced mental health symptoms prior to or at the time of their attacks, including depression, psychotic symptoms, and suicidal thoughts.

Montanabw, CC BY-SA 3.0, via Wikimedia Commons

The avoidable tragedy in Anaconda (which does qualify as a mass shooting), according to reports, checks most of the findings in the secret service report such as gun ownership, mental illness, and warning signs from those who knew the shooter. “Everyone in the community plays a role in violence prevention,” said National Threat Assessment Center Chief Dr. Lina Alathari. “The latest NTAC report provides an unprecedented analysis to support our public safety partners and affirms that targeted violence is preventable if communities have the right information and resources to recognize warning signs and intervene.” Currently in Montana if an individual is not an “imminent threat” to self or others there is largely nothing law enforcement can do. They do not have the power to arrest the individual for having a mental illness. In Illinois the law states that involuntary admission to a psychiatric facility prohibits the individual from possessing a firearm. The court decides how long this is for depending on circumstances. Montana does not have such a law. What we do have is an emergency hold law. If an individual is in a mental health crisis they can be taken into protective custody on a 72 hour hold so a mental health professional can evaluate them. Again, they must be an “imminent threat” to self or others. If it is not imminent, they are released. If the individual is determined to be imminent, then a facility with an open bed has to be located. Montana lost 50% of its crisis beds during the COVID pandemic, making locating a bed much more difficult. The state of Montana has not taken action to replace those lost beds in the last 5 years. The threat assessment chief said it correctly, “everyone in the community plays a role.”

The Dilemma

In this article I have tried to outline as simply as I can the challenges we face in Montana around mass shootings, gun ownership and mental health care. As an advocate I have had numerous conversations over the years and have even presented possible solutions mostly which have fallen on deaf ears. This avoidable tragedy in Anaconda is preventable. The real question here is how does society balance individual rights related to health conditions such as mental illness with Constitutional rights such as gun ownership. How do we find a balance with public safety. How do we come together to address the broken mental health system in Montana providing more options for the individual, law enforcement, behavioral health professionals, families and communities. How do we stop taking sides and work towards solutions. This is the dilemma we find ourselves in. Everyone wants their way to be right instead of finding common ground, such as improved mental health care balanced with laws increasing public safety and private gun ownership where we all give a little bit. For the good of all. So, we can feel safe in our own communities. Now that is mental health.

by Jim Hajny, Executive Director

July 21, 2025

It is hard to not see suffering on a daily basis around the world, in the United States and here in Montana. When I tune in for my daily dose of news, I am often struck by the lack of awareness around mental health related issues. For example, in Texas where the extreme flooding occurred there is virtually no reporting on mental health counseling, or peer support for the massive amount of grief and loss that is taking place. In the nearly weekly reporting of mass shootings at places of work, schools and in our communities across the nation, we fail to address mental health needs.  

In the 17 years I have been working as a peer advocate, I have watched a revolving door of organizations, programs and good people with great intentions come and go. Regardless of the quality of the work. Here today, gone tomorrow it seems. As a person with a mental health diagnosis, I can recognize that stigma for both self and society play a major role in our inability to address the mental health needs for all. In fact, I would say its number 1. There are others of course. It is not lack of funding. We spend a lot of money funding programs and defunding programs without consideration as to their effectiveness. For example, the shuttering of SAMHSA which has been a strong supporter of mental health recovery for 20+ years, for political reasons rather than updating or upgrading it as we say these days. Here in my community of Madison County we have no crisis support services.  When I brought this issue up to my local legislator it was “passed up the chain” with no results. When I spoke to the hospital is also went nowhere. It’s just not a topic anyone wants to talk about. My local advisory council has 6 openings for more than 1 year.

This topic weighs on my mind because I feel a lack of mental wellness is what leads to so many of these societal issues such as gun violence, homelessness, substance use, suicide and incarceration. Without urgently seeking long-term solutions we cannot make progress. These days when we cannot find the answers we are looking for, we search the internet, more specifically AI. So, I did just that. I asked AI “what are the societal issues around mental health.” Here is what it identified.

Key Societal Issues Affecting Mental Health:

• Stigma and Discrimination: Negative attitudes and stereotypes surrounding mental illness can lead to social isolation, reduced likelihood of seeking treatment, and difficulty finding work or housing. Stigma can prevent individuals from disclosing their mental health challenges and seeking help, making their conditions worse.
• Social Inequality: Poverty, lack of access to education and healthcare, and discrimination based on race, gender, or sexual orientation can create chronic stress and feelings of helplessness, contributing to mental health issues.
• Social Isolation: Poor mental health can lead to social isolation, disrupting relationships and potentially leading to family breakdown.
• Lack of Access to Resources: Limited access to affordable healthcare, including mental health services, can prevent individuals from getting the support they need.
• Adverse Childhood Experiences: Exposure to violence, neglect, or other traumatic events in childhood can significantly increase the risk of developing mental health conditions later in life.
• Media Portrayal: Sensationalized media coverage of mental illness can perpetuate negative stereotypes and contribute to public misunderstanding.
• Social Determinants of Health: Factors like housing, food security, and employment opportunities significantly influence mental health. Unequal distribution of these resources can disproportionately affect certain populations.

Consequences of Societal Issues on Mental Health:

• Increased Risk of Mental Health Conditions: Social factors can increase the likelihood of developing mental health conditions like anxiety, depression, and psychosis.
• Difficulty Accessing Treatment: Stigma, discrimination, and lack of resources can make it harder for individuals to seek and receive mental health treatment.
• Impact on Relationships and Social Functioning: Mental health conditions, exacerbated by societal factors, can negatively impact relationships with family, friends, and colleagues.
• Economic Instability: Mental health conditions can affect employment and educational attainment, leading to economic insecurity.
• Strain on Families and Communities: Mental health issues can place a strain on families, impacting caregivers and leading to economic burdens on communities.
• Increased Risk of Incarceration and Homelessness: Individuals with serious mental illness may face criminalization or become homeless due to lack of support.

Here is some data I searched for further consideration.

Mental Health America, the nation’s oldest mental health advocacy organization releases a report each year ranking states on mental health service. Montana ranks third to last.

Montana mental health and substance use levels are generally higher than national averages and Montana often ranks near the top in suicide rates, substance use related deaths, and prevalence of mental health conditions. Individuals in rural and frontier areas are often underserved and under-resourced. The following table is taken from SAMHSA’s National Survey on Drug Use and Health.

I was recently watching a video on gun deaths per state, and I was shocked to find that Montana ranks near the top along with New Mexico, Louisiana, Mississippi and Alaska.  States such as Illinois, New York ranked much lower. I was surprised by this. CDC data can be found here.

Montana saw the largest increase, 551%, of individuals experiencing chronic patterns of homelessness from 2007 to 2023, according to the 2023 Annual Homelessness Assessment Report to Congress 2024.

I do not assume to have the answers. I don’t think anyone has all of them. But I do dedicate my work to addressing mental health recovery the best way I can each day along with staff and board of directors at MPN.

by Beth Ayers, Family Support Training Coordinator

July 8, 2025

Chronic Disease Awareness Day is observed annually on July 10 and was created to increase the public’s understanding of chronic diseases and illnesses, promote advocacy for better healthcare access, and support those living with chronic illnesses and their families.

According to the Centers for Disease Control and Prevention (CDC), “Chronic diseases are defined broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States. They are also leading drivers of the nation's $4.5 trillion in annual health care costs. 6 in 10 Americans have at least one chronic disease, and 4 in 10 have two or more chronic diseases. Many preventable chronic diseases are caused by a short list of risk behaviors: smoking, poor nutrition, physical inactivity, and excessive alcohol use. Some groups are at higher risk of chronic diseases because of conditions where they are born, live, work, and age. These nonmedical factors, called social determinants of health, can be positive or negative. When they are negative, they limit the opportunities to make healthy choices and get good medical care. For example, some communities lack safe spaces like parks for people to be active, or grocery stores that sell fresh fruits and vegetables. In some rural areas, it's hard to get medical care because of doctor shortages, hospital closures, or long distances to care. This makes it challenging to get preventive screenings or specialist follow-up care.”

Other common chronic conditions include hypertension, high cholesterol, arthritis, obesity, depression and other mental health disorders, chronic respiratory diseases such as COPD, chronic kidney disease, chronic liver disease, Alzheimer’s disease and other types of dementia, and asthma. Causes of chronic disease can be genetics, lifestyle choices, and environmental factors. Other risk factors besides the previously mentioned ones of smoking, poor nutrition, physical inactivity, and excessive alcohol use include age, family history of disease, exposure to environmental toxins and pollution, chronic stress, and lack of sleep.

Mental health conditions, including depression, are often not thought of as chronic diseases or illnesses. The National Council on Aging in their article The Top 10 Most Common Chronic Conditions in Older Adults writes about depression, “15% of older adults have depression—a treatable medical condition that is not a normal part of aging. Depression causes persistent feelings of sadness, pessimism, hopelessness, fatigue, difficulty making decisions, changes in appetite, a loss of interest in activities, and more.” The article goes on to list steps that can be taken to help with depression such as managing stress through social support or meditation, eating healthy foods which can positively affect your mood, exercising for both physical and psychological benefits, and talking with professionals including a primary care doctor, therapist, or psychiatrist.

Managing the physical, mental, and emotional toll of chronic diseases can be isolating for both the individual and their family. As people in recovery and parents/caregivers of children with special healthcare needs including behavioral health, we know firsthand the feelings of frustration, isolation, despair, and hopelessness. We know the challenges of finding treatment and advocating to be heard. We know the hope in finding joy and meaning living with chronic health conditions. The following data is from West’s report titled Strengthening Chronic Care: Patient Engagement Strategies For Better Management of Chronic Conditions and resonated with me as a parent of children with behavioral health challenges and as a Family Peer Supporter:

• Approximately 1 in 5 patients feel anxious (21%) or frustrated (20%) dealing with their disease.
• 26% of patients experience physical exhaustion after being diagnosed with a chronic condition. 24% of patients feel angry upon being diagnosed with a chronic condition. 23% of patients have difficulty sleeping after receiving a chronic disease diagnosis.
• 70% of patients with a chronic condition want more resources or clarity to help manage their disease. 91% of patients say they need help managing their disease.
• 88% of patients who want assistance managing their condition say help with their treatment would make a difference in their overall state of health.

Children’s Hospital of Colorado’s online resource Parent Toolkit: Parenting a Child With a Chronic Illness begins by stating, “Parenting a child with chronic illness can be a challenge for the entire family. Emotions like anger, sadness and worry, paired with invasive medical procedures, medication side effects and disruptions to family routine, can lead to a volatile mix at home.” The resource goes on to share the importance of “good parenting” despite the child’s illness. “Amid the stress and strain of chronic illness, it’s tempting to let challenging behavior and emotional outbursts slide. But like all children, children with chronic illness do best when held to standards of behavior, appropriate discipline and consistent limits.” The article goes on to list how a parent can best support their child:

• Communicate openly
• Maintain a schedule
• Establish limits and behavioral expectations
• Use appropriate and consistent discipline
• Promote treatment adherence
• Avoid power struggles
• Take care of yourself
• Help your child cope
• Work closely with the school

Just reading the list and the accompanying “tips” for each one left me feeling overwhelmed and patronized. In trying to keep my child alive and fight everyone (hospitals, doctors, insurance companies, school administration, treatment centers, government entities) for proper services, I had little time, energy, or mental capacity left for “everyday” parenting. Yes, the above list holds with my values and are things I would have liked to be able to focus on. Well-meaning advice from articles, professionals, family and friends often left me feeling defeated, overwhelmed, and a failure as a parent. What I could have used were meals, offers to babysit my other child, grace, encouragement, coffee, and non-judgmental support. This is why I am an advocate for peer support. The writers of this article and the people in my life without children with chronic illnesses have the best of intentions and want to help but cannot offer the empathy and support that someone with lived experience can.

At the end of this article is a link to Parent Toolkit: Strategies for Maximizing your Child's Health- A toolkit for parents of children who are chronically ill with this picture:

I don’t know about other parents with chronically ill children, but my trips to the hospital did not look like this! However, I feel The Parent Toolkit’s opening paragraph does reflect my reality, “Having a child diagnosed with a chronic illness alters every aspect of a family’s life. Besides the procedures and medical appointments, the paperwork, the uncertainty, the disruption to work and school, there’s also the fact that your child is sick. That’s a hard thing to accept. Caring for a chronically ill child can feel stressful and time-consuming, and parenting decisions that used to be easy can suddenly feel very hard.”

Whether you have a chronic disease or illness or are the parent or caregiver of a child who has a chronic disease, you are not alone. There are others with similar lived experiences ready to support you. Reach out to Montana’s Peer Network or visit our website. You can also find more information at Chronic Disease Awareness Day.

by Kayla Myers, Peer Support coordinator

June 24, 2025

I’m a mom of boys, loud, messy, hilarious, curious, deep-feeling boys.

And if I’m honest, one of my greatest hopes, besides them eventually learning to do their laundry and clean up after themselves, is that they grow into men who feel safe being whole. Not just strong or stoic or successful. But soft when they need to be. Honest. Vulnerable. Supported.

Because here’s the truth, one I’ve heard from every mom of boys and quietly carried myself: the world still struggles to let our sons be fully human.

We tell our kids, “It’s okay to cry,” but somewhere between kindergarten and manhood, that message gets lost. Replaced by phrases like “man up,” “don’t be soft,” and “real men don’t talk about their feelings.” And those words don’t just bounce off; they sink in. They settle deep.

As moms, we see their hearts before the world tells them to hide them. We see the quiet anxiety before the tough-guy mask forms. We know the pressure they carry in silence, the self-doubt buried behind humor, the frustration when they don’t have the words to explain what’s going on inside.

June is Men’s Mental Health Awareness Month. And if it reminds me of anything, it’s this:

We don’t just need to raise good men.
We need to raise whole men.

Men who know it's okay to ask for help.
Men who’ve had practice expressing what they feel.
Men who’ve seen someone care about what’s happening beneath the surface.

Here’s what I’m doing, or I should say, what I’m trying, daily:

• I ask them how they’re feeling, and I try not to rush past the silence.
• I talk about therapy like it’s normal, because it is.
• I praise emotional honesty just as much as achievements.
• I work on asking for help myself, because they’re always watching.

In my eyes, no boy should grow up believing his feelings make him weak.

So, whether you're a parent, an aunt, a coach, a teacher, or a friend, be part of the voice that says:

You don’t have to pretend you're okay when you’re not.
You’re not less of a man for needing support.
You’re more of one for knowing when to reach out.

To my sons, and all the boys growing into men:
Your mind matters.
Your emotions matter.
You matter.

Let’s raise them to believe it.

(Edited and Enhanced with ChatGPT)

Reposted from Mental Health America's Mental Health Month 2025 Planning Guide

While one in five people experience a mental health condition each year, every single one of us has a mind to take care of. Furthermore, mental health is not just a personal issue—it's a societal one. And the need for action has never been greater.

This May during Mental Health Month, it's time to move beyond awareness and take meaningful steps towards better mental health for ourselves and our communities.

Take Action Today

Start with Self-Care - Your mental health is an investment in your future. Take a moment right now to check in with yourself:

• Take a free, anonymous mental health screening
• Explore self-care practices that work for you – whether it's meditation, exercise, or creative pursuits
• Remember, seeking professional help is a sign of strength, not weakness

Engage Your Community - Mental health thrives when communities come together:

• Share your story – break down stigma through the power of personal experiences in your conversations
• Join or support local mental health initiatives
• Check in on friends, family, and neighbors – a simple "How are you really doing?" can make a world of difference

Advocate for Change - Your voice matters:

• Join the MHA Advocacy Network to receive alerts on critical mental health issues
• Contact your elected officials – urge them to support increased funding and access to mental health services
• Educate others about the importance of mental health care in your community

Resources at Your Fingertips

Visit mhanational.org/may for a wealth of information, tools, and resources to support your mental health journey and advocacy efforts.

This Mental Health Month, let's not just talk about mental health – let's take action. Whether it's a small step for yourself or a giant leap for your community, every action counts.

Together, we can turn awareness into action and create lasting change for mental health in America.

by Open AI ChatGPT, Edited by Andi Daniel

January 11, 2025

Random Acts of Kindness Day February 17

Acts of kindness are often seen as simple gestures, yet their impact on mental health can be profound. Whether it’s offering a smile to a stranger, helping a coworker, or volunteering for a cause, kindness can create a ripple effect that benefits both the giver and the recipient. Research has consistently shown that engaging in acts of kindness boosts mental well-being, reducing stress, increasing happiness, and fostering a sense of belonging.

The Science Behind Kindness and Mental Health

Kindness is not just a moral virtue—it has biological and psychological benefits. When people engage in acts of kindness, their brains release chemicals such as oxytocin, serotonin, and dopamine. These neurotransmitters play a crucial role in mood regulation and emotional well-being.

• Oxytocin, often referred to as the "love hormone," is associated with feelings of bonding, trust, and social connection. It helps lower blood pressure, reduces stress, and fosters emotional resilience.
• Serotonin, known as the "happiness chemical," enhances mood and contributes to overall mental stability. It is often targeted by antidepressant medications to treat depression and anxiety.
• Dopamine, the brain’s reward chemical, gives a sense of pleasure and motivation, reinforcing positive behaviors.

Engaging in kindness activates the brain’s reward system that improves emotional well-being. The more people practice kindness, the stronger these neurological pathways become, making kindness a habit that contributes to lasting mental health benefits.

Kindness Reduces Stress and Anxiety

Modern life is often stressful, filled with pressures from work, relationships, and daily responsibilities. Acts of kindness have been shown to counteract the negative effects of stress by promoting relaxation and reducing cortisol levels (the stress hormone).

A study conducted by the University of British Columbia found that individuals who performed acts of kindness experienced significant reductions in social anxiety. Participants reported feeling more comfortable in social situations, less self-conscious, and more confident in their interactions. The reason behind this is simple—kindness shifts focus away from internal worries and redirects it toward positive, external interactions.

Helping others also creates a sense of purpose, which counteracts feelings of stress and anxiety. People who volunteer or engage in compassionate acts often report a decrease in worry and an increase in emotional resilience.

Kindness and Depression: A Natural Antidote

Depression often brings feelings of isolation, low self-worth, and a lack of motivation. Acts of kindness can act as a natural antidote by fostering social connections, increasing self-esteem, and giving individuals a sense of meaning.

Studies have shown that people suffering from depression who engage in prosocial behaviors—such as helping a friend, donating to charity, or performing small gestures of kindness—experience improvements in mood and overall outlook on life. The act of giving creates a sense of accomplishment, counteracting the helplessness that often accompanies depression.

One notable study published in the Journal of Social Psychology found that people who committed five acts of kindness per day for six weeks reported greater levels of happiness compared to those who did not. The researchers suggested that acts of kindness helped participants break the cycle of negative thinking that often contributes to depression.

Kindness Strengthens Social Bonds and Reduces Loneliness

Loneliness is a major risk factor for mental health conditions, including depression, anxiety, and even cognitive decline. Human beings are wired for social connection, and kindness is a powerful tool for fostering relationships and strengthening community ties. When people engage in acts of kindness, they naturally build trust and connection with others. Whether it’s helping a neighbor, complimenting a colleague, or simply expressing gratitude, these actions strengthen interpersonal relationships and create a support system that enhances mental health.

The Ripple Effect of Kindness

One of the most powerful aspects of kindness is its ability to create a ripple effect. A single act of kindness can inspire others to pay it forward, spreading positivity and well-being throughout a community. This phenomenon, known as "upstream reciprocity," demonstrates how kindness can multiply and benefit an entire society.

For example, if a person witnesses an act of kindness—such as a stranger helping someone in need—they are more likely to engage in a kind act themselves. This leads to a chain reaction of positive interactions that enhance collective mental health and promote a culture of empathy and support.

In workplaces, communities, and schools, kindness initiatives have been shown to improve morale, increase cooperation, and reduce instances of bullying or hostility. Schools that implement kindness programs report lower rates of student anxiety and depression, as well as improved academic performance and social relationships.

Kindness and Self-Esteem

Another key way kindness affects mental health is by boosting self-esteem. When people engage in acts of kindness, they experience a sense of accomplishment and self-worth. Helping others reminds individuals that they have value and can make a difference in the world. For those struggling with self-doubt or low confidence, kindness can serve as a powerful tool for self-discovery and personal growth. When people focus on the well-being of others, they shift away from negative self-talk and instead embrace a more positive and compassionate view of themselves.

Simple Ways to Practice Kindness Daily

Incorporating kindness into daily life does not require grand gestures—small, simple acts can have a profound impact on mental health. Here are some ways to practice kindness every day:

• Give genuine compliments – A kind word can brighten someone’s day.
• Listen actively – Sometimes, people just need to be heard.
• Offer help – Whether it’s assisting a coworker or holding the door for someone, small gestures matter.
• Express gratitude – Saying "thank you" fosters positivity and appreciation.
• Volunteer – Helping in the community strengthens social bonds and boosts mood.
• Check in on loved ones – A simple text or call can make a big difference.
• Practice self-kindness – Treat yourself with the same compassion you offer others.

Acts of kindness have a profound impact on mental health, benefiting both the giver and the recipient. Through the release of feel-good hormones, kindness reduces stress, combats depression, and fosters emotional resilience. It strengthens social bonds, decreases loneliness, and boosts self-esteem. Furthermore, kindness creates a ripple effect that spreads positivity throughout communities, making the world a better place.

Incorporating kindness into daily life does not require great effort—small, intentional acts can transform mental well-being. Whether through a kind word, a helping hand, or a simple smile, kindness has the power to heal, uplift, and bring joy. By choosing kindness, individuals not only improve their own mental health but also contribute to a more compassionate and connected world.

By Kayla Myers, Family Peer Supporter

September 24, 2024

“Character cannot be developed in ease and quiet. Only through the experience of trial and suffering can the soul be strengthened, vision cleared, ambition ignited, and success achieved.” — Helen Keller

Today, I invite you to join me on a journey. The map I was given at birth was filled with detours, unexpected stops, fast-paced highways, and scenic routes, accompanied by plenty of bumps and flat tires. Through adaptation and countless obstacles, I navigated a less-traveled road—a highway leading to self-awareness and recovery. I want to pause a moment to express my heartfelt gratitude to each of you here today reading this. I know you have faced your own battles, and your presence signifies that you’ve found hope after being hurt and discovered the courage to keep showing up for yourselves. Thank you for allowing me the space to be vulnerable and share my story.

Before I dive into my successes, I must be honest about the struggles and losses I've faced—mostly at my own hands, but also at the hands of others. I am a survivor of complex trauma, navigating a world shaped by anxiety and depression. I received a late diagnosis of ADHD. For thirty years, I excelled at being what everyone else needed, so much so that I lost sight of who I was and what I truly wanted in life. I thought I had it all figured out, only to find myself in the ER at 18, convinced I was having a heart attack. The doctors told me my EKG results were immaculate. When I asked what it could mean, they casually dismissed it as “just a panic attack.” But how could that be? For years, I had expressed sympathy for those struggling with diagnoses, convinced that I was “fine.” My subconscious was screaming to be heard, and I simply ignored it. My college years became a whirlwind of chaos—fun, unhealthy coping mechanisms, and the persistent belief that I was okay.

Reflecting on the little girl born in June of 1990 is bittersweet. She faced challenges far beyond her years yet handled them with grace. Joyful, kind, confident, talkative, and emotionally mature, she saw the good in everyone, even in those who struggled to show it. I envy her resilience; she loved freely, expecting nothing in return. Perhaps I envy her because I am “her”—the same essence still resides within me. But I was naïve to the toll this ability to love could take on my bright spirit.

As years passed, friendships and romantic relationships flowed through cycles of joy, confusion, love, and heartache. I took a break from school to pursue promotions at work, where I felt valued and connected.

Becoming a mom was a beautiful chapter in my story. I thrived in that role, embracing the joys and challenges of motherhood in a new city. The love I felt for my son was unconditional, profound, and hard to articulate. Three and a half years later, I became pregnant with my second son, who also brought immense joy and tenderness into my life. Both my boys enriched my existence, and their uniqueness taught me how to love two individuals exactly as they were meant to be.

Despite the chaos, I cherish being a mother. Yet motherhood can be overwhelming—there are countless tasks to juggle, financial stresses, and the constant responsibility of ensuring another’s safety. While it brings an abundance of love, it also magnifies feelings of inadequacy. I was terrified of letting my boys down, leading me to second-guess myself repeatedly. My untreated anxiety intensified, occasionally spiraling into depression. Eventually, I found myself waking up and merely going through the motions. A neck injury compounded my sense of being lost, but counseling became a vital lifeline, providing me with a space to be heard.

When we moved to Montana, a place steeped in cherished childhood memories, my dreams began to take shape. I found a new flicker of hope, returning to work while my boys started school. But then I faced another challenge: my youngest’s regression with Autism. He lost his language and many of the abilities I had treasured. I mourned the child I once knew while stepping up to be the mother he needed.

I resumed counseling, and after two years of revisiting the same struggles, my therapist delivered a powerful revelation: “If you’re unhappy with your life, you have two choices. You can completely change how your life looks, or you need to find better solutions to feel comfortable in your current situation.” It was an awakening moment.

Four years ago, I grew weary of my narrative and finally admitted the truth: I was the only one who could change my life. I learned to listen to my inner voice and advocate for myself. EMDR therapy became transformative, helping me reclaim my life. Today, my boys are thriving. I’ve met a wonderful partner who loves me for who I am. I’ve embraced the role of being a bonus to a beautiful little girl. I am passionate about my work and a fierce advocate for others. My experiences have granted me the ability to meet people where they are, recognizing that the fundamental human need is connection. With even a glimmer of hope, beautiful transformations can occur.

Now, I stand proud of the person I see in the mirror. When I need a reminder, the little girl within me whispers that I am joyful, kind, confident, talkative, curious, and emotionally mature. I understand how the world works, and I strive to treat even the unloving with compassion. We are all born good, and we are all doing our best.

by Andi Daniel, Technology Coordinator

September 10, 2024

How do we define recovery for mental health? Recovery is generally a well understood concept when it relates to physical illnesses or injuries or substance use. The timeline for recovery is definable as the date that an illness was diagnosed, an injury occurred, or a person stops  using substances (or reduces use in harm reduction). Some recovery programs, such as 12-step, acknowledge that time with a physical item given at specific intervals (30 days, 60 days, 1 year, etc.). Mental health recovery is a bit more nebulous.

I have struggled with mental health issues as long as I can remember but wasn't diagnosed or treated for them until I was in my 20s. Therapy wasn't common when I was growing up and there was significant stigma attached to seeing a mental health professional. Even adult resources were limited. Many people were prescribed "tranquilizers" or anti-psychotics, given electroconvulsive therapy (ECT), or institutionalized for long periods of time. Recovery could potentially be measured from the time someone started taking medication, received ECT, or was released from institutionalization although the concept of recovery wasn't really promoted at the time. We are often told that this is just the way our lives are going to be and that there is no "cure." While it is true that many mental illnesses are not cured, it is also true that we can live in recovery and manage our symptoms. This is like someone with a physical condition that will be lifelong but the symptoms and negative impacts can be mitigated. One of the most common analogies is that of diabetes. There is no cure but people can control the symptoms and do most things that people without diabetes can do. We can measure recovery in quantitative terms such as when a person maintains a healthy blood sugar level for a certain amount of time.

There is no blood sugar equivalent for mental health. There isn't really a quantitative description for when someone is in recovery in regard to mental health. Does recovery begin at diagnosis? That is difficult because there is no specific measure of mental illness. Diagnosis is based on observations or reported symptoms but there is no definitive test. Also, recovery looks different for everyone and the only way to determine progress is observation and reported symptoms again which may not be reliable. I remember being given the Beck Depression Inventory in college and thinking "how depressed do I want to appear today?" I was a psychology student and had learned about the test but even people without a background in psychology could choose to answer the questions in a way that could make them appear more or less impaired by their illness. If someone is concerned about being institutionalized, they are unlikely to choose answers that will make institutionalization more likely. If I complete the form in one way, it will look like I am recovering when I may not be whereas a person can't fake their blood sugar levels.

In simple terms, recovery can be defined as returning to a "normal" state. Normal looks different for everyone so that isn't a very good description of mental health recovery. How do I know what normal is if I have been struggling for a long time or have had symptoms for as long as I can remember?

I have decided to count my recovery from the time I last purposely injured myself. I could have chosen the day I left an inpatient setting or recovered physically from a suicide attempt but I really wasn't getting better after those events. I was still experiencing symptoms of my mental illness in a way that was disruptive to my life. I still had suicidal thoughts and injured myself. I can't pinpoint the exact day that the symptoms were less disruptive and I still have suicidal thoughts from time to time. I have a plan and I do things that help me control my symptoms. I am in recovery.

September is National Recovery Month!

Every September, the Substance Abuse and Mental Health Services Administration (SAMHSA) leads the nation in celebrating Recovery Month, a time dedicated to promoting awareness and understanding of mental health and substance use disorders, celebrating those in recovery, and highlighting the effective treatments available. Recovery Month has been a vital part of SAMHSA’s efforts to combat the stigma associated with mental health and substance use disorders, and in 2024, the initiative continues with renewed energy and focus on the theme, "Hope, Healing, and Health."

The theme for Recovery Month 2024, "Hope, Healing, and Health," encapsulates the core elements of the recovery process. Hope is a critical factor in recovery, providing the motivation to continue moving forward despite challenges. Healing refers not only to the process of overcoming mental health and substance use disorders but also to the holistic approach to recovery that includes physical, emotional, and spiritual well-being. Health, in this context, underscores the importance of maintaining overall wellness as a foundation for long-term recovery.

Check out the resources below or visit SAMHSA's Recovery Month 2024 page.

Use Social Media Frames and Stickers

by Jim Hajny, Executive Director

July 30, 2024

About a month ago the US Supreme Court ruled communities can cite and fine homeless individuals for sleeping outside. This ruling empowers city and county commissioners in Montana to implement a ban on sleeping outside such as in a tent, in a park or on the street. The ruling was 6-3 so it was not unanimous. This ruling overturns the 9^th Circuit Court which rules over the following states, Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, Oregon and Washington. All these states all have high housing prices, a lack of services and tend to lean towards anti homelessness. In Montana we have seen a number of communities such as Kalispell and Lewistown become very vocal when nonprofits have attempted to implement services or temporary shelters for homeless individuals, with a, “Not in my town!” attitude. This of course begs the question. If not in your town, then where? Where exactly should individuals go if they cannot afford housing? This is a complex issue for sure. It seems to me that our leaders lack insight into that complexity. We can’t just move people down the road. The road only leads to another town. Where is issue starts all over again.

Instead of creating laws that say what citizens “can’t do.” Maybe we need leaders who have a “can do” approach to issues such as homelessness. For example, how about we build apartment complexes subsidized by the state of Montana to house homeless individuals in all major communities. This would stimulate the economy. The residence would be mostly on Section 8 assistance, so the rent is guaranteed to the landlord. The building trade would benefit, there would be tax revenue coming back and we wouldn’t have so many homeless individuals. There could even be a requirement of employment and or recovery to live in these apartment complexes. Some individuals may choose not to live there because of the requirements but I would imagine that the vast majority would. Very few people want to live outdoors. Shelters or temporary housing is an option and is being implemented successfully in Missoula, for example by Hope Rescue Mission. They have 30 pallet homes. Each home costs about $15,000 which is about the cost of a year’s rent for a studio apartment, if we had rent controls in Montana. We don’t of course and rent is now double that is some communities. Yet, the wages don’t support that level of rising costs. Pallet homes are temporary, and we have to remember that. The shelter is temporary. The apartment complex is permanent. We need long term solutions to address this growing issue. But pallet homes and shelters are a start until we build more apartments. This is innovation. We are building rockets to Mars, but we can’t solve homelessness here on Earth.

Many homeless individuals are impacted by mental illness and substance use. According to SAMHSA, 21% report having mental health issues and 16% report having a substance use issue. These numbers seem rather low, but we have to consider the source. The federal government. If you look at other studies by non-government entities such as Rebecca Barry, a postdoctoral researcher at the University of Calgary in Canada who studied data from many countries besides the US found the number to be 67% of homeless individuals suffer from mental illness. My experience tells me 67% is more accurate than a mere 21%.

Which leads me to the second part of the homelessness issue. Mental health services. We have a severe lack of mental health services for this population. Homelessness only compounds the mental health issues. Isolation, poverty, lack of medical care, hygiene, exposure to the elements, can all be traumatic. This compounds the existing mental health issues. There are very few mental health services available to homeless populations. Outreach is mostly done by people in recovery or caring individuals who work for nonprofits in Montana. These are underpaid, overworked individuals who are doing amazing work but lack the support in the form of resources, funding, respite and credentialed professional such as doctors, social workers and counselors to make deep impacts. If our leaders don’t want to address the issues, then make adequate funding available. There is a major disconnect between our leaders and the citizens. The last thing we need is another committee to discuss the issues. We all know what the issues are. The citizens have been telling the leaders for a long time.

Before this gets out of hand with city and county commissioners creating all types of “bans” on homelessness how about our leaders allow its citizens the right to sleep outside if they choose, no it can’t be anywhere. This could be added to our state constitution. There could be parameters in town. Such as private property or with businesses. An adjustment to the state constitution would be a bold move in the right direction and prevent local community leaders from creating ordinances banning homelessness while they sit in their air conditioned offices.

Resources

Mental Health Experts Decry Supreme Court Decision Upholding the Criminalization of Homelessness and Highlight Proven Solutions

Supreme Court Decision

By Nikki Russell, Recovery Programs Coordinator

June 12, 2024

Recovery is the story of my life. Textbook Psychology explains why my thoughts, behavior, senses, and emotions function without cause. That is, until you dive into the ocean of the heart, exploring love's complex and hidden world. Recovery helps me know that the only person I can truly change is me. Still, I can positively affect the world if I am willing to make that change. I have learned that recovery is vital in life and will positively influence the future.

I use recovery to achieve fulfillment. Abraham Maslow's insights on the hierarchy of needs suggest that when all primary conditions are intact, one can establish certain freedoms to gain happiness. Recovery proclaims that being kind, big-hearted, and living in the moment can produce life results that lead to gratitude. The foundation of my personal life is spirituality, which supports a life in recovery. The journey toward a fulfilled life can be trodden with potholes of temptations of instant happiness that can lead to suffering. When people do not consider their values of a well-lived life, high regard for self is lost, and kindness exploits a self-served goal. An outcome of recovery is in the depths of character, reflecting the fulfillment factor as multi-faceted with many qualities that appear as the person. One of the most profound character traits of a second chance at happiness is courage, a willingness to face fears that conditioned thought patterns convince a person are genuine. A person's need to belong is to gain self-acceptance by gauging if the culture they belong to is supportive. It takes courage to move against the conditioned thoughts that classically reintroduce themselves as triggers, promoting protection from love rather than fear. A positive life is not always a reflection of a well-lived life, which is instrumental in my recovery. Fulfillment comes when I am brave enough to face my truths and dare to change them. Recovery helps me navigate the rugged road from serving myself for survival to assisting others for fulfillment.

I use recovery to help bridge the gap between science and spirituality. My work as a Peer Support Specialist promotes connecting the science of addiction to the solution of recovery. Recovery makes great leaps toward merging two vital processes of spirituality and science. We cannot ignore an aspect of a balanced life by looking at only one dynamic in addiction and mental health, especially when people experience recovery. Spirituality brings hope by surrendering control and replacing fear with love. A Peer Support Specialist understands the depth of recovery's purpose in holistic health. There is proof that mindfulness practices, such as yoga, art, and walking in nature, reduce stress and help with past traumas that an individual's body cannot process without external guidance. The peer support specialist is a credible source that a peer can trust, allowing recovery principles to become habitual and beginning an internal process that helps heal. Recovery plays an important role here; the values of bravery, ethics, and trust are integral parts of a balanced life, giving me a sense of well-being. One of the struggles I encounter in recovery and the healing process is to thrive spiritually in a scientific world; recovery helps me answer this question and discover my core motivator in life: to know that science and spirituality are two sides of the same coin; I cannot have one without the other. Learning the lessons that life provides me with compassion and belief allows me to live what I preach. Although spirituality is not the cure-all and is more useful when balanced with science, the evidence of its stability in my professional and personal life is a powerful living reminder that bridging the gap between science and spirituality is a path worth pursuing.

I use recovery to incorporate myself into each life challenge to gain knowledge and expand my world. Perfection is not the point, but it is the process of learning. The values of motivation, which psychologists call intrinsic motivators, are internal and extrinsic, external to oneself, and guiding dreams. Extrinsic motivators, such as public recognition, can suffocate inherent motivators, like a desire for personal development. Giving language a musical context could be like learning from a creative viewpoint. Instead of looking at things as one-dimensional, we could see a number as a dance move, a word as color, and a movement as a shape. I learned to follow my heart and live from my heart space, creating an authentic life experience that validates what is essential in my life. Authenticity can be challenging; it is a dense process of clearing old programs. However, the struggle is worth the creative process of becoming a seeker of truth. In the past, I have felt that I enjoyed the mystery of life; I did not need to know how my brain functioned to be successful in living. Yet, learning can be childlike; innocence emerges from the depth of concern, and curiosity takes over and brings joy back into life (Bain, 2013). Instead of memorizing a Quote, I explore the world around me and discover how it relates to my life. Recovery has helped reframe my thought process to understand better who I am in this great, big world. Recovery allows me to consider, dig deeper into the truth, and proclaim my values compassionately.  Regarding my career, I will embrace every challenge as a dance to lead; sometimes, I may step on a toe, but I am grateful for the freedom to learn a new step.

I extensively utilize recovery principles, which apply to all areas of my life. They have given me a deep understanding, and I would not have experienced a change in perspective without them.

Reflecting on how recovery has informed my professional and personal life and how it will positively affect my future is insightful. Recovery influences my personal life by being kind, having good character, and having values to maintain a foundation of spirituality to live a fulfilling life. It allows me to build a bridge between science and spirituality to promote a balance in my peer support career. A kindred spirit provides an authentic learning experience that will affect change within me and create change in the world. My life is a living book telling a story of triumph that I care enough to explore through my recovery. As Krentzman proclaims, the wind must blow, a bird must sing, and I, a student of life, must learn.

By Kayla Myers, Family Peer Supporter

June 4, 2024

Healthy relationships play a crucial role in family wellness by fostering a positive environment that supports the well-being of all family members. Mutual respect forms the foundation of healthy relationships within a family, as it cultivates a sense of equality and acceptance among family members. When family members respect each other's boundaries, opinions, and individuality, it creates a harmonious atmosphere that promotes emotional well-being. Understanding is another key component of healthy relationships in families. When family members make an effort to empathize and communicate effectively, it strengthens their bond and promotes emotional connection. By understanding each other's perspectives and experiences, family members can navigate challenges and conflicts more effectively, leading to improved overall wellness.

Support is essential in maintaining family wellness, as it creates a sense of security and belonging among family members. Providing emotional, mental, and physical support to one another during difficult times fosters resilience and strengthens family relationships. Feeling supported by family members can reduce stress, anxiety, and feelings of isolation, contributing to improved mental health and overall well-being.

Love is perhaps the most powerful factor in fostering healthy relationships within a family. Expressing love and affection towards one another creates a nurturing and caring environment that promotes emotional bonding and happiness. Love strengthens family connections, builds trust, and enhances communication, all of which are essential for maintaining family wellness. Positive relationships among family members foster a sense of belonging, support, and love, which are essential for emotional well-being. These relationships create a strong foundation for individuals to feel secure, valued, and understood within the family dynamic. Open communication within the family is another key component that contributes to emotional health. When family members feel comfortable expressing their thoughts, feelings, and concerns openly, it promotes understanding, empathy, and trust within the family. Effective communication helps address conflicts, resolve misunderstandings, and strengthen emotional connections among family members.

When mutual respect, understanding, support, and love are integral components of healthy relationships that contribute to family wellness. By cultivating these qualities within the family unit, individuals can experience greater emotional well-being, improved mental health, and enhanced overall wellness. Mental health awareness is crucial for promoting emotional well-being in families. By raising awareness about mental health issues, family members can better understand and support each other's emotional needs. Recognizing the signs of mental health challenges, seeking professional help when needed, and fostering a supportive environment for emotional well-being is essential for maintaining a healthy family dynamic.

(Blog was formatted with ChatGPT)

By Beth Ayers, Family Support Lead

May 28, 2024

My child was never officially diagnosed with Borderline Personality Disorder. Partly due to their age (under 21) and partly because insurance companies didn’t like that diagnosis. I was told there was a lot of stigma around Borderline Personality Disorder (BPD) and no treatment for it. Only the symptoms such as anxiety, depression, or impulsivity could be treated with medication. Dialectical Behavior Therapy was effective but not a “guaranteed fix” which is what insurances like to cover. Some doctors who saw BPD on a patient’s chart automatically assumed there was no hope for that patient. I appreciated the protection the doctors and therapists were trying to give our child, the chance to have hope and unbiased treatment. But I hated playing the insurance game and hiding because of stigma. My thought was, “If they have BPD, list it as a diagnosis.” If our child had a rare form of cancer, doctors wouldn’t think twice about putting it in their chart. Stigma does not get changed by hiding from it. It gets changed by being open and honest and authentic.

While our child was in a residential treatment program, we took a NAMI (National Alliance on Mental Illness) class, Family to Family. I remember reading the symptoms and characteristics of BPD. Every single one fit. Learning about BPD helped me to have hope (the opposite of the medical world.) It helped me make sense of why our child was constantly having new symptoms and problems. Throughout their teen years, they expressed struggling with Trichotillomania (hair pulling disorder), eating disorders, depression, anxiety, panic attacks, suicidal ideation, self-harm, insomnia, alcohol and drug addiction, and so on. What I saw as their parent was problems with impulsivity, defiance, oppositional behavior, black and white thinking, manipulation, having to have it their way, lying, trouble keeping friends and maintaining relationships, holding grudges, not following the rules, blaming others, arguing, being defensive, and extreme emotions. Learning about BPD helped me to not blame myself or my parenting, have more understanding and compassion for what they were going through, recognize the difficulty and confusion of living with BPD, learn how to not escalate things, look for targeted therapies, and not feel so alone by relating to other parents’ experiences raising a child with BPD.

I brought a lot of misconceptions I had learned about parenting and life in general into my adult life and role as parent. I thought that if I did everything right, things would turn out right. I thought I could parent in a “right” way that would keep my child from experiencing pain. I also thought that if I was a “good” parent, my child would not misbehave. I believed that one wrong move could change the course of their life forever and ruin everything. I questioned if I was doing the right things and making the right decisions. I thought I could fix things and control outcomes. By always trying to fix situations and people, I inadvertently gave my child the message that they couldn’t handle hard things. I struggled setting firm boundaries when often that led to extreme emotions and behaviors. I fought the urge not to rock the boat when things were going smoothly. The phrase “walking on eggshells” is often used to describe living with or parenting someone with BPD. It wasn’t until our child was in treatment that I realized how fearful I was and how the effects of mental illness impacted my life.

I listened to a webinar recently titled Embracing Your Own Path and Recovery While Supporting Family Members in Theirs. It touched on the idea that everyone in the family or household is part of the Family’s Mental Health Story, with each person responsible for their own recovery (or wellness) journey. While I thought the fact that I couldn’t change anyone else was defeating, I learned I CAN change myself, empowering me to begin working on me. My family found ourselves focusing all our energy and attention solely on the family member struggling the most. But each member of the family plays a role. My health, mental and physical, is just as important as my child’s. I need to practice healthy coping skills and self-care also. I can impact what is going on in my home by looking at what I’m contributing and what I can change (hint-only myself). I can be aware of how I show up for my child and my family. And if I don’t like what I see, I can work on and take care of myself so I can show up as my best self. I can offer myself and others grace when we struggle. I can acknowledge and accept that life is messy. Probably the best tool I have learned is forgiveness for myself and others, believing that when we know better, we do better.

Generated by AI, Edited by Andi Daniel

May 21, 2024

Mental health is not an isolated island; it’s a vast archipelago where emotional, physical, and spiritual realms intersect. Holistic approaches recognize this interconnectedness, emphasizing a comprehensive view of well-being. Let’s embark on a journey through holistic practices that nurture the whole person.

Mindfulness and Meditation

Mindfulness: The art of being present. It invites us to observe our thoughts without judgment. Through mindfulness, we anchor ourselves in the now, reducing anxiety and promoting mental clarity.

Meditation: A sanctuary for the mind. Whether through focused attention or loving-kindness meditation, it cultivates inner peace, reduces stress, and enhances emotional resilience.

Nutrition and Gut-Brain Connection

Food as Medicine: Nutrient-rich foods fuel not only our bodies but also our minds. Omega-3 fatty acids, antioxidants, and probiotics support brain health.

Gut-Brain Axis: The gut and brain communicate bidirectionally. A healthy gut microbiome positively influences mood and cognition.

Physical Activity and Endorphins

Exercise: Movement is medicine. Regular physical activity releases endorphins—nature’s mood boosters. Whether it’s yoga, dancing, or a brisk walk, it uplifts our spirits.

Nature Connection: The great outdoors rejuvenate our minds. Forest bathing (shinrin-yoku) reduces stress and enhances well-being.

Sleep

Quality Sleep: Sleep is the brain’s spa. Prioritize restful sleep—create a calming bedtime routine, limit screen time, and maintain a consistent sleep schedule.

Dream Exploration: Dreams offer insights. Keep a dream journal and explore their symbolism.

Creative Expression

Art Therapy: Colors, shapes, and textures become our emotional palette. Art therapy allows us to express what words cannot.

Writing: Journaling, poetry, or storytelling—writing unlocks emotions and fosters self-awareness.

Social Connections

Community: We thrive in tribes. Cultivate meaningful relationships. Laugh, cry, and share life’s journey.

Empathy: Compassion heals. Listening deeply to others and ourselves bridges emotional gaps.

Spirituality and Purpose

Meaningful Existence: Whether through religion, philosophy, or personal beliefs, find purpose. It nourishes the soul.

Gratitude Practice: Count blessings. Gratitude shifts our focus from lack to abundance.

Energy Healing

Reiki: Channeling universal energy for balance and healing.

Acupuncture: Fine needles harmonize energy flow (qi).

Breathwork and Pranayama

Breathing Techniques: Deep, intentional breaths calm the nervous system.

Pranayama: Ancient yogic practices regulate life force (prana).

Laughter and Play

Laughter Yoga: Giggle your way to well-being.

Playfulness: Rediscover childlike wonder. Dance, sing, build sandcastles.

Holistic Therapies

Ayurveda: Balancing doshas (vata, pitta, kapha) for mental equilibrium.

Herbal Medicine: Adaptogens like ashwagandha and ginseng support resilience.

Self-Compassion

Kindness to Self: Treat yourself as you would a dear friend.

Release Perfectionism: Embrace imperfections; they make us human.

Holistic approaches weave a tapestry of well-being. They honor our complexity, recognizing that mental health isn’t a solitary pursuit. As we embrace mind, body, and spirit, we embark on a voyage toward wholeness—one where healing ripples through every facet of our existence.

By Jim Hajny, Executive Director

May 1, 2024

May is Mental Health Awareness month. Once upon a time that meant something. May is now arthritis, walking, women’s health care month, better sleep month, Asian Pacific Islander, amyotrophic lateral sclerosis, and brain tumor awareness month. Those are all important issues to recognize. But mental health awareness month was started in 1949 by Clifford Beers of Mental Health America. MHA is the country’s oldest mental health advocacy organization. Clifford Beers (March 30, 1876 – July 9, 1943) was the founder of the American mental hygiene movement. (Wikipedia.com) He was a peer. He was the original peer supporter and advocate in the recovery movement. Clifford Beers was a ground breaker. Laying the foundation for organizations like Montana’s Peer Network.

He first published “A Mind that found itself: an autobiography” in 1908. You can read his story and recovery here for free*.

A short excerpt I found particularly meaningful from Mr. Beers; "My heart's desire" is a true phrase. Since 1900, when my own breakdown occurred, not fewer than one million men and women in the United States alone have for like causes had to seek treatment in institutions, thousands of others have been treated outside of institutions, while other thousands have received no treatment at all. Yet, to use the words of one of our most conservative and best informed psychiatrists, "No less than half of the enormous toll which mental disease takes from the youth of this country can be prevented by the application, largely in childhood, of information and practical resources now available."

This excerpt from his autobiography could be said today rather than more than 120 years ago. Millions suffer from mental illness, some will seek traditional treatment, thousands will go outside “the system” and yet others will seek no treatment at all.

For about 30 years Clifford Beers wrote about his psychiatric hospitalizations and recovery. The Oskar Diethelm library has more than 64 boxes of writings, art, photographs and scrapbooks from Clifford Beers. I found more than dozen books on Clifford Beers and the origins of the psychiatric patient movement online. He graduated from Sheffield Scientific School at Yale in 1897. Three years later he would be psychiatrically hospitalized.

“A pen rather than a lance has been my weapon of offense and defense; with its point I should prick the civic conscience and bring into a neglected field men and women who should act as champions for those afflicted thousands least able to fight for themselves.” Clifford Beers

In 1930, Clifford Beers organized the International Congress for Mental Hygiene in Washington, DC, attended by representatives from 53 countries. The meeting launched international reform efforts and led to the development of the International Committee for Mental Hygiene. (National Library of Medicine, Manon Peery, PhD)

In 1937 he wrote, “The Manic depressive psychosis from which I suffered  is a highly recoverable form of mental trouble, and psychiatrists aside from treating a patient with consideration,  cannot do very much to bring about a cure until recovery had actually set in.” (Clifford Beers, Advocate for the insane, Norman Dain, University of Pittsburgh.)

Other notable recognitions for Clifford Beers.

• There is a clinic named after him in Connecticut
• There is a historical marker – The Extra Mile in Washington DC.
• National Association of Social Workers Pioneers
• Clifford Beers annual award Mental Health America

This May let’s focus on the original. Talk to your family, friends, coworkers about mental health and recovery. Share your story with others. Lets keep moving our struggles out of the shadows and into the light for positive change. If you would like to submit your video story (5 minutes or less) we will share it on our YouTube page. If you want to write an essay email me jim@mtpeernetwork.org. This is how we raise awareness by talking about it. If we could all be more like Clifford Beers imagine where we could be as a society.

*This eBook is for the use of anyone anywhere in the United States and most other parts of the world at no cost and with almost no restrictions whatsoever. You may copy it, give it away or re-use it under the terms of the Project Gutenberg License included with this eBook or online at www.gutenberg.org. If you are not located in the United States, you will have to check the laws of the country where you are located before using this eBook. The Project Gutenberg Literary Archive Foundation (“the Foundation” or PGLAF), owns a compilation copyright in the collection of Project Gutenberg electronic works.

By Nikki Russell, Recovery Development Coordinator

May 4, 2024

Until I know the nature of my mind, I cannot understand what mental health is. What is the fundamental nature of the mind? Defining the nature of the mind is a debatable subject for scientists, and it offers many convincing theories. The same is valid for mental health conditions; there are subtle differences between different scientific studies, yet the most widely accepted is in the Medical/Biological and Psychological perspectives, which posit mental illness as a disease or a disorder of the brain, hence the need for a diagnosis. Typical treatments include medications, interventions, lifestyle changes, therapies, and psychoanalysis. I am grateful for the advancement of science because mental health often requires medical treatment, but have we thrown the baby out with the bath water? The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the medical bible for diagnosing mental health. The DSM is an impressive guidebook for providers to define "what is wrong with me." Putting a label on "my problem" suggests a rigid definition that compels an identity of "unwell." The stigma that follows the diagnosis can be as skeptical as what the symptoms mean. Let me see if I got this right: a diagnosis invites medication with side effects that are often worse than the original symptoms, stigmatization that locks me into a lie that I believe, and a broken system trying to tell me that I am the problem.

I am grateful for scientific research that has advanced medicine. But prescribing me an identity that pushes me further into a toxic collective thought system is not what I call freedom. All those years of my addiction were self-medicating the problem of me, the symptoms of trauma that predicate substance use disorder. I was in a pattern of trying to fix life, not a rough patch but the whole of it. It seems that we are treating symptoms and not the person, "Here is a healthier way to medicate your trauma and stop acting out," But "I am still NOT well." The core issue of the problem is still being masked over; only I can now act more appropriately for society. I do not cry or yell outwardly, but I am still frustrated and depressed. I don't use drugs anymore, but I still feel hollow inside. I have my child back, but I am still not present with her or myself.

These words are valid topics to consider during May, Mental Health Awareness Month. We should advocate for proper support of the core issue of mental health, which is "Stop trying to fix me; I am not broken." I am NOT my diagnosis; I am a unique individual with different ideas, lifestyles, and behaviors, one that society had a hand in conditioning. When I remember back to my childhood, I was oppressed economically, medically, socially, and emotionally by a community that transferred their emotional and mental life experience onto me from their past experiences. I come from a long line of defiant, poor, frustrated, well-meaning humans who only tried to protect me from my environment. My life experience leaves me curious, and understanding the system and how it operates leaves me saddened for the many people who are going through the exact suffering I went through. Controlling my behavior and acting happy is not wellness; it is oppression from a system that does not know how to love.

So, what is the answer? I am not a doctor, so I am unqualified to prescribe solutions, but I can tell you what has worked for me. Something that is not validated by science yet has transformed life, mental health, and trauma. Is my brain abnormal? Yes, did it happen because of genetics or a predisposition to addiction? Maybe that is a piece of the puzzle.

Moreover, I believe I was sealed into an internal trauma response system that society precipitated, which was the catalyst to recovery.

My recovery is multi-dimensional and is of a spiritual mindset. All of my knowledge and life experiences are refracted through the prism of my mind. The most helpful way to understand refraction is to imagine a ray of sunlight composed of many colors, but when combined, it appears colorless—that is, until it moves through a glass prism. The glass prism acts as a catalyst to break the single ray into a burst of color, commonly known as a rainbow. The mind works similarly to consciousness; if consciousness is the colorless ray of sunlight, the mind is the glass prism. There can be nothing more healing than understanding the nature of my mind, being that consciousness is absolute. The experience of the world is personalized, meaning that the external input filters through as consciousness, coloring the world that I see. This realigning process views the mind as the essential ingredient of life experience and shifts thoughts and emotions through consciousness, revealing humans' true essence. I developed impressive thinking patterns, understanding, and relating over a timeline of 40 years. It takes time to overcome the thinking and feeling structures that inform life; it comes in layers over time and probably lasts a lifetime.

I am not suggesting that medical and psychological solutions should not be used, but that is only half the story. Imagine living in half a house, driving half a car, or watching only half a movie. I was living with half-truths, accepting half-lies, and trying to usurp love from external resources that were never fulfilling. What is different today is that I recognize the conditioning within myself instead of being lost in it. I know that when I stand in judgment of another, it is but a mirror reflecting an aspect of myself that I have not healed. When I existed in my addiction, I required so much not to self-destruct. In my attempt to attain happiness, I lost the most essential things in life: integrity, ethics, and heart. Giving to others is like a ray of light breaking through the mind, coloring the world. When all I do is take from life, it blocks the sunlight of consciousness, rendering me in a scripted conditioning that feeds addiction.

A Mental Health condition that could be added to the DSM is "stigmatization." A condition that promotes instability, oppression, and isolation; a far worse disorder than being outcasted because I am different than you. So, what does an advocate or activist do to combat ignorance? Model authenticity and compassion for those who suffer from the chaos of stigma. Learning how the story of childhood trauma compels me to hide within it, sacrificing my authenticity and screens me from my full potential. As thoughts float on the surface of the ocean of consciousness, they provide insight into mental health challenges. If the mind is the water of consciousness that flows through the vessel of the brain; memories are the debris of my mind, and waves are the emotional mechanisms that push them to shore to heal. Are we using the wrong vehicle to surf the wave of stigma, trying to get to the shore of equality to bathe in rays of sunshine?

Generated with AI and edited by Lea Wetzel, Family Peer Supporter

March 11, 2024

A Personal Approach in Acknowledgment of World Teen Mental Health Day March 2^nd

As a parent navigating the challenges of raising a teenager in today's fast-paced world, I have come to appreciate the significance of prioritizing mental health. With World Teen Mental Wellness Day just around the corner on March 2, it is an opportune time to reflect on ways we can actively support our teens' emotional well-being throughout the year. In a world where one in seven adolescents faces mental health challenges, fostering awareness and reducing stigma becomes paramount, especially given the impact of the global pandemic on our teens' mental health.

Starting the Day with Love:

A Simple yet Powerful Gesture can be a great tool when mindful of our teen’s mental wellbeing. Commencing the day with a gesture of love may seem small, but its impact can be profound. A warm hug, if welcomed by your teen, has the potential to reduce stress, enhance well-being, and even contribute to improved sleep. The key here is to respect your child's personal boundaries and always seek consent before initiating such gestures.

Breakfast Bonding:

Nourishing the Body and Mind can be a great starting point for better mindfulness of the wellbeing of our teens. Sharing a nutritious breakfast is not just about strengthening the parent-teen bond; it is a strategic move to boost mental well-being. Studies have shown that a balanced breakfast correlates with better mental health in teens. So, while enjoying a meal together, we also contribute to their overall emotional wellness.

Active Listening:

Fostering Open Communication is a positive practice to benefit connections with teens. Being an active listener is more than just hearing words; it is about creating an open space for your teen to share their thoughts, concerns, and feelings. Nonverbal cues, such as smiling and nodding, further support this healing space, allowing for genuine and judgment-free conversations.

Encouraging Talk Therapy:

Letting Them Know Help is Available can be a safe support start with any developments in your relationship with your teens. On this World Teen Mental Wellness Day, I have found it essential to inform my teen about the availability of talk therapy and mental health care. Ensuring they understand that seeking support is a strength, not a weakness, opens the door for them to explore this option if needed.

Leading by Example:

Sharing My Mental Health Journey can be a perspective that is a great opening for conversation and connection. As a parent, I have found that leading by example is a powerful way to encourage teens to prioritize their mental health. Sharing age-appropriate details about my own mental health and self-care journey has made the concept more relatable and less stigmatized.

Engaging in Physical Activities:

An Outdoor Adventure is always a great way to add a natural environment and fresh air into your life and your teen. We lead by example and utilize our natural resources like land, water, air, and the outdoors, which is a positive influence that can offer a tool for our teen's mental health forevermore. Research consistently highlights the positive association between physical activity and mental health. Whether it is biking, hiking, or a simple game of soccer, engaging in outdoor activities together provides an avenue for both physical exercise and quality bonding time.

Yoga:

A Gentle Path to Mental Well-being can be Yoga as a physical wellbeing tool to utilize and share with our teens. Considering the gentler side of physical activity, I have introduced my teen to the benefits of yoga. Combining mindful breathing with physical postures, yoga has proven to be a valuable tool in supporting mental health.

Starting a Book Club:

Fostering a Love for Reading is a lifetime positive influence on teens. Recognizing the calming effects of reading, I have encouraged my teen to explore literature. Initiating a book club, either with friends or family, has not only provided an avenue for intellectual growth but also contributed to stress reduction.

Volunteering Together:

Making a Difference, One Act at a Time is being a positive role model for teens. This World Teen Mental Wellness Day, I am considering volunteering with my teen for a cause close to our hearts. Research suggests that "helping behaviors" are associated with stress-buffering effects, making volunteering a meaningful and stress-relieving activity for both of us.

Embracing Laughter:

The Joyful Medicine of Laughter truly is the best medicine. It is Scientifically proven to increase dopamine and serotonin levels, laughter can be easily incorporated into our day through activities like watching a comedy or engaging in light-hearted banter.

In conclusion, supporting our teens' mental wellness is an ongoing journey that requires dedication, understanding, and a willingness to embrace various activities that contribute to their overall well-being. Whether it is initiating conversations, encouraging healthy habits, or enjoying moments of laughter, every effort counts towards fostering a mentally resilient teenager. This World Teen Mental Wellness Day lets us commit to making a positive impact on our teens' lives, not just on March 2 but throughout the entire year.

by Beth Ayers

February 15, 2024

While raising children with behavioral health challenges, many of my relationships became strained. Some due to stress, others to comparison and self-pity, and a lot from feeling alone and misunderstood. The most important relationships impacted were my marriage, my relationship with my child, and my support network.

My husband and I had been married for 9 years when mental health began to serious affect our child’s health and our family’s life. Parenting in general can cause tension between couples. Being on the same page as each other, having similar parenting styles and values, agreeing on consequences, communicating effectively, and supporting each other are all things I have found important in raising children with my husband. And all things I have had to learn and work on. Every family has their struggles and goes through ups and downs. Through trying times, I was able to turn to my parents, friends, and other moms for support. When my difficulty became more than common parenting challenges but parenting a child with behavioral health needs, those relationships shifted and the way I needed to be supported changed. My husband and I had been going to marriage counseling. I had been attending Al-Anon meetings. I had made friends with other moms with kids in the same grade as mine. I was part of a church community and Sunday school class. My loving and supportive parents lived close by.

When we discovered our child was self-harming, we had no clue who to turn to. I didn’t know anyone who had dealt with this with their children. We called our counselor, who had also been seeing our child for a short time after teachers expressed concern. He suggested talking in a safe environment, asking what was going on and how we could help. When that didn’t work, the counselor went with us to the ER to have our child evaluated. Behavioral health, mental illness, and psychiatric hospitals were not things I was familiar with. I didn’t know what decisions to make, what questions to ask, or how to help my child. My husband and I found ourselves on an emotional rollercoaster and didn’t know where it was taking us or how to make it stop. Our child was admitted into the youth in-patient psychiatric center, and we went home heartbroken, panicked, exhausted, and unsure if we had done the right thing.

I called my 3 closest friends. They were as shocked as I was. I remember one praying with me over the phone and how comforting that was. The next day we went for visiting time and met with the case worker. The whole process was unfamiliar and uncomfortable. I had to leave my coat, cell phone, keys, and purse in a locker. I signed in and was given a visitor’s badge, buzzed through the wide double doors, walked down the long hallway pass children in the day program, and buzzed into the ward. My parents also visited. This was all new to them, too. If our youngest child was with us, we would meet in the common area with supervision. Our child asked us to contact her friends’ parents and ask if the friends could call her. I called, explained the situation and the request, and none of the friends called. I don’t blame the parents or kids. I’m not sure I would have wanted my child to call a friend in the psychiatric hospital. Not knowing any better, I probably would have also discouraged their friendship. What I, and a lot of people, thought of as “bad behavior” was actually mental illness. And mental illness isn’t contagious. If our child had been in the hospital with cancer or a burst appendix, friends and parents and all who cared for us would have visited and called. We would have asked openly for prayers at church. Casseroles would have been delivered. The stigma of mental illness kept us quiet and friends away.

We continued raising our child through high school with many more hospital stays, challenges, and healing. During that time, it was hard for me to see the grade school friends, now distant, out with their parents, going to prom, working at their first job, and getting their learner’s permit. I saw other parents doing things with their kids that I had dreamed I would be doing with mine. I compared my life with others’ social media posts and felt alone, sad, and sorry for myself. We told very few people, even my grandparents and aunts and uncles didn’t know. Close friends who I could be honest with didn’t know how to respond. I often heard “I’m sure it’s only a phase.”, “Did you put them in enough activities when they were young?”, and “Maybe what you both need is a day to relax or a family vacation.” My well-meaning friends were also unfamiliar with mental illness and wanted to treat it like a bad mood or bad parenting. Their desire to fix or say the right thing to make me feel better left me feeling misunderstood and isolated. The chronic stress and constant battles of raising a child with any extra medical needs is exhausting and can affect parents’ mental health, physical health, work, and home life. I spent so much time making appointments, driving to appointments, waiting in waiting rooms, fighting for services, learning all I could about mental illness and how to be a better parent, researching treatments and resources, and trying to care for and not fight with my child, I had little time or energy for my marriage. Worrying about my child often came out as anger towards my husband or irritability at everything. It was hard to remember we were on the same team in a house at war. I felt overwhelmed and unsupported. My parents were always supportive in their own way and loved all of us. I found it hard to make different choices for my child than they made for me without defending myself or criticizing them. They loved me, their daughter. But they also fiercely loved their grandchild and would do anything they could to help, even if it meant going against me. I felt hurt and angry.

I have found relationships involve hard work, vulnerability, the risk of being hurt or let down, uncomfortable conversations, honest feelings, acceptance, forgiveness, and healing. They are ever evolving. They come and go depending on what season of life I’m in. They are important to me. Some of the relationships I had I no longer have. Some have grown for the better. Some are still strained. Some are stronger. Some are new. All have been changed by mental illness.

by Open AI ChatGPT

October 3, 2023

Mental health is an integral part of overall well-being, and addressing mental health concerns is just as important as attending to physical health issues. Depression is one of the most prevalent and debilitating mental health conditions worldwide, affecting millions of people each year. It can lead to severe emotional suffering, impairment in daily functioning, and even, in some cases, suicidal ideation or attempts. To combat the far-reaching impact of depression, early detection and intervention are paramount. Depression screening plays a pivotal role in identifying individuals at risk, facilitating timely treatment, and preventing long-term suffering. In this essay, we will explore the importance of depression screening in the context of mental health care.

Depression is a pervasive global health concern. According to the World Health Organization (WHO), depression is the leading cause of disability worldwide. In 2020, the COVID-19 pandemic exacerbated the mental health crisis, with increasing rates of depression reported due to the social and economic hardships it imposed. Depression can affect anyone, regardless of age, gender, race, or socioeconomic status. However, certain factors, such as a family history of depression, trauma, chronic illness, and substance abuse, can increase one's susceptibility.

Depression often remains hidden or undiagnosed for several reasons. Many individuals with depression may not recognize their symptoms, attributing them to stress or situational factors. Moreover, there is still a significant stigma associated with mental health issues, which can discourage people from seeking help or disclosing their struggles. In some cases, the symptoms of depression can mimic other medical conditions, further complicating diagnosis.

Early detection of depression is crucial for several reasons. First and foremost, it can prevent the worsening of symptoms and the development of complications. Depression left untreated can lead to a vicious cycle of worsening symptoms, increased impairment in daily life, and a higher risk of suicide. Second, early intervention can improve treatment outcomes. Individuals who receive timely treatment are more likely to experience a reduction in symptoms, an improved quality of life, and a faster return to their usual activities.

Depression screening offers a systematic way to identify individuals at risk or those who may already be experiencing depressive symptoms. Healthcare providers can use validated screening tools to assess a person's mental health and determine the severity of their symptoms. These tools include questionnaires and interviews that inquire about mood, sleep, energy levels, appetite, and other relevant aspects of mental health. While screening does not provide a definitive diagnosis, it helps identify individuals who need further evaluation and treatment.

One of the critical advantages of depression screening is its integration into primary care settings. Primary care physicians often serve as the first point of contact for individuals seeking medical care. By incorporating depression screening into routine primary care visits, healthcare providers can reach a broad and diverse population, including those who may not seek mental health services on their own.

Routine screening also helps reduce the stigma associated with mental health issues. When depression screening becomes a standard part of healthcare, it sends a powerful message that mental health is just as important as physical health. Patients are more likely to discuss their mental health concerns when asked about them by their trusted healthcare provider.

Depression screening is not only cost-effective but can also lead to substantial cost savings in the long run. Untreated depression often results in increased healthcare utilization, including emergency room visits, hospitalizations, and specialist consultations. Moreover, depression can contribute to other chronic health conditions such as heart disease, diabetes, and obesity, further increasing healthcare costs. By identifying and treating depression early, healthcare systems can reduce the overall economic burden of this condition.

Perhaps one of the most compelling reasons for depression screening is its potential to prevent suicide. Depression is a significant risk factor for suicidal ideation and suicide attempts. Identifying individuals with depression through screening allows for timely intervention and support for those at risk. Mental health professionals can work with individuals to develop safety plans, provide counseling, and connect them with appropriate resources. In some cases, hospitalization may be necessary to ensure the individual's safety.

Depression is a leading contributor to the global burden of disease. It not only causes immense suffering on an individual level but also has far-reaching social and economic consequences. When depression is left untreated, it can lead to decreased productivity, increased absenteeism from work or school, strained relationships, and a diminished quality of life.

Depression screening is a crucial component of public health efforts to reduce the burden of this condition. By identifying cases of depression early and providing appropriate treatment and support, we can mitigate its impact on individuals, families, and communities.

As we continue to work toward reducing the stigma associated with mental health issues, promoting routine depression screening becomes increasingly important. By recognizing the importance of early detection and intervention, we can improve the lives of those affected by depression and reduce the global burden of this pervasive condition. Depression screening is not just a medical tool; it is a compassionate and proactive approach to caring for the mental well-being of our society.