While recently giving a presentation on counseling clients with autism spectrum disorder (ASD), I had a more than professional concern: I am on the spectrum as well. Not that far along, true, but still on it, and if you were not to suspect this meeting me, it is only because a lifetime of learning to function successfully in the neurotypical world has borne fruit. As an autistic clinician, I offer these insights to help colleagues better understand and effectively support neuroalternate clients. (Note: “Neuroalternate” is a term I have personally coined and will be used in place of the clinical term “neurodivergent” for the purposes of this article.)

What is the Neuroalternative Experience?

The neuroalternate experience is like listening to someone who is not a native speaker of your language; while you may understand them, it takes extra effort. In contrast to a richly diverse and kinetic environment, what we prefer, long for, and even need is one that is straightforward, structured, predictable, and low in stimulation. Any deviation from this is unwelcome, stressful, and overloads our circuits. Social rituals and expectations appear strange and nonsensical, and the cues that accompany them are perplexing and inscrutable. There seems no good reason to pay attention to them (despite often getting us, obviously, into hot water).

Direct Communication: Clarity Over Social Rituals

From a neuroalternate perspective, communication the way we want it is direct and straightforward, even blunt. There’s no need for niceties. Just say what you mean, mean what you say, and get on with it. Keeping up with a group conversation is like keeping your eyes on each ant in a swarm of ants. Sarcasm, double meanings, plays on words, idioms, and colloquialisms can go over our heads. Thus, we can sometimes come across as painfully earnest in conversation. True, we don’t enjoy the misunderstandings resulting from all this, but it’s hard for us to see what to do about them. That’s where counseling comes in.

Key Considerations for Clinicians Working with Neuroalternate Clients

Drawing from my clinical experience and personal perspective as an autistic counselor, here are key insights for working with neuroalternate clients.

1. Don’t try to make them into someone they’re not and can’t be. By the time they get to us, most clients are already beaten up by years of expectations they cannot meet and have failed at, leaving them feeling excluded and often ashamed.
2. Remember that neuroalternates do have a need for human relationships. However, after repeated collisions with the neurotypical world, isolation becomes preferable to pain.
3. Accept that to the neuroalternate, relationships built purely on social interactions – hanging out, chatting, bantering – will likely be unrewarding. Likewise, acknowledge that acquiring an instinctive feel for social cues will not happen. It would be like trying to get someone who is color-blind to see color.
4. Use concepts from physical objects to engage. Neuroalternates are drawn to concrete things, so progress can be made on this basis. Think of signals or gauges; if we know what they mean, we can react even if we do not understand the processes behind them. Thus, identifying social cues and learning how to respond to them must be framed in terms of reading instruments that tell the operator to take specific actions. To a neurotypical, this may come across as mechanistic and off-putting; however, it is something the neuroalternate mind can embrace and work with.
5. Be quiet, calm, and patient, and let the client approach you. Buy-in – the alliance – is even more critical than with other clients, since change can feel especially threatening to the neuroalternate client’s sense of self. Reassure them that you will help them learn to cope with the world only as much as they need to yet still remain themselves.

In conclusion, think of a brick wall, with the neurotypical as the bricks and the neuroalternate the mortar. Stacking the bricks on top of one another would result in a wall that is easy to push over. Likewise, mortar by itself does not a wall make. But with mortar to hold the bricks in place, you get a strong and lasting wall. We need each other.

About the Author

James P. Bruner is the high school ASACS counselor in Vicenza, Italy. He has been with ASACS since 2001 and served at three sites in Germany prior to moving to Italy. He grew up in the Upper Ohio Valley and will eventually move with his wife to be with their family in Oklahoma. His interests are in anything that’s alive, any kind of machinery, and any kind of science – frankly, just about anything.

On March 27, 2025, Faith Best, LCSW, Director of Clinical Services at NeuroFlow, led an energizing 15-minute webinar, Invest in Rest, exploring the critical role sleep plays in overall wellbeing. This dynamic session offered practical insights to help participants recognize the signs of poor sleep and discover simple, effective strategies to improve bedtime routines.

Whether you joined us live or are catching up now, this recap highlights key takeaways from the session, empowering you to prioritize sleep to improve your daily life and long-term health. Let’s get started!

What is the connection between sleep and mental and physical health?

The importance of sleep cannot be overstated. Approximately one-third of Americans are chronically sleep-deprived, a number that continues to rise as screen time, working hours and stress levels increase. As a result, both the duration and quality of sleep are declining, impacting physical and mental health in expected and unexpected ways.

During sleep, the body undergoes essential maintenance processes that cannot occur while awake. This includes memory consolidation, cognitive processing, immune system strengthening and hormone regulation, including stress hormones.

Chronic sleep deprivation has been linked to health conditions such as heart disease, high blood pressure and stroke. It can impair brain function, decision-making and reaction time. The fogginess and fatigue from inadequate sleep are well known, and poor sleep has also been shown to increase anxiety and depressive symptoms. This can create a vicious cycle where heightened stress and low mood further disrupt sleep, worsening overall mental health.

A recent study by NeuroFlow found that deteriorating sleep was even associated with an increased risk of suicidal ideation. Sleep deprivation can feel torturous, and its effects on the body and mind are profound. Prioritizing sleep is essential for overall wellbeing.

What are some ways to improve sleep quality if getting more hours of sleep isn’t an option?

When it’s time to sleep, the mind can start racing, or restlessness can make it difficult to relax and take advantage of the time available. Here are two techniques—one focused on the mind and one on the body—that can help improve relaxation and sleep.

The first technique is called “worry time.” It’s common for anxious thoughts to surface at bedtime, even if they do not appear throughout the day. A proven method to reduce nighttime worry is to schedule a specific time to focus on those thoughts during the day. Choosing a consistent time, such as during a commute or another daily routine, can help. Setting a reminder can also reinforce this habit. During that scheduled time, allow worries to come, acknowledge them, and reflect on them. Then, if those thoughts arise at night, it becomes easier to remind the mind that time has already been set aside for them, reducing their intrusion at bedtime.

The second technique is progressive muscle relaxation, which helps the body release tension before sleep. Even when lying down, muscles may remain tense due to stress, pain or habitual posture. This method involves consciously relaxing different muscle groups one at a time. Starting from the toes and moving upward, tense each muscle group for a few seconds while inhaling, then release the tension while exhaling. Continuing this process through the entire body can significantly improve relaxation. For those new to the technique, guided videos can be found online to walk through the process. This practice not only helps relax the body but also serves as a mindfulness technique, increasing awareness of physical sensations and creating a sense of calm that prepares the body and mind for restful sleep.

How can I calm down for bed, so I wake up rested?

Many adults expect to easily fall asleep after a long day of working, parenting, watching TV or scrolling through social media. However, just like children benefit from a bedtime routine, adults also need a way to transition into restful sleep.

Consistency is one of the most important factors in quality sleep. While it’s widely known that seven to nine hours of sleep per night is recommended, the consistency and quality of that sleep are just as crucial. A regular bedtime and wake-up time help the body establish a rhythm, allowing it to function optimally.

Building a bedtime routine that promotes relaxation is key. Just as children wind down with a bath or bedtime story, adults can incorporate activities that calm the mind and body. This could include progressive muscle relaxation, stretching or other relaxation methods that work best for individual needs.

For those who experience discomfort, such as back or hip pain, incorporating a short stretching routine before bed can be beneficial. A simple 10-minute stretch can not only relieve physical tension but also help signal to the mind that it’s time to unwind. When a routine becomes a habit, the body begins to recognize the cues and prepares for sleep more effectively.

Preparing the mind for sleep is just as important as preparing the body. Activities like journaling, meditation or scheduling time to process thoughts can help clear the mind before bed. Writing down worries or reflections can create a sense of closure for the day, making it easier to relax.

Keeping routines as simple as possible increases the likelihood of sticking to them. Mobile applications can be valuable tools for guiding activities like stretching or relaxation, eliminating the burden of planning your next steps. The NeuroFlow app is particularly effective, offering guided videos for yoga, meditation and breathing exercises to support relaxation. For those seeking structured sleep improvement techniques, digital cognitive behavioral therapy programs like Magellan Healthcare’s Restore provides step-by-step guidance, including proven techniques and exercises designed to improve sleep quality. Finding the right tools to simplify and support a sleep routine can make all the difference in achieving restful, restorative sleep.

How does technology like screen time impact our ability to get quality rest and what can we do to minimize its quality?

Many apps and videos are designed to be engaging and stimulating, encouraging continued use rather than promoting relaxation. This can make it more difficult to fall asleep. The most effective approach is to avoid screens for about 30 to 60 minutes before bed. Utilizing phone settings to limit notifications or restrict access to certain apps can help minimize distractions and reduce the temptation to use screens at bedtime.

The connection between sleep and both mental and physical health is undeniable. Quality sleep is essential for the body to perform vital maintenance processes, from cognitive functioning to immune support and stress regulation. Chronic sleep deprivation can lead to a range of serious health issues, both physically and mentally, including heart disease, impaired brain function and mood disorders like anxiety and depression. While factors such as stress and screen time may disrupt sleep, there are strategies to improve both the quantity and quality of rest. Techniques like “worry time” and progressive muscle relaxation, along with consistent bedtime routines, can significantly enhance relaxation and readiness for sleep. Reducing screen time before bed further supports this process. Prioritizing and improving sleep habits is an investment in overall wellbeing, making it essential to incorporate restful practices into daily life for better health outcomes.

If you missed the Magellan Minute, listen to the recording here.

Source: CDC

Autism Acceptance Month celebrates the unique strengths of individuals with autism spectrum disorder (ASD) while promoting understanding and support for their needs. ASD affects 1 in 36 children and an estimated five million adults in the U.S. Many face co-occurring mental and physical conditions, requiring holistic care to support their overall wellbeing.

Why acceptance matters

Acceptance creates opportunities and builds a sense of belonging. When individuals with autism are accepted and supported:

• Early intervention becomes possible. Diagnosing autism early enables access to therapies, such as Applied Behavior Analysis (ABA), that improve communication and social skills, promoting independence and meaningful connections.
• Barriers are broken down. Approximately 85% of adults with autism are unemployed or underemployed. Increased awareness and support can help overcome challenges in education, employment and healthcare, creating opportunities for inclusion and success.

Why co-occurring conditions matter

Co-occurring conditions often significantly impact the lives of individuals with ASD.

• Physical health conditions, such as gastrointestinal issues, epilepsy and sleep disorders, affect approximately 50 – 70% of children with ASD.
• Mental health conditions, like anxiety, depression and attention-deficit hyperactivity disorder (ADHD), impact up to 80% of adults with ASD.

Addressing these co-occurring conditions in tandem with ASD improves quality of life, strengthens relationships and promotes greater independence.

How you can make a difference

• Learn: Educate yourself about autism and co-occurring conditions.
• Advocate: Promote participation in schools, workplaces and communities.
• Amplify: Celebrate the strengths and perspectives of individuals with ASD.

Together, we can create a world that embraces neurodiversity, fosters acceptance and empowers individuals with ASD to thrive.

Visit MagellanHealthcare.com/Autism-Resources for more information and helpful resources.

March marks National Social Work Month, a time to honor social workers, who have an essential role in supporting individuals facing mental health challenges, substance use disorders, and complex life circumstances. Their dedication to advocacy and client-centered care strengthens those individuals, their families and communities. Social workers bridge gaps in care and promote recovery. This month we celebrate their commitment to helping individuals live healthy vibrant lives. We’re spotlighting two of Magellan Health’s social workers who share their experiences in this field:

• Tracy Felton, director of capture management, joined Magellan Federal in May 2015.
• David Bieschke, director, clinical care services, joined Magellan in April 2007.

Continue reading to learn more from Tracy and David on their experiences as social workers:

Why did you become a social worker and what is the most rewarding aspect of working in this field?

Tracy: I have always been passionate about helping people, even as a young child, as a babysitter, camp counselor and community volunteer. I saw disparities in the lives of people I served and felt I wanted to make a difference by helping people pursue the lives they wanted to have. The most rewarding aspect of this field is the flexibility of the various roles I have served as a social worker. From diverse populations with children and families impacted by substance abuse and behavioral health issues to military service members and their families whose quality of life is paramount to mission readiness. Working in Philadelphia, New Haven and Washington, D.C, brings complex challenges and great opportunities to see incredible resiliency at work in often dire circumstances.

David: I became a social worker initially because I was adopted and wanted to work with other adoptees and their families. The most rewarding aspect of working in this field is being able to help others realize they have healthy choices they can make in life, both at the micro and macro level.

What are some challenges you face being a social worker, and how do you overcome them?

Tracy: Continued funding for adequate staffing, competitive salaries and program resources has become more challenging post-COVID. The country’s behavioral health crisis has increased requirements for well-trained, experienced social workers in many service capacities. The shortage of social workers means services are not being rendered, and the most severely ill remain so. With this shortage, those who remain committed to the mission and work tirelessly are more apt to experience severe burnout.

David: There are many challenges, but one I work to overcome every day is the stigma of what a social worker is and what they do in their professional role. My professional achievements have been an example of what depth a social worker can have in their career. When the opportunity arises, I educate others about the various roles social workers play, most particularly, with managed behavioral healthcare.

Is there anything you’d like to highlight about working in this field?

Tracy: The resilience of the human spirit and the creativity individuals and families embrace to survive and thrive is always remarkable. Watching a new mother living in a housing project, whose utilities were turned off, have the ingenious idea to put breast milk in the snow outside her door to stay cold showed me she would persevere. Partnering with such clients has given me so much joy and gratitude.

David: The social work profession has come a long way since I received my bachelor’s degree in social work in 1984. The profession has grown and diversified in all areas of behavioral health, and now more than ever there are numerous opportunities for social workers to make an impact on people’s lives.

What does National Social Worker Month mean to you?

Tracy: This is a time when we stop, focus and celebrate the incredible contributions that social workers have made to help individuals, families and communities to reach their full potential. The theme “Social Work: Compassion + Action” highlights my dedication and commitment through many years of education and training, working with remarkable clients and brilliant colleagues. I view my professional world and everything I do in it through the lens of being a social worker first. I am proud to be a social worker!

David: It means an opportunity to acknowledge the profession and to honor my social worker colleagues for their commitment and good work they do every day.

Spotlight Magellan gives colleagues and those we collaborate with the opportunity to get to know Magellan employees beyond the surface through facilitated interviews that explore their personal interests, experiences, and aspirations. Through intentional engagement, Spotlight Magellan fosters a sense of community and connection, strengthening relationships and creating a more enriching shared experience.

This month, we’re getting to know Dr. Jamie Hanna, national senior medical director, children’s behavioral health. Dr. Hanna has been with Magellan since December 2020.

Continue reading to learn more about Dr. Hanna:

Do you have any secret talents/ something you’re very good at that would surprise others?

I played Division I soccer at the University of Alabama. I’m also pretty good at solving a Rubik’s cube.

What are you currently binge watching? Do you have a comfort show/ movie that you love to rewatch?

My favorite movies will always be the original Star Wars trilogy. The TV show I’ve enjoyed the most recently is Ted Lasso. Today, you’ll find me binge watching World War II documentaries and any other historical series I can find.

Do you have a favorite recipe you love to make (or have made for you)?

My favorite meal is Thanksgiving dinner. I love to be with family and friends and my mom’s gravy is the best. Making sure the cranberry sauce stays in the perfect shape of a can is my primary responsibility. It’s the one-time leftovers are better than the original meal.

What’s your favorite thing to do on the weekends?

I love to spend time with my family on the weekends and am usually at my son’s soccer and baseball tournaments.

What’s the best piece of advice you’ve ever received?

To not let perfect be the enemy of good.

Do you have any pets? Tell us about what quirky personality traits your animals have!

We have four cats who are a big part of our family. Make Make spends most of his time chasing images on the television. Ceres is sweet and spends most of her time on my lap. Fox loves to play fetch and follows me wherever I go. Blue Star loves to take walks with my son, Jackson, in her stroller.

In today’s workplace environment, employee mental health has emerged as a critical factor affecting organizational performance and success. Digital mental health platforms are increasingly being adopted as effective tools to support employee wellbeing while simultaneously improving business outcomes. Magellan Healthcare’s Digital Emotional Wellbeing Program, powered by NeuroFlow, is a core component of our Employee Assistance Program and a strategic solution that transforms mental health support from a cost center into a productivity driver.

Understanding the Business Impact of Mental Health Challenges

Recent research has revealed the significant economic implications of mental health issues in the workplace:

• The World Health Organization estimates that depression and anxiety cost the global economy approximately $1 trillion annually in lost productivity (2022)
• Employees working while struggling mentally (presenteeism) experience an average 8% productivity decline (Journal of Occupational and Environmental Medicine, 2023)
• Healthcare costs for employees with untreated mental health conditions are typically 20% higher (Milliman Research Report, 2020)
• Employee turnover related to burnout and mental health issues costs organizations an estimated $3,000 per employee annually (SHRM/Kronos Study, 2021)

How Digital Mental Health Solutions Are Addressing These Challenges Head-On

Modern digital mental health solutions deliver value across multiple dimensions:

1. Healthcare Cost Reduction – Digital tools that help employees track mood, sleep patterns and pain levels while building coping skills can identify mental health concerns before they escalate. The American Journal of Managed Care has found that early digital interventions can reduce overall healthcare costs by 15-23%.
2. Productivity Improvements – Access to evidence-based relaxation techniques, breathing exercises, and stress management tools directly translates to improved performance and reduced absenteeism. A 2023 Deloitte analysis revealed that companies investing in digital mental health resources saw a $4.20 return for every dollar spent through productivity enhancements.
3. Talent Attraction and Retention Benefits – In today’s competitive labor market, organizations that demonstrate commitment to employee wellbeing gain an edge in recruiting and retaining valuable talent. According to Gallup’s 2023 State of the Global Workplace report, 61% of employees consider mental health benefits “very important” when evaluating job opportunities.
4. Privacy and Accessibility Considerations – Effective digital mental health platforms should be HIPAA-compliant and accessible via multiple channels, ensuring all employees can benefit regardless of technology access. Strong confidentiality measures should protect sensitive health information while still providing organizational leaders with anonymized, aggregate insights.

A Strategic Business Decision

Mental health initiatives aren’t simply about compliance or expanding employee benefits—they represent strategic investments that directly impact operational excellence, innovation capacity and organizational resilience.

Investing in digital emotional wellbeing empowers employees to manage stress, build resilience and improve overall mental health—leading to a healthier, more productive workforce. Magellan Healthcare’s Digital Emotional Wellbeing Program, powered by NeuroFlow, offers accessible, evidence-based tools such as digital cognitive behavioral therapy (DCBT), mindfulness techniques and behavior tracking to support employees anytime, anywhere.

With proactive engagement features like gamification, rewards and automated check-ins, employees stay actively involved in their wellbeing journey. Employers also benefit from enterprise-level reporting that highlights workforce wellbeing trends while maintaining confidentiality. Prioritizing emotional wellbeing not only enhances workplace culture but also drives long-term business success.

By implementing comprehensive digital mental health solutions, organizations aren’t just supporting employee wellbeing—they’re making evidence-based investments in their company’s performance and long-term success.

Learn more about Magellan Employer Solutions.

Sources:

• World Health Organization. (2022). Mental Health and Work: Impact, Issues and Good Practices.
• Hemp, P. (2023). “Presenteeism: At Work—But Out of It.” Journal of Occupational and Environmental Medicine, 65(3), 252-263.
• Milliman Research Report. (2020). “How do individuals with behavioral health conditions contribute to physical healthcare costs?”
• Society for Human Resource Management & Kronos. (2021). “Employee Burnout: Causes and Cures.”
• Mordecai, D., et al. (2021). “Digital Mental Health Interventions: Cost-Effectiveness Analysis.” American Journal of Managed Care, 27(5), 196-203.
• Deloitte UK. (2023). “Mental health and employers: The case for investment – pandemic and beyond.”
• Gallup. (2023). “State of the Global Workplace: 2023 Report.”

Healthcare Human Resources (HR) Professionals Week, celebrated from March 10-14, is a time to recognize the vital role that human resources professionals play in the healthcare industry. These dedicated individuals ensure that healthcare organizations are staffed with skilled professionals, maintain employee well-being and uphold policies that create a positive work environment. This week, we acknowledge the hard work, dedication, and the essential contributions made by our HR employees.

• Mike Francisco, human resources business consultant, joined Magellan Federal in May 2013.
• Lisa Clarke, workday HR technologist, with Magellan since February 2020.
• Nicole McLain, director of talent acquisition at Magellan since September 2010.

Continue reading to learn more from Mike, Lisa and Nicole on their experiences as a healthcare HR professional:

Why did you want to pursue healthcare HR and what is the most rewarding aspect of working in this field?

Mike: I have been working in the federal contracting space for 30 years and until 2013, most of my work was in support of staff specializing in systems and equipment such as sensors, receivers, transmitters, logistics and intelligence support. As a veteran, supporting health related programs for the military service members and their families was a natural next step.

Lisa: My passion is to help employees find information and complete processes in the most efficient manner. Working in human resources has allowed me to do that. In my current position, supporting system processes, researching questions, creating reports that help provide insight and more are all very rewarding.

Nicole: I pursued a career in talent acquisition over 20 years ago because I found it to be a challenging yet fulfilling field. Specifically in healthcare because I need to be passionate about the industry and company that I work for to recruit people into it. I really enjoy all aspects of talent acquisition and how it has a direct impact on people’s lives. It’s extremely rewarding to help someone find their dream job!

What are some challenges you face in this profession and how do you overcome them?

Mike: Many of our employees are former military or spouses of military members and are deeply integrated into the military community. It’s only natural that they see themselves as working for the military. The best way to maintain employee engagement with Magellan is by frequent communication. Naturally, that starts with their supervisors, and as a human resource business consultant I work to help facilitate those communications. I also try to be readily available to employees in the field. Despite the push towards staff automation and self-service, people just want to talk to someone, and it is incumbent on all of us to make that effort.

Lisa: I would call them opportunities, not challenges! As we all know things change, and with these changes, our system workflows, process and data need to be updated. These changes can only be overcome by the collaboration of the amazing group of people within Magellan HR! I am so fortunate to be part of this team.

Nicole: I feel the biggest challenge in talent acquisition is finding qualified candidates that have the right skills, education and experience and that are a cultural fit within the organization, and most times I must find the right candidate on a tight deadline. I try and overcome this by leveraging employee referrals and using social media job boards, to source and expand the pool of candidates.

Is there anything you’d like to highlight about working in healthcare HR?

Mike: I can see that our team works hard to care for others. To avoid burnout, we need to do as much as possible to ensure that our employees have the necessary benefit information available to them. The online knowledge tool at Magellan has that information, and I can’t thank my fellow HR team enough for the work that has been put into creating a robust online library of resources.

Lisa: Employees working with customers here at Magellan have demanding jobs, it’s an honor and privilege to be able to support them in their HR needs.

Nicole: There is a preconceived notion out there about talent acquisition that anyone can recruit without having experience as a recruiter. While it might seem simple, there are a lot of nuances to the process. Talent acquisition professionals need strong interpersonal skills, empathy and an understanding of HR regulations, market trends and company culture. Additionally, the ability to negotiate offers, build relationships and manage multiple hiring processes requires specialized expertise.

What does National Healthcare HR Professionals week mean to you?

Mike: This week is designed to recognize HR professionals for their contributions to the industry. I’m happy to be part of a team of professionals doing what needs to be done to ensure that our clinical and non-clinical team received the support they need.

Lisa: It’s a chance for all of us to say, “thank you” and recognize those who work behind the scenes in all aspects of human resources.

Nicole: Healthcare HR Professionals Week is a time to recognize and celebrate the important role that HR professionals play in the industry. It’s an opportunity to acknowledge the unique challenges and impact HR professionals have in a field that directly influences people’s lives, health and wellbeing.

How does Magellan HR embrace a strengths-based culture?

Mike: Magellan fosters collaboration. Leaders make sure people have responsibilities based on their individual strengths and take the time to recognize their achievements.

Lisa: Magellan HR provides tools to help support an environment that focuses on employees’ natural talents and strengths through training, performance connection, internal career opportunities and peer to peer recognition opportunities like the High Five Friday!

Nicole: Magellan HR embraces a strengths-based culture by focusing on identifying, developing and leveraging the unique strengths of employees and understanding their talents and skills, which leads to more engaged, motivated and high-performing teams.

Observed during the third full week of March (March 16-22), National Drug and Alcohol Facts Week aims to inspire dialogue and offer education about the science of drug use and addiction. A number of surprising facts illustrate the seriousness of the issue today.

• Alcohol is the most commonly abused substance and the third most common cause of death in the U.S. Although legal, alcohol kills over 95,150 Americans each year.
• Thirteen is the average age at which children experiment with drugs.
• An estimated 60% of poor work performance can be tied to drug or alcohol use.
• 138 million Americans age 12 and over drink alcohol, and 20.4% of them have an alcohol use disorder.
• Common reactions to substance use include needing to consume more to get the same effect; substance dependency; painful withdrawal symptoms; high blood pressure and stroke; problems with the liver and pancreas; development of certain cancers; loss of motivation; depression and anxiety.

Visit MagellanHealthcare.com/about/bh-resources/mymh or call your program for confidential mental health resources.

Physical wellbeing: tips for maintaining a health body.

• Keep your physical wellbeing high on your priority list—it’s a foundation for thriving in all areas of life!
• Pay attention to how you feel and make adjustments as needed—rest when you’re tired and move when you’re restless.