In celebration of National Doctors Day, we honor the unwavering commitment and exceptional dedication of our Magellan Health physicians. This annual observance on March 30, serves as a meaningful reminder of the invaluable contributions made by doctors worldwide in improving and safeguarding public health. We recognize the vital role our physicians play in providing compassionate care, fostering innovation, and driving positive outcomes for those we serve. We’re spotlighting two of Magellan Health’s doctors, who each explain why they chose to become physicians, and share some of the most rewarding and challenging aspects of working in this field:

• Andrew Sassani, M.D., Vice President, Magellan Health, Chief Medical Officer, California, Human Affairs International and Magellan Health Services of California
• Steven Pratt, M.D., Senior Medical Director, Magellan Healthcare

Continue reading to learn more from Drs. Sassani and Pratt:

Why did you want to become a physician?

Dr. Sassani: Interestingly, I did not set out to be a physician at first. My career plan was to become an attorney all the way through the mid-point of my junior year in college. During the Christmas/Winter break of my junior year, I decided to change course. While studying with my friends at the college library (many of whom were “Pre-Med” students), I found myself being more interested in the subjects they were studying. That led to a bit of self-reflection and questioning my career-path choices. It made me think about the impact I could (or not) have on peoples’ lives and wellbeing depending on the career choices I was making. Eventually this resulted in me changing course towards the field of medicine. Although, truth be told, my mind is still triggered occasionally to take the LSAT and enroll in a part-time (nights/weekends) law program.

Dr. Pratt: I originally wanted to be a neurogenetic researcher. I was planning on graduate school in genetics. I had a friend who was a post-doctoral student in genetics making the switch to become a physician rather than continue to work as a genetics researcher. After many long, heart to heart discussions she talked me into applying for medical school. I planned to become a human neurogenetic researcher and did get involved in human neurogenetic research while in medical school. In the end, I found I liked clinical work more than research and higher brain function more than neurology, so I chose psychiatry and have loved my career.

What is the most rewarding aspect of working in this field? 

Dr. Sassani: Although I find the field of medicine rewarding, it carries a heavy burden of responsibility and expectations which can lead to burnout in the healthcare field for so many. This was never more evident than during the pandemic. However difficult, I think it reminded us all how important and crucial healthcare providers and medical sciences are to the lives and wellbeing of all people.

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

Dr. Pratt: I have been told many times by my patients that I saved their lives. Before working with me, one individual made a serious suicide attempt, coded, and was resuscitated. After I worked with them in a state hospital for about a year and they were being discharged, they gave me a card made with flowers on the cover and inside it said, “Thank you, Dr. Pratt, when I killed myself, everything went dark. There was no light I was moving toward. Now, for the first time in my life I see light thanks to you!”

What does National Doctor’s Day mean to you? 

Dr. Sassani: As clinicians, we join the field because we truly care for others and have a true desire to help those in need. Putting others first is our number one priority and we don’t focus on ourselves, much less celebrate a day of honor and recognition. I think that for many doctors we have a true calling to serve, and we share the sentiment that Doctor’s Day is just another day on the calendar.

Dr. Pratt: I am appreciative that there is a National Doctor’s Day. But the rewards that come day in and day out are more meaningful to me.

What is neurodiversity?

 Everyone’s brain is different and develops in its own way. Neurodiversity refers to diversity in the ways in which people experience the world, be it at school, at work or in social settings. Neurotypical individuals’ brain functions are considered “usual” or “expected by society.”

Understanding neurodivergence

Individuals naturally approach thinking in various ways. Neurodivergent individuals’ brains are unique and their behaviors or responses differ from what is expected socially, physically or verbally. Approximately 15-20% of the population is neurodivergent. Some of the most prevalent conditions among individuals who identify as neurodivergent are:

Myths and facts about neurodiversity

 Understanding neurodiversity and the specific challenges neurodivergent individuals face is crucial for creating inclusive and supportive environments. By educating ourselves, we can dismantle stereotypes and stigmas that inadvertently affect others.

Myth: Neurodiversity is the same as ASD.

Fact: Neurodiversity includes ASD, as well as other neurological conditions, such as ADHD, dyslexia, dyspraxia, intellectual disabilities, Tourette’s syndrome, obsessive- compulsive disorder (OCD) and other mental health conditions.

Myth: All neurodiverse individuals are the same/similar.

 Fact: All individuals, whether neurotypical or neurodiverse, are unique in their learning and experiences. Recognizing the diversity within neurodiverse individuals is key to developing inclusive environments.

Myth: Neurodivergent individuals lack communication skills. 

Fact: Like neurotypical individuals, neurodivergent individuals have diverse communication styles. Many communicate effectively in their own unique ways. Tailoring communication strategies to diverse styles fosters inclusivity and supports personal growth.

Myth: Neurodivergent individuals choose not to engage in forming relationships.

Fact: Many neurodivergent individuals genuinely desire connections with others but often feel sadness or a sense of isolation when faced with difficulties in forming those connections. Nonetheless, they can have authentic, enduring relationships, particularly when others are accepting and mindful of their differences.

Myth: Neurodivergent individuals have little chance of succeeding in school, at work or in their communities.

Fact: With equitable opportunities and tools, neurodivergent individuals can be just as successful as others.

Famous neurodivergent personalities

 Many well-known individuals are neurodivergent and have made extraordinary contributions to our world.

• Benjamin Banneker—Self-taught African American mathematician, astronomer and inventor who was appointed by President George Washington to assist in the surveying and planning of Washington, DC
• Simone Biles—African-American gymnast who has won numerous Olympic and World Championship medals and is considered one of the greatest gymnasts of all time
• Tim Burton—American filmmaker, artist, writer and animator known for his unique and imaginative film style, including “Edward Scissorhands” and “The Nightmare Before Christmas”
• Lewis Carroll— English writer, mathematician and photographer who is best known for his literary works, particularly “Alice’s Adventures in Wonderland” and “Through the Looking-Glass”
• Bill Gates—Co-founder of Microsoft and a leading figure in the development of personal computing
• Thomas Jefferson—One of the Founding Fathers of the United States, principal author of the Declaration of Independence, and third president of the United States
• Michaelangelo—Italian Renaissance sculptor, painter, architect and poet who is renowned for masterpieces like the Sistine Chapel ceiling and the statue of David
• Nikola Tesla—A Serbian-American inventor who made significant contributions to the development of alternating current (AC) electrical systems and other inventions
• Emma Watson—English actor and model known for her role as Hermione Granger in the “Harry Potter” film series and being an advocate for women’s rights

Neurodiversity involves acknowledging and valuing the diverse ways our brains work. Neurodivergent individuals experience, interact with and interpret the world in distinctive ways. When we appreciate and celebrate neurodiversity, we cultivate inclusive communities that allow neurodivergent individuals to thrive.

 How can I learn more about neurodiversity and neurodivergence?

Find more information and helpful resources at MagellanHealthcare.com/Autism-Resources, including online and tech-enabled resources to help neurodivergent individuals navigate daily life and empower parents, families and caregivers to support children on their journeys.

Sources:

• Debunking Myths About Neurodiversity in the Workplace | by Stephanie Barnes | Medium
• Debunking The Neurodiversity Myths – eLearning Industry
• Famous Neurodiverse Individuals – CASS (casscounselling.co.uk)
• Successful People with Neurodivergent Disabilities – Student News (manchester.ac.uk)

National Social Worker Month, observed every March, is a time to honor and celebrate the invaluable contributions of social workers to our communities. From empowering individuals and families to navigating complex systems, social workers embody compassion, resilience, and a steadfast commitment to fostering positive change. As we acknowledge National Social Worker Month, we not only express gratitude for their unwavering dedication but also underscore the importance of their role as champions of change! We’re spotlighting three of Magellan Health’s social workers so continue reading to learn more about their experiences:

• Erin Mason, MSW, LCSW, Licensed Care Coordinator
• Julie Mattingly, MSW, LCSW, Senior Care Manager
• Madeline Adams, MSW, LCSW, Clinical Manager, Employee Center of Excellence

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

Erin: I have always really enjoyed working with people and helping others. I chose to earn a Master of Social Work specifically because it presented opportunities to influence change at the individual, group, and system level. I felt that it had the most diverse opportunities and made the best use of my different skills. I also was drawn to the ethics that guide our profession. It has been rewarding to see how those ethics drive social progress and foster individual achievement. I have been very fortunate to be a part of innovative programs that expand access to diverse populations, including the collaborative care program at Magellan Health. Whether it’s helping connect one member to care or looking at the total population served in a pilot project, seeing the results of improved access is what I find most rewarding.

Julie: I knew from early age that I would be a social worker. I used to go with my mom to visit residents of a local nursing home and deliver Meals on Wheels to the homebound. The most rewarding part of being a social worker is knowing I made a positive difference, for a person, family, or community.

Madeline: I originally wanted to be a lawyer. As I was studying pre-law at the Legal Studies Degree Program at Webster University, the more I learned about our laws and the history of oppression in America, the more I just wanted to help. I switched to a major in political science and history and began working with juvenile offenders in Missouri after graduating. My work supervising and providing treatment to juvenile offenders led me to pursue a master’s in social work. The most rewarding aspect of working in this field is when you get to see a successful outcome from an intervention you implemented.

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

Erin: Sometimes, the sheer need of the world can be exhausting. People are not always able to make changes, or the supports they need are not available. I try to focus on what I can offer. Social workers are often the people bringing hope or comfort to a person in an otherwise difficult situation. In addition to knowledge and skills, I can offer compassion and kindness to those individuals. I can advocate for those that may not have a voice. Working closely with my peers and other team members helps me remember I am never on my own. Their experience can help me when I feel unsure of how to move forward.

Julie: Actually, earning an MSW was a challenge. I was a single mom at the time and grad school is expensive. I worked three part-time jobs my first year of grad school. Keeping up with required continuing education is vital for my growth as a social worker but it can be difficult to find challenging and new coursework that is relevant to my work.

Madeline: My biggest challenge as a social worker has always been practicing healthy boundaries with my work. Whether working for the federal government, state government, a nonprofit, or a corporation, our work is never-ending. I constantly must remind myself that everything is not urgent, some things can wait, and some things will never get done and it will be okay.  As someone who likes to cross every “T” and dot every “I”, I must constantly work at monitoring my own temperature and practicing healthy boundaries. When I’m overdoing it, I call myself crispy, and my body lets me know I’m overcooked by giving me sleepless nights, body aches, migraines and a short fuse.

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

Erin: For me and most of my peers, social work is not just a job, it is a set of ethics and beliefs about humanity. I am proud to be a social worker, in which we concern ourselves with the most vulnerable populations, the larger systems and the way people are impacted by their environment. It is based on a frame of reference that understands people are limited by their circumstances and values their self-efficacy.

Julie: When you ask someone what a social worker does, you’ll get different answers from different people. That’s because for a social worker, the actual job can vary widely. There are medical social workers; administrative social workers; clinical social workers; school social workers and many other social work positions.

Madeline: It’s that moment in your interaction when you have planted a seed but also get to watch it begin to grow.  When you see that little stem of energy coming out of the dirt and muck yet pointing up toward the sun in search of light, this is the reward. You can see their resilience and have steered them in the right direction during a time when they didn’t know where to turn.

What does National Social Worker Month mean to you? 

Erin: I think National Social Worker Month is a great time to reflect on my chosen profession and to celebrate my peers and our predecessors. It is a time to think about how I am applying my ethics and skills in my daily practice.

Julie: National Social Worker month started in 1984. It’s a month to celebrate where we’ve come from and where we’re going as social workers.

Madeline: National Social Work Month is a time for us to celebrate the important work we do and highlight our achievements. It’s crucial we promote the good work we do to help uplift each other and continue doing this important work.

National Healthcare Human Resources Professionals Week recognizes the indispensable contributions of human resources professionals within the healthcare sector. Celebrated the week of March 11-15, these dedicated individuals serve as the backbone of healthcare institutions. Human resources professionals navigate complex regulatory landscapes, address personnel challenges, and cultivate environments that focus on employee well-being. We’re spotlighting three of Magellan Health’s HR professionals who each explain why they chose a career in healthcare HR, and the most rewarding and challenging aspects of working in this field:

• Angela Navarro, human resources business consultant, Magellan Federal
• Angie Pinto, compensation consultant, human resources, Magellan Federal
• Kathy Fox, senior director, payroll and Workday technology, Magellan Health

Continue reading to learn more from Angela, Angie, and Kathy on their experiences as healthcare HR professionals:

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

Angela: My family consists of nurses, doctors, and other healthcare professionals. I knew those fields were not my passion, however I still wanted to help people and make a difference. Instead of saying, “I help care for people,” I can now say, “I care for the people, who care for the people.” I find it most rewarding to see how I can assist healthcare workers and take some of the weight off their backs during their times of need.

Angie: I love helping people! Working with people, solving problems, and coming up with a resolution together is so rewarding. That combined with my love of compensation has brought me to HR.

Kathy: HR found me, and it has been great! I come from a process improvement background and then transferred to HR. Working in payroll and HR technology provided me with the opportunity to help create a positive environment for company employees through timely pay and ensuring personal data is documented and protected.

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

Angela: In every profession there are both good and bad aspects. Employee relations may have challenges, but it is up to me to find the positive aspects and propose a solution for every challenge.

Angie: There are challenges (or adventures as I sometimes call it). It could be the market and specific jobs, new business and contracts, updated policies, etc. We overcome these challenges by working with leadership and fellow HR partners collaboratively. Working in this field requires a team effort!

Kathy: Working with a diverse group of individuals can be daunting, but by truly seeking to understand and address needs, it becomes manageable. I find that listening and providing guidance or education can go a long way to resolving issues. Many times, it just comes down to a misunderstanding or lack of knowledge about how something works.

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

Angela: At Magellan, the highlight is that our staff cares for members of our armed forces who are fighting for our freedoms and that is something to be proud of.

Angie: Working in healthcare HR is rewarding, and we have so many groups that include compensation, payroll, benefits, etc. I truly believe we are making a positive impact for our employees and continue to strive to improve our processes to ensure the best results.

Kathy: The Magellan employees have demanding jobs. We must make sure that they have the support network to address their HR needs. If we do it right, it allows our employees to focus on their clients.

What does National Healthcare HR Professionals Week mean to you? 

Angela: It is a time we say thank you to all those employees who pour their hearts into their HR support roles in the healthcare system. It’s also a time to recognize those who promote both the organization and employees in an unbiased manner.

Angie: It gives recognition to those that work in this field a moment to be seen when many times we are working behind the scenes. I love that it gives an opportunity for HR professionals to be recognized for their work and given a spotlight to shine.

Kathy: We are recognizing individuals who are normally working behind the scenes to help support the company’s workforce in so many ways such as talent acquisition, training, compliance, payroll, staffing levels, and so many more services.

As a Performance Expert (PE) working in Japan, my mission has been to enhance the performance and resilience of U.S. Army Soldiers, civilian employees, and family members by creating customized training based on needs and availability. Master Resilience Trainer-Performance Experts (MRT-PEs) work at Army Ready and Resilient (R2) Performance Centers to help soldiers understand and enhance the mental side of performance, maximize the benefits of training, and provide skills and techniques to develop strong teams.

When I arrived at Camp Zama, Japan, I sat down with several leaders in the community, including the Garrison Commander and several Brigade-level leaders. The leaders requested our help to bridge the communication and cultural gap between the U.S. forces and local and national employees. My experience provided me with a unique perspective I’d like to share on the strategies, struggles, and successes I used to foster mutual understanding and collaboration between U.S. Army personnel and Japanese local national employees. These tactics can be used in any personal or professional situation to help you communicate more effectively across diverse backgrounds and cultures.

Identify the Challenges

One of the initial hurdles I encountered was the stark contrast in communication styles between the U.S. Army Soldiers and Japanese civilians. The direct and assertive approach of American Soldiers clashed with the Japanese employees’ more reserved and harmonious communication style. These differences often led to misunderstandings, strained relationships, and hindered collaboration.

Additionally, cultural differences permeated every aspect of work, from decision-making processes to leadership styles. U.S. Soldiers were accustomed to hierarchical structures and authoritative decision making, while Japanese civilians valued consensus and a collective approach. Bridging this gap required a comprehensive understanding of both cultures and a nuanced approach to cognitive performance enhancement. Once I had identified the challenges, I was able to employ the following strategies to help me successfully communicate and collaborate across cultures.

Strategies for Success

Cultural Immersion: I immersed myself in the daily lives and traditions of both American Soldiers and Japanese civilians to develop a deep understanding of both cultures. This involved attending social gatherings, participating in cultural activities, and engaging in open conversations to grasp the intricacies of their perspectives.

Customized Training Programs: I recognized the need for tailored solutions and designed training programs that integrated cultural empathy and cross-cultural communication skills. These programs focused on enhancing emotional intelligence, active listening, and the ability to adapt communication styles to meet the expectations of diverse audiences.

Collaborative Workshops: I organized interactive workshops that brought together U.S. Army Soldiers and Japanese civilian employees to foster mutual understanding and collaboration. Participants gained valuable insights into one another’s perspectives and developed a shared sense of purpose through facilitated discussions, role-playing exercises, and team-building activities.

Mentorship and Coaching: I embedded myself in existing mentorship and coaching programs, such as a U.S. Army cooperative education (co-op) program that partners leaders with their Japan Ground Self-Defense Force (JGSDF) counterparts. I observed how JGSDF leaders learn from their U.S. counterparts and organized facilitated workshops to introduce the JGSDF co-op program participants to U.S. Army performance and resilience training.

Continuous Evaluation and Adaptation: I recognized that cultural empathy is an ongoing journey and consistently evaluated the effectiveness of our training programs and adapted them based on participant feedback. This iterative approach ensured that our services remained impactful and relevant.

Achieving Cultural Empathy

Meeting client demands for cultural empathy training required perseverance, innovation, and a commitment to delivering tangible results. As a Cognitive Performance Enhancement Specialist, it has been an enlightening experience bridging the cultural divide between U.S. Army Soldiers and Japanese civilian employees. We successfully fostered collaboration and mutual respect through understanding, empathy, and tailored training programs. We can pave the way for harmonious and effective working relationships that benefit both individuals and organizations by recognizing the importance of cultural empathy and continuously adapting our strategies.

Together, we can bridge divides and create a future of cultural understanding and cooperation. I hope this helps you do the same.

The appearance of the Department of Defense (DoD) visual information does not apply or constitute DoD endorsement.

The National Football League’s 58^th Annual Super Bowl ended with a winning team and fans who might be recovering from a tough season. Whether you’re an athlete or a fan watching sporting events in person or at home, the competitive nature of sports can be both exhilarating and heart-wrenching. However, what happens when the passion felt for the game triggers emotions such as sadness or depression? In this interview with Magellan Federal’s Performance Coaching Manager Meg Helf, M.S., CMPC®, we explore the concept known as “sports fan depression.”

What is Sports Fan Depression and is it a real diagnosis?

Meg Helf: Although Sports Fan Depression is not an official diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR), many of us are all too familiar with the emotional rollercoaster that comes along with being a fan. Reactions to any number of life events can linger and develop into diagnosable depression, prolonged grief disorder, or an adjustment disorder with depressed mood. Just as we experience grief with the loss of a relationship or a loved one, a job or an opportunity, we may experience grief at the end of a season or when our favorite team comes up short.

For sports fans, acute grief is that initial intense feeling after a loss takes place. This may manifest in a range of complex feelings such as sadness, anger, frustration, and disappointment, which often isn’t discussed in the context of sport. When this grief is experienced for extended periods of time and starts to impact our daily functioning (e.g., work, eating habits, sleep, relationships), we might be experiencing what many call Sports Fan Depression.

What is it about sports that can trigger this feeling?

Helf: There are several reasons that sports can trigger these feelings. Fans make emotional, psychological, physical, and sometimes financial investments in their teams. There are a plethora of ways that sports can impact our wellbeing: sports can be integral to one’s identity, sports can drive our daily activities, and, sports have the ability to create communities and develop relationships.

The more someone identifies with their team the stronger they may feel loss about the outcome of the game or result of the season. These events can feel like a blow to our personal identity when we have a sense of pride and belonging. Despite superstitions and lucky shirts, socks, and routines, fans have a lack of influence and impact on the outcome of the game. This may set many up with unrealistic expectations and add a sense of helplessness. A player on the field has the ability to distinguish what went well, identify what they and the team need to develop, and maintain a future focused growth mindset regardless of the outcome. With less control, it is understandable that fans struggle with optimism because they cannot take any action to make the desired change.

For some, being a fan is a part-time (or full-time!) job. Between watching games, competing in fantasy leagues, and researching statistics, our daily lives are filled with something that we are passionate about. Similarly to how some marathon runners experience the “post-race blues,” when a season is over, we may feel a loss for all the time we invested and feel like a large part of our daily excitement and activities are missing. As the season comes to a close, that taste of the adrenaline, tension, energy and anticipation of each game fades and may leave us wanting.

Fans also rarely go it alone. Our favorite team has the ability to connect people, both friends and strangers alike. Fans connect across time zones for draft parties and engage in banter through fantasy leagues, spend hours tailgating before a game, and gather for watch parties. Families strengthen bonds, adorning newborns in gear and creating traditions. Strangers high-five. They hug. They share food, drinks and handwarmers. Even opposing fans engage in playful banter and share stories. Entire cities come together to support their team. We win together. We lose together. And when the season is over, we are losing these opportunities for such a meaningful part of life – connection to others.

How can someone identify if they suffer from this condition?

Helf: A couple of symptoms experienced with depression are diminished interest or pleasure in activities, depressed mood, significant unintentional weight gain or loss, insomnia or sleeping too much, fatigue or loss of energy, feelings of worthlessness or excessive guilt, and diminished ability to think or concentrate, or indecisiveness. Prolonged grief symptoms are intense emotional pain, loss of identity, difficulty moving on with life, emotional numbness, feeling that life is meaningless, and intense loneliness.

Individuals should build self-awareness about the intensity and duration of their symptoms, and the impact they have on their daily lives. Tap into your thoughts. Are they pervasive? Is the loss of the game bleeding over to other areas of your life? Be purposeful with your next steps and be on the alert for destructive or non-productive patterns that may not help you (e.g., alcohol, adrenaline/thrill seeking, substance abuse, risk-taking).

What are steps someone should take if they believe they have Sports Fan Depression?

Helf:

• Make some intentional time to mourn the loss and build self-awareness of when intrusive thoughts creep in so you can shift to more productive, optimistic style thinking.
• Expand your identity – who are you outside of being a loyal, avid fan?
• Develop and maintain healthy habits – make time to move your body, prioritize healthy eating, hydration, and sleep. These habits are always crucial, but especially helpful for individuals who are struggling.
• Cultivate connections with others – reconnect with your fellow fans in a different context and develop new communities. Diversify your portfolio on interests and discover activities that generate positive emotions and engagement.
• Unplug from your fandom. Clear your head and provide an opportunity to get a little emotional distance from the season. Taking time for yourself will sow benefits for you and those around you. If the post-season funk stays around for longer than 2-4 weeks, find a professional to talk to or take a depression screen.

It’s important to understand that it is perfectly natural to have emotional highs and lows when you are so connected and invested with a specific sports team. Just because you experience some grief, sadness, or disappointment does not mean you have depression. It is typical to have reactions when any season changes and normal to reset your compass.

Perhaps consider why you watch sports in the first place. Is it the appreciation of athletic prowess? The comradery and connection with others? Pride in your town? Understanding what is most important to you can help you squeeze every ounce of enjoyment and excitement out of the game, while arming you with strategies to cultivate your wellbeing.

For more information on depression screenings and tips on wellness, please check out: The Journey to Wellness: Do I need a Depression Screening?

And remember…there is always next season!

Resources

Online screens and helplines: 

• Anxiety & Depression Association of America: (1)
• The Reach Institute (2)
• Mental Health America (16)
• Veteran’s Administration (17)
• SAMHSA National Helpline: 1-800-662-4357
• NAMI Helpline: 1-800-950-6264

February 1^st is known around the world as Time to Talk Day. This is a national day that encourages individuals to have an open dialogue about their mental health and to be supportive of others.

In this DocTalk article, Magellan Healthcare’s Medical Director Dr. Chris Squillaro shares why the act of talking about mental health is so important, the common misconceptions about mental health, and advice on how to approach the conversation for all age groups.

Q: In your opinion, why is it important to talk openly about mental health?

Dr. Chris Squillaro: Open conversation is important to communicate our feelings and emotions.  Without the ability to share the things that we are feeling inside, they can become confusing, which can feel out-of-control and lead to worsening emotions and possibly behavior.  Conversing about mental health also normalizes the subject matter.  The more frequently mental health is openly discussed the more accustomed we become to discuss it within our relationships and as a society.  Lastly, talking about it helps us to realize that we are not alone.  Since mental health and substance use is so prevalent in our culture, every one of us likely has a connection to someone struggling with one or the other.

Conversely, not openly discussing mental health has no benefit.  History has already shown that this only leads to stigma and worsens the potential problems associated with unaddressed mental health conditions.  If we’re not openly discussing it, we’re also not openly seeking solutions when needed.

Q: In 2024, what do you think is the biggest misconception about mental health?

Dr. Squillaro: That mental health issues are resolving as fast as our concerns about COVID.  Even though we are moving away from the day-to-day threat of COVID to us and our loved ones, mental health and the mental health system are far from recovered.  We are seeing consequences both in terms of children and adolescents who lost social connection at critical junctures in their development and are struggling to catch up from the delay.  This not only impacts them but also their family unit and their community.  The increase in alcohol and drug use that occurred during the height of the pandemic was not resolved.  Many of the people who developed addictions are just now starting to seek help and there are many who have not realized that there is a problem.

At the same time there is a greater need as the delivery of mental health services shifted.  Services moved from primarily face-to-face to virtual.  With this came a shift in the workforce.  Many mental health workers sought virtual positions and left critical services that required face-to-face interaction.  This left vacancies that have not been filled.  Every service in every level of care is experiencing staffing shortages.  The misconception is that as society normalizes, the mental health system has normalized and can accommodate the demand.  However, we are not seeing that same level of normalization at a time when it is needed.

Q: How do you think we can create a more supportive and understanding community when it comes to mental health?

Dr. Squillaro: It starts in the home.  Each generation has gotten better at this.  The best way to influence change is to teach our young.  More knowledgeable and understanding parents teach their children acceptance.  These children then begin to make a difference as they interact in the community and in school.  As the members of the generation mature, they create a more compassionate and embracing community.  When children grow up with these concepts that are taught and modeled in the home, their thinking and behavior is more solidified and less likely to be influenced by many of the external influences that continue to be intolerant.  I doubt anyone feels that society will eliminate extreme points of view that preach intolerance.  But the hope is that these extremes get smaller with the majority being a community that is accepting and supportive.

Q: What role can friends, family, or colleagues play in supporting mental well-being, and how can they contribute positively to someone who may have mental health struggles?

Dr. Squillaro: In terms of having tougher conversations and feeling safe to communicate about mental health and mental health struggles, family and friends are critical. They contribute to each other’s lives by caring and having the best of intentions, even when saying things that aren’t always easy to hear or when someone isn’t necessarily ready for help.  Many times, family and friends will be the first to identify when something is wrong and should be the first to speak up.  The most positive thing you can do for someone is to let them know what you’re seeing and that you are a person they can come to for help.  They may not be ready in that moment and they may need additional encouragement, but being there is the hardest and best thing to do.

On the other end, as things begin to improve, they will also likely see it first.  They can encourage and provide that perspective to continue instilling hope.  They can walk the recovery journey with their loved ones and make the connection even stronger.

Q: What advice would you give to someone hesitant to talk about their mental health issues?

Dr. Squillaro: An analogy I use to make this point is that emotions are like water.  Eventually, there is nothing that can hold it back and when it breaks through, it is one of the most transformative and potentially destructive forces on the planet.  Hesitating to talk about mental health doesn’t mean it’s not there.  We’re only able to hold it back for so long before the pressure becomes so great that we no longer control how it comes out and what it destroys.  Talking about mental health is like choosing to release the pressure and having a more constructive say as to how those emotions come out.

Q: Can you share 3-4 ways to begin an open dialogue with someone about your need for support?

• Identify the issue – you don’t need to know exactly what is wrong, only that your emotions are affecting your functioning.
• Identify someone who has historically made you feel safe.
• Take a risk – anxiety is about feeling conflicted. Choosing to move forward despite that feeling is how you begin to change take control of it.
• Gather information – after you’ve taken one risk, a second, third or more becomes easier. In that process, collect what people tell you and find your own path forward.

Q: Are there unique ways to approach a discussion about mental health with an adult versus a child (under 18) or a young adult?

Dr. Squillaro: Pay attention to the language you use.  Whether it’s a child, adolescent, or an adult, they must be able to understand what you’re saying.  Logically, children will need more simple language and concepts.  It’s okay with adolescents to take a more informal approach to how you communicate.  You’re trying to connect with someone who is at a stage where they may not want to rely on authority figures or feel that they know better.  Adults can have a wide range of capabilities.  Trying to match the language they use will put it in terms they can understand.

Be aware of their developmental stage.  Each age group is at a different stage of brain development.  Children will need to be told the answer and will need help developing the solutions.  They are much more open to direction from authority figures.  Adolescents are more impulsive and tend to believe they can easily overcome the issues.  They may also be more comfortable receiving recommendations from peers, so look to engage people within their age group to help reach them.  Adults have more lived experience, and their decision-making is more progressed.  Predicting the consequences in areas of importance to them helps to prepare them engage in help.  No matter what age group, sometimes people need time to process information.

As a person trying to support someone with a mental health issue, patience and consistent messaging are key.  Very few people react immediately.  Continue to support them through their process and reinforce a message of help and hope that will eventually be heard when they are ready.

Q: What tools or resources would you recommend on this topic?

Dr. Squillaro: This may sound simplistic, but doing an online search can bring you to both national organizations and local resources that may be of benefit.  It offers choices about which sites, information, or resources speak to you.  Specifically, the Substance Abuse and Mental Health Services Administration (SAMHSA) has a resource on this: How to Talk About Mental Health | SAMHSA.  Another great organization to seek support is the National Alliance on Mental Illness (NAMI) Resources | NAMI: National Alliance on Mental Illness.  NAMI also has local chapters and can provide support to families as well.

Your insurance provider will also have resources available on their website and may be able to aid in facilitating referrals or tools to help you understand what you’re feeling or start a conversation with someone who needs help.  Along the same lines, the county you live in has mental health resources and is well-versed in the network of providers who can provide the services needed.

Resources

How to Talk About Mental Health from the Substance Abuse and Mental Health Services Administration

Resources from the National Alliance on Mental Illness

Walk into any store after Halloween and you more than likely will see the twinkle of holiday lights, trees, and decorations that quickly remind us that the Christmas season is upon us. For some, these reminders are a welcomed sight, and, for others, these reminders may trigger feelings of stress.

One way to help ease stress levels can be by setting healthy boundaries. Magellan Healthcare’s medical director Candice Tate, MD, MBA, shares advice on the importance of setting healthy boundaries during the holiday season.

Q: What are some factors that you feel are adding to stress this holiday season?

Dr. Tate: I think people are still trying to get that pre-pandemic holiday spirit back. People feel overworked and underpaid. Many stressors do not seem to have a deadline or an endpoint. This is also the time when people tend to mourn the loss of loved ones or feel emotional because they are unable to attend family gatherings.

Q: What are the steps to setting healthy boundaries during the holiday season?

Dr. Tate:

1. What are your needs and/or what are your stressors? This first step is important because it is difficult for others to know what you need and what stresses you. This can be effective by focusing on your top five.
2. You should expect resistance from others because your needs may conflict with their needs. This can be a challenging step in establishing boundaries for that reason. This is also challenging because you are imposing a change from past behavior.
3. You must communicate the boundaries and any subsequent changes. This may result in uncomfortable discussions and possibly conflict, but this is a necessary step in establishing boundaries. This is important for the people who will be directly impacted by the changes.
4. You must be consistent with the boundaries and hold yourself accountable. Others may intentionally or unintentionally challenge your new rules and habits. It is important to stand firm and remind others of what has been discussed. For this step, practice makes perfect. The longer you are consistent in reinforcing your boundaries, the more beneficial the boundaries will become.
5. Be prepared to distance yourself if necessary. On occasion someone may wholly reject your boundaries and object to any change. That is okay for them to do, and it is okay for you to distance yourself from the person or the situation. The boundary has been created to provide you with peace of mind and protection.

Q: What are examples of healthy boundaries? Is this important for both adults and children? How so?

Dr. Tate: An example of a healthy boundary during the holidays is setting a budget. Many people are faced with financial challenges due to rising costs of food and gifts. Many people feel that their disposable income has decreased over the past few years. Setting a budget for holiday spending to include gifts, decor, travel, and entertainment is a form of a boundary. Overspending causes anxiety, depression, and relationship problems. A budget can be beneficial for an individual and/or a family. It can be shared electronically or on paper, and it can be discussed with significant others and children. This allows for spending a certain amount, managing expectations, sparking creativity, and establishing new standards for the holidays.

The holiday season is an optimal time to take a social media break as another example. Recent reports in the news highlight how social media harms teenagers and children. Not only is this information not new, but we also know that social media negatively affects adults too. This is an opportunity to disconnect from what others are doing (or pretending to do) and allows you the space to focus on your values and the needs of your family.

There is so much pressure for us to experience a certain type of holiday season that usually includes overspending, indulgence, and being happy about it. Establishing boundaries is an opportunity to show yourself and your children that you can create positive and meaningful memories by doing things that suit your family based on your means and your values.