October is National Depression and Mental Health Screening Month. Seasonal Affective Disorder (SAD) is a type of depression linked to seasonal changes, typically beginning when fall starts and intensifying during late fall or early winter.

What’s the difference between SAD and the “winter blues”?

Many people feel a little down during colder months because they are stuck inside, and it gets dark early. These feelings, often called the “winter blues,” are temporary. SAD is a clinical form of depression that affects your daily life, including how you feel and think. SAD can last up to five months of the year.

What causes SAD?

About 5% of adults in the U.S. experience SAD. It tends to start in young adulthood. SAD may be caused by reduced serotonin and vitamin D levels, altered melatonin levels, decreased sunlight and shorter days.

What are the symptoms of SAD?

If you have SAD, you may experience mood changes and symptoms of depression, including:

• Persistent sadness
• Increased anxiety
• Food cravings and weight gain
• Extreme fatigue and low energy
• Feelings of hopelessness
• Social withdrawal
• Sleep disturbances

What are treatment options for SAD?

Treatment should be tailored to you and supervised by a healthcare professional. Options include:

• Spending time outdoors—Getting more sunlight can help improve your symptoms.
• Light therapy—Using a light therapy box daily helps regulate circadian rhythms and boost mood.
• Cognitive behavioral therapy—This treatment helps identify and change negative thought patterns.
• Vitamin D—A supplement may help if a deficiency is present.
• Medication—Antidepressants may be prescribed for severe cases.

For more on Seasonal Affective Disorder, visit our website for National Depression and Mental Health Screening Month, MagellanHealthcare.com/Mental-Health, and be sure to check out the suicide prevention tip sheets and awareness campaign toolkit.

Sources

• Cleveland Clinic
• NIMH

Exploring Music in Non-Medical Counseling Sessions

Music has a long history within the military as a method of addressing morale. The consistently positive response to music has led to research seeking to determine if it can be used in a therapeutic approach for Service members. (Gooding & Langston, 2019) Although music exploration is often associated with soothing melodies and uplifting lyrics, it also provides a valuable opportunity to explore and address negative emotions through music. This is because the exploration of negative emotions via music helps normalize and transform them into something healthier. Service members often train themselves to compartmentalize negative emotions in intense situations and can sometimes have difficulty engaging with emotions. This can lead to a sense of emotional blunting where the individual is aware that they have emotional discomfort but are unable to express the depth of their emotion or engage it in a way that allows effective processing. Listening to music is an activity that can assist individuals with emotional expression and establish coping skills. From creative expressions to the increasing availability of “rage rooms,” we are seeing an increase in techniques that utilize external expression, not just internal dialogue. Here are a few reasons why you may want to incorporate music in your next non-medical counseling session.

Music Can Facilitate Emotional Expression

An “emotion” playlist can be an example of this outward expression. Encouraging an individual to develop a list of songs they associate with certain feelings can assist in creating a safe space for them to experience said emotions. Studies have shown a correlation between music and brain activation in regions associated with emotion, reward, and cognitive processes (Fuentes-Sanchez, 2021). By utilizing a format that is designed to evoke specific emotions, we can provide clients with a way to feel more comfortable in emotional engagement. This method can be effective in situations where the individual states difficulty describing their emotions, feels that they have difficulty feeling emotions to the same extent as others, or describes an emotional numbness that feels inappropriate to them. By providing a structure or atmosphere where a specific emotion is being portrayed, it gives an experiential example that can limit some of the risks that accompany vulnerability.

Music Encourages Introspection

Listening to music in a safe space allows people to, in effect, practice their emotions. A recent study with the U.S. military utilizing a phased music exploration included lyric analysis as a prompt for introspection of life circumstances. Participant comments included “moving forward emotionally,” “I found something in me that was lost.” (Vetro-Kalseth,2021, p.449) While this study included a focus on songwriting, it does provide an illustration of how we connect emotionally with music. Hartman and Conklin (2009) state that songs can be “a medium where feelings, emotions, values, dreams, fears, and hopes are expressed” and can assist those who are unable to express “eloquently and succinctly to discover and express something about their true self through the use of that music’s lyrics” (p.50).

Music Opens Lines of Communication

Music can facilitate communication by allowing individuals to process their feelings, become comfortable with emotional expression, and learn to recognize their own emotions more clearly. Writing lyrics is a unique expression of emotion that allows the Service member to creatively capture thoughts or feelings, which can be cathartic.

Additional benefits of incorporating music into a non-medical counseling session include being able to limit the time of a playlist, being able to arrange an appropriately supportive environment, and being able to have more say in when those emotions can be addressed safely. This can help prevent emotional overflow in situations that would be damaging or dangerous to the client. Music exploration is not a solution for everyone, but it’s a great alternative to try for Service members and military families.

References

Gooding, Lori F.; Langston, Diane G.; Journal of Music Therapy, Vol 56(4), Win 2019 pp. 315-347. Publisher: Oxford University Press; [Journal Article]; DOI: 10.1093/jmt/thz010, Database: APA PsycInfo

Fuentes‐Sánchez, Nieves; Pastor, Raúl; Escrig, Miguel A.; Elipe‐Miravet, Marcel; Pastor, M. Carmen. Psychophysiology. Sep2021, Vol. 58 Issue 9, p1-17. DOI: 10.1111/psyp.13884. , Database: SPORTDiscus with Full Text

Hartman, Nathan S.; Conklin, Thomas A. Organization Management Journal (Palgrave Macmillan Ltd.). Spring2009, Vol. 6 Issue 1, p48-57. 10p. 2 Diagrams, 3 Charts. DOI: 10.1057/omj.2009.7. , Database: Business Source Ultimate

Vetro-Kalseth, Danielle; Vaudreuil, Rebecca; Segall, Lorna E. Military Psychology. Nov/Dec 2021, Vol. 33 Issue 6, p446-452. 7p. DOI: 10.1080/08995605.2021.1962194. , Database: Military & Government Collection

As we near election day in November, individuals may find themselves grappling with heightened stress and anxiety. However, there are tips and useful resources available to help navigate the election season and maintain one’s mental well-being.

In this Q&A, Magellan’s Mary Walston, LCMHC, a counselor in the Military and Family Life Counselor program, offers practical strategies for mental wellbeing.

Q: What are effective strategies to manage stress and anxiety related to political discussion and news?

Mary Walston:

Limit Exposure by Setting Boundaries: Allocate specific times for checking news and avoid consuming political content right before bed to prevent sleep disturbances. Choose specific times of the day to check news updates. Avoid consuming news first thing in the morning or right before bed. Set a time limit for how long you spend reading or watching news each day (e.g., 30 minutes to an hour).

Curate Sources: Consider using news aggregators to filter the most relevant information. News apps can help filter and summarize the news, presenting the stories without overwhelming detail.

Practice Mindfulness and Relaxation Techniques: When you do consume news, focus on it fully rather than multitasking. This helps you process the information better and reduces the feeling of being overwhelmed. After reading or watching the news, take a few minutes to reflect on what you’ve learned and how it makes you feel. Engage in regular mindfulness or meditation practices to center your thoughts and reduce anxiety. Use deep breathing techniques to calm your nervous system when feeling overwhelmed by political news.

Engage in Healthy Distractions such as Hobbies or Interests: Spend time on activities you enjoy, such as reading, gardening, or exercising, to shift your focus away from political stressors. Engage in non-political conversations with friends and family and participate in community activities that bring you joy.

Seek Professional Support: Consider talking to a therapist or counselor if political anxiety is significantly impacting your mental health. Join support groups or online communities where you can share your concerns and learn coping strategies from others facing similar challenges.

Self-Care Practices

Journaling: Use a journal to express your thoughts and emotions, which can be therapeutic and help clarify feelings.

Creative Outlets: Engage in creative activities like drawing, painting, writing, or crafting to divert your mind from stress.

Pampering: Take time for self-care activities such as baths, skincare routines, or massages.

Physical Activity

Exercise Regularly: Engage in physical activities like walking, running, or any form of exercise that you enjoy. Exercise helps reduce stress and improve mood.

Nature Walks: Spend time outdoors in nature to disconnect from the digital world and relax your mind.

Q: What are some ways to respectfully disengage from political conversations that cause distress?

Walston:

Express Personal Boundaries

Simple Decline: Politely say, “I’d prefer not to discuss politics right now.”

Set Clear Limits: Use statements like, “I understand this is important, but I find these discussions stressful and would rather not engage in them.”

Redirect the Conversation

Change the Subject: Shift to a neutral topic by saying, “Let’s talk about something else. How was your weekend?”

Shared Interests: Bring up a shared interest or hobby to steer the conversation in a different direction.

Acknowledge and Exit

Show Respect: Acknowledge the other person’s viewpoint without engaging further, such as, “I see where you’re coming from, but I need to step away from this conversation.”

Graceful Exit: Excuse yourself from the conversation by saying, “Excuse me, I need to take care of something,” and physically leave the space if possible.

Use Humor

Lighten the Mood: Defuse tension with a lighthearted comment like, “Politics can be heavy. How about we save the world later and talk about something fun?”

Time-Limited Engagement

Set Time Limits: If you feel obligated to engage, set a clear time limit: “I’m okay discussing this for a few minutes, but then I need to move on to other things.”

Scheduled Discussions: Suggest discussing political topics at a later time when you feel more prepared, saying, “Can we talk about this another time?”

The 2024 Summer Olympics are right around the corner! The exciting world of elite sports is often associated with physical prowess, unparalleled dedication, and the relentless pursuit of excellence. The world will come together to observe in awe, cheer for their favorite athletes, and be instilled with patriotic pride. We hope that fans will also take a moment to appreciate and support the lives of competitors in the games.

Recent high-profile performers, such as gymnast Simone Biles, skateboarder Rayssa Leal, and sprinter Noah Lyles, have bravely brought to light the significant challenges faced by top athletes. Their nuanced self-awareness and recognition of the ebb and flow on the mental and emotional states we all experience were critical to their safety and wellbeing. This awareness of elite amateur and Olympic athletes is crucial for optimizing their overall performance, long-term health, and wellbeing. Whether you are an athlete or a spectator, it’s important to understand the role that mental health plays in performance.

Understanding Mental Health Awareness in Sports

Mental health awareness refers to an individual’s ability to recognize their current emotional, psychological, and social wellbeing. It reflects a deep understanding of how we think, feel, and act, influencing how we handle stress, relate to others, and make decisions. Wellness is a holistic concept that encompasses physical, mental, and social aspects of health, aiming for a balanced and fulfilling life.

Elite amateur athletes face unique pressures that can affect their mental health awareness and wellness. The intense training schedules, high expectations to perform, and constant public scrutiny can lead to significant stress. The pressure to excel not only comes from personal ambition but also from coaches, sponsors, and fans, which can create an environment where mental health issues are more common than most may realize.

The Impact of Mental Health Practices on Performance

Prioritizing mental health practices is essential for athletes to perform at their best. When athletes are disciplined in their mental practices, they can maintain focus, manage stress effectively, and cultivate sustainable motivation. Confidence elevates and performance excels.

Conversely, poor mental discipline can severely impact an athlete, leading to decreased performance levels, increased risk of injuries, burnout, and/or early retirement. While many athletes may be able to perform at high levels during these challenges, this is often not sustainable and may have long-term detrimental impacts. To combat these challenges, mental resilience, mental skills training, positive support systems, healthy coping mechanisms, and work-life balance are all countermeasures these top-level athletes call upon to maintain mental health.

Common Mental and Emotional Challenges Among Elite Athletes

Continuous high-intensity training and competition can lead to burnout and chronic stress. Symptoms include physical and emotional exhaustion, decreased performance, and a sense of detachment from the sport.

Anxiety and Depression are among the most common mental and emotional challenges faced by elite athletes. High prevalence rates are often linked to the immense pressure to perform, fear of failure, and the struggle to balance personal and professional lives. Symptoms can include persistent sadness, loss of interest in activities, and excessive worry.

Substance Abuse can be a coping mechanism for dealing with stress, pain, and performance anxiety. Unfortunately, it brings long-term consequences, including addiction and severe health problems. Athletes may turn to performance-enhancing drugs, alcohol, or other substances to manage the pressures of competition.

Athletes, particularly those in sports with a focus on appearance, weight, and body composition, may develop eating disorders. The pressure to maintain a certain body image can lead to unhealthy eating habits, negatively affecting both physical and mental health.

Strategies for Promoting Mental Health and Performance

Individual Level

Adopting self-care practices and routines that promote mental health and performance, such as mindfulness meditation, regular physical activity, and adequate rest is critical. Seeking professional help from licensed clinical psychologists or counselors is crucial when dealing with severe mental, emotional, or social challenges.

Team and Organizational Level

Creating a supportive environment within teams and organizations is essential. This can involve implementing mental health policies, providing resources, and fostering open communication about mental health. Encouraging a culture where mental health practices are prioritized can make a significant difference. Preventing and mitigating mental and emotional challenges requires recognizing the nuance of early signs and implementing strategies, often with a multidisciplinary approach.

Community and Public Level

Raising awareness and reducing stigma around mental health awareness and practices in sports is vital. The role of media and public figures in promoting mental health practices cannot be underestimated. Public campaigns and educational programs can help change perceptions and encourage athletes to seek help.

Supporting Athletes

The significance of mental health awareness for elite athletes cannot be overstated. Good mental health awareness and discipline is intrinsically linked to peak performance, overall wellbeing, and career longevity. Athletes who prioritize their mental wellbeing often perform better, as they are more likely to adopt best practices to decrease the likelihood that mental and emotional challenges become detrimental to their performances. Their high degree of self-awareness allows them to recognize early signs of mental and emotional challenges and take proactive steps to manage them. These strategies are beneficial for everyone as they go from good to great and explore the bounds of their potential.

Starting with youth sports, we can all play a role in prioritizing mental health initiatives and providing ongoing support and resources to ensure athletes can perform at their best and lead fulfilling lives.

• Leverage and encourage the integration of technology and mental health apps to provide access to resources for athletes while reducing stigma.
• Support the advancements in sports governance that advocate for mental health resources.
• Act with awareness and intention. Observe, engage, and create a culture of open communication.

Encouraging a holistic approach to mental health and wellness will benefit not only the athletes but the entire sports community. As the Olympics commence, let’s commit to being fans with a purpose – appreciating and prioritizing the lives within the games!

July’s BIPOC Mental Health Awareness Month is an observance dedicated to raising awareness about the unique mental health challenges faced by Black, Indigenous, and People of Color (BIPOC) communities. This month emphasizes the importance of culturally competent mental health care and aims to address the disparities in mental health services and outcomes among these communities.

In this Q&A, Magellan Health’s Eric A. Williams, Ph.D., LCMHCS, LMFT, LPC, and Stephanie White, LMFT, regional supervisors for the Military and Family Life Counselor program, share four ways BIPOC can improve their mental health.

Q: What advice would you give to BIPOC individuals seeking to improve their mental health and well-being?

Dr. Eric Williams:

#1 Prioritize Self-Care

How you treat yourself reflects your relationship with yourself. This includes your diet, sleep hygiene, social support system, and spirituality. Here are a few strategies to prioritize your self-care:

• Body: Get regular medical and dental check-ups. Engage in regular physical activity, eat a balanced diet, and get enough sleep. Lastly, take prescription medications as prescribed.
• Mind: Ensure a healthy balance of mass media, social media, and other uplifting sources of information. This doesn’t mean you have to give up your social media accounts, but it does mean you emphasize being exposed to information that supports your mental well-being. This could include practicing relaxation techniques like meditation or deep breathing, reading, learning a new skill, or spending time in nature.
• Spirit: Consider establishing a personal vision reflective of your values and purpose in life. Spend time with loved ones, practice gratitude, and engage in activities that nourish your sense of meaning.

#2 Build Strong Connections with Family and Friends

Strong social connections are essential for mental well-being.

• Nurture existing relationships: Intentionally create time for friends and family who support you and make you feel good. Don’t be afraid to set boundaries with people who drain your energy or contribute to negativity in your life.
• Expand your social circle: Join clubs, or sports leagues (i.e., bowling, softball, etc.), volunteer in community organizations to include church and other non-profit organizations, or take classes to connect with people who share your interests.

#3 Seek Professional Help if Needed

You may experience racial discrimination, stresses and microaggressions, which can influence your emotional well-being in ways these tips may not address. Don’t hesitate to reach out for professional help if you’re struggling. Finding a therapist or counselor who understands your cultural background is important. Look for therapists who identify as BIPOC themselves or have experience working with BIPOC communities.

Stephanie White:

#4 Practice Self-Affirming Habits for Adults and Children

I highly recommend a personal habit of affirming your color and appearance through meditation and self-care. Take good care of your coils and strands, your health, and your heart. For our youth, I also recommend that we embrace and build a collection of literature that is directed toward children of color, celebrating their uniqueness as well as their belonging.

For more information to increase awareness about BIPOC mental health and wellbeing and the importance of recognizing and addressing concerns, visit MagellanHealthcare.com/BIPOC-MH.

Creating inclusive communities where Black, Indigenous and People of Color (BIPOC) feel a sense of belonging and support is important to their wellbeing. Research shows individuals with strong social connections are 50% more likely to live longer and have a better chance of preventing serious illnesses like heart disease, stroke, dementia, anxiety and depression.

Here are five ways you can connect with BIPOC to cultivate culture, community and connection.           

1. Explore the values, beliefs and traditions of diverse cultures: Exploring BIPOC articles, books, documentaries, cultural museums, languages or cuisines can cultivate respect, empathy and inclusivity.
2. Seek authentic connections: Build meaningful BIPOC relationships by finding common ground, personally and professionally. Genuine cultural connections can emerge from supportive neighboring, discussing shared interests or embracing diverse perspectives to achieve common goals.
3. Engage in community activities: Volunteer to support the BIPOC community by assisting at events or with organizations serving BIPOC populations.
4. Promote services and resources that help BIPOC communities: Sharing information about services, resources and job opportunities online or through personal networks can aid BIPOC communities significantly.
5. Support BIPOC organizations: Strengthen community ties and show commitment to BIPOC concerns by supporting BIPOC organizations. This can include buying from local BIPOC businesses, amplifying their voices on social media and advocating for BIPOC needs in civic forums.

Together, we can build a more inclusive and supportive community for all. Every action counts in fostering culture, community, connection and BIPOC wellbeing.

For more information to increase awareness about BIPOC mental health and wellbeing and the importance of recognizing and addressing concerns, visit MagellanHealthcare.com/BIPOC-MH.

SOURCES:

• Human Connection: Why It’s Important I Psych Central
• Social Connection | CDC

As our understanding of soldier wellness evolves, it’s clear that a comprehensive approach is essential. In today’s military landscape, physical fitness alone isn’t enough – mental toughness is equally crucial. The U.S. Army Combatives Program serves as a prime platform to nurture this mental resilience, offering Soldiers a pathway to peak performance both on and off the battlefield.

The U.S. Army Combatives Program, which includes hand-to-hand combat training, offers a valuable avenue to promote mental well-being and overall performance among soldiers. Beyond its traditional role in honing physical combat skills, this program has evolved to encompass a broader mission – one that emphasizes the cultivation of mental resilience as a cornerstone of soldier effectiveness.

Building Mental Resilience

The benefit of combat sports is that they cultivate mental toughness like no other. Soldiers are pushed to their limits, not just physically but mentally, fostering adaptability, perseverance, and a steadfast attitude in the face of adversity. Studies, such as those published in the Journal of Applied Sport Psychology, underscore combat sports’ profound impact on enhancing mental toughness – a cornerstone of soldier effectiveness in high-stress environments.

Fostering Unity within Units

Engaging in combat sports brings Soldiers together uniquely and intensely. It strengthens team members’ bonds, trust, and camaraderie, enhancing unit cohesion and morale. A 2020 study in the Journal of Military, Veteran, and Family Health found that Soldiers who participated in combatives training reported higher levels of cohesion and teamwork – vital components for mission success.

Providing an Outlet for Frustration and Stress

The rigors of military life often lead to pent-up frustration and stress. The Combatives Program provides Soldiers with a constructive outlet to channel these emotions. By engaging in controlled physical exertion, soldiers can mitigate stress and avoid detrimental coping mechanisms. Studies, such as those in the Journal of Military Psychology, affirm the therapeutic benefits of combat sports in stress management among military personnel.

Integration of Mental Performance Consultants

To unlock the full potential of combative training, the integration of mental performance consultants is paramount. Thes specialists offer soldiers cognitive tools and strategies to optimize their performance in combat and everyday life. From stress management to enhancing focus and resilience, mental performance consultants provide a holistic approach to soldier wellness.

Improving Decision-Making Under Stress

In high-stakes scenarios, split-second decisions can mean the difference between success and failure. Research in Military Psychology underscores how combat sports improve decision-making under stress. Mental performance consultants further refine this skill, equipping soldiers with the mental fortitude to think critically and act decisively in the heat of battle.

Enhancing Recovery and Resilience

Injuries and setbacks are a part of military life, and mental resilience is crucial for recovery. Mental performance consultants can guide soldiers in maintaining a positive mindset during rehabilitation, reducing the psychological impact of injuries, and facilitating a quicker return to peak performance. The U.S. Army Combatives Program offers a wealth of mental benefits essential for Soldier wellness and performance. By fostering mental toughness, unit cohesion, and stress management, this program contributes significantly to Soldier readiness.

April is recognized as Workplace Violence Awareness Month. Forbes recently published an article entitled, “Workplace Safety And Well-Being On The Decline In 2024, Study Shows.” The article highlighted findings from a new report from the company, Traliant, Fear Factors: A 2024 Employee Survey Report on Workplace Violence, Harassment and Mental Health. According to the report:

• 1 in 4 people interviewed stated they have witnessed workplace violence happening to another employee in the last five years,
• 12% said they had been the target of workplace violence themselves.
• 86% said they either strongly or somewhat agree that employers need to do more to address the mental health needs of employees in the workplace.

In this Q&A, Magellan Healthcare’s Psychologist Advisor Dr. Yasmeen Benjamin provides insights on the connection between workplace violence and mental health awareness and suggestions on how employers can build a culture of safety.

Q: How does workplace violence awareness intersect with mental health awareness in the workplace?

Dr. Yasmeen Benjamin: A sense of safety is considered a basic human need in order for us to thrive in our daily lives. Given that we spend the majority of our time in the work environment, work environments must value safety, establish a set of expectations and policies around safety, and consistently reinforce these policies in order to provide a sense of safety for its workers.

Q: How can workplaces create a culture of safety and prevention to mitigate the risk of violence in the workplace?

Dr. Benjamin: The culture of safety should be imbedded within the values of the organization, as our actions tend to follow our value system.

Examples of safety-specific actions that would follow this value system are:

• Trainings
• Having ongoing discussions about the importance of building a culture of safety
• Directly and publicly addressing issues of workplace violence when they occur

Additionally, I’m a huge believer that prevention starts with an ability to assess. What is the propensity for violence given individual, social, and environmental factors? Are trends changing and how does one adjust and become more informed as a result of the trends?

Q: What are some common mental health challenges that employees may face as a result of workplace violence or other workplace stressors?

Dr. Benjamin: When safety is lacking, we can see an increase in stress, depression, anxiety, relationship problems, and job dissatisfaction (in the form of absenteeism, tardiness, and high turnover rates). In the instance of workplace violence, people can go on to develop conditions such as posttraumatic stress disorder as well as other conditions. It is important to note that all of these symptoms and conditions are treatable with the right supports, resources, and interventions. It is also important to keep in mind, that generally speaking, the longer one is exposed to stressors, the longer symptoms can persist once the stressor is removed.

Q: What resources and support services should employers provide to promote mental well-being among employees?

Dr. Benjamin: It is important that we continue to take steps to make discussions surrounding mental health less taboo while respecting individual privacy. I highly suggest employees utilize insurance resources to access the mental healthcare that is available to them. Also, consider accessing wellness resources such as gym membership discounts and meditation/mindfulness app discounts. As best as we can (with a recognition that life can be extremely busy) it’s important to build and maintain healthy self-care habits. These types of habits can be instrumental when combating work-related and life-related stressors.

Q: Are there specific strategies or initiatives that employers can implement during Workplace Violence Awareness Month to promote mental health awareness and support?

Dr. Benjamin: Bringing attention to the topic is an important start. Hopefully, articles like this spark the type of assessment that I mentioned earlier and lead readers to include a personal assessment of their own mental health status and wellness practices.