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.

If you have ever reached out to a therapist or the community for mental health support, you may relate to the frustration that many individuals feel. The healthcare system is experiencing more demands for access to care, and the mental health industry is no different.

Here are some of the common obstacles to getting mental healthcare:

1. Stigma: Fear of judgment can result in individuals choosing not to seek out help.
2. Cost: Even with insurance coverage, deductibles have risen, and paying out of pocket is challenging for many people.
3. Provider shortage: A shortage of mental health providers in many areas leads to longer wait times for appointments. As a result, individuals may give up on looking for a provider after one or more failed attempts.
4. Time and transportation: Getting to and from appointments is often time-consuming, and many cannot afford to take time away from other personal or work responsibilities. In addition to scheduling conflicts, transportation challenges are also often a barrier to seeking help.
5. Mistrust: Having or knowing someone who has had negative experiences with mental health providers (or healthcare in general) can lead to avoidant behavior.

The EAP as a Mental Health Resource

If you are a federal government employee or are employed by one of the millions of private employers who offer an Employee Assistance Program (EAP), you are in luck. Your EAP is here to help you overcome these common obstacles by offering free, convenient, and confidential mental health support.

Magellan Federal partners with 296 federal agencies to offer a comprehensive EAP that includes short- term soluition-focused counseling services. We continuously work with our clients and providers to eliminate the barriers associated with accessing mental healthcare. We collaborate across various teams and contract agreements to provide resources and quick, reliable care. Here’s how we break down the barriers to mental healthcare.

• Referrals are always voluntary and confidential, easing the stigma and fear of coming forward for help.
• EAP provides free counseling sessions with no co-pay or deductible.
• Many EAPs offer a variety of virtual counseling options, which reduce delays in appointment scheduling.
• Employees can often schedule directly with an EAP provider at their convenience, either via the website’s online scheduling links or through a find-help function .
• The Magellan Federal EAP call center answers calls in less than 30 seconds, eliminating the frustration of being transferred or put on hold.
• The call center is staffed with clinical experts who remove any guesswork and connect the caller with appropriate referrals and resources.
• The employer EAP website provides current information and provides reliable resources.
• When requested by a manager, health and wellness presentations are readily available to promote self-awareness and self-care and introduce individuals to available services.
• Virtual counseling sessions reduce transportation and scheduling conflicts. This modality can also decrease the stigma some people may feel if seen walking into a counselor’s office.
• EAP services often promote coping skills, resiliency, and resource use. These skills may lessen or prevent a mental health crisis in the future.

The Magellan Federal EAP eliminates common challenges associated with accessing mental health support and continues to implement new operations that improve care. Consider using your EAP as an alternative to paying out of pocket for quality mental health services. Your well-being—and wallet—will thank you!

Resources

• Exploring Barriers to Mental Health Care in the U.S. | Research and Action Institute (aamcresearchinstitute.org), y Hemangi Modi, former Analyst, AAMC Research and Action Institute; Kendal Orgera, MPH, MPP, Senior Research Analyst, AAMC Research and Action Institute; and Atul Grover, MD, PhD, Executive Director, AAMC Research and Action Institute.
• Study Reveals Lack of Access as Root Cause for Mental Health Crisis in America – National Council for Mental Wellbeing (thenationalcouncil.org), National Council for Wellbeing

World Schizophrenia Awareness Day is a vital reminder of the profound impact this complex mental health condition has on individuals and families worldwide. This day offers a platform to challenge stigmas, dispel myths, and advocate for greater understanding and support for those affected by schizophrenia. By acknowledging World Schizophrenia Awareness Day, we’re highlighting the need for improved access to mental health resources and service and taking a crucial step towards fostering inclusive communities and promoting mental well-being. Magellan Health’s Lyle Forehand, MD, is board certified in psychiatry and forensic psychiatry. Dr. Forehand shares his thoughts on the importance of recognizing World Schizophrenia Day, and what available resources there are to support the mental health of individuals living with schizophrenia.

What is some information about schizophrenia that people may not know?

Schizophrenia is a very serious, lifelong condition that affects how a person thinks, feels, and behaves. It shows up differently in different people, but it is almost always associated with decreased insight into what is, or is not, real. Usually starting between ages 16 and 30-years-old, individuals tend to respond better to earlier treatment. However, people who suffer with these symptoms are often very unwilling to share their scary, and often bizarre, experiences with others. That slows down, or even prevents, getting treatment. Many also have a neurological condition called anosognosia, that blocks their ability to know they are ill or need treatment.

Why is it important to recognize World Schizophrenia Day?

World Schizophrenia Awareness Day is celebrated every May 24th, in honor of the day in 1792 that Dr. Phillipe Pinel started releasing psychiatric patients from the chains that bound them at the Bicệtre Hospital outside Paris.  Many of his patients had been chained for 30 – 40 years!  Our hope, in recognizing this day, is that the stigma of schizophrenia (and of mental disorders in general) will lessen. More people will be able to live with dignity and with access to the same level of care as individuals without schizophrenia.

What are some available resources for individuals with schizophrenia?

Information is helpful in managing most difficulties. For schizophrenia, which is often quite scary to those who suffer from the condition and to those who love them, this is even more important.  NAMI, the National Alliance on Mental Illness, has been a source of information and support since 1979.  The Treatment Advocacy Center, founded in 1998, has been controversial because of its advocacy for forced treatment of some people with schizophrenia, but it remains a great information resource as well as a vigorous advocate of legal changes that could enhance treatment.

Schizophrenia requires lifelong treatment.  That treatment should include some amount of medication.  Not all psychiatrists are comfortable prescribing these medicines, but many are willing to work with schizophrenic patients until a regimen can be found that works well for them.  These regimens often change over time, or in response to fluctuations in stress, or symptoms, or both.  A good relationship with a consistent provider is very important.  A relationship with a full-service team is even better.  This team can provide some combination of psychotherapy, social skills training, vocational rehabilitation, supported housing, and supported employment.

What are some ways that individuals with schizophrenia can take care of their mental health while navigating this condition?

Just as everyone else does, people with schizophrenia have some amount of stress (not just from their disorder!) and some amount of resilience (the ability to “bounce back” from difficulties).  Resilience is a skill that all of us can improve. The four steps are: making positive lifestyle choices, forming positive social relationships, having a sense of meaning and/or purpose, and the practice of mindfulness/meditation (even just three minutes a day).

Mental health plays an important role in the overall wellbeing of youth. Child behaviors and emotions can change frequently and rapidly, making it difficult for parents and teachers to detect mental, behavioral or emotional concerns right away. Studies find an estimated 70-80% of children with mental health disorders go without care.

How can you nurture the mental health of your child?

Consider the following strategies to support your child’s mental wellbeing:

1. Be intentional and attuned. Beyond just paying attention to verbal and nonverbal cues, actively engage in open communication with your child. Create a safe space where they feel comfortable expressing their thoughts and emotions. Additionally, educate yourself about typical developmental stages and common mental health concerns in youth, so you can better identify when your child might need support.
2. Foster closeness. Building a strong emotional bond with your child involves not only empathy but also active listening and validation of their experiences. Spend quality time together engaging in activities they enjoy and show genuine interest in their hobbies and concerns. By demonstrating unconditional love and acceptance, you’re fostering an environment where they feel valued and understood.
3. Encourage connections. In addition to nurturing relationships within the family, encourage your child to form connections with peers and mentors. Support their participation in extracurricular activities or community events where they can develop social skills and a sense of belonging. Positive social interactions provide a buffer against stress and can enhance resilience in the face of challenges.
4. Model good behavior. As a parent or caregiver, your actions speak louder than words. Model healthy coping mechanisms for managing stress and emotions, such as practicing mindfulness, seeking support from loved ones, and engaging in hobbies or relaxation techniques. By demonstrating how to navigate difficult situations effectively, you’re equipping your child with valuable tools for their own emotional wellbeing.
5. Make healthy choices. Emphasize the importance of self-care and overall wellness by prioritizing healthy habits as a family. Maintain a balanced diet rich in fruits, vegetables, and whole grains, and limit sugary or processed foods. Encourage regular physical activity and outdoor play, as exercise is linked to improved mood and reduced symptoms of anxiety and depression. Establish consistent bedtime routines to ensure adequate sleep, as insufficient rest can exacerbate mental health concerns.

Youth mental health concerns are real, common and treatable. By implementing these strategies, you’re not only fostering a supportive environment for your child’s mental health but also empowering them with the skills and resources needed to navigate life’s challenges effectively.

While some problems are short-lived and don’t need treatment, others are ongoing and may be very serious. If you are concerned about changes in behavior or other symptoms, consult your child’s doctor. Remember, seeking professional help when needed is a sign of strength, and early intervention can make a significant difference in managing mental health concerns.

Visit MagellanHealthcare.com/about/bh-resources for more mental health information and resources.

Source

• CHILD AND ADOLESCENT MENTAL HEALTH – 2022 National Healthcare Quality and Disparities Report – NCBI Bookshelf (nih.gov)

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.

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)

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