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April Staff Spotlight: Jennifer Vincent

Jennifer Vincent

MA, LAPC, NCC

Substance Abuse Team Lead & Therapist

What is your role at Georgia HOPE?:

I am a therapist and team lead on the Substance Use Team at Georgia HOPE. Through my role as a therapist, I provide individual counseling services for adults and adolescents, lead Relapse Prevention and Dual Diagnosis groups, and perform drug and alcohol assessments for Cherokee County Drug Treatment Court.

What led you to Georgia HOPE?:

I came to Georgia HOPE because I have a passion for ensuring individuals and families have access to quality mental health care through community counseling resources. Additionally, I was looking for a program that valued a team approach, with clients having access to psychiatric providers, therapists, and client support specialists. The more support we can provide as a team for a client, the better! 

What would you say to someone that is struggling with Substance Use Disorder?:

I would tell someone struggling with a Substance Use disorder that there is hope for a better life and that therapy can help them work through the painful emotions that draw them towards substances to cope. Additionally, I would want them to know that there is no shame in asking for help, with many clients expressing the relief they found once they decided to enter treatment to find purpose in their story. 

What do you enjoy most about your role at Georgia HOPE?:

In my role as a therapist, I enjoy witnessing clients experience that “aha!” moment in session where they gain new insight into their feelings and behaviors. Similarly, I feel passionate about helping guide clients towards a life filled with hope and meaning. I never take for granted that it is an honor to hear my client’s stories and walk alongside them through the dark nights of the soul. As a team lead, I enjoy both case management and supporting my team members emotionally to ensure they have the resources they need to continue providing their excellent therapeutic services. 

If you’re struggling with substance abuse or would like to refer someone you know, we’d love to speak to you further. HOPE is here. Contact us today.

Overcoming Self-Harm

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Self-harm: this is when one hurts themselves as a way of dealing with very difficult feelings.

Some individuals self-harm as a way to:

-express their feelings when it is hard to put into words

-change emotional pain into physical pain

-reduce overwhelming feelings

-punish themselves for their feelings and experiences

-express suicidal feelings and thoughts without taking their own life

Ways individuals self-harm: 

-cutting yourself

-over-eating or under-eating

-biting yourself

-hitting yourself or walls

-pulling your hair

-picking or scratching at your skin

How to overcome self-harm:

  • Learn to recognize triggers: triggers are people, places, situations, sensations, or events that cause specific thoughts or feelings. 
  • Become aware of the urge to self-harm: being able to recognize urges helps an individual take steps towards reducing or stopping self-harm. 

Urges can include:

-strong emotions like sadness or anger

-racing heart or feelings of heaviness

-disconnection from yourself or a loss of sensation

-unhealthy decisions, like working too hard to avoid feelings 

-repetitive thoughts about harming yourself

  • Identify distractions: identify distractions that can help distract the urge to self-harm. 
  • Keep a diary: a diary can help keep track and understand self-harming behaviors. This is useful to keep track of what occurred before, during, and after self-harming. After a period of time, the diary can help spot patterns of self-harming behaviors (Melinda, 2022). 
  • Use coping techniques: to help overcome self-harm, an alternate coping skill needs to take its place. 
  • If self-harm is to express pain and intense emotion: paint, draw, journal, write a poem, listen to music
  • If self-harm is to calm or soothe: take a hot bath, pet an animal, use a warm blanket, massage your neck, hands, and feet, listen to calming music
  • If self-harm is to disconnect or numb pain: call a friend, take a cold shower, hold ice in hand, chew something with a strong taste
  • If self-harm is to release tension or vent anger: exercise, punch a cushion, squeeze a stress ball, rip something up, make noises with instrument, bang pots and pans
  • Seek professional help: trained professionals can help direct towards overcoming cutting or other self-harming habits. 

Client Support Specialist: a CSS can help identify triggers and develop coping skills.

Therapy: a therapist can help explore past or current trauma that may be triggering self-harming behaviors and can assist in helping develop coping skills (Self-harm, 2020). 

Resources

Melinda. (2022, February 7). Cutting and self-harm. HelpGuide.org. Retrieved February 14, 2022, from https://www.helpguide.org/articles/anxiety/cutting-and-self-harm.htm

Self-harm 2020 – mind. (n.d.). Retrieved February 14, 2022, from https://www.mind.org.uk/media-a/5783/self-harm-2020.pdf

Understanding Bipolar Diagnosis

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What is Bipolar Disorder?

According to National Institute of Mental Health, Bipolar Disorder (formerly known as manic-depressive illness or manic depression), is a mental disorder that causes and unusual shift in mood, with extreme highs and lows.

Types of Bipolar:

  • Bipolar I 

Having at least one manic episode followed by hypomanic or major depressive episode. Manic episodes lasting at least 7 days or needing immediate hospital care 

  • Bipolar II

Having at least one major depressive episode and at least one hypomanic, but no manic episodes

  • Cyclothymic

Having periods of hypomanic symptoms as well as periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.

Types of Episodes:

  • Manic

A manic episode is characterized as at least one week of being extremely high-spirited or irritable most of the days, possessing more energy than usual, and at least 3 of the following: 

  • Decreased need for sleep
  • Fast speech
  • Uncontrollable racing thoughts/quickly changing topics while speaking
  • Distractibility
  • Increased activity 
  • Increased risky behaviors 

Some people in manic episodes report psychotic features, such as false beliefs and/or hallucinations.

  • Hypomanic

Hypomanic is characterized with less severe manic symptoms only 4 days in a row versus a week.

  • Major Depressive

Major depressive is characterized by at least 2 weeks where at least 5 of the following symptoms present:

  • Intense sadness or despair
  • Loss of interest in activities the person once enjoyed
  • Feelings of worthlessness or guilt
  • Fatigue
  • Increased or decreased sleep
  • Increased or decreased appetite
  • Restlessness or slowed speech or movement
  • Difficulty concentrating
  • Frequent thoughts of death or suicide

Treatment:

Bipolar Disorder comes with lifelong treatment. Medication is used to balance and stabilize mood. Along with medication, therapy/counseling has proven to be helpful with managing the symptoms of Bipolar Disorder.

Resources:

https://www.nimh.nih.gov/health/topics/bipolar-disorder

https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955

https://www.psychiatry.org/patients-families/bipolar-disorders/what-are-bipolar-disorders

Importance of Sleep for Mental Health

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Sleep is important not only for physical health but mental health as well. Sleep has close links to several mental health conditions such as depression, anxiety, bipolar disorder, and several others. The relationship between sleep and mental health is bidirectional, meaning insufficient sleep can promote or worsen mental health conditions just as mental health conditions can cause insufficient sleep (Mental Health and Sleep, 2020).

Sleep is the time for your body and mind to rest and recharge. Sleep is important because this is when your emotional processing takes place. 

Insufficient sleep can cause:

-Emotional Instability

-Effects on Mood

-Increased Sensitivity

-Irritability

-Increased Cortisol Levels = Increased Stress (Sleep and Mental Health, 2022)

Mental health benefits of sleep include:

  • Good sleep can help with mental illnesses

Mental health disorders such as anxiety and depression along with several others can cause insomnia. Good sleep can combat insomnia decrease levels of anxiety and depression. 

  • Sleep can improve attention

When you become sleep deprived your reaction time decreases, but having good Uninterrupted sleep will help improve alertness and attention. This is especially important for those who already experience a deficit in attention, such as ADHD.

  •  Sleep can improve memory and learning 

 Sleep is the time your brain stores the information that was learned during the day. Lack of sleep can interrupt this process and cause easier memory loss the day after. For example, lack of sleep can cause one to make silly mistakes like forgetting to grab your lunch or lock your car door (Benefits of Sleep, 2021). 

Resources 

Mental health and sleep. Sleep Foundation. (2020, September 18). Retrieved February 16, 2022, from https://www.sleepfoundation.org/mental-health

Sleep and mental health: Why our brains need sleep. Primary Care Collaborative. (2022, February 16). Retrieved February 16, 2022, from https://www.pcpcc.org/resource/sleep-and-mental-health-why-our-brains-need-sleep

Three surprising mental health benefits of sleep. SuicideLine Victoria. (2021, June 29). Retrieved February 16, 2022, from https://suicideline.org.au/mental-health/three-surprising-mental-health-benefits-of-sleep/

Statistics on Developmental Disabilities

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Developmental Disabilities are severe and long-term problems. These disabilities can range from mental disability to physical disability or both. 

Physical disabilities include: blindness, hearing loss, multiple sclerosis, epilepsy, etc. 

Mental disabilities include: anxiety disorders, depressive disorder, personality disorders, etc.

Developmental disabilities can also present both physical and mental disabilities, such as, down syndrome (U.S. National Library, 2021)

  • Approximately 15% of children age 3-17, or 1 in 6 children, in the U.S. has some type of developmental disability
  • Many children and adults have more
    than one type of intellectual or developmental disability.
    Each likely to result in a variety of challenges requiring different types of care and services
  • Recent estimates show there are approximately 4.92 million individuals in the U.S. living with an intellectual disability, which is about 17% of the U.S. population
  • Children from families with low income have higher prevalence of intellectual/developmental disabilities
  • People with intellectual and developmental disabilities have been shown to have poorer health and poorer access to health care
  • Males have been shown to have twice the prevalence of any developmental disability than females
  • It is estimated that 30-35% of all
    people with intellectual or developmental disabilities also have a psychiatric disorder (statistics, 2016)

Resources

Statistics. The Achievable Foundation. (2016, March 21). Retrieved February 14, 2022, from https://achievable.org/developmental-disabilities/statistics/

U.S. National Library of Medicine. (2021, November 9). Developmental disabilities. MedlinePlus. Retrieved February 14, 2022, from https://medlineplus.gov/developmentaldisabilities.html

Teen Dating Violence and Prevention

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In the United States, 26% of women and 15% of men who were victims of contact sexual violence, physical violence, and/or stalking by an intimate partner in their lifetime first experienced these forms of violence by a partner before the age of 18-year-old. 

Teen Dating Violence (TDV) is when an intimate partner behaves in physical, sexual, psychological violence or stalking behaviors. 

1 in every 11 females and 1 in every 14 male High School students report having experienced physical dating violence.

1 in every 8 females and 1 in every 26 male High School students report having experienced sexual dating violence. 

  • Physical Violence: hitting, kicking, pushing
  • Sexual Violence: forcing a partner to take part in a sexual act 
  • Psychological Violence: Name-calling, insulting, threatening 
  • Stalking: repeatedly unwanted or threatening phone calls and messages and/or showing up unwanted. 

Teens who are or have been victims of teen dating violence are more likely to:

  • Experience symptoms of depression and anxiety
  • Engage in unhealthy behaviors (Tabacco, alcohol, drugs)
  • Exhibit antisocial behaviors like lying, theft, bullying, or hitting
  • Think about or commit suicide (CDC, 2021)

How to prevent teen dating violence:

  • Look for warning signs: if someone you know starts having multiple injuries, a decrease in motivation, drop in grades, or loss interest in activities could be a result of dating violence.
  • Act on warning signs: if you notice warning signs, act on them. Speak to the individual about getting help through talking to an adult or seeking counsel. As well as using resources such as dating violence hotlines. 
  • Be supportive: it is important for the individual to feel loved and supported, especially when they have been in an abusive relationship.
  • Educate: it is important for teens to be educated and understand what teen dating violence is and the impacts it can have on well-being. It is also important for teens to be educated on the resources available if they experience dating violence. 

Teen violence does not just occur face to face. Teens can experience dating violence through internet services as well (Taylor et al., 2016)

If you or someone you know is experiencing teen dating violence please get help right away. 

Love is Respect National Teen Dating Abuse Helpline 

Call: 1-866-331-9474  or  TTY 1-866-331-8453

National Domestic Violence Hotline 1-800-799-SAFE

Resources

Centers for Disease Control and Prevention. (2021, March 5). Preventing teen dating violence |violence prevention|injury Center|CDC. Centers for Disease Control and Prevention. Retrieved January 17, 2022, from https://www.cdc.gov/violenceprevention/intimatepartnerviolence/teendatingviolence/fastfact.html

Male survivor guide to help men find support and overcome the trauma caused by abuse or assault

https://www.innerbody.com/resource-guide-for-male-survivors-of-abuse-sexual-assault-and-trauma

Dating violence prevention. Dating Violence Prevention | Youth.gov. (n.d.). Retrieved January 19, 2022, from https://youth.gov/youth-topics/teen-dating-violence

Taylor, Maralyn, Kimani, Hannah, & Antoilyn. (2016, February 5). 5 ways to prevent teen dating violence. URGE. Retrieved January 19, 2022, from https://urge.org/5-ways to-prevent-teen-dating-violence/

How to Achieve Healthy Relationships

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A healthy relationship is feeling happy and satisfied in a relationship between you and another person. 

Individuals who are in a healthy relationship experience:

-respect                                    -open communication

-trust                                        -shared values

-emotional support                 -care

-understanding                        -both shared and individual interests

People who are in a healthy relationship are less likely to experience physical and mental health problems due to feeling happier and more satisfied with their lives. Being in a healthy relationship can help increase self-worth, give confidence, and brings a support for trying new things. 

How to achieve a healthy relationship?

  • Healthy communication: 

-set aside time to speak with one another

-be specific and clear in your communication

-listen to one another and ask for explanation if needed

-let one another finish speaking before giving your point of view

-try not to be defensive

-stay calm and do not attack 

-say sorry when you are wrong

  • Respect one another:

-be affectionate 

-show appreciation 

-set time aside to spend with each other

-know and respect each other’s boundaries

  • Make the relationship priority 

-keep a healthy balance with work, friends, family

-learn how to say “no” if needed to make time for your relationship

  • Develop shared interest

-do not just do all things one person enjoys

-find shared hobbies

-explore new hobbies with one another 

  • Find solutions that work for both of you

-conflict is going to occur but accept each of your differences and similarities

-compromise will be required from both individuals at different times

Achieving and maintaining a healthy relationship takes time and effort to achieve but there is no greater pleasure than to be happy and satisfied in your relationship (Healthdirect, 2021). 

People who are in an unhealthy relationship may experience:

  • Lack of communication
  • Jealousy 
  • Dishonesty
  • Manipulation
  • Disrespect
  • Controlling behavior
  • Constant fighting 

If you or someone you know is in an unhealthy relationship that turns abusive, please reach out for help (Healthy vs. Unhealthy relationships, 2020). 

National Domestic Violence Hotline is 1.800.799.7233

Georgia’s Domestic Violence Hotline is 1.800.334.2836

If you are in immediate danger, please call 911

Resources 

Healthdirect Australia. (n.d.). Building and maintaining healthy relationships. healthdirect. Retrieved January 21, 2022, from https://www.healthdirect.gov.au/building-and-maintaining-healthy-relationships

Healthy vs. unhealthy relationships. Counseling Center. (2020, April 15). Retrieved January 24, 2022, from https://counseling.sa.ua.edu/resources/healthy-vs-unhealthy-relationships/

Domestic Violence Awareness Month

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Domestic Violence Awareness Month (DVAM) was launched nationwide in October 1987 as a way to connect and unite individuals and organizations working on domestic violence issues while raising awareness for those issues. Over the past 30+ years, much progress has been made to support domestic violence victims and survivors, to hold abusers accountable, and to create and update legislation to further those goals. 

According to the National Coalition Against Domestic Violence, on average, nearly 20 people per minute are physically abused by an intimate partner in the United States. During one year, this equates to more than 10 million women and men. 1 in 3 women and 1 in 4 men have experienced some form of physical violence by an intimate partner and 1 in 7 women and 1 in 25 men have been injured by an intimate partner.

Anyone can be an abuser. They come from all groups, all cultures, all religions, all economic levels, and all backgrounds. They can be your neighbor, your pastor, your friend, your child’s teacher, a relative, a coworker — anyone. One study found 90% of abusers do not have criminal records and abusers are generally law-abiding outside the home. 

What Traits Do Abusers Have in Common?

There is no one typical, detectable personality of an abuser. However, they do often display common characteristics. 

  • An abuser often denies the existence or minimizes the seriousness of the violence and its effect on the victim and other family members.
  • An abuser objectifies the victim and often sees them as their property or sexual objects.
  • An abuser has low self-esteem and feels powerless and ineffective in the world. He or she may appear successful, but internally, they feel inadequate.
  • An abuser externalizes the causes of their behavior. They blame their violence on circumstances such as stress, their partner’s behavior, a “bad day,” on alcohol, drugs, or other factors.
  • An abuser may be pleasant and charming between periods of violence and is often seen as a “nice person” to others outside the relationship. 

What Are the “Warning Signs” of an Abuser?

Red flags and warning signs of an abuser include but are not limited to:

  • Extreme jealousy
  • Possessiveness
  • Unpredictability
  • A bad temper
  • Cruelty to animals
  • Verbal abuse
  • Extremely controlling behavior
  • Antiquated beliefs about roles of women and men in relationships
  • Forced sex or disregard of their partner’s unwillingness to have sex
  • Sabotage of birth control methods or refusal to honor agreed upon methods
  • Blaming the victim for anything bad that happens
  • Sabotage or obstruction of the victim’s ability to work or attend school
  • Controls all the finances
  • Abuse of other family members, children or pets
  • Accusations of the victim flirting with others or having an affair
  • Control of what the victim wears and how they act
  • Demeaning the victim either privately or publicly
  • Embarrassment or humiliation of the victim in front of others
  • Harassment of the victim at work

It’s important to know the signs and seek help! You are not in this alone.

For anonymous, confidential help available 24/7, call the National Domestic Violence Hotline at 1-800-799-7233 (SAFE) or 1-800-787-3224 (TTY) now.

HOPE IS HERE

If you’re struggling with domestic abuse or would like to refer someone you know, we’d love to speak to you further. HOPE is here. Contact us today.

References: https://ncadv.org/signs-of-abuse

https://ncadv.org/STATISTICS

https://ncadv.org/

Suicide Prevention

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Voices of Georgia’s Chilren report the number of children who visited the emergency room for reasons related to suicide doubled between 2008-2018. Voices of Georgia’s Children also report 77,878 students from sixth grade to twelfth grade considered committing suicide in 2019.61,978 students reported harming themselves. Suicide is the second-leading cause of death behind unintentional injury for children ages 10-17 in Georgia. 

What leads to suicide?

There is no single cause of suicide. The Covid-19 pandemic has caused many to feel isolated and alone. Suicide may be caused by untreated mental health disorders, anxiety, traumatic events, and substance use.Suicide may also be caused by feelings of hopelessness and despair. Other risk factors include previous history of suicide attempts, environment, bullying, stressful life events, access to lethal means such as firearms or drugs, and sensationalized accounts of suicide.

Warning Signs

Suicide warning signs  include a change behavior, giving away items, sudden social engagement, sudden isolation, constant talk about committing suicide, and increased use substances such as drugs or alcohol. Other warning signs include a change in mood. This may appear as depression, irritability, agitation, loss of interest, anger, humiliation and shame. 

How can you help?

Talking with someone who is considering suicide is not easy. Asking about suicidal thoughts or feelings won’t push someone into doing something self-destructive. In fact, offering an opportunity to talk about feelings may reduce the risk of acting on suicidal feelings.You can ask direct questions such as: “are you thinking about ending your life”, or “do you have access to lethal weapons or substances.” It is important to use supportive language such as “how can I help you” instead of making the person feel ashamed for having those feelings. You can provide the Suicide Hotline number 1-800-273-8255 or dial 911 in an emergency situation. Please don’t try to handle the situation alone, reach out to a professional individual that can provide adequate help and ensure the safety of the individual.

Source: Georgia Voices of Children

Adjustment Disorder

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Adjustment Disorder

Adjustment disorders are characterized by mild to moderate emotional and behavioral needs. These needs can often be felt as depression and/ or anxiety, feeling hopeless, crying, worrying, and irritability.  Individuals experiencing adjustment challenges in their lives can also see increased physical symptoms such as headaches and stomach aches. These symptoms are commonly seen within the first 3 months of a stressor. While there is no set cause for adjustment disorder, it can be due to one or several stressful events, such as losing a job, moving, marriage, divorce, having a baby, onset of serious or chronic illness, or even the changes, isolation and fears concerning the COVID19 virus. This disorder usually lasts no longer than 6 months once the stressor has ended. Adults can experience adjustment disorder, but it is more frequently diagnosed in children and adolescents (Adjustment Disorders, n.d.; Ramadhan et al., 2020). 

When to seek treatment? 

If you, or someone you love, is experiencing an adjustment or change in life causing difficulty in day-to-day activities and life functioning, please reach out to a professional. Receiving help and support early is essential in preventative care and could lessen the chance that symptoms will be prolonged or worsen.  When symptoms last longer than 6 months, and/or symptoms become more problematic and debilitating, (such as longer lasting depression and anxiety, not enjoying things that you used to like doing, and isolating more), it is strongly recommended that you reach out to mental health professional for support and guidance. Please seek immediate help if you are feeling suicidal.

What about children?

In children and adolescents, adjustment disorder symptoms can include feeling anxious or worried, depressed, hopeless, crying more, sleep difficulty, even increased stomach aches or headaches. They also can include acting out, disregard for rules and norms, being clingier, and having increased irritable moods (Adjustment Disorders, n.d.). 

Children and adolescents can be impacted by similar stressors as noted for adults above. Returning to school, post pandemic, is a stressor for students this coming school year (Ramadhan et al., 2020). Students have persevered during the past year and a half and adjusted from going to school every day, to quarantine, to virtual learning, school ending early, social distancing, teachers and friends wearing masks, hybrid learning, and now most returning to school for in-person learning with some restrictions. Not only have children persevered changes at school, but they have persevered changes at home as well, such as guardian’s work schedules and work place and who supervises the children when guardians are at work and the children home. Many students have adjusted well with the changes; however, some children may have difficulty adjusting and may be experiencing some increased reactive behaviors, such as acting out, and changes in mood.

When to seek treatment for children with symptoms of adjustment disorder?

Similar to adults, when symptoms occur within 3 months of the stressor, last longer than 6 months and/or the symptoms become more problematic and debilitating such as longer lasting depression and anxiety, loss of interest in playing by themselves or with others, loss of interest in extracurricular activities, increased behavioral outbursts and mood changes, or not wanting to go to school, it is time to seek support. If your child is experiencing these or similar symptoms, therapeutic services could be beneficial in assisting your child in feeling more secure and adjusting with recent stressors. Please seek immediate help if you’re student is feeling suicidal.

Reference

Adjustment Disorders. (n.d.). Retrieved from https://www.hopkinsmedicine.org/health/

conditions-and-diseases/adjustment-disorders 

Ramadhan, M., Putri, A. K., Melinda, D., Habibah, U., Fajriyah, U. N., Aini, S., Prananjaya, B. A., & Ikhsan, D. S. (2020). Children’s Mental Health in the Time of COVID-19: How Things Stand and the Aftermath. The Malaysian journal of medical sciences : MJMS, 27(5), 196–201. https://doi.org/10.21315/mjms2020.27.5.15

HOPE IS HERE

If you’re struggling with an adjustment disorder or would like to refer someone you know, we’d love to speak to you further. HOPE is here. Contact us today.