The Sentinel: Mental Health Awareness

Holidays are no time to talk turkey, avoiding stress and tension around the table

by Paul Arco
OSF Healthcare

The holidays are fast approaching. Families across the country will soon gather to break bread, exchange gifts and partake in each other’s company.

Photo provided

Therasa Yehling
Strive Trauma Recovery Center Manager

But the holiday season can also be a time that heightens unwanted stress.

According to the American Psychological Association (APA), nearly 90% of people feel some stress during the holiday seasons for several reasons – finances, the death of a loved one and potential family conflict. This year could be especially tough given the tension surrounding the recent presidential election. APA research found the election was a major stress point for 69% of people who responded, which was up from 52% in 2016.

“I think that people are usually stressed about being perfect, trying to do everything,” says Therasa Yehling, manager for the OSF Strive Trauma Recovery Center in Rockford, Illinois, and a licensed social worker. “It could be about money. Are they going to buy everything for everyone? And if you already have issues of mental illness, or having issues with money, it just adds another layer of stress. I think it's hard to deal with around that time.”

Photo:KrakenImages on Unsplash

Before coming together this year, Yehling says families should have a plan. Communicate before that get-together and talk about how it might be best to stay away from certain topics. Instead, Yehling says, reinforce the love you have for one another and show compassion and concern for those family members and friends who are gathered around the table that day. It sure beats debating politics with your cantankerous uncle over a slice of pumpkin pie.

“Let's talk about fun things,” says Yehling. “Let's talk about how your kids are doing, how your parents are doing. Really talking about things that bring people together. I think that's important to concentrate on.”

If your family has engaged in heated discussions during past holidays, reevaluate your plan. Maybe this year you decide to only spend a couple of hours at your gathering, instead of all day. And if you know that tensions will be high regardless, Yehling says it’s OK to let your feelings known and to work with family members to make other arrangements this year.

“It's not fair to put people at a place that you know they can't rise to,” she says. “I need to accept that. I can't change them, but I certainly can change me. I can change how I react. And you don’t have to go. Go later. We can eat turkey any other time. We can do things differently.”

Surround yourself with people who love and support you.

Many people will be grieving this holiday season. It could be the loss of a loved one or pet, a job, health issues or even the outcome of the election. “When it comes to losing your husband or somebody you know, give them grace, give them that space,” Yehling says. “Let them have a tear or two, and they'll be alright. Let them be.”

And limit your time on social media. Yehling says the best way to avoid overreacting to information you read is to think carefully about responding to posts that cause you angst. Turn off your notifications and reduce the amount of time you spend scrolling through Facebook or X, for example.

Yehling offers other tips to help people get through the upcoming holidays. Don’t over schedule yourself, limit your travel, keep a regular routine, including healthy eating and exercise. Other reminders are managing gift giving, don’t overindulge when it comes to food and alcohol and take time for yourself. Remember to take a needed break from the holiday madness by reading a book, listening to your favorite music, going for a long walk or just curling up for an afternoon nap.

Most importantly, surround yourself with people who love and support you.

“It’s about who is around you and how you interact,” Yehling adds. “What do you want to do? How do you want this to go? Oh, I want to have fun. Then have fun. Put that effort, put that focus into it.”

Recent study suggests childhood trauma could haunt Illinois adults for life

Photo: Dan Meyers/Unsplash

by Terri Dee
Illinois News Connection

New data from the Centers for Disease Control and Prevention showed 75% of U.S. high school students said they have had at least one adverse childhood experience, or ACE.

Research has shown ACEs can alter a child's brain chemistry and produce a prolonged toxic stress response. Experiencing at least one ACE as a child is linked to having alcohol and substance use problems in adulthood, and chronic diseases such as diabetes and obesity.

Joe Bargione, a certified school psychologist, said the symptoms are troubling.

"We're seeing some of the same kinds of patterns," Bargione pointed out. "That increased sense of loneliness, isolation in our youth, increased levels of suicide ideation, exposure to violence, exposure to other adverse childhood experiences."

The Illinois Department of Public Health said 61% of adults have had at least one ACE, including witnessing domestic violence in the home, parental separation, or physical and sexual abuse. Females and several groups who identify as a racial or ethnic minority were at greater risk for experiencing four or more ACEs.

The Illinois Department of Health said preventing ACEs may lower the risk for depression, asthma, cancer, and diabetes in adulthood. Bargione added schools can help address the youth mental health crisis by cultivating a sense of belonging and connectedness, as well as increasing suicide prevention programs.

"Promoting mental health awareness," Bargione urged. "Teaching kids around social-emotional learning and dealing with their emotions in an effective way, increased mental health services."

The Illinois Department of Health said healthy childhoods can provide lasting benefits throughout their lives. One way to help at-risk youth is by educating communities, youth-serving and faith-based organizations, coaches, and caregivers to better understand ACEs.

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It’s time to talk about rural mental health challenges

In farming, you often have to work even when you're not feeling well. There are no options to call off or get substitutes when you need time off. The strong work ethic passed down from fathers to sons (and daughters in many cases) is admirable, but it can lead to medical issues if not managed properly.

Photo: Melissa Mayes/PEXELS

by Tim Ditman
OSF Healthcare

ALTON - While living in Greene County, Illinois, in the 1980s and 1990s, Lea Anne Varble took a gut punch each time she heard about a suicide in her community. Eight to 10 in total in 15 years, she says.

“It just took me aback,” she says.

What the tragedies had in common: the person faced mental health challenges common to a rural setting.

Lea Anne Varble

Varble, a clinical psychotherapist at OSF HealthCare, knew she had to do something about it. So not only did she devote higher education time to studying the problem, but she’s also now getting the word out about the resources available.

The issues

Varble says stress and isolation are often experienced by people living in a rural setting, such as a farmer. There’s also a desire to be self-sufficient – a trope associated with farmers and other rural residents for decades.

“People living rurally often are independent. So, when stress comes, they want to handle it on their own,” Varble says.

Varble also knows the issues – stress, anxiety and even depression – of planting and harvest season.

“Hours and hours,” in the field, she says. “You’re expected to keep working even if you don’t feel well. Even if the stress is getting to you. You have to get up and do it again. Or at least that’s what your father before you did and his father before him.”

The work ethic can be admirable, but it can lead to medical issues if left unchecked.

And, the heads of some rural households are caring for two generations: their kids and their parents. School, chronic illnesses and advanced care planning are just more things to add to the to-do list. Varble adds that older adults in a rural setting are more likely to see themselves as a burden and choose to end their life.

Treatment

Varble says getting better starts simply with noticing the problem and talking about it with a trusted adult, like a friend, family member, faith leader or a medical professional.

The good news is that mental health professionals have made strides in this area, such as telemedicine and mobile health services. And society is more willing to talk about mental health. Farming magazines have articles on mental health, for example.

Other ways to help that Varble has picked up over the years:

Get to know your neighbors and local organizations, like churches and businesses. Then, lean on them for help when the stress gets to be too much.
Look into resources offered by state or federal agencies. In Illinois, where Varble works, the Family Farm Resource Initiative operates a 24/7 hotline and email.
“Individuals can receive support from trained professionals who understand the unique challenges faced by those in the agricultural sector,” the initiative website states. “The helpline offers specialized assistance, including mental health resources and agriculture-related support, ensuring that farm families have access to the help they need.”
Health care professionals should encourage people with rural backgrounds to become therapists.

“It’s someone from their community who understands what’s going on,” Varble says.

Is it depression, ADHD or bipolar disorder?

Illustration: Goska Malgoska/Pixabay

by Tim Ditman
OSF Healthcare

DANVILLE - Lavender Zarraga, APRN, a behavioral health provider at OSF HealthCare, says it’s not uncommon for her patients to ask for a medication that isn’t the right fit.

The culprit? She says symptoms of common mental health issues like depression, attention deficit hyperactivity disorder (ADHD) and bipolar disorder can overlap. So, it’s important to stay in contact with your provider to make sure you’re on the best treatment plan.

On depression mimicking ADHD: “You have changed executive functioning. You can’t decide. You feel dull. You can’t concentrate,” Zarraga says. “You have a hard time learning new things. You can’t remember things or forget things easily. Attention and concentration are low. You think ‘Why am I processing everything so slow?.’”

Lavender Zarraga, APRN

Zarraga adds that she’s seen people with depression take prescribed medicine and feel better, but then residual symptoms that mimic ADHD creep in. And, she says, ADHD can seem like bipolar disorder.

“If you start somebody on an antidepressant and they have an underlying bipolar disorder that they have not been diagnosed with, that can trigger mood symptoms. It could potentially trigger mania [a high energy period where high-risk behaviors can occur],” Zarraga says.

It’s a lot to sort out, and it may make the person feel like they have a whole new set of problems.

“Talk to a provider. See what’s going on,” Zarraga says to people in that situation, noting that kids should not have to carry these issues into adulthood.

“There’s a lot of talking involved,” she adds. “Let’s start from the beginning. Let’s go back to your childhood. How were you doing then? And we relate that to how you are now.”

From there, Zarraga says treatment could include more counseling or different medication. She says medicine for children is more straightforward. But for adults, a provider will make sure the pill isn’t impacting the rest of the person’s body.

There are also science-backed written tests that can help diagnose someone with ADHD. Questions along the lines of: Can you sit still in class? Does your mind wander all the time?

And a word for caregivers, friends and family members: watch for symptoms of these disorders in your loved ones and have a conversation, if needed. Don’t ignore things, Zarraga says.

“There’s nothing wrong with just talking about it. It’s not going to hurt anybody to discuss it,” she says, noting that society is now more accepting of mental health issues.

Signs to watch for in your close companion: irritability, aggression, anxiety and trouble sleeping. If you or someone you know needs to talk to a professional quickly, the national suicide and crisis lifeline is 9-8-8.

Unfortunately, mental health crisis hotline services found ineffective nationally

by Terri Dee
Illinois News Connection

CHICAGO - Addressing mental illness in America is a source of continued debate and a new report outlined areas in need of change.

The study detailed the role of response teams in a mental health episode.

Andy Wade, executive director of the National Alliance on Mental Illness-Illinois, sees a need to strengthen the disconnection between the 988 system and the services and facilities supporting post-crisis recovery services.

"The progress has been positive but we need more," Wade asserted. "The crisis system isn't just the phone call. It's also about having a safe and appropriate mental health response, even if that means someone coming out to the house."

He called the system "a work in progress" and emphasized 988 operators should have the tools they need to make immediate handoffs to the right services. Wade acknowledged while law enforcement does a good job, there is often an overdependence on police officers who are not always the best responders. He is encouraged by Illinois legislators' commitment to the crisis system, and wants to continue the forward momentum on funding started by state lawmakers.

The crisis system in Illinois allows people to use it regardless of their ability to pay, which the report highlights as a success.

Angela Kimball, chief advocacy officer for the mental health advocacy organization Inseparable, said state lawmakers are the key to change.

"Lawmakers across the country need to understand, one, what does the system look like? And two, what is their role in helping make this happen?" Kimball outlined. "There is no one entity, no one person, that can make a new crisis response system happen."

She added the challenge for lawmakers is to navigate the complex emergency service regulations in place in order to create effective legislation. Illinois Gov. JB Pritzker signed House Bill 2595 in 2021, requiring insurance companies to cover medically necessary mental health care services.

Listening is important, Coping with the stress of social and academic struggles

Matt Hawkins, Rosecrance Health Network

The first semester of school brought its share of challenges as students and educators readjusted to in-person learning environments. As classes began, it became clear that two interrupted years left many youth falling behind in academics and social learning skills.

A lack of face-to-face interaction and an increased dependence on less-personal virtual learning hindered the development of social skills critical for these formative years. In addition, the stress of changing learning environments made it more difficult for young students to learn or retain as much information. High school students focused on college preparation may have felt added stress of not meeting personal academic expectations or scoring as high on the SAT as the would have liked.

Beyond the classroom, developing adolescent minds may have struggled to process the constant stream of harsh political conversations and news headlines that flooded social media feeds.

"All kids are behind to some extent because they all have experienced the pandemic’s impact in some way," said Rosecrance Central Illinois Director of Substance Use Treatment Carol Bradford. "They need to be reminded that we are all going through this together, including their teachers. Knowing they are not alone will help them, and really all of us, put life in a healthy perspective to face whatever each day brings."

As the spring semester kicks off, adults who are concerned about youth in their lives are encouraged to watch for irritability. That is one of the most common symptoms of struggling youth because they may not have developed the language to effectively articulate feelings and thoughts. Adults also can watch for isolating behaviors, lack of enthusiasm for usual things in life, and excessive acting out or arguing at home or school.

Listening also is important. When youth feel they are heard by a safe adult, they will be more likely to share what they are going through.

Also, recognize resilience. When a teen handles a difficult situation well or bounces back from a disappointment, let them know you saw the success.

Then, begin this semester with healthy structure and routine. Proper rest, nutrition, and exercise will equip the teen with foundational supports for success the rest of the year.

Last, if you sense your child needs help, contact a school counselor, social worker, or teacher. They are as concerned for the child’s wellbeing as you, and they have resources to help. Rosecrance works with schools in the Champaign area to provide assessment and intervention services, as well as a full continuum of care.

Guest Commentary:
Grief at the holidays: It’s OK to not feel OK

The holidays are often seen as times of cheer, but for people grieving losses, they may be filled with dread. With the lingering effects of the COVID-19 pandemic and a flood of distressing headlines, this year may be especially difficult for many among us.

Grief can come in many forms. There may be loss of loved ones, disrupted routines, frayed relationships, job loss, fear of life never returning to 'normal," and worries about the future. These can lead to people losing a sense of self, security, and shelter.

"In this time of celebration, hope, and goodwill, there is an expectation that everybody is happy, but it’s easy to forget that it is a sad time for many people," said Rosecrance Director of Chaplaincy Christopher Druce Jones. "For those of us who are not experiencing grief, we need to be more aware of how we can honor the people who are struggling and forgotten during the season. For those who are grieving, it takes work to recognize the holidays for what they are while realizing they aren’t the same."

To work through grief at the holidays, Iliff says it is important to be honest with yourself about the feelings, and accept that special days may feel different for a while. When you are ready, reach out to a caring friend to talk about your emotional state.

In addition, be aware of your physical, mental, emotional, and spiritual state. Self-care will be important through these times, so make sure to eat properly, get enough sleep, exercise, and engage in spiritual grounding practices. When you attend holiday gatherings, give yourself permission to leave early if something triggers emotions, or you need a little extra time afterward for self-care.

Last, find ways to connect with others throughout the season. This fellowship will help overcome the dangers of isolation that can pop up at this time of year. Grief counseling and support groups are excellent resources for people who want to work through the grieving process in a supportive environment. Counseling helps address the losses, while groups are good for navigating the journey through those uncomfortable "firsts" without a loved one. For people in recovery, 12 Step groups and the Rosecrance Central Illinois Alumni program have extra opportunities for in-person and virtual connection.

"Sometimes, the best we can do is muddle through it and look forward to a brighter 2022, but that is perfectly fine," Druce Jones said. "If we manage today with the help of a few close friends, we can be assured that hope and joy will one day return."

Matt Hawkins
Rosecrance Health Network

To the Editor: Focus on mental health year-round

Dear Editor,

May is Mental Health Awareness Month, and it has probably never gotten as much public attention as it has this year. That’s both good and bad.

To address the stigma around mental health disorders, we must talk about them openly and honestly year-round. As the Rosecrance Central Illinois Executive Director, it has been refreshing to see mental health in the spotlight for a sustained period.

Unfortunately, I also know that is because many of us are struggling. Mental illness affects one in five adults and one in six youth in a normal year. With COVID-19, that number doubled for adults. The past 12 months have been particularly difficult for those who struggle because they had to adjust to isolation and care by phone or video.

It is tough to talk about something this sensitive, but maybe now is the best time any of us might have to ask how our loved ones truly are doing. Once you have that first conversation, don’t let it be a just a May thing, or wait until we’re reminded again during Recovery Month in September. Make relationship-building check-ins a part of your life every day. The more you connect, the brighter someone’s world becomes through the joy of real relationships.

If you’re a little nervous about speaking up, or if you’re struggling with mental health now, know that you’re not alone. Whatever your concerns, there are many resources available to help you find information, support groups, or treatment. The National Alliance on Mental Illness (NAMI) is one place to turn. The Illinois Department of Health Call 4 Calm text line (text “talk” to 552020) is another great resource for emotional support. And, as always, caring Rosecrance Central Illinois staff would be delighted to talk with you or point you to valuable groups and resources.

Please remember that together we can help those who struggle with mental illness, and we can continue to work to end the stigma.

Life’s waiting.

Joey King, Central Illinois Executive Director
Rosecrance