# R&A Therapeutic Partners > Therapeutic Partners --- ## Pages - [What Is An Educational Consultant or Therapeutic Consultant?](https://therapeutic-partners.com/educational-consultants/educational-consultant-or-therapeutic-consultant-guide/): What is an Educational Consultant or Therapeutic Consultant? Find out with our guide at R&A Therapeutic Partners and contact us for yourself or your family. - [LICENCIADO EXPERIMENTADO HONESTO ÉTICO](https://therapeutic-partners.com/spanish-services/): R&A Therapeutic Partners presta servicios a familias en toda el área del sur de Florida, así como a nivel nacional e internacional. - [Florida Intervention - A Comprehensive Q&A Guide](https://therapeutic-partners.com/intervention-services/intervention-qa-guide/): Florida intervention services at R&A Therapeutics are here to help you and your family. Get all of your questions answered with our Intervention Q&A guide. - [Anxiety Treatment in Miami](https://therapeutic-partners.com/outpatient-services/anxiety-treatment-miami/): Experience personalized anxiety treatment in Miami with R&A Therapeutics which empowers you to overcome your fears and live a fulfilling life. - [Addiction Treatment Miami](https://therapeutic-partners.com/addiction-treatment-miami/): The team at R&A Therapeutic Partners is bringing addiction treatment and our full host of therapies to the community of Miami, Florida. - [Teen Services](https://therapeutic-partners.com/teen-services/): Professional teen services and counseling in Miami: Empowering adolescents to navigate life's challenges confidently. Teen Services by R&A Therapeutic Partners. - [Outpatient Rehab in Miami, FL](https://therapeutic-partners.com/outpatient-services/): Therapeutic Partners offers addiction and mental health treatment in Miami. We support your journey to recovery with dedicated care and evidence-based therapies. - [Mental Health Delray Beach](https://therapeutic-partners.com/mental-health-delray-beach/): The team at R&A is bringing our full host of therapies to the community of Delray Beach and surrounding areas. - [Intake Form](https://therapeutic-partners.com/form/): Intake Form If you are a patient with an appointment with Ray or Ana for an evaluation or consultation, please... - [Telehealth + Online Therapy](https://therapeutic-partners.com/miami-online-therapy/): Discover the best telehealth and online therapy that Miami, Florida offers with R&A Therapeutic Partners and get help for you or a loved one today. - [Involuntary Commitment - Marchman Act](https://therapeutic-partners.com/using-florida-marchman-act/): For over twenty years, Florida’s Marchman Act has provided families with a legal path to ensure that their loved ones enter treatment for addiction. - [Blog](https://therapeutic-partners.com/blog/): Stay Up to date with the latest trends and techniques in substance use disorder treatment on the Therapeutic Partners blog. - [Educational Consultants in Miami, FL](https://therapeutic-partners.com/educational-consultants/): Our therapeutic educational consultants help guide families towards informed decisions, providing expert insights and personalized strategies for academic success. - [Intervention Services in Miami, Florida](https://therapeutic-partners.com/intervention-services/): Intervention services in Miami to help guide families through challenging times. Help support your loved ones on their path to healing and recovery. - [Psychotherapy in Miami](https://therapeutic-partners.com/psychotherapy-miami/): During psychotherapy, an experienced psychotherapist will guide you through personalized counseling sessions in a comfortable, supportive environment. - [Educational Workshops](https://therapeutic-partners.com/mental-health-substance-abuse-workshops/): Educational Workshops are a powerful tool to get loved ones involved in the recovery process and motivate someone to pursue long-term sobriety. - [Recovery Coaching & Monitoring](https://therapeutic-partners.com/addiction-recovery-monitoring-coaching/): R&A Therapeutic Partner's recovery coaching and monitoring services are based on our 35-plus years of experience with techniques that work. - [Aftercare Planning](https://therapeutic-partners.com/aftercare-planning/): Aftercare is the next phase of addiction and mental health rehabilitation, which reinforces the strides you made during the treatment process. - [Therapeutic Placement Services](https://therapeutic-partners.com/therapeutic-placement-services/): R&A Therapeutic Partners has amassed years of experience understanding a variety of different therapeutic options for individuals and families. - [Substance Abuse and Mental Health Evaluation](https://therapeutic-partners.com/substance-abuse-mental-health-evaluation/): A substance abuse and mental health evaluation can identify areas that require treatment and can help develop a treatment plan based on specific needs. - [Crisis Management in Miami, Florida](https://therapeutic-partners.com/crisis-management-team/): R&A Therapeutic Partners offers individualized, ongoing case management and family crisis support based on your specific needs. - [Family Therapy in Miami](https://therapeutic-partners.com/family-counseling-miami/): R&A Therapeutic Partner's family counseling services use a strength-based approach to improve coping skills and change unhealthy family dynamics. - [About R&A Therapeutic Partners](https://therapeutic-partners.com/about-addiction-mental-health-treatment/): R&A Therapeutic Partners offers top-rated addiction treatment in Miami and Delray Beach. We deliver compassionate care and personalized solutions to help you or a loved one overcome addiction and regain a healthier, happier life. - [Contact us](https://therapeutic-partners.com/contact/): Contact R&A Therapeutic Partners for more information regarding our expert counseling, therapeutic consulting and intervention services. - [Home](https://therapeutic-partners.com/): R&A Therapeutic Partners provides expert substance abuse and mental health counseling, therapeutic consulting and intervention services in Miami, Florida. --- ## Posts - [The Complex Relationship Between Autism and Substance Use Disorder](https://therapeutic-partners.com/blog/the-relationship-between-autism-and-sud/): Discover the complex relationship between autism and substance use disorders, risk factors, and how integrated care approaches can better support this overlooked population.RetryClaude can make mistakes. Please double-check responses. - [Observing Mental Health Awareness Month](https://therapeutic-partners.com/blog/observing-mental-health-awareness-month/): Discover practical ways to prioritize mental well-being during Mental Health Awareness Month. Learn self-care techniques, first aid strategies, and how R&A Therapeutic Partners can help. - [April Is Alcohol Awareness Month](https://therapeutic-partners.com/blog/april-is-alcohol-awareness-month/): Discover how alcohol affects your body and brain, the progression of alcoholism as a disease, and resources for building a healthier, alcohol-free future. - [The Risks of Self-Diagnosis in the Digital Age](https://therapeutic-partners.com/blog/risks-of-self-diagnosis/): Discover the risks of mental health self-diagnosis through social media trends and why professional therapists provide the expert guidance you need for proper treatment. - [5 Strategies for Planning a Successful Intervention](https://therapeutic-partners.com/blog/planning-successful-intervention/): Planning a successful intervention requires considering the people you’ll include in the process and the things you’ll say to your loved one. - [Self-Care in Recovery: Fostering Compassion for Yourself](https://therapeutic-partners.com/blog/self-care-in-recovery/): A structured routine is essential for anyone who takes their health seriously. But self-care in recovery is even more important than it is for others. - [Surgeon General Issues Warning About Alcohol and Cancer Risk ](https://therapeutic-partners.com/blog/alcohol-and-cancer-risk/): Learn everything you need to know about Surgeon General Issues Warning About Alcohol and Cancer Risk with R&A Therapeutic Partners. - [Gender Differences in Teen Depression](https://therapeutic-partners.com/blog/teen-depression/): Recent research has found that the rate of depression is increasing and that there are distinct gender differences in teen depression. - [The Dangers of Binge Drinking and High-Intensity Drinking](https://therapeutic-partners.com/blog/dangers-of-binge-drinking/): The Dangers of Binge Drinking and High-Intensity Drinking. Get help today with R&A Therapeutic Partners. - [Marijuana and Mental Health: The Psychosis Connection](https://therapeutic-partners.com/blog/marijuana-and-mental-health/): R&A Therapeutic Partners offers holistic support for young people struggling with marijuana and mental health issues. Contact us for more info today. - [Failure to Launch: Understanding the Phenomenon and Its Impact on Families](https://therapeutic-partners.com/blog/understanding-failure-to-launch/): Every family can benefit from setting realistic expectations and admitting when it’s time to seek professional guidance for failure to launch. Call Today. - [Combating Gaming Disorder in Teens](https://therapeutic-partners.com/blog/combating-gaming-disorder-in-teens/): Video games are an engaging, immersive hobby for millions. For some, video game use has become problematic. Get help for gaming disorder in teens. - [Gambling Addiction Increases Alarmingly Among Younger People](https://therapeutic-partners.com/blog/gambling-addiction-among-younger-people/): The allure of gambling has intensified nationwide. Learn everything you need to know about gambling addiction among younger people with R&A Therapeutics. - [Separating Facts From Fiction – What Parents Should Know About College-Age Drug Use](https://therapeutic-partners.com/blog/college-age-drug-use/): As university campuses nationwide welcome new and returning students for the fall semester, here's what Parents Should Know About College-Age Drug Use - [New Study Highlights Disconnect Between Teens and Parents](https://therapeutic-partners.com/blog/disconnect-between-teens-and-parents/): A new study suggests a disconnect between teens and their parents. Learn all you need to know with R&A Therapeutic Partners today. - [The Relationship Between Anosognosia and Schizophrenia](https://therapeutic-partners.com/blog/anosognosia-and-schizophrenia/): Understand the relationship between Anosognosia and Schizophrenia. Learn everything you need to know and get the help you or a loved one may need today. - [Should There Be a Legal Age Limit for Social Media?](https://therapeutic-partners.com/blog/social-media-age-restrictions/): Though social media can help people stay in touch and find a sense of connection, there are also many downsides of this technology. - [10 Ways to Observe Mental Health Awareness Month](https://therapeutic-partners.com/blog/10-ways-to-observe-mental-health-awareness-month/): May is mental health awareness month. Here are 10 ways you can observe or get the help you or a loved one may need today. Contact R&A Therapeutic Partners. - [Study Suggests Link Between Pandemic and Women’s Alcohol Abuse](https://therapeutic-partners.com/blog/link-between-pandemic-and-womens-alcohol-abuse/): Delve deep into the study suggesting the link between the pandemic and women's alcohol abuse. Contact us today for therapeutic services for you or your family. - [Experts Warn High Potency Marijuana Strains Lead to Increase in Cannabis-Induced Psychosis](https://therapeutic-partners.com/blog/high-potency-marijuana-strains-lead-to-cannabis-induced-psychosis/): Widespread marijuana legalization in the U.S. has fueled an increase in cannabis-induced psychosis among users. Get all the information you need here. - [Understanding Cannabinoid Hyperemesis Syndrome: Symptoms, Causes, and Treatment](https://therapeutic-partners.com/blog/understanding-cannabinoid-hyperemesis-syndrome/): Understanding Cannabinoid Hyperemesis Syndrome with R&A Therapeutics. Learn about the symptoms, causes, and treatment options available for you. - [Mental Health and Substance Abuse Intervention in South Florida: R&A Therapeutic Partners](https://therapeutic-partners.com/blog/mental-health-and-substance-abuse-intervention-in-south-florida-ra-therapeutic-partners/): In the serene settings of Miami and Delray Beach, Florida, R&A Therapeutic Partners stands as a beacon of hope for... - [Understanding Alcohol Use Disorder’s Causes and Symptoms](https://therapeutic-partners.com/blog/understanding-alcohol-use-disorders-causes-and-symptoms/): AUD is a chronic brain disease characterized by an inability to stop or control how much you drink, even when it causes multiple problems. - [First-Episode Psychosis and Substance Abuse in Young Adults](https://therapeutic-partners.com/blog/first-episode-psychosis-and-substance-abuse-in-young-adults/): The emergence of mental health disorders such as first-episode psychosis can significantly impact a young adult’s life. - [Substance Use Among Adolescents: Latest Insights From the Monitoring the Future Survey](https://therapeutic-partners.com/blog/substance-use-among-adolescents/): The COVID-19 pandemic and related changes like school closures and social distancing led to a dramatic decrease in teen substance use from 2020 to 2021. - [Health Risks Facing Today’s Teens](https://therapeutic-partners.com/blog/health-risks-facing-todays-teens/): Being responsible for a teenager’s well-being means equipping yourself with the facts about the leading health risks they face. - [The Evolving Landscape of Teen Marijuana Use: What Parents Should Know](https://therapeutic-partners.com/blog/teen-marijuana-use/): As a parent, it’s crucial to stay informed about modern marijuana strains and their link to psychosis. - [Fentanyl and the Rise of Teen Overdoses](https://therapeutic-partners.com/blog/fentanyl-and-the-rise-of-teen-overdoses/): Though drug and alcohol use are in decline among American high schoolers, teen overdose deaths have still doubled in recent years due to fentanyl. - [Teens Are Spending Less Time Than Ever With Friends](https://therapeutic-partners.com/blog/teens-spending-less-time-than-ever-with-friends/): Many American adolescents have swapped in-person interactions for the allure of social media. As a result, they’re spending less time socializing in person. - [Evidence Links Marijuana Use to Mental Health Risks in Young Adults](https://therapeutic-partners.com/blog/marijuana-mental-health-risks/): Mounting evidence links marijuana use with psychiatric disorders such as depression, bipolar disorder and schizophrenia, especially in young men. - [Families Need Help Reaching Addicted Loved Ones](https://therapeutic-partners.com/blog/miami-interventionists/): In cases when a family has tried more traditional intervention approaches, we still have other tools available to get someone into therapy. - [Meta-Analysis Reveals Risks of Moderate Drinking](https://therapeutic-partners.com/blog/moderate-drinking-2/): Though you may have seen research suggesting that moderate amounts of alcohol can supposedly be beneficial, new evidence has refuted that claim. - [How Can You Tell if You’re Addicted to Marijuana?](https://therapeutic-partners.com/blog/addicted-to-weed/): According to the National Institute on Drug Abuse, up to 30% of people who use marijuana become dependent on it. - [DEA Calls Xylazine a Public Safety Threat](https://therapeutic-partners.com/blog/xylazine-tranq/): The combination of fentanyl and xylazine – nicknamed “tranq dope” – puts people at a higher risk of suffering a fatal poisoning. - [Sadness and Depression in Teen Girls](https://therapeutic-partners.com/blog/teen-girls-depression/): Since depression symptoms in young women and men can present themselves differently, it’s crucial to know what red flags to look for. - [What Is an Eating Disorder?](https://therapeutic-partners.com/blog/eating-disorder-types/): Diet culture, fatphobia and a mindset that equates thinness with beauty have created an ideal environment for eating disorders to flourish. - [Cutting Back on Alcohol Improves Anxiety, Depression](https://therapeutic-partners.com/blog/alcohol-mental-health/): People who use alcohol to manage the symptoms of a mental illness like anxiety or depression must understand how drinking can make them feel worse. - [Understanding Family Resilience](https://therapeutic-partners.com/blog/family-resilience/): The same principles behind the family stress model can contribute to family resilience: the ability to withstand adversity together. - [Fentanyl Worsens Withdrawal Symptoms](https://therapeutic-partners.com/blog/fentanyl-withdrawal-symptoms/): Fentanyl’s prevalence makes it more challenging for people struggling with addiction to begin effective treatment. - [Among Gen Z, Improved Mental Health is the #1 Resolution](https://therapeutic-partners.com/blog/gen-z-mental-health-resolutions/): More than any other generation, Gen Z has made mental health a priority. Their New Year's resolutions are more likely to focus on it. - [How to Beat the Holiday Blues](https://therapeutic-partners.com/blog/holiday-blues/): It is holiday depression that's bothering you this December, or are you actually struggling with the holiday blues? Learn how to cope. - [How to Support Someone Experiencing a Psychotic Episode](https://therapeutic-partners.com/blog/psychotic-episode/): It is much easier to support a loved one with psychosis and stay connected if you understand their condition, what causes it and what you can do to help. - [Mental Health Resources for Teens](https://therapeutic-partners.com/blog/mental-health-resources/): Teen mental health challenges like depression and anxiety have been on the rise in recent years, fueled by the upheaval they face. - [Marijuana's Effects on Teens](https://therapeutic-partners.com/blog/marijuana-teenage-brain/): Adolescent exposure to marijuana can significantly impact cognitive ability later in life, including the ability to retain memories and learn new things. - [How to Talk to Your Teen About Mental Health](https://therapeutic-partners.com/blog/teenage-mental-health/): If you notice your teenager seems unusually withdrawn or is struggling to keep up in school, now is the time to speak up. - [Can Tech Help Prevent Teen Suicide?](https://therapeutic-partners.com/blog/teen-suicide-prevention/): Teenagers who grew up surrounded by technology naturally use the internet and their smartphones to navigate the world. - [National Recovery Month: Teens and Young Adults](https://therapeutic-partners.com/blog/national-recovery-month-2022/): National Recovery Month 2022 is an observance of particular importance for the parents of teens and young adults. Here's why. - [Young Adult Cannabis and Hallucinogen Use Reach Record High](https://therapeutic-partners.com/blog/teen-drug-statistics/): The National Institutes of Health’s Monitoring the Future survey revealed some alarming young adult drug use trends. - [Stress Management Techniques for Teenagers](https://therapeutic-partners.com/blog/teen-stress/): Stress in teens is at an all-time high. Read this blog to access a list of 25 proven stress management techniques for teenagers. - [988 Is the New 911 for Mental Health](https://therapeutic-partners.com/blog/988-is-the-new-911-for-mental-health/): As of July 16, Americans experiencing a mental health crisis can call or text 988 to reach the national Suicide & Crisis Lifeline. - [Potent THC Negatively Impacts Teens](https://therapeutic-partners.com/blog/teens-thc-cannabis/): What is considered high THC? Today, cannabis products have up to 95% THC, compared to 2% in the 80s. This harms teenagers. - [The Long-Term Consequences of Adolescent Binge Drinking](https://therapeutic-partners.com/blog/adolescent-binge-drinking/): While some parents may think that binge drinking is just a part of growing up, adolescent alcohol abuse can have serious consequences. - [Researchers Look at the Effectiveness of Alcoholics Anonymous](https://therapeutic-partners.com/blog/effectiveness-of-alcoholics-anonymous/): A recent literature review looked at the effectiveness of Alcoholics Anonymous by analyzing past research. Learn how AA can help your recovery. - [Recent Study Shows Decrease in Stigma Associated with Depression](https://therapeutic-partners.com/blog/mental-health-stigma/): A recent study looked at the perception of mental illness. Read about how efforts in reducing the stigma of depression have affected public views. - [Driving High: A False Sense of Security After Marijuana Use](https://therapeutic-partners.com/blog/driving-high/): What is the difference in driving high vs drunk? Driving while high is an incredibly dangerous decision with life-threatening consequences. - [Rising Teen Depression Rates](https://therapeutic-partners.com/blog/rising-teen-depression-rates/): The next generation of U.S. adults is more emotionally vulnerable to anxiety and depression symptoms than those who came before. - [Why You Should Properly Dispose of Prescription Medications](https://therapeutic-partners.com/blog/how-to-dispose-of-unused-medication/): Knowing why and how you should properly dispose of prescription medications helps prevent unused drugs from creating dangerous situations in your home. - [Study: Alcohol-Related Deaths Increased 25% in First Year of the Pandemic](https://therapeutic-partners.com/blog/covid-alcohol-deaths/): According to recent research published in the Journal of the American Medical Association, the number of alcohol-related deaths increased by... - [Revenge Bedtime Procrastination: Workaholism, Sleep Deprivation, & Self-Harm](https://therapeutic-partners.com/blog/sleep-deprivation/): Workaholic symptoms include sleep deprivation. If you choose to stay awake due to work stress, you may be engaging in self-harm. - [Can Cannabis Use Lead to Psychosis?](https://therapeutic-partners.com/blog/thc-psychosis/): Consuming highly potent cannabis can result in psychosis symptoms. Learn about THC psychosis, sometimes mistaken for schizophrenia. - [Silver Lining: Pandemic Responsible for Largest Ever Drop in Teen Drug Use](https://therapeutic-partners.com/blog/teen-drug-use/): The 2021 Monitoring the Future survey found that teen drug use statistics have dropped dramatically due to the COVID-19 pandemic. - [Understanding the Disease Model of Addiction](https://therapeutic-partners.com/blog/disease-model-of-addiction/): Researchers have embraced the disease model of addiction. However, there may be some shortcomings to this definition of substance use. - [Opioids and Love: Understanding America’s Opioid Crisis](https://therapeutic-partners.com/blog/opioids-abuse/): Did you know taking opioids produces feelings similar to a mother's love? Learn how opioids impact the brain and what causes addiction. - [How to Deal with Toxic Family Members During the Holidays](https://therapeutic-partners.com/blog/toxic-family-members-holidays/): Are you sharing the holidays with toxic family members? Check out our seven tips for dealing with toxic people during the holidays. - [How Does Social Media Affect Teens?](https://therapeutic-partners.com/blog/social-media/): Recent research on social media has indicated that more than one third of teen girls feel worse about themselves after using Instagram. - [Experts Declare Youth Mental Health a National Emergency](https://therapeutic-partners.com/blog/youth-mental-health-national-emergency/): Experts have declared youth mental health a national emergency during the public health crisis of the COVID-19 pandemic. - [College Marijuana Use Reaches Historic Levels](https://therapeutic-partners.com/blog/college-marijuana-use-historic-levels/): College marijuana use has reached historic levels, with more young people using marijuana in 2020 than in previous decades. - [How to Know If You Have Depression](https://therapeutic-partners.com/blog/depression-signs-symptoms-treatment/): It’s important to know the signs and symptoms to know if you have depression, so you can get the treatment you need. - [Mental Illness Awareness Week at R&A Therapeutic Partners](https://therapeutic-partners.com/blog/mental-illness-awareness-week/): During Mental Illness Awareness Week at R&A Therapeutic Partners, we want you to know that we care about your health and well-being. - [How to Cope with Anxiety About the Delta Variant](https://therapeutic-partners.com/blog/delta-variant-anxiety/): It’s more important than ever to understand how to cope with anxiety about the delta variant and to keep safe and healthy. - [National Recovery Month](https://therapeutic-partners.com/blog/national-recovery-month-2021/): The focus of National Recovery Month 2021 is that everyone deserves the opportunity to recover from substance use and mental health disorders. - [OCD and Health Anxiety](https://therapeutic-partners.com/blog/ocd-health-anxiety/): The uncertainty of COVID-19 can make OCD and health anxiety that much worse for those who suffer from the mental health issues. - [Going Back to School After Remote Learning](https://therapeutic-partners.com/blog/back-to-school-after-remote-learning/): Parents and teachers should watch for mental health signs among teens who have a difficult time going back to school after remote learning. - [Delta 8 THC and Delta 10 Cannabinoid: What You Need to Know](https://therapeutic-partners.com/blog/delta-8-delta-10/): There are many facts you need to know about Delta 8 THC and Delta 10 cannabinoid, especially why they are considered a health and safety risk. - [Alcohol Consumption on the Rise in the US](https://therapeutic-partners.com/blog/alcohol-consumption-on-rise/): After a brief decline in the 1980s and 1990s, alcohol consumption is again on the rise in the US; many factors have impacted the increase. - [Substance Use and Mental Health Treatment Plan](https://therapeutic-partners.com/blog/substance-use-mental-health-treatment/): Having an advocate for your loved one’s substance and mental health treatment plan can make all the difference in their success in recovery. - [Mental Health Awareness Month | Overcoming the Stigma, Getting Help](https://therapeutic-partners.com/blog/overcoming-stigma-getting-help/): May is Mental Health Awareness Month. Overcoming the stigma and getting help are critical steps for your mental and physical health. - [Languishing: A New Label for COVID Mental Health](https://therapeutic-partners.com/blog/languishing-covid-mental-health/): Languishing is a new label for your COVID mental health, to describe what may just be the dominant emotion of 2021. - [Protect Your Child from Addiction by Building Self-Efficacy](https://therapeutic-partners.com/blog/protect-your-child-from-addiction/): Protect your child from addiction by building self-efficacy so that they are prepared with a sense of control and hope. - [Teen Marijuana Addiction](https://therapeutic-partners.com/blog/teen-marijuana-addiction/): Many recent research studies have determined that not only is cannabis addictive, but the teen marijuana addiction rate is a serious concern. - [Famous Women in Psychology](https://therapeutic-partners.com/blog/famous-women-in-psychology/): Famous women in psychology began their work in the 1800s and continue to provide the research and innovations important to the field. - [A Year of Anxiety for Teens](https://therapeutic-partners.com/blog/year-of-anxiety-teens/): This has been a year of anxiety for teens especially, as they have faced the challenges of isolation and pandemic-related stress. - [High-Functioning Depression: When Is It Time to Seek Help?](https://therapeutic-partners.com/blog/high-functioning-depression/): Understanding functional depression, and particularly when it is time to seek help, is critical for your health and well-being. - [Enjoying the Empty Nest | Therapy & Emotional Support for Older Adults](https://therapeutic-partners.com/blog/enjoying-the-empty-nest/): Many older adults are enjoying the empty nest, but some are challenged with adjusting, finding themselves facing unexpected consequences. - [The Link Between Teen Stress and Internet Addiction](https://therapeutic-partners.com/blog/teen-stress-internet-addiction/): The link between teen stress and internet addiction has been clear for several years but is now growing with intensity. - [New CDC Stats: Increased Overdose Deaths During the Pandemic](https://therapeutic-partners.com/blog/increased-overdose-deaths/): Unfortunately, COVID challenges have also resulted in increased overdose deaths during the pandemic, according to new CDC stats. - [5 New Year’s Resolutions to Improve Your Mental Health](https://therapeutic-partners.com/blog/resolutions-improve-mental-health/): You're ready for new possibilities. Check out these five New Year’s resolutions to improve your mental health in 2021 and beyond. - [The Impact of Online Support Groups During COVID-19](https://therapeutic-partners.com/blog/impact-of-online-support-group/): The move to the virtual means meetings can continue during the crisis, but the impact of online support groups during COVID-19 has been mixed. - [How to Cope with Family Separations During the Holidays](https://therapeutic-partners.com/blog/cope-family-separations-holidays/): It is very important for you to understand how to cope with family separations during the holidays, for your mental and physical health. - [Treating Seasonal Affective Disorder Amid COVID-19](https://therapeutic-partners.com/blog/seasonal-affective-disorder/): Treating seasonal affective disorder amid COVID-19 has become much more critical to the health and well-being of those suffering from it. - [Does Teletherapy Work? | Benefits and Applications](https://therapeutic-partners.com/blog/benefits-applications-teletherapy/): Does teletherapy work? Recent research shows the benefits and applications of teletherapy, a safe option during the pandemic. - [October 10th is World Mental Health Day](https://therapeutic-partners.com/blog/world-mental-health/): October 10th is World Mental Health Day, a day to reflect on good mental health and how mental illness can affect people’s lives. - [Observing National Suicide Prevention Awareness Month](https://therapeutic-partners.com/blog/suicide-prevention/): September is National Suicide Prevention Awareness Month, a time to focus on understanding warning signs and knowing the options for help. - [How to Recommit to Your Recovery | September is National Recovery Month](https://therapeutic-partners.com/blog/recommit-to-your-recovery/): September is National Recovery Month: a great time to celebrate your success and to recommit to your recovery. - [Screen Time and Teen Well-Being](https://therapeutic-partners.com/blog/screen-time-teens/): The connection between screen time and teen well-being is an important topic during these challenging times. - [Teens, Mental Health, and the Pandemic](https://therapeutic-partners.com/blog/teens-mental-health-pandemic/): The pandemic has affected teenagers also. A recent study has found a concerning link between teens, mental health, and the pandemic. - [When Pandemic Drinking Turns to Addiction – Know the Signs](https://therapeutic-partners.com/blog/pandemic-drinking-turns-to-addiction/): People are drinking more in isolation. It’s important for you to know the signs of when pandemic drinking turns to addiction, for your health and safety. - [What is a Personality Disorder? | The Three Clusters Explained](https://therapeutic-partners.com/blog/personality-disorder-three-clusters/): So, what is a personality disorder? Personality disorders are categorized into ten specific types, within three clusters. - [Observing Men’s Health Month | Stigma and Mental Health](https://therapeutic-partners.com/blog/observing-mens-health-month-stigma-and-mental-health/): Men face specific challenges around stigma and mental health that must be overcome for their well-being during Men’s Health Month and throughout the year. - [How Do I Know If I Have PTSD | Screenings, Resources, & PTSD Awareness Month](https://therapeutic-partners.com/blog/how-do-i-know-if-i-have-ptsd/): June is PTSD Awareness Month and, with the stressful effects of the COVID-19 pandemic, you may be wondering, “How do I know if I have PTSD?” --- # # Detailed Content ## Pages ### What Is An Educational Consultant or Therapeutic Consultant? > What is an Educational Consultant or Therapeutic Consultant? Find out with our guide at R&A Therapeutic Partners and contact us for yourself or your family. - Published: 2024-05-23 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/educational-consultants/educational-consultant-or-therapeutic-consultant-guide/ What is an Educational Consultant? At R&A Therapeutic Partners in Florida, our Educational Consultants utilize their expertise and experience to provide specialized guidance in educational, therapeutic, and behavioral health areas, addressing the unique challenges faced by students or other individuals with clinically diverse needs. Our team provides personalized therapeutic support, navigating through a variety of educational and therapeutic options to ensure the best outcomes for each family. As leaders in the field, R&A Therapeutic Partners is dedicated to empowering families with the knowledge and resources needed to make informed decisions in an increasingly complex educational and therapeutic landscape. What is a Therapeutic Consultant? Therapeutic Consultants at R&A Therapeutic Partners play a vital role in guiding clients and families through the complex landscape of educational and treatment options. We focus on clinically sound, research-based interventions tailored to individual needs, encompassing a range of diagnoses such as substance abuse, anxiety, autism, depression, trauma, bipolar disorder, schizophrenia, and more. Our expertise lies in understanding and evaluating local, national, and international therapeutic and educational resources for families seeking support for a loved one. We work with teens, young adults, and even older adults to evaluate an individual’s therapeutic needs and match them to the best treatment options available, maximizing the chances of a successful outcome for the individual and family. We help families identify a wide array of therapeutic resources, including substance detoxification centers, residential treatment programs, outdoor/wilderness therapy programs, therapeutic boarding schools, medical/inpatient psychiatric assessment and stabilization programs, young adult transitional/extended care programs, and more. What Are The Different Roles An Educational Consultant or Therapeutic Consultant Can Take On? At R&A Therapeutic Partners in Miami, our Educational Consultants have diversified their experience to include roles such as Therapeutic Consultants, Behavioral Health Consultants, and Interventionists. This expansion allows us to meet specific needs ranging from adolescent and young adult interventions to specialized programs for learning disabilities and conditions like autism, anxiety, depression, schizophrenia, and substance use disorders. By providing tailored support across various age groups, R&A Therapeutic Partners ensures that each client receives the most effective and personalized care possible, guiding families toward optimal wellness and educational/therapeutic success. How does R&A Therapeutic Partners differentiate its approach from traditional educational consulting? Unlike traditional educational consultants, we prioritize a comprehensive understanding of therapeutic interventions alongside educational placements. We recognize that there is no one-size-fits-all solution emphasizes the importance of finding the right fit between a client’s needs and the services offered by a program or other treatment intervention. Our commitment to staying current on evolving treatment options and program dynamics ensures that we provide up-to-date and informed guidance to our clients. We visit programs regularly and stay on top of changes in the field to ensure we are current on the services offered for different profiles so we can ensure that clients receive the highest quality care to address their needs. Most importantly, we are experienced clinicians and understand how the treatment should be delivered, so we are in a unique position to guide you and... --- ### LICENCIADO EXPERIMENTADO HONESTO ÉTICO > R&A Therapeutic Partners presta servicios a familias en toda el área del sur de Florida, así como a nivel nacional e internacional. - Published: 2024-05-06 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/spanish-services/ LICENCIADO EXPERIMENTADO HONESTO ÉTICO Servicios de tratamiento de adicciones y salud mental en Miami, FL Ray Estefania y Ana Moreno tienen más de 40 años de experiencia combinada trabajando con personas y familias que padecen trastornos complejos por abuso de sustancias y enfermedades mentales. R&A Therapeutic Partners presta servicios a familias en toda el área del sur de Florida, así como a nivel nacional e internacional. Nuestra misión es brindar apoyo honesto, ético, compasivo y de nivel de conserjería a las familias que luchan con estos problemas y necesitan ayuda para abordar sus desafíos. ¿Su ser querido necesita ayuda? A veces, el comportamiento de riesgo de un individuo llega a un punto en el que lo mejor para su seguridad es recibir un medicamento familiar o una intervención de salud mental que conduzca a su colocación en un centro de tratamiento residencial, un programa de vida silvestre o un internado terapéutico. En R&A Therapeutic Partners, los terapeutas capacitados Raymond Estefania y Ana Moreno ayudan a las familias a evaluar los programas y elegir la mejor opción para su ser querido en función de sus necesidades únicas, utilizando nuestro amplio conocimiento y experiencia trabajando con una amplia gama de programas en todo el país. Pasamos aproximadamente una semana de cada seis semanas viajando por el país y asegurándonos de comprender qué recursos terapéuticos están disponibles para ayudar a personas y familias. Una intervención gestionada profesionalmente sirve como un recurso fundamental para las personas preocupadas por el bienestar y las perspectivas futuras de alguien cercano a ellas. Enfrentar desafíos como el abuso de sustancias y los problemas de salud mental puede crear una barrera de negación que es difícil de traspasar. Una intervención, ya sea centrada en el abuso de drogas o en problemas de salud mental, es esencial para superar esta negación y guiar a su ser querido hacia un camino de recuperación personalizado que puede salvarle la vida. En tiempos de crisis, la respuesta inmediata y el apoyo brindado por los servicios de emergencia son vitales para salvaguardar la salud y la seguridad de la persona afectada. La participación de los servicios médicos garantiza que la persona reciba la atención y el tratamiento necesarios, abordando cualquier problema de salud física que pueda acompañar o resultar del abuso de sustancias o problemas de salud mental. La violencia, a menudo consecuencia de problemas no resueltos de salud mental y uso de sustancias, requiere un esfuerzo coordinado entre las fuerzas del orden y los profesionales de la salud mental para gestionar la situación de manera efectiva y minimizar el daño. Los servicios de intervención temprana desempeñan un papel crucial a la hora de identificar y abordar problemas antes de que se conviertan en problemas más graves, ofreciendo apoyo y recursos para prevenir el ciclo de crisis y violencia. Estos servicios, junto con el apoyo médico y de emergencia, forman una red integral que ayuda en el proceso de recuperación, destacando la importancia de un enfoque oportuno y coordinado en el manejo de situaciones... --- ### Florida Intervention - A Comprehensive Q&A Guide > Florida intervention services at R&A Therapeutics are here to help you and your family. Get all of your questions answered with our Intervention Q&A guide. - Published: 2024-03-22 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/intervention-services/intervention-qa-guide/ Intervention Q&A In Florida, interventions stand as a beacon of hope for those struggling with addiction or mental health issues, offering a path to recovery through a structured approach that combines professional expertise with genuine care and the power of the family. These interventions are critical in helping individuals achieve a life free from addiction or mental health issues, marking the first step toward healing. This guide delves into the essentials of intervention in Florida, exploring its process, significance, and potential as a pivotal moment for individuals facing addiction and mental health struggles. What is R&A Therapeutic Partners, and why is intervention important in Florida? R&A Therapeutic Partners plays a crucial role in Florida by offering a range of rehabilitation services aimed at combating substance abuse, addiction, and mental health problems. With substance use disorders and mental health issues on the rise, interventions have become vital, serving not only as a bridge to recovery but also as a platform for supportive communication and conflict resolution. These interventions are essential in motivating individuals to seek professional help, highlighting the role of treatment and family support in overcoming addiction and the mental health challenges many individuals are facing today. The Intervention Process in Florida In the sunny state of Florida, where the struggles of those battling addiction and mental health struggles often overshadow the vibrant culture and scenic beauty, interventions serve as a crucial step toward overall health and recovery. This process, deeply rooted in compassion and understanding, offers a structured way for loved ones to help an individual recognize the severity of their problem and the need for professional treatment. Tailoring an intervention to reflect the specific needs and circumstances of individuals in Florida requires a deep understanding of both the emotional landscape of addiction and mental health and the complicated nature of organizing and executing such an important and complicated process. How can one identify the need for an intervention? The need for intervention becomes apparent through various signs and symptoms, such as drastic changes in behavior, withdrawal from friends, family, or social activities, financial issues related to substance use, and deteriorating physical and/or mental health. These indicators, especially when they form a pattern over time, suggest that the individual's substance use or mental health struggles have escalated beyond their control, impacting not just their overall well-being but also their relationships and daily functioning. What steps should be taken to plan an effective intervention? Effective planning involves gathering a supportive team of close friends and family, choosing an appropriate time and place that feels safe to the individual, and deciding on the specific approach and communication techniques to be used during the intervention. This step also includes preparing for various intervention outcomes, ensuring that immediate help is available should the individual agree to seek treatment, thereby making the transition to recovery as smooth as possible. How is an intervention executed in Florida? An intervention is executed through a pre-planned meeting or series of meetings where the intervention team expresses their... --- ### Anxiety Treatment in Miami > Experience personalized anxiety treatment in Miami with R&A Therapeutics which empowers you to overcome your fears and live a fulfilling life. - Published: 2024-02-16 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/outpatient-services/anxiety-treatment-miami/ Anxiety Treatment Miami: Your Path to Wellness with R&A Therapeutics In the vibrant city of Miami, where the sun shines bright and the beaches beckon, many individuals face the shadow of anxiety every day. R&A Therapeutics, nestled in the heart of Miami, Florida, stands as a beacon of hope for those struggling with mental health and addiction. Specializing in anxiety treatment, our clinic offers a holistic approach to therapy, ensuring that each client embarks on a personalized path to wellness. Understanding Anxiety: Types and Symptoms Before delving into the types and symptoms of anxiety, it's essential to acknowledge the complexity of this mental health condition. Anxiety isn't just a fleeting feeling of worry; it's a pervasive condition that can significantly impact one's quality of life. Understanding its various manifestations is the first step toward seeking and receiving the right help. Types of Anxiety Disorders Anxiety manifests in various forms, each with its unique challenges. From Generalized Anxiety Disorder (GAD), marked by persistent worry about everyday things, to Panic Disorder, characterized by sudden, intense panic attacks, understanding the type of anxiety is the first step toward effective treatment. Other forms include Social Anxiety Disorder, which involves overwhelming worry and self-consciousness about everyday social situations, and Specific Phobias, intense, irrational fears of specific objects or situations. Common Symptoms of Anxiety Symptoms can range widely but often include restlessness, rapid heartbeat, difficulty concentrating, and insomnia. Physical symptoms might also include muscle tension, headaches, and gastrointestinal issues. Recognizing these signs is crucial in seeking timely help. The experience of anxiety can vary significantly from person to person, making it all the more important to understand the specific ways in which it presents itself in individuals. Why Choose R&A Therapeutics for Anxiety Treatment in Miami? Choosing the right partner for your journey to mental wellness is crucial, and R&A Therapeutics stands out as a beacon of hope and healing in Miami. With a holistic approach to anxiety treatment, we combine expertise, personalized care, and a nurturing environment to support your path to recovery. Our commitment to providing high-quality mental health services makes us a trusted choice for individuals battling anxiety. Expert Team of Mental Health Professionals Our team comprises seasoned psychologists, psychiatrists, and therapists who bring experience and empathy to each session, ensuring you're in capable hands. Their dedication to staying abreast of the latest in mental health research and treatment methodologies means that you receive care that is both effective and compassionate. Personalized Treatment Approaches At R&A Therapeutics, we understand that anxiety is not one-size-fits-all. Our treatments are tailored to meet the unique needs of each individual, blending traditional therapies with innovative techniques for the best outcomes. This personalized approach ensures that each client's treatment plan is as unique as their experience of anxiety, fostering more profound and lasting healing. State-of-the-Art Facilities and Supportive Environment Our clinic is designed to be a haven of calm and comfort, from serene therapy rooms to communal spaces encouraging healing and connection. The design of our facilities reflects... --- ### Addiction Treatment Miami > The team at R&A Therapeutic Partners is bringing addiction treatment and our full host of therapies to the community of Miami, Florida. - Published: 2024-01-22 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/addiction-treatment-miami/ Addiction Treatment in Miami, Florida If life's challenges are becoming too much, know that support is available in Miami. Our dedicated team at R&A is extending our comprehensive range of therapies to the Miami community and its neighboring regions. We are here to assist you in regaining your balance with professional counseling, therapeutic consulting, and intervention services. 786-452-7352 What We Offer Intervention Services in Miami In situations where risky behaviors and substance abuse escalate to a crisis point, staging an intervention becomes essential. In Miami, you're not alone in this challenging process. Experienced therapists Raymond Estefania and Ana Moreno specialize in assisting families to confront the denial of their loved ones and facilitate the selection of a suitable treatment program. This program is designed to meet the individual's mental, physical, and spiritual requirements, offering a path to recovery tailored to their unique needs. Therapeutic Placement in Miami Navigating the options for a family member in crisis can be overwhelming, especially when trying to identify trustworthy centers, suitable programs, and the appropriate duration of treatment. In Miami, Ray and Ana are dedicated to guiding families with troubled teens and young adults. They expertly match individuals with residential treatment programs, wilderness retreats, and therapeutic boarding schools best suited to their specific requirements and circumstances. Family Counseling & Parenting Support in Miami Striving to excel in parenting can be an overwhelming journey. Every phase comes with challenges, from the early stages of infancy to guiding your teen through the tumultuous adolescent years. If you're seeking support in Miami, R&A is here to help. We offer valuable insights into family dynamics, teach effective communication strategies, and provide guidance to tackle behavioral health issues, ensuring you have the support you need at every step. Concierge Crisis and Case Management in Miami Dealing with a family member in distress often falls on the shoulders of relatives. When you have someone in your Miami-based family recovering from mental illness or battling substance use disorder, R&A is ready to assist with concierge-level case management services. We aim to ease the burden on your family by providing the support and guidance needed during this critical time. Substance Abuse and Mental Health Evaluations in Miami In Miami, individuals grappling with the dual challenges of mental health issues and substance use disorders require specialized care. Our team conducts thorough clinical assessments to pinpoint specific areas of concern. With these evaluations, we aim to chart a definitive course toward health and recovery for you or your loved one, addressing the unique complexities of co-occurring conditions. Aftercare Planning in Miami In Miami, R&A Therapeutic Partners offers expert aftercare planning and support, which is crucial at any stage of the treatment journey. Whether you're navigating initial recovery or ongoing management, we provide personalized guidance, monitoring, and support. We aim to ensure adherence to each individual's tailored plan, offering these essential services in Miami Delray Beach and surrounding areas. Recovery Coaching & Monitoring in Miami Annually, numerous individuals commit to inpatient treatment centers for addiction... --- ### Teen Services > Professional teen services and counseling in Miami: Empowering adolescents to navigate life's challenges confidently. Teen Services by R&A Therapeutic Partners. - Published: 2024-01-08 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/teen-services/ Teen Services: Counseling in Miami, FL R&A Therapeutic Partners in Miami, Florida, offers specialized teen counseling services tailored to help adolescents navigate challenges such as substance use disorders and mental health struggles like anxiety and depression. Recognizing that each teenager is unique, their approach is personalized, combining evidence-based therapeutic techniques like Cognitive Behavioral Therapy (CBT) and family therapy to foster lasting change. Their programs emphasize mental health services for teens, creating a safe and supportive environment where young people feel heard and valued. With a strong commitment to community outreach and education, R&A Therapeutic Partners is a trusted name in teen mental health counseling in Miami. They empower adolescents and their families to build brighter futures by focusing on healing, resilience, and growth. Transforming Young Lives in South Florida In the heart of Florida, R&A Therapeutic Partners stands as a beacon of hope for families grappling with the complexities of substance use disorders and mental health challenges. Our team at R&A Therapeutic Partners specializes in teen counseling and we understand the challenges teens are facing as well as how to support their families. We offer a compassionate, holistic approach to therapy uniquely tailored to meet the needs of adolescents in the South Florida region and clients from across the nation and worldwide. Understanding the Teenage Journey Adolescence is a critical time of growth and self-discovery, often marked by emotional turbulence and vulnerability. In Miami, a city known for its picturesque landscapes and vibrant culture, many teens face unique pressures that can lead to substance misuse and mental health issues. R&A Therapeutic Partners recognizes these challenges and provides specialized counseling services to guide teens and their families toward healing and resilience. Our Approach to Teen Counseling in Miami At R&A Therapeutic Partners, we take pride in providing personalized, compassionate care for teens in Miami. Every teenager is unique, and so is their journey toward mental health and well-being. Our experienced therapists tailor their approach to each individual, utilizing evidence-based methods like Cognitive-Behavioral Therapy (CBT), Family Systems Therapy, Motivational Interviewing, and Mindfulness Practices. These techniques empower teens to understand and overcome challenges, fostering resilience and long-term growth. Family Involvement: A Cornerstone of Effective Teen Therapy We recognize that the family plays a vital role in a teenager's recovery journey. That’s why our teen counseling services in Miami integrate family therapy sessions as a key component. These sessions provide a platform for family members to: Understand addiction and mental health dynamics that may impact their teen. Enhance communication skills to foster better relationships. Develop conflict resolution strategies for navigating challenges together. Create a supportive home environment that promotes healing. By actively involving families, we help establish a strong foundation for sustained mental health improvements. Addressing Complex Challenges with Comprehensive Care Today’s teens face a myriad of pressures, from academic stress and peer pressure to the growing influence of social media and identity struggles. At R&A Therapeutic Partners, we take a holistic approach to address the wide range of mental health and behavioral issues... --- ### Outpatient Rehab in Miami, FL > Therapeutic Partners offers addiction and mental health treatment in Miami. We support your journey to recovery with dedicated care and evidence-based therapies. - Published: 2022-07-07 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/outpatient-services/ Outpatient Mental Health Services R&A Therapeutic Partners understands not everyone’s needs and goals for treatment are the same. We provide customized outpatient treatment programs that are individualized and tailored to your needs. We use a variety of evidence-based therapeutic approaches, ensuring that the treatment not only addresses your immediate concerns but also promotes overall mental and emotional well-being. Additionally, we offer ongoing support and resources, recognizing that healing and personal growth are continuous processes that extend beyond the confines of our sessions. We will work with you to establish a plan that helps you achieve your goals based on your needs and circumstances. We aim to help you develop a plan that is transferable to real life and available to you for the long term. Individualized Treatment Plans The customized treatment plans we create for you allow for personalization, convenience, and flexibility—a concierge outpatient treatment experience. We believe in a collaborative approach, so we include other treatment providers and families whenever possible. In our efforts to provide comprehensive care, we also focus on incorporating holistic methods that address physical, emotional, and spiritual well-being, recognizing that recovery encompasses all aspects of life. We stay up-to-date with the latest advancements in mental health and addiction treatment, ensuring that you have access to the most effective strategies and tools. Furthermore, we understand the importance of building a strong support network, so we facilitate connections with peer support groups and community resources to enhance your recovery journey and ensure lasting success. We always advocate for you and your best interest, and we use our decades of experience working with individuals and families suffering from complex mental health and substance use issues to help you create a customized recovery treatment program that will meet your needs and expectations. We aim to set you up for success now and in the future. Mental Health Care & Addiction Treatment Our programs focus on recovery from behavioral health and mental health disorders like depression, anxiety, bipolar disorder, and PTSD, as well as substance abuse treatment. You do not need to have a problem with substances for us to work with you. Our approach is not only about treating symptoms but also about empowering you with skills and strategies for long-term wellness and resilience. Our rehabilitation center offers a range of therapeutic modalities, including individual therapy, group sessions, and holistic practices like mindfulness and stress management techniques, tailored to your unique circumstances. Additionally, our team emphasizes the importance of aftercare planning, providing you with resources and support to maintain your progress and manage challenges post-treatment, ensuring a sustainable path to recovery. We start with an evaluation of your needs first at our treatment facility. This ideally includes understanding what your needs and goals for treatment are, as well as understanding how your family, friends, and others who care about you can support you in your treatment process. We believe including those who care about you and want you to get better will almost always set you up for a... --- ### Mental Health Delray Beach > The team at R&A is bringing our full host of therapies to the community of Delray Beach and surrounding areas. - Published: 2021-05-21 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/mental-health-delray-beach/ Delray Beach Interventions and Treatment Consulting If you are feeling overwhelmed by life’s difficulties, help is here. The team at R&A is bringing our full host of therapies to the community of Delray Beach and surrounding areas. We can help you get back on track through expert counseling, therapeutic consulting, and intervention services. 786-452-7352 What We Offer Intervention Services When a person’s risk-taking behavior and substance abuse reach a breaking point, it’s time to stage an intervention. You don’t have to take on that burden by yourself. Trained therapists Raymond Estefania and Ana Moreno help families to break through a loved one’s denial and arrange placement in an appropriate treatment program tailored to their mental, physical, and spiritual needs. Therapeutic Placement When a family member is in distress, it’s difficult to know which centers are credible, what programming will work best for your loved one, and how long they should go. Ray and Ana match troubled teens and young adults with residential treatment programs, wilderness retreats, and therapeutic boarding schools that will fit their specific needs. Family Counseling & Parenting Support Trying to be the perfect parent is exhausting. Whether you’re navigating the challenges of infancy or helping your teen to manage the storms of adolescence, you’re probably in need of support. R&A provides insight into family dynamics, effective communication strategies, and assistance in addressing behavioral health issues. Concierge Crisis and Case Management Often, family members are the ones who have to manage a loved one in distress. If someone in your family is in recovery from a mental illness or substance use disorder, R&A can provide concierge-level case management services to lighten the load. Substance Abuse and Mental Health Evaluations Individuals with co-occurring mental health diagnoses and substance use disorders face unique challenges. Through clinical assessments, our team identifies areas of concern and provides a clear path to health and recovery for yourself or a loved one. Aftercare Planning R&A Therapeutic Partners can play a strategic role in aftercare planning and support at any stage of the treatment process, providing guidance, monitoring, and support to ensure compliance with each individual’s plan. We offer these services in Miami, Delray Beach, and beyond. Recovery Coaching & Monitoring Each year, thousands of people enter inpatient treatment centers to recover from addiction. After treatment has concluded, they may protect their progress through R&A’s Delray Beach recovery monitoring and coaching services. Reinforce healthy habits and stay on the right path with our assistance. Meet R&A Ray Estefania and Ana Moreno have more than 40 years of combined experience in working with individuals and families suffering from complex substance use disorders and mental illnesses. Through our new location, we hope to provide hope and healing to families throughout South Florida. Our mission is to provide honest, ethical, compassionate support to those who are struggling and who need help to address their challenges. New Delray Beach Location Serving the Following Communities Delray Beach | Boca Raton | Boynton Beach | West Palm Beach --- ### Intake Form - Published: 2021-02-19 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/form/ Intake Form If you are a patient with an appointment with Ray or Ana for an evaluation or consultation, please complete our intake paperwork here. If you have questions, please try to complete as much as you can and we can discuss further during our session. Also, please specify who your appointment is with and if it is for an evaluation for yourself or your child or if it is an intervention/therapeutic placement consultation. Thank you and we look forward to working with you! --- ### Telehealth + Online Therapy > Discover the best telehealth and online therapy that Miami, Florida offers with R&A Therapeutic Partners and get help for you or a loved one today. - Published: 2020-04-20 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/miami-online-therapy/ Online Therapy Miami Prioritizing emotional health has become increasingly critical as we navigate through periods of uncertainty and change. Recognizing the importance of mental well-being, the need for accessible and effective support systems is more apparent than ever. Online therapy services, particularly in Miami, have emerged as a vital resource for individuals seeking assistance in managing symptoms of anxiety, depression, and other mental health challenges. As we adapt to new routines and face various stresses, it's essential to find ways to cultivate hope and resilience. Online therapy offers a convenient and flexible solution, allowing individuals to receive professional guidance and support without the need for physical presence. R&A has long been a proponent of virtual telehealth sessions, providing online therapy and consultation services to clients far and wide. In response to the growing need for mental health support, we have expanded our online therapy offerings to make them accessible to all, ensuring that anyone can benefit from our expertise regardless of their location. Embrace the opportunity to thrive during these times by leveraging the power of online therapy. Whether you're dealing with anxiety, depression, or any other mental health concern, our virtual sessions are designed to provide you with the tools and strategies needed to navigate life's challenges effectively. Join us in taking a step towards improved mental health and well-being by exploring the convenience and impact of online therapy in Miami. Navigating Relationship Dynamics In our daily lives, the balance of spending time with loved ones and experiencing natural separations due to work or school plays a crucial role in maintaining healthy relationships. These separations allow us to cherish our moments together more, sharing stories and offering support after a day apart. However, recent shifts in our living situations have led to an increase in constant togetherness for many families and couples. This newfound proximity, while offering unique opportunities for bonding, also brings to light challenges that can test the strength of even the most robust relationships. From resurfacing issues to the need for establishing new boundaries, managing these dynamics requires careful navigation. Our team of professional therapists offers a supportive pathway through confidential online therapy sessions. These virtual consultations provide a private space for individuals and couples to explore and address any tensions or challenges that have arisen from being in close quarters. By turning to telehealth services, you can find the guidance and strategies needed to enhance your relationship dynamics during these times of extended togetherness. Enhancing Well-being for Individuals and Families In recent times, many of us have faced significant changes in our daily lives, leading to increased feelings of anxiety, depression, loneliness, and despair among individuals and families. Such periods of heightened stress can exacerbate mental health issues and may result in coping mechanisms that are not only unhealthy but potentially self-destructive. The temptation to turn to substances like alcohol for temporary relief can, over time, compound the challenges we face. The strain on family dynamics and relationships during these times cannot be understated. It... --- ### Involuntary Commitment - Marchman Act > For over twenty years, Florida’s Marchman Act has provided families with a legal path to ensure that their loved ones enter treatment for addiction. - Published: 2019-10-09 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/using-florida-marchman-act/ Using Florida’s Marchman Act How to Marchman Act Someone For over twenty years, Florida’s Marchman Act has provided families with a legal path to ensure that their loved ones enter addiction treatment. This landmark legislation has become key to recovery for many people across the state, offering a beacon of hope for those struggling with substance abuse and their families. The Marchman Act is a crucial tool in the battle against addiction, allowing for involuntary commitment under certain conditions to facilitate the recovery process. Understanding the Marchman Act is essential for anyone seeking to navigate the complexities of addiction treatment in Florida. The process of how to Marchman Act someone involves several critical steps, starting with the filing of a petition in the court by a family member, guardian, or three individuals with direct knowledge of the person's substance abuse. This legal measure is designed to ensure that individuals who are unable to recognize their need for treatment can still receive the help they require. The Act mandates a court hearing, where evidence of substance abuse and the need for treatment is presented. If the court finds the evidence compelling, it can order the individual into a treatment program, even against their will. This involuntary commitment is not taken lightly, underscoring the importance of the Marchman Act as a last resort for families who have exhausted all other options. The process respects the individual's rights while prioritizing their health and safety, aiming to guide them toward a path of recovery and wellness. For families in Florida, understanding how to navigate the Marchman Act can be the first step toward recovery for their loved ones. The Marchman Act emphasizes the need for comprehensive treatment plans, including detoxification, rehabilitation, and aftercare, ensuring a holistic approach to recovery. The act supports not just the physical aspect of addiction recovery but also addresses mental health, offering a more rounded approach to treatment. By leveraging the Marchman Act, families can play a pivotal role in the recovery journey of their loved ones, providing them with the necessary support and intervention to overcome addiction. In conclusion, the Marchman Act serves as a vital lifeline for individuals grappling with severe substance abuse issues, offering a structured path toward recovery. It symbolizes a collective effort to combat the scourge of addiction, reflecting society’s commitment to supporting individuals in their most vulnerable moments. For those looking to understand more about how to Marchman Act someone, it’s important to consult with legal and medical professionals to ensure the process is conducted with the utmost care and respect for all involved. As we continue to fight against addiction, the Marchman Act remains a testament to the power of legal intervention in saving lives and restoring hope to many families across Florida. How Does the Marchman Act Work? The Hal S. Marchman Alcohol and Other Drug Services Act of 1993, referred to in brief as the Marchman Act, was the first law of its kind in the country. After developing an understanding... --- ### Blog > Stay Up to date with the latest trends and techniques in substance use disorder treatment on the Therapeutic Partners blog. - Published: 2019-09-11 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/ --- ### Educational Consultants in Miami, FL > Our therapeutic educational consultants help guide families towards informed decisions, providing expert insights and personalized strategies for academic success. - Published: 2019-04-18 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/educational-consultants/ Find a therapeutic consultant; educational consulting in Miami. Addiction and mental illness are disorders that impact the entire family. At R&A Therapeutic Partners, trained therapists Raymond Estefania and Ana Moreno help families navigate through highly emotional situations that represent some of the most challenging times in life for themselves and their loved ones. We use our compassionate approach to offer educational and therapeutic consulting, specializing in family care, case management, adolescent and young adult interventions and addiction rehabilitation for young people. When deciding on addiction or mental health therapy, rehab and treatment, it’s vital for family members to be well-informed about all their options for addressing their family member’s problems. Counselors can help you and your family in a variety of ways, from overseeing family therapy sessions to helping you locate a suitable facility. As referring professionals, we are key stakeholders in the selection, placement and ongoing treatment of family members. We have become highly familiar with a variety of facilities throughout the country so we can partner with your family and serve as a resource and advocate for your needs, both while your loved one is going through treatment and beyond. The Role of a Therapeutic Consultant An education consultant specializing in substance abuse and mental health plays a critical role in shaping the approach to understanding and addressing these complex issues within educational settings. This professional leverages a deep knowledge of psychological principles, substance abuse disorders, and mental health challenges to develop and implement comprehensive educational programs. Their work often involves training educators, school counselors, and administrative staff on how to recognize signs of substance abuse and mental health problems among students, and how to effectively intervene and provide support. Additionally, they may collaborate with community organizations and healthcare providers to create a network of resources, ensuring a holistic approach to student wellness. By fostering a supportive and informed environment, an education consultant for substance abuse and mental health empowers schools to become safe havens where students can thrive both academically and personally. Therapeutic consultants like Raymond Estefania and Ana Moreno can help you and your family get the most out of rehabilitation placement because we help smooth the occasional rough patches in the recovery process. We leverage our expertise to support you as you navigate the journey and help you find solutions that work best for yourself and for those you care about most. We recognize deciding on the right recovery program can be a challenge. That’s why we work with numerous treatment centers nationwide to provide you with a variety of viable options so you don’t have to face the difficult decision alone. We believe open, honest communication is key to success on this journey. We are independent consultants so that means we never receive any compensation from programs or schools. This allows us to remain objective so that we can recommend the best resources to set your loved one up for success! We have established relationships with many programs across the country but we work... --- ### Intervention Services in Miami, Florida > Intervention services in Miami to help guide families through challenging times. Help support your loved ones on their path to healing and recovery. - Published: 2019-04-18 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/intervention-services/ Does your loved one need help? Sometimes, an individual's risk-taking behavior reaches a point when their safety should have a family drug or mental health intervention that leads to their placement in a residential treatment center, wilderness program, or therapeutic boarding school. At R&A Therapeutic Partners, trained therapists Raymond Estefania and Ana Moreno help families evaluate programs and choose the best fit for their loved ones based on their unique needs, using our extensive knowledge and experience working with a wide range of programs nationwide. We spend about one week of every six weeks traveling the country and ensuring we understand which therapeutic resources are available to help individuals and families. A professionally managed intervention is a critical resource for individuals worried about the well-being and prospects of someone close to them. Facing challenges such as substance misuse and mental health issues can create a barrier of denial that is difficult to penetrate. An intervention, whether focused on drug abuse or mental health issues, is essential for overcoming this denial and steering your loved one toward a personalized recovery path that can save their life. In times of crisis, emergency services' immediate response and support are vital in safeguarding the individual's health and safety. The involvement of medical services ensures that the person receives the necessary care and treatment, addressing any physical health issues that may accompany or result from substance misuse or mental health problems. Violence, often a consequence of unresolved mental health and substance use issues, necessitates a coordinated effort between law enforcement and mental health professionals to manage the situation effectively and minimize harm. Early intervention services play a crucial role in identifying and addressing issues before they escalate into more severe problems, offering support and resources to prevent the cycle of crisis and violence. These services and emergency and medical support form a comprehensive network that aids in the recovery process, highlighting the importance of a timely and coordinated approach in handling such complex situations. Why Choose an Intervention? When someone you love is engaged in the self-destructive cycle of drugs and alcohol, they are jeopardizing your entire family dynamic. Though TV shows and movies portray interventions as a confrontational process, a carefully orchestrated intervention removes the drama from the equation. It helps family members communicate their support to the addicted person, guiding them to the appropriate treatment solution. The goal of an intervention is to help the person suffering from a substance use disorder or mental illness see how their behavior is affecting them and the people who are most important to them, which often will motivate them to seek help. During the meeting, the individual’s family and friends express how the thindividual’s behaviors and actions are impacting them and the people that care about them. This serves to break through the denial and assist the person to gain insight into the severity of their illness and see how their substance use and mental health challenges are interfering with their relationships and overall functioning in... --- ### Psychotherapy in Miami > During psychotherapy, an experienced psychotherapist will guide you through personalized counseling sessions in a comfortable, supportive environment. - Published: 2019-04-18 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/psychotherapy-miami/ Get Psychotherapy to Gain Control of Your Life The roots of addiction and mental health are complex and involve multiple factors, including emotions, behaviors, and the environment. Psychotherapy helps you understand the role all these things play in your life, and how they might lead to self-destructive behavior. The goal of addiction and mental health counseling is to teach you how to understand what leads to your pattern of self-destructive behaviors and how to develop healthy coping skills. During therapy, an experienced addiction counselor and psychotherapist will guide you through personalized counseling sessions in a comfortable, supportive environment that equips you to cope with life’s challenges in a more constructive way. Here are some of the situations we can help you address in therapy. Managing stressful life situations: Some events, such as an illness or death in the family, loss of a job, or a breakup or divorce, may create anxiety or depression and lead you to dull your emotions with drugs or alcohol. As trained psychotherapists, Ray Estefania and Ana Moreno can help you learn to process these situations and deal with their implications constructively. Coping with past trauma: Many life events are traumatic, including being the victim or perpetrator of violence or assault. Counseling will teach you how to handle the ongoing impact of trauma in your life. Self-care: People with mental health issues often do not know how to take good care of themselves. A therapist can help you identify this and develop better patterns of self-care. One example is for people who have poor sleeping habits. Therapy can help you resolve this so you are better prepared to handle the rigors of an addiction recovery program. Teen counseling: Teenagers are under a variety of academic, social, and family pressures that can make their lives very stressful. When teens reach a point where they cannot effectively handle these stressors, their grades may suffer and they might start engaging in dangerous behavior. At this point, concerned parents may decide to seek therapy. We offer counseling for teens who are abusing substances or engaging in other self-destructive behaviors and may be at risk of developing a more serious problem. Individual Therapy in Miami Individual therapy at R&A Therapeutic Partners focuses on providing personalized and compassionate care to support clients in navigating their unique challenges and achieving personal growth. The therapeutic process is designed to offer a safe and confidential environment where individuals can explore their thoughts, feelings, and behaviors with the guidance of experienced professionals. By utilizing evidence-based approaches tailored to each client's needs, the therapy aims to foster self-awareness, enhance coping strategies, and promote emotional healing. Whether addressing mental health issues, relationship problems, life transitions, or personal development goals, R&A Therapeutic Partners is committed to helping individuals understand themselves better and make meaningful changes in their lives. The approach at R&A Therapeutic Partners emphasizes the importance of the therapeutic relationship as a foundation for effective treatment. Therapists work collaboratively with clients to set realistic and achievable goals, encouraging... --- ### Educational Workshops > Educational Workshops are a powerful tool to get loved ones involved in the recovery process and motivate someone to pursue long-term sobriety. - Published: 2019-04-17 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/mental-health-substance-abuse-workshops/ Learn what to look for Substance misuse and addiction significantly alter an individual's behavior and mental state, leading to profound changes within their personal relationships. This alteration often results in heightened stress and tension among those closest to them, including friends and family members. It's important to understand that families operate as interconnected systems; thus, when the behavior of one member changes due to substance misuse, it triggers a ripple effect, impacting the dynamics and emotional health of the entire family unit. This scenario can lead to a cycle of dysfunction, where family members and friends may develop unhealthy coping mechanisms in response to their loved one's addiction. Recognizing the complex challenges faced by families dealing with substance misuse, mental health workshops offer a crucial lifeline. These workshops are designed to provide essential support, education, and coping strategies for both individuals struggling with addiction and their affected loved ones. By participating in mental health workshops, families can gain insights into the nature of addiction, learn effective communication techniques, and develop skills to rebuild healthy relationships. Moreover, these workshops offer a supportive community environment where individuals can share experiences, challenges, and successes, fostering a sense of understanding and empathy among participants. The importance of mental health workshops in assisting families affected by substance misuse cannot be overstated. They play a pivotal role in equipping everyone involved with the tools necessary to support their family member on the path to recovery while also taking care of their own mental well-being. By promoting healing, understanding, and positive change, mental health workshops are an invaluable resource for those navigating the complexities of addiction within their family dynamics. If you or someone you know is struggling with the impact of substance misuse, consider exploring mental health workshops in your area. These workshops not only provide guidance on how to effectively cope with and assist a family member in making positive changes but also offer a pathway to restoring harmony and health within family relationships. Learning and Growing as a Family No matter how emotionally tough you believe you are, no one innately has the appropriate resources to help deal with the multitude of issues that accompany a loved one’s substance misuse and mental health problems. Education is often the most powerful tool to get all loved ones involved in the recovery process and motivate someone you care about to pursue long-term sobriety. It helps everyone understand and come to terms with how the addiction has impacted them, and provides the tools they need to help their loved one heal and move on. Expanding your knowledge base provides you with a thorough appreciation of the complex disease of addiction, from its physical, mental, and spiritual effects to how to recognize the behavioral and emotional warning signs that someone you care about may be struggling with an addiction. You can also learn how to develop healthier coping strategies and how and where to set protective boundaries. Learning More About the Root of Addiction Contrary to popular belief,... --- ### Recovery Coaching & Monitoring > R&A Therapeutic Partner's recovery coaching and monitoring services are based on our 35-plus years of experience with techniques that work. - Published: 2019-04-17 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/addiction-recovery-monitoring-coaching/ Find your qualified Miami recovery coach. Every year, thousands of people enter inpatient addiction treatment centers to recover from addiction, seeking refuge in programs that offer a safe, structured environment conducive to learning and developing a new, healthy, and satisfying way of life. While these rehab programs are pivotal in the journey toward recovery, they also present a unique set of challenges. However, the most difficult period often arises in the first 90 to 180 days after leaving the structured safety of treatment. This transition phase back into the "real world" can be daunting; returning to the same familiar environment that once fueled your addiction can be highly triggering, and the everyday stressors outside of the rehab setting can seem overwhelming, posing significant threats to the fragile state of newfound sobriety. This critical juncture is where the role of a professional recovery coach and monitoring becomes indispensable. Tailored recovery coaching strategies are crucial for navigating the complexities of life post-rehab, offering continuous support and guidance. By integrating recovery coaching into your post-treatment plan, you benefit from personalized support that helps you maintain sobriety while adapting to life's challenges without falling back into old habits. Recovery coaches work closely with individuals to identify potential triggers in their environment and develop coping strategies that fortify their resilience against the pressures that threaten sobriety. Moreover, a dedicated recovery coach acts as a beacon of hope and a constant reminder of the strength and progress achieved, reinforcing the commitment to a sober, healthier lifestyle. Incorporating recovery coaching into the post-treatment phase not only provides a safety net during the most vulnerable times but also enhances the individual's ability to thrive in their new life, free from addiction. The support extends beyond mere avoidance of substance use; it encompasses guidance towards a fulfilling life, marked by improved personal relationships, career success, and overall well-being. Thus, the integration of recovery coaching services is a vital step in ensuring that the transition from inpatient treatment to everyday life is not only manageable but also leads to lasting recovery and happiness. Guidance and Encouragement Recovery monitoring helps clients in early recovery navigate through all the pitfalls that may await. Our recovery coaches, Raymond Estefania and Ana Moreno, provide a bridge between the safe and secure world of inpatient treatment to the real world where old temptations are right around the corner, ready to jeopardize your hard-earned recovery. We work with you to help you create new habits and behaviors that support and reinforce a healthy lifestyle. We can also connect you with the local recovery community to find the resources you need to support your new sober life. When facilitated and supervised by professionals who understand the recovery process, monitoring is an insurance policy for success in mental health management and addiction rehabilitation. People with addictions and mental health issues need structure and accountability to prevent a relapse, and monitoring ensures both. Through organized contact with clients, we can recognize red flags and provide the needed services to... --- ### Aftercare Planning > Aftercare is the next phase of addiction and mental health rehabilitation, which reinforces the strides you made during the treatment process. - Published: 2019-04-17 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/aftercare-planning/ Take the next step in the recovery journey. Aftercare planning is crucial for maintaining sobriety and mental wellness post-addiction treatment, as it prepares individuals for the potential challenges they may face outside the controlled environment of a treatment center. It encompasses a range of supportive strategies, including continued therapy, support groups, and sometimes, sober living arrangements, to ensure a smooth transition. Engaging in regular follow-up appointments and individual therapy sessions is essential for monitoring progress and addressing any emerging issues before they escalate. Participation in support groups such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) offers a sense of community and accountability, which are vital for long-term recovery. Aftercare programs may also include educational workshops on stress management, relapse prevention techniques, and healthy coping mechanisms to empower individuals to handle life's pressures without reverting to substance use. Establishing a solid aftercare plan can significantly reduce the risk of relapse, highlighting its importance in the recovery journey. Customized aftercare planning, tailored to meet the unique needs of each individual, plays a pivotal role in promoting sustained recovery and a healthier lifestyle. Ultimately, aftercare is not just a phase of recovery but a lifelong process of growth, learning, and adaptation to maintain wellness and relapse prevention. What Is Aftercare? Aftercare is the next phase of addiction and mental health rehabilitation, which reinforces the strides you made during the treatment program and the healthy coping mechanisms you discovered on the way. A substantial body of research has found a significant decrease in the rates of relapse among those who take advantage of aftercare services. These can include sober living facilities, family therapy, follow-up individual therapy, follow-up group therapy, counseling, medical evaluations, alumni support groups, or an outside support group; like Alcoholics Anonymous or Narcotics Anonymous. Aftercare is a broad term that encompasses any type of ongoing or follow-up treatment that occurs after the initial completion of a treatment program. Regardless of the setting, treatment provider, or methods you choose, the overarching goals of addiction and mental health aftercare programs remain the same: To maintain lifelong addiction recovery from substance abuse To identify and employ strategies for relapse prevention To achieve a life filled with rewarding relationships and a sense of purpose To learn to effectively manage your mental health issues To lead a happier, healthier, and more productive life To gain independence and learn the life skills necessary to move forward in life One reason continuing treatment for substance abuse is so important for recovering individuals is that long-term substance use can, in some cases, change brain function at the chemical level. Some of these changes do not instantly reverse once use ends; they can often last long after you have successfully walked away from your addiction and stopped using drugs or alcohol for good. Also, in some cases mental health disorders are life-long illnesses you will need to learn how to manage over time like any other chronic medical condition. Several key psychological changes accompany the physical impact of addiction –... --- ### Therapeutic Placement Services > R&A Therapeutic Partners has amassed years of experience understanding a variety of different therapeutic options for individuals and families. - Published: 2019-04-17 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/therapeutic-placement-services/ Your Miami-area addiction and behavioral health experts. At R&A Therapeutic Partners, we understand that nothing is more important to you than your family. When a family member is suffering from a substance use disorder or is struggling with a mental health issue such as depression, anxiety, bipolar disorder, or PTSD, it can be an incredibly stressful and heartbreaking time. You may not know where to turn, how to navigate the system, or how to get them the help they need to recover. As therapeutic consultants, with years of expertise in placement services, Ray Estefania and Ana Moreno specialize in identifying the most effective therapeutic options for individuals and families. Our comprehensive approach includes regular visits to various programs nationwide, allowing us to curate a list of top-tier placement services. This hands-on experience with resources across the country enables us to connect teens and adults with the right support and assistance, addressing their unique challenges. Our goal is to provide individuals with the best opportunities to succeed and move forward in life through customized placement services. What Is a Therapeutic Consultant? Therapeutic placement consultants like Raymond Estefania and Ana Moreno match troubled teens and young adults with residential treatment centers, wilderness programs, and therapeutic boarding schools that will best fit their specific clinical, therapeutic, and educational needs. Our clients include children, adolescents, and young adults who have difficulties with substance use, anxiety, depression, suicidal thoughts, behavioral problems, psychiatric disorders, eating disorders and, learning challenges, and anger management issues. After reviewing and assessing all medical, psychiatric, and academic records, our role involves not just recommending a program, but also finding the best fit for your loved one so they can have the most successful outcome in treatment. Placement options include the following. Detoxification programs: Detox helps manage painful or unpleasant withdrawal symptoms as an addicted person rids their body and mind of drugs and alcohol before moving on to the next phase of rehab. Outdoor/wilderness programs: Wilderness therapy programs are designed to teach teens and young adults healthy coping skills by separating them from distractions such as entertainment and social media. Residential treatment centers: Adolescents and young adults who require a high level of support and monitoring of their behavior often benefit from the structured environment of a residential treatment center. Therapeutic boarding schools: Our years of travels to visit and evaluate hundreds of programs have equipped us with the expertise to recommend the one that will help your teen flourish. Medical inpatient/psychiatric assessment and stabilization programs: This level of treatment is for people in crisis who require an intensive level of care not often available in an outpatient setting. Supportive living programs: Supportive living is for individuals who have progressed enough in their recovery that they no longer require the structure of residential treatment, but still need medical monitoring and help maintaining their sobriety. Collegiate recovery programs: Drinking and drug use often define many students’ social lives in college. This permissive environment and a lack of parental supervision can lead to... --- ### Substance Abuse and Mental Health Evaluation > A substance abuse and mental health evaluation can identify areas that require treatment and can help develop a treatment plan based on specific needs. - Published: 2019-04-17 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/substance-abuse-mental-health-evaluation/ The best chance of recovery begins here. When an individual faces the complex challenge of a dual diagnosis, involving both substance abuse and a mental health disorder, it becomes imperative to seek a comprehensive mental health evaluation. This crucial step is the gateway to accessing specialized behavioral health services that are tailored to address the intertwined nature of substance abuse and mental health issues. These conditions can profoundly impact every aspect of a person’s life, from physical health to emotional well-being, straining relationships and hindering one’s ability to navigate daily tasks effectively. For those grappling with the compounded difficulties of co-occurring disorders, the feeling of being overwhelmed and controlled by their conditions is all too common. Such challenges can be incapacitating, plunging individuals into a state of isolation, vulnerability, and despair. The escalation of substance use to dangerous levels often marks a critical point, pushing individuals towards behaviors that pose significant risks to themselves and others. It underscores the urgent need for professional psychological testing and a psychological evaluation, which are pivotal in diagnosing and understanding the full scope of the issues at hand. Access to quality mental health services and mental health care offers a lifeline to those caught in the grip of such complex disorders, paving the way for recovery and the reclaiming of control over their lives. Engaging with outpatient treatment options, including psychological evaluations and targeted mental health care, can facilitate a journey toward healing and stability. Individuals and their loved ones need to prioritize finding behavioral health services that offer specialized support for dual diagnoses, ensuring a holistic approach to overcoming the challenges posed by substance abuse and mental health disorders. When a person reaches this point and requires assistance – as mandated by the court, by choice, or via an intervention – they may submit to a substance misuse and mental health evaluation conducted by a qualified mental health professional and addiction specialist. This assessment is a tool used to help determine the extent of a person’s substance misuse, depression, anxiety, bipolar disorder, anger and defiance, eating disorders, oppositional defiance, self-esteem issues, borderline personality disorder, suicidal ideation, psychosis, process addictions like gambling, sex and video games and other mental health disorders. The Purpose of a Substance Abuse and Mental Health Evaluation A comprehensive substance abuse and mental health evaluation aims to identify areas that may require further assessment by other professional disciplines and to develop a recommended treatment plan based on specific needs and diagnostic information. An evaluation does these things: Determines if the individual has an addiction to drugs or alcohol. Assesses the extent of the substance use or addiction. Ascertains if there are any co-occurring conditions, such as any physical or mental health concerns, or any additional drug use. Assesses the extent to which the substance use is harming the person’s life. Creates a complete understanding of the person and their circumstances, which establishes a baseline. This helps to build a treatment plan that is best suited for their needs and recovery.... --- ### Crisis Management in Miami, Florida > R&A Therapeutic Partners offers individualized, ongoing case management and family crisis support based on your specific needs. - Published: 2019-04-17 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/crisis-management-team/ Tailored Crisis and Case Management According to Your Needs We recognize every family situation has unique complexities and requires a customized solution. That’s why R&A Therapeutic Partners offers individualized, ongoing case management and clinical case planning based on your specific needs, including co-occurring medical, social, mental health, and substance abuse challenges. We offer comprehensive crisis management services in Miami, offering unparalleled expertise in crisis intervention and emergency management. We are adept at crafting tailored crisis communication strategies, ensuring that our clients are prepared to handle any situation with confidence and resilience. With a strong emphasis on crisis planning, we empower individuals and organizations to navigate the complexities of crisis situations effectively. Whether it's providing immediate support during a crisis or developing robust emergency management plans, R&A Therapeutic Partners is your trusted partner in crisis management in Miami, dedicated to fostering stability and recovery in challenging times. Often, people who struggle with mental or behavioral health issues and substance misuse do not have a case manager outside of their family. In situations where these family members lack the resources, skills, knowledge, and experience to serve effectively in this role, they may struggle to keep up with all the responsibilities, and it may become a heavy burden without the proper support. The benefit of a professional concierge-level crisis and case management team is that we can help people get the clinical and psychosocial support they need to stay healthy and become contributing members of society. What We Provide Raymond Estefania and Ana Moreno, our trained therapists, help clients access the services needed to meet their mental health needs, achieve lasting recovery, and live independently in their communities. We have more than 35 years of combined experience and can adapt our approaches as necessary to provide the highest level of clinical and ethical care for our clients. We work closely with each individual to create a comprehensive, personalized, and holistic treatment plan, based on our assessment of your functioning, individual needs, and strengths. The plan may include both short-range and long-range goals, depending on your unique health, wellness, and safety concerns and the time it is going to take to effectively address your issues. Raymond Estefania and Ana Moreno can coordinate services with other providers to help each client achieve specific, measurable, and realistic goals within their individualized treatment plan. Services include: Referrals to medical, psychiatric, vocational/educational, social and benefit services as needed Coordination and ongoing monitoring of services among trained professionals Crisis prevention, and stabilization Behavioral/mental health management Stress management and developing healthy coping skills Assistance with finding and maintaining supportive housing Support to solve everyday life problems Measuring success in any case management program involves keeping track of indicators such as increased ability to function in a variety of situations. We will keep detailed notes on your progress as you work to become a more independent person. Your Trusted Advocates We improve your quality of life with our concierge-level crisis and case management, which is available to you after hours and... --- ### Family Therapy in Miami > R&A Therapeutic Partner's family counseling services use a strength-based approach to improve coping skills and change unhealthy family dynamics. - Published: 2019-04-17 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/family-counseling-miami/ Family Counseling and Parenting Support Many parents find themselves in need of support in the challenging process of raising a child. The pressure of trying to live up to an ideal of parenting can add up to a significant burden, and no family is happy and healthy 100% of the time. At R&A Therapeutic Partners, Raymond Estefania and Ana Moreno understand these struggles and will offer their insights and support to bring balance to your life. At R&A Therapeutic Partners in Miami, our comprehensive approach to healing encompasses family counseling, family therapy, and parent counseling, each tailored to strengthen the family system and enhance the family unit's overall well-being. We a team of a marriage family therapist and a mental health counselor work collaboratively to address the complexities of family life, focusing on improving family dynamics through evidence-based strategies. Whether it's navigating the challenges of parenting, resolving conflicts within the family, or fostering deeper connections among family member or members, our services are designed to promote harmony and resilience within the family structure. By prioritizing the health of the family system, R&A Therapeutic Partners aims to empower families to thrive together, ensuring a supportive and nurturing environment for every family member. All Families Need Help Sometimes Whether you are facing the physical and emotional challenges of being a new parent, managing internal conflicts, or sailing the sometimes stormy seas of adolescence, there are many reasons all parents need a strong support system to help them succeed. The stresses of modern life can bring about a variety of crises that can cause even the most resilient families to get off track. Our Miami family therapists, Raymond Estefania, and Ana Moreno, provide our expert consultation to assist you in helping you and your children through special circumstances, developmental stages, or family disruptions. As trained therapists, we can help you identify any stumbling blocks in your family dynamic and ways to be more responsive to your child’s needs and personality. You may also wish to explore your parenting style to hone your problem-solving abilities, decrease conflict, and better understand your experiences alongside your child’s. Raymond Estefania and Ana Moreno can offer tools and strategies to help you better understand, communicate, and connect with your child, teen, or adult family member. Whatever the issue at hand, we can identify and work on solving it together in a supportive, compassionate, and encouraging manner. How to Tell If You Need Family Therapy Deciding to seek family therapy is a significant decision. While it may initially feel as if you are admitting defeat, there is no reason to be ashamed to admit you can’t take on everything by yourself. Think of family counseling as a way to bolster your relationships with each other. You can learn new ways to communicate, solve problems, and relate to one another. If you live in the Miami area and your family is experiencing one or more of these challenges, it may be time to consider reaching out to R&A Therapeutic Partners.... --- ### About R&A Therapeutic Partners > R&A Therapeutic Partners offers top-rated addiction treatment in Miami and Delray Beach. We deliver compassionate care and personalized solutions to help you or a loved one overcome addiction and regain a healthier, happier life. - Published: 2019-04-03 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/about-addiction-mental-health-treatment/ Mr. Ray Estefania is currently a psychotherapist, therapeutic/educational consultant and interventionist at R&A Therapeutic Partners in Miami, FL. His previous role was Co-Founder and Executive Director of Family Recovery Specialists, an outpatient treatment program and therapeutic consulting practice, which he sold in July of 2018. He has been treating addiction and mental health issues for over 25 years and was formerly Director of South Miami Hospital's Adolescent Addiction Treatment Program. He has worked extensively with adolescents, adults and the family members who have been impacted by substance use disorders and mental illness. Ray works locally, nationally and internationally and will travel to help a family or individual. Mr. Estefania earned his undergraduate degree in Psychology from the University of Florida and his graduate degree in Mental Health Counseling from Nova Southeastern University. He is a Licensed Mental Health Counselor, Certified Addiction Professional in the state of Florida and a Certified Intervention Professional. In addition, he has received extensive training and supervision at the University of Miami's Center for Treatment Research on Adolescent Drug Abuse (CTRADA). Over the span of his career, Mr. Estefania has also been very involved in the prevention of substance use in children. He has organized and implemented numerous substance use prevention programs in both public and private schools in the Washington D. C. and South Florida regions. He has been a consultant to numerous independent schools to address the issue of student alcohol and substance misuse. He has coached thousands of parents on ways to prevent substance use in children. Mr. Estefania is a frequent speaker to schools, parent groups and community organizations and has been a guest on both radio and television programs on various topics including prevention, parenting, addiction and recovery. In addition, he served previously on the Board of Directors for Informed Families, The Florida Family Partnership and currently serves on the board and as the treasurer of the Therapeutic Consulting Association (TCA). Ray is also an individual member of The National Association of Therapeutic Schools and Programs (NATSAP) and a professional member of the Network of Independent Interventionists (NII). Call nowSend a textEmailAna Moreno is a psychotherapist, addiction specialist, therapeutic consultant, interventionist and educator at R&A Therapeutic Partners in Miami, FL. Ana was Co-Founder and Clinical Director of Family Recovery Specialists, an intensive outpatient treatment program and consulting practice, which sold in 2018. Ana has been working in the mental health field for over 20 years and began her career at South Miami Hospital’s Addiction Treatment Center, where she worked as a primary therapist and ultimately as supervisor of the adolescent program. Ana has specific expertise working with multicultural families both locally and internationally. She has traveled extensively nationally and abroad providing education to other professionals on many topics related to addiction and recovery. Ms. Moreno is fluent in Spanish and enjoys utilizing her own multicultural background and upbringing to help guide families through the treatment and recovery process. She often provides consulting services and performs interventions in both English and Spanish... --- ### Contact us > Contact R&A Therapeutic Partners for more information regarding our expert counseling, therapeutic consulting and intervention services. - Published: 2019-04-03 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/contact/ No one is meant to face substance abuse or mental illness alone. To begin healing yourself, a loved one or your family, you can find comfort in Raymond Estefania and Ana Moreno's 35+ years of combined experience and compassionate support. Whether you’re in the South Florida area, somewhere else in the U. S. or out of the country, you can count on us to make healing possible with our expert counseling, therapeutic consulting and intervention services. Click here to fill out our patient intake form. 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 --- ### Home > R&A Therapeutic Partners provides expert substance abuse and mental health counseling, therapeutic consulting and intervention services in Miami, Florida. - Published: 2019-04-01 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/ If life’s difficulties have become overwhelming to you and your family, let us help you get back on track. We make healing possible with our expert counseling, therapeutic consulting and intervention services. If life’s difficulties have become overwhelming to you and your family, let us help you get back on track. We make healing possible with our expert counseling, therapeutic consulting and intervention services. Licensed Experienced honest ethical Addiction & Mental Health Treatment Services in Miami, FL Ray Estefania and Ana Moreno have nearly 50 years of combined experience in working with individuals and families suffering from complex substance misuse disorders and mental illness. R&A Therapeutic Partners serves families throughout the South Florida area, as well as nationally and internationally. Our mission is to provide honest, ethical, compassionate, concierge-level support to families who are struggling with these issues and need help to address their challenges. Customized Outpatient Programs Interventions Therapeutic Consulting Specialized Services --- --- ## Posts ### The Complex Relationship Between Autism and Substance Use Disorder > Discover the complex relationship between autism and substance use disorders, risk factors, and how integrated care approaches can better support this overlooked population.RetryClaude can make mistakes. Please double-check responses. - Published: 2025-05-12 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/the-relationship-between-autism-and-sud/ Autism Spectrum Disorder (ASD), or simply Autism, is a lifelong developmental condition that impacts how a person communicates, interacts with others, and learns.  It's characterized by challenges in social communication and interaction, as well as restricted, repetitive behaviors, interests, or activities.  Autism is a spectrum condition, meaning it affects individuals differently and to varying degrees.  While it’s a common assumption that people on the autism spectrum are less likely to drink or take drugs, recent research reveals a more nuanced and concerning reality – ASD may increase the risk of developing substance use disorders under certain circumstances. We must understand how autism and addiction overlap to improve diagnostic criteria and treatment approaches for this often-overlooked segment of the population.   Challenging the Stereotype There is an outdated perception that characteristics like risk aversion, strict rule-following and a general preference for social isolation shield people with ASD from substance abuse problems. However, these persistent stereotypes fail to account for the diversity of the autism spectrum. Recent studies have found that autistic people – especially those without intellectual disabilities – may use substances at rates comparable to or even higher than their neurotypical peers. Also, it has been our experience at R&A that teens and young adults that are on the autism spectrum can progress very quickly from experimentation to addiction once introduced to powerful, mood-altering substances. Marijuana seems to be a favorite drug of choice for young people in general including teens and young adults that are autistic. We know the marijuana of today is a very potent form of the drug with many different ways to ingest it and often young people on the spectrum can be misinformed, naïve or just unaware of the dangers of this drug and the potential for dependency.   As autism rates increase due to increased awareness and improved diagnostic criteria, researchers have discovered that this community faces multiple unique challenges that may make them more likely to use drugs and alcohol. Variables such as a lack of emotional awareness, heightened sensory sensitivities and co-occurring mental health conditions can contribute to substance use as a coping mechanism in this population.   Risk Factors Several overlapping risk factors help explain why people on the autism spectrum might be vulnerable to substance use disorders (SUD’s). Self-medication: Many autistic people experience co-occurring conditions such as anxiety, depression, ADHD or sensory processing issues. Drugs and alcohol could appear to be an approachable way to manage these challenges if you are a teen or young adult looking for relief from some of these symptoms. Social camouflaging: Many autistic people, especially those diagnosed later in life, have likely masked or downplayed behaviors like stimming for many years to fit in. Alcohol or drugs often become tools to reduce social anxiety or make social interactions feel more comfortable. Late diagnosis and lack of support: A delayed or missed diagnosis can lead to years of misunderstanding. People who do not receive the appropriate help or whose loved ones dismiss their struggles may use substances... --- ### Observing Mental Health Awareness Month > Discover practical ways to prioritize mental well-being during Mental Health Awareness Month. Learn self-care techniques, first aid strategies, and how R&A Therapeutic Partners can help. - Published: 2025-05-06 - Modified: 2025-05-06 - URL: https://therapeutic-partners.com/blog/observing-mental-health-awareness-month/ Mental health is an essential facet of your well-being, yet misconceptions and stigma often prevent people from getting the care they need. Every year, one in five Americans experiences a mental illness, and in 2023, 20% of high school students seriously considered suicide. Despite the widespread impact of conditions like anxiety, depression and PTSD, societal shame can make it difficult for many to ask for help.   Mental Health Awareness Month, held in May, is a critical chance to inspire honest discussions. Established in 1949 and symbolized by a green ribbon, this annual observance reminds us that mental illnesses are not failings or shortcomings – they are legitimate health conditions that deserve compassionate attention.   Practical Ways to Prioritize Your Mental Well-Being While professional help is invaluable, you can adopt everyday habits to improve your mental health.   Stay active: Regular exercise boosts your mood, manages stress and improves your cognitive abilities. Even a short walk or quick series of stretches can make a difference. Eat a balanced diet: Whole, nutrient-rich foods fuel your body, while overly processed snacks will weigh you down and make you feel sluggish. Get enough sleep: Rest is essential for emotional regulation and cognitive function. Stick to a consistent sleep routine to feel refreshed and recharged. Avoid substances: Relying on alcohol and drugs for relaxation or relief will ultimately worsen your mental health. Reduce or eliminate these substances for clearer thinking and improved emotional stability. Don’t self-isolate: Staying connected with family, friends or support groups can build a robust foundation of encouragement. Mental Health First Aid and Self-Care Strategies Mental health first aid involves recognizing and responding to signs of emotional distress or crises in yourself or others. Just as traditional first aid addresses physical emergencies, mental health first aid equips people with the knowledge and tools to step in during difficult moments. Whether you comfort a friend experiencing anxiety, identify signs of depression or encourage your loved one to talk to a therapist, your quick action can make a lasting difference. Self-care is another proactive approach to prioritizing your emotional resilience and preventing burnout. Try incorporating strategies like these into your daily life. Mindful relaxation: Activities like meditation, journaling or deep breathing promote calm. Healthy boundaries: Protect your time, energy and inner peace by saying no to unnecessary stressors. For example, declining extra work when you already have a full schedule prevents chronic stress and overload. Physical wellness: Give yourself the exercise, sleep and balanced nutrition you need to thrive. Therapy: Ask a trained professional to provide valuable advice about healthy coping strategies. The Power of Intentional, Kindhearted Acts Practicing mental health first aid and demonstrating self-care shows compassion for yourself and those around you. Small, thoughtful actions can profoundly impact your mental wellness, encouraging openness and healing. Mental health and physical health are equally vital, and anyone can make a significant impact. Whether you’re managing your well-being or encouraging someone else, nobody should grapple with these issues alone. Let this Mental Health Month... --- ### April Is Alcohol Awareness Month > Discover how alcohol affects your body and brain, the progression of alcoholism as a disease, and resources for building a healthier, alcohol-free future. - Published: 2025-04-14 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/april-is-alcohol-awareness-month/ Alcohol is a legal and socially acceptable substance, widely consumed in everyday life. Unfortunately, its prevalence has led to the misconception that it is safe. Alcohol is an addictive drug linked to numerous illnesses and deaths worldwide. If you regularly drink alcohol, you should be aware of how it can impact your physical and mental health – and the progression of alcoholism as a disease. Understanding How Alcohol Affects Your Body and Brain Though it may seem harmless in moderation, regular alcohol use has cumulative effects, which often go unnoticed until severe health complications arise. Alcohol’s effects extend to nearly every organ, often causing long-term harm. Brain: Chronic alcohol use can damage your brain’s structure and function, leading to cognitive decline and increased dementia risk. Severe cases can result in Wernicke-Korsakoff syndrome, a neurological condition caused by vitamin B1 deficiency. Liver: Your liver bears the brunt of processing alcohol. However, there is a limit to how much it can eliminate. Over time, heavy consumption can lead to fatty liver disease, hepatitis or cirrhosis – severe and potentially life-threatening conditions. Heart: Excessive drinking raises the risk of high blood pressure, irregular heartbeats and cardiomyopathy, weakening your heart’s ability to pump blood. Digestive system: Alcohol irritates your stomach lining and makes you more likely to develop ulcers, pancreatitis and gastrointestinal cancer. Earlier this year, U. S. Surgeon General Vivek Murthy issued a warning about the link between alcohol use and cancer. Alcoholism – America’s Silent Public Health Crisis Alcoholism is a chronic brain disease, not a moral or psychological failing. It is also one of our nation’s most pressing public health issues. Millions of Americans struggle every year – yet only a fraction seek treatment. Alcohol use disorder is a progressive illness that develops in stages. Problem drinkers may drink in harmful ways or amounts but can modify their habits when given the appropriate information and motivation. In this stage, you might experience isolated consequences, like getting a DUI, without being dependent. Heavy drinkers consistently consume large quantities, often through binge drinking or high-intensity drinking. This pattern can harm your health and create a foundation for addiction. Alcoholic use disorder manifests in physical and psychological addiction, where the urge to drink overrides your self-control despite adverse consequences. Withdrawal symptoms, increased tolerance, and an inability to stop drinking despite a desire to quit characterize this stage. How Alcohol Alters Your Brain By understanding how alcohol use progresses from tolerance to full-fledged dependence, you can start appreciating why addiction is a physical condition as much as a behavioral one. Alcohol essentially hijacks the brain’s reward and pleasure system by releasing a flood of dopamine. This neurotransmitter creates feelings of euphoria and satisfaction, which reinforces a drinking habit. Over time, routine alcohol consumption will disrupt your natural balance of brain chemicals, making it hard to derive happiness from any other source. As your alcohol dependence grows, your brain will reduce its natural dopamine production and sensitivity to compensate for the artificially high levels caused by... --- ### The Risks of Self-Diagnosis in the Digital Age > Discover the risks of mental health self-diagnosis through social media trends and why professional therapists provide the expert guidance you need for proper treatment. - Published: 2025-04-03 - Modified: 2025-04-03 - URL: https://therapeutic-partners.com/blog/risks-of-self-diagnosis/ TikTok has become a popular platform for sharing experiences and sparking conversations about mental health. While these discussions can reduce stigma and encourage awareness, they also bring risks, particularly when they veer into the realm of self-diagnosis. The “Undiagnosis” trend highlights the dangers of relying solely on online content for understanding mental health. It’s OK to Start Researching Online Reputable online resources can be a valuable starting point when researching conditions you suspect you or a loved one might have. For example, you can use tools like the ones available from the National Alliance on Mental Illness and SAMHSA if you are curious about: Exploring potential symptoms before contacting a professional Learning healthy coping mechanisms for dealing with stress or anxiety Understanding what therapy or specific treatments can entail Connecting with others who have had similar experiences However, you should always take what you learn online with a grain of salt, realizing that online information has limits and should never replace personalized, expert guidance. The Dangers of Self-Diagnosis Receiving an accurate diagnosis of a mental health condition requires working with a clinician who accounts for multiple factors, including your family history, current circumstances, and how your symptoms affect your well-being. TikTok trends usually oversimplify this process, mistakenly convincing people they have “trendy” diagnoses.   A lack of comprehensive mental health awareness further compounds this problem. Trusting a social media influencer to shape your understanding may ultimately complicate the issue by encouraging you to make incorrect assumptions.   Confusing overlapping symptoms (e. g. , autism vs. anxiety) Overlooking underlying medical or psychological causes that may contribute to various symptoms Delaying proper treatment from a qualified professional Instead of viewing TikTok and other platforms as a substitute for working with a specialist, you should use your initial research to lay the groundwork for a conversation with a therapist or doctor who can provide a thorough evaluation. The Value of Experienced Guidance vs. Online Trends Though TikTok may be a fun place to get recipe inspirations or book recommendations, qualified therapists like Ray Estefania and Ana Moreno offer advantages online trends cannot match. Extensive knowledge: Years of training equip therapists to recognize complex patterns and accurately diagnose concerns. Personalized advice and encouragement: Everyone is unique. A professional counselor will tailor their guidance to your specific situation. Accountability and industry standards: Therapists adhere to strict ethical guidelines, ensuring the information you discuss in your treatment sessions remains confidential. Holistic information: They consider the broader picture – your physical health, lifestyle and emotional history – to craft effective solutions. Ability to work with complex conditions: Mental health disorders like depression, borderline personality disorder, PTSD and dual diagnoses require a nuanced approach that goes far beyond a brief social media post. From Online Trends to Real Solutions While TikTok and other platforms have made conversations about mental wellness more accessible, they will never replace the meaningful and lasting progress you can make when you partner with a licensed therapist.   There’s no harm in starting with... --- ### 5 Strategies for Planning a Successful Intervention > Planning a successful intervention requires considering the people you’ll include in the process and the things you’ll say to your loved one. - Published: 2025-02-19 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/planning-successful-intervention/ For many people who have a loved one struggling with addiction, an intervention is the best tool available to help that person understand the importance of seeking treatment. These conversations aren’t easy, and if you’re considering having one with a friend or family member, you likely already understand how delicate this period is for everyone involved. Planning a successful intervention requires considering the people you’ll include in the process, the setting in which it will occur, and the things you’ll say to your loved one.   Though no two people will respond similarly to a given intervention strategy, concerned family members should remember a few key things. Most importantly, the focus of the intervention is your loved one. The goal is to get them help. It’s essential not to take anything they say or do personally. The more you focus on the goal and the well-being of your loved one, the more effective your strategy will be. R&A Therapeutic Partners has helped many families plan successful interventions. If you want guidance from trained, experienced therapists and addiction professionals, consider contacting Raymond Estefania and Ana Moreno. As any interventionist can tell you, a poorly executed intervention can have disastrous consequences. However, when done properly with the assistance of a professional, an intervention can be the most potent way to encourage your loved one to seek treatment. Preparation is vital when planning an intervention. Here are five strategies that will help you along the way... Pick the Right Team for a Successful Intervention One of the most critical steps in planning a successful intervention is assembling the right team. This team should consist of individuals who genuinely care about the person struggling with addiction and hold a meaningful influence in their lives. It’s essential that your loved one feels supported and respected by the people involved. Therefore, include only those emotionally prepared for potentially challenging moments and whom your loved one trusts, respects, and values. A professional interventionist can guide choosing team members who will contribute positively to the process. Remember, having the right people present can significantly impact the success of the intervention, while someone who isn’t emotionally ready could jeopardize the entire effort. Plan What You’re Going to Say for Maximum Impact When planning a successful intervention, both your message's content and delivery matter. You aim to help your loved one understand how their behavior affects themselves and others—without making them feel blamed or attacked. A confrontational approach or personal criticism can quickly derail any progress. Instead, each participant should prepare a clear, empathetic statement. Writing and rehearsing a short letter can help you communicate with genuine care and concern. This strategy increases the chance your loved one will feel supported Choose the Right Timing: Avoid When Your Loved One Is Under the Influence Timing is everything when it comes to planning a successful intervention. It’s crucial to stage the intervention at a time when your loved one is sober. This can be challenging, especially if substance use is frequent,... --- ### Self-Care in Recovery: Fostering Compassion for Yourself > A structured routine is essential for anyone who takes their health seriously. But self-care in recovery is even more important than it is for others. - Published: 2025-01-21 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/self-care-in-recovery/ When someone fails to look after their physical and mental health, they suffer the consequences on both fronts. The scientific community increasingly learns more about how our minds and bodies are interconnected. When we eat healthier, we are less depressed. When we exercise, we elevate our mood and reduce anxiety. A structured routine that considers mental and physical well-being is essential for anyone who takes their health seriously. But self-care in Recovery is perhaps even more critical than it is for those who aren’t struggling with addiction. Healthy routines and thought patterns are critical for someone who suffers from a substance use disorder or mental health concern. Addiction treatment professionals help clients identify tools they can implement in their routines. Finding the best methods for an individual typically requires counseling and trial and error. Finding the best self-care processes that work for you will build a framework for daily living. This provides value beyond the time and effort you put into each strategy. The proper routine can dramatically improve your overall quality of life. From exercise to therapy, many resources are available to optimize your health. Let’s take a closer look at some possible tools you can use in your own life. Understanding Self-Carein Recovery The term self-care might spark a reaction from skeptics. However, it simply means prioritizing your physical and emotional health. Self-care in Recovery also emphasizes purging destructive thought patterns that prevent you from moving forward in your addiction treatment. This process involves establishing a protocol that makes your life as happy and sustainable as possible. Structure is key for those in Recovery, so self-care consists of finding the tools that consistently work best for you. Common Methods of Self-Care in Recovery You can prioritize your mental and physical health in several ways. These methods are helpful for anyone but are often essential for someone in Recovery. Creating a routine that includes all these tools gives your life structure. Standard self-care methods include... Regular exercise A healthy diet Spending time outdoors Regular, consistent sleep Meditation Maintaining a regular spiritual practice, suchas attending church or daily reflections Journaling Attending group meetings Regularly scheduled therapy sessions When you first enter Recovery, you begin trying several tools that give you a framework to build a daily routine. Some will work better than others. Everyone is different, so finding the best resources for you is essential. Once you do, stick to them and keep an open mind about what you might incorporate into your self-care routine. How to Show Yourself Compassion In addition to your daily or weekly practices, you will also want to cultivate a new way of thinking about yourself. For many people struggling with substance use disorders or mental health issues, negative thought patterns are a constant threat to the balance they strive for. Part of your self-care routine should be setting aside time to show yourself forgiveness and compassion.   Finding compassion for yourself is a process. Therapy, meditation, and journaling can be powerful tools for developing... --- ### Surgeon General Issues Warning About Alcohol and Cancer Risk  > Learn everything you need to know about Surgeon General Issues Warning About Alcohol and Cancer Risk with R&A Therapeutic Partners. - Published: 2025-01-15 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/alcohol-and-cancer-risk/ U. S. Surgeon General Dr. Vivek Murthy recently released a stark warning – alcohol consumption is the third leading preventable cause of cancer in the United States. Despite this alarming fact, only 45% of Americans know the link.   While the dangers of binge and high-intensity drinking are relatively well-publicized, even “moderate” alcohol consumption increases your risk of developing various forms of cancer, including breast, mouth, and throat cancer. It does so by damaging your DNA, altering hormone levels, increasing the absorption of carcinogens, and causing oxidative stress – an imbalance between free radicals and antioxidants. To raise awareness, Murthy suggested updating the current warning labels on alcoholic beverages to include information about the relationship between alcohol and cancer, like the warning included on cigarettes. How Can Alcohol Abstinence Benefit You? With the start of the new year, many people participate in Dry January, where they pledge to abstain from drinking for one month. However, the benefits of quitting alcohol extend far beyond 31 days. Here are some of the positive changes you might notice. Better sleep quality: It is a widespread misconception that having a nightcap before bed can help you sleep better. Alcohol disrupts sleep patterns and can also cause snoring. Enjoy more restful and restorative sleep when you cut out drinking. Clearer skin: Alcohol can dehydrate your skin and make you look older. A month or more of sobriety will lead to a clearer, more radiant complexion. Weight loss: Alcohol’s empty calories can contribute to weight gain and malnutrition, especially when paired with sugary mixers like soda or fruit juice. Abstaining from alcohol can help you shed those extra pounds. Improved liver health: Heavy, long-term drinking can cause severe liver damage. However, this organ has a remarkable ability to repair itself and improve its function. Better mental health: Alcohol can exacerbate symptoms of mental health issues such as anxiety and depression. Quitting drinking may stabilize your mood while giving you higher self-esteem and a sense of accomplishment. Cost savings: Maintaining a drinking habit can be expensive. By cutting out alcohol, you can enjoy additional financial freedom and have more disposable income to invest in healthier priorities like retirement or education. Mental clarity: Experience sharper focus and clearer thinking without the fog of alcohol clouding your judgment or frequent hangovers weighing you down. You can be more present and productive with your professional and personal responsibilities. Improved relationships: Alcohol can impair judgment and lead to conflicts, misunderstandings, and strained relationships. Being sober will make you more reliable, strengthening your bonds with family and friends. Tips for Quitting Drinking If you’re considering taking a break from alcohol, here are some tips to help you succeed. Set goals: Decide how long you want to abstain and stick to it. Seek support: Talk to friends and family about your decision. If you need additional help, consider joining a support group like Alcoholics Anonymous or SMART Recovery or working with a sobriety coach. Stay busy: Boredom is a significant relapse trigger for... --- ### Gender Differences in Teen Depression > Recent research has found that the rate of depression is increasing and that there are distinct gender differences in teen depression. - Published: 2025-01-02 - Modified: 2025-01-02 - URL: https://therapeutic-partners.com/blog/teen-depression/ The teenage years can be challenging. Between physical changes in the body, intense peer pressure, and an increased sense of social anxiety, teenagers often have difficulties finding their place. Many want to fit in, while others want to stand out, even rebel. Teen depression is also becoming an alarmingly frequent trait of those transition years. Recent research has found that the rate of depression is increasing and that there are distinct gender differences in teen depression. Transition Years The teen years are a natural transition from being a child to growing into an adult. While women of all ages tend to be more aware of their appearance than men, particularly in how others see them, most young people develop a heightened sense of socialization as they enter their teenage years. As children, their clothing choices and hairstyles were not as important to them. As teenagers, their entire social life may depend on those factors, at least in their own eyes. Increase in Depression In recent years, the rate of depression, suicidal thoughts, and suicide attempts has increased dramatically. Research shows that in the late 2010s, more adolescents experienced serious psychological distress, including major depression and suicidal thoughts, than in the mid-2000s. the rates of major depressive episodes increased by 52% from 2005 to 2017, from 8. 7% to 13. 2% of young people aged 12 to 17. Gender Differences Girls experience almost twice the rate of depression that boys do, beginning as young as age 12. One study of self-inflicted wounds leading to emergency room visits indicated a significant difference in the increased rate of suicide attempts between young males and females. Self-inflicted wounds are a strong risk factor for suicide. While the rates for teenage boys remained constant from 2001 to 2015, the number of emergency room visits for teenage girls due to self-inflicted wounds increased 8. 4% yearly between 2009 and 2015. The difference in depression rates could be attributed to the differences in the rate of physical changes between boys and girls. Puberty typically starts earlier, and hormonal changes tend to be more evident in young girls. Teenage girls are also more concerned with how others perceive them. While these gender differences explain the overall differences in depression rates, other factors may be involved in the recent increase in female teenagers. Common Triggers and Risk Factors for Teen Depression Teen depression can stem from a variety of triggers, including academic pressures, family conflict, or significant life changes such as moving or parents’ divorce. Bullying—whether online or in-person—also contributes to emotional distress. Excessive social media use can magnify these feelings by fostering unrealistic expectations and comparisons with peers. Girls, in particular, may be more susceptible to negative self-image or self-esteem issues, further heightening their risk for depression. Recognizing the Signs of Teen Depression Early recognition of teen depression symptoms is crucial for timely intervention. Some warning signs include: Persistent sadness or irritability Changes in eating or sleeping patterns Withdrawal from friends or activities once enjoyed Sudden academic decline... --- ### The Dangers of Binge Drinking and High-Intensity Drinking > The Dangers of Binge Drinking and High-Intensity Drinking. Get help today with R&A Therapeutic Partners. - Published: 2024-12-05 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/dangers-of-binge-drinking/ Experts have repeatedly sounded the alarm about binge drinking, typically defined as consuming four or five alcoholic beverages within two hours. However, researchers are increasingly shedding light on high-intensity drinking – an even more dangerous pattern of alcohol use that involves consuming eight or more drinks in a row for women and ten or more drinks in a row for men.   While media stereotypes surrounding binge drinking and high-intensity drinking make it appear that only young people engage in these habits, statistics show nearly one in eight people between ages 27 and 28 regularly consumes ten or more drinks nightly. This behavior leads to severe consequences such as blackouts, alcohol poisoning, and alcohol use disorder. What Causes High-Intensity Drinking? Several factors contribute to excessive alcohol use. One leading factor is the widespread social acceptance of alcohol to self-medicate stress, anxiety, and depression. You may use alcohol to numb emotional pain or temporarily blow off steam. However, this often leads to a dangerous cycle of dependency and increased alcohol consumption. Due to the cultural beliefs surrounding alcohol, many people view drinking as the best way to relax, have fun, and socialize. This deeply ingrained belief can lead people to develop an overreliance on alcohol to feel more confident and outgoing in social settings. As a result, the line between moderate drinking and excessive consumption can quickly blur – especially in people who are genetically predisposed to substance abuse disorders. The Problems with Binge Drinking and High-Intensity Drinking The consequences of routinely drinking to excess are potentially severe and far-reaching.   Frequent Blackouts Short-term memory loss due to heavy alcohol use can lead to risky behaviors and accidents. Blackouts occur when intoxication impairs your brain’s ability to transfer information from short-term to long-term memory. Unlike passing out, which causes a loss of consciousness, people in a blackout state remain awake and often appear sober enough to do typical activities. However, they generally have little or no recollection of their actions during this period. Blackouts can lead to risky behaviors, such as having unprotected sex, getting into physical altercations, or driving under the influence. These actions can have serious consequences, including unwanted pregnancies, sexually transmitted infections, legal issues, and accidents. Additionally, having incomplete memories can be upsetting and cause further anxiety.   Alcohol Poisoning Alcohol poisoning, sometimes a life-threatening condition, occurs when you drink more than your body can process, leading to a shutdown of critical functions like breathing, heart rate, and temperature regulation. High-intensity drinking causes your blood alcohol concentration to rise rapidly, and your risk of alcohol poisoning dramatically increases when it reaches 0. 08% or more.   Without medical attention, someone experiencing alcohol poisoning can experience extreme confusion, vomiting, seizures, slow or irregular breathing, and unconsciousness. In severe cases, this condition can result in coma or death. Alcohol Use Disorder Repeated episodes of binge drinking or high-intensity drinking can pave the way to alcohol use disorder, a chronic disease characterized by an inability to control drinking despite adverse effects.... --- ### Marijuana and Mental Health: The Psychosis Connection > R&A Therapeutic Partners offers holistic support for young people struggling with marijuana and mental health issues. Contact us for more info today. - Published: 2024-11-18 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/marijuana-and-mental-health/ The widespread legalization of marijuana has led most people to believe it’s innocuous and even beneficial. However, cannabis can still harm a young person’s developing brain and body. Notably, research indicates that marijuana use during the teen years can significantly increase the risk of developing psychosis. Since medical marijuana is legal in Florida for people managing conditions like glaucoma, cancer, and epilepsy, warnings about its potential dangers may seem excessive. However, parents of adolescents must be aware of the connection between cannabis use and early-onset psychotic disorders.   The Hidden Risks of Cannabis Use A recent study published in JAMA Psychiatry warns that cannabis users face a two to fourfold increased risk of psychosis compared to those who never use the drug. This risk is even higher for people who start using marijuana during childhood or early adolescence, leading to more severe symptoms and an increased likelihood of relapse among those who develop psychosis. Also, the risk seems to be more significant for young males and for those individuals who have a family history of mental illness.   A person having a psychotic break may experience vivid hallucinations or delusional beliefs. Hallucinations are sensory experiences that appear real but are created by your mind. They can affect all five of your senses. For example, you might hear a voice that no one else can hear or see an image that isn’t real. Delusions are fixed, false beliefs that conflict with reality. These perceptions can feel very real, and someone in the grip of first-episode psychosis may not recognize they are having a mental health crisis. Further complicating matters, young people experiencing mental illness may self-medicate their symptoms with marijuana. The link between cannabis use and psychiatric disorders is particularly robust in people with specific genetic vulnerabilities. Drug use can affect a gene variant that influences dopamine signaling in the brain, significantly increasing the risk of psychosis among daily marijuana users compared to occasional or non-users. How Marijuana Changes the Brain Marijuana’s psychoactive component, tetrahydrocannabinol, interacts with the body’s endocannabinoid system to create a euphoric high. When someone smokes cannabis, THC travels from their lungs through their bloodstream to their brain, influencing their mood, motivation, and perception of reality. Frequent use can disrupt sleep and impair learning, memory, judgment, and coordination. The younger someone starts using marijuana, the more vulnerable they are to these adverse effects. Today’s high-potency marijuana strains are especially concerning. Dispensaries, specialty shops, and cannabis delivery services offer various high-THC products like edibles, vapes, and waxes, all of which can quickly end up in teenagers’ hands. Many current strains of marijuana have a THC concentration well above 10% or even 15%, and certain vaping products have levels above 90%, increasing the odds that heavy users will develop psychosis. Some of these products, like edibles and vapes, have little to no smell, so they can be used without calling attention to parents, schools, etc. , increasing the ability for young people to use these substances without detection, making it... --- ### Failure to Launch: Understanding the Phenomenon and Its Impact on Families > Every family can benefit from setting realistic expectations and admitting when it’s time to seek professional guidance for failure to launch. Call Today. - Published: 2024-10-16 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/understanding-failure-to-launch/ The term “failure to launch” has made headlines in recent years, describing young people who struggle to take on adult responsibilities, secure gainful employment, and transition into independent life. This situation is increasingly prevalent in American households, raising questions about its root causes and repercussions on families. Why Does Failure to Launch Occur? Multiple variables contribute to this phenomenon. Economic conditions play a substantial role – rising living costs, student loan debt, and a highly competitive job market make it harder for young adults to gain financial independence. Additionally, societal expectations have shifted, with many young people opting to delay adult milestones like marriage and homeownership compared to previous generations. The COVID-19 pandemic has significantly exacerbated failure to launch. Children coming of age during the past five years have grown amid unprecedented uncertainty and turbulence. The disruption to conventional life objectives has made the transition to independent living even more challenging, further entrenching young adults’ dependency on their parents. Psychological factors are also at play. Conditions like anxiety, depression, substance use disorders, and ADHD can impede young adults’ motivation and willingness to take on new challenges. The pressure to succeed and the fear of failure can paralyze, leading to avoidance behaviors. Furthermore, overprotective parenting can inadvertently discourage your child from seeking independence by teaching them to rely on you for everything. Warning Signs of Failure to Launch Recognizing these red flags of failure to launch may help you intervene early. Lack of motivation: A persistent disinterest in pursuing education, employment, or other responsibilities. Prolonged dependency: Counting on parents for financial support, housing, and day-to-day decision-making well beyond the typical age of independence. Social withdrawal: Shunning public interactions and becoming isolated. Avoiding challenges: Consistently dodging situations that require extra effort or responsibility. Low self-esteem: Exhibiting signs of low self-worth, such as frequent negative self-talk and fear of inadequacy. The Impact on Families The repercussions of failure to launch extend beyond the young adult to affect the entire family. As a parent, you may feel various emotions, from frustration and disappointment to guilt and helplessness. The financial strain of supporting an adult child can also significantly impact your household budget and retirement plans. Family dynamics may become strained, with increased conflicts and tensions arising from unmet expectations and differing views on independence. Siblings may also feel the impact by experiencing a shift in family focus or feeling pressured to achieve what their brother or sister has not. Mental Health Implications The mental health implications of failure to launch are profound. For young adults, prolonged dependency can exacerbate feelings of inadequacy, anxiety, and depression. They may grapple with their identity and dignity, leading to further withdrawal from societal roles and responsibilities. Of course, parents are not immune to mental health challenges. The stress of emotionally and financially supporting an adult child can lead to burnout, anxiety, and depressive symptoms. Constantly worrying about your child’s future can chip away at your well-being. How Parenting Styles May Contribute Your parenting style can be partly responsible for failure to launch. Overprotective or overly involved parents can hinder their children’s development... --- ### Combating Gaming Disorder in Teens > Video games are an engaging, immersive hobby for millions. For some, video game use has become problematic. Get help for gaming disorder in teens. - Published: 2024-10-08 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/combating-gaming-disorder-in-teens/ Video games are an engaging, immersive hobby for millions of people worldwide. They often involve complex storylines, captivating graphics, and interactive gameplay that can transport players into a different world.   Game designers build achievements encouraging people to keep playing, such as achievements to unlock and puzzles to solve. These trigger the brain’s reward system, leading to the release of a feel-good neurotransmitter called dopamine. This positive reinforcement can create a sense of accomplishment and pleasure. Additionally, the ability to play video games anytime, anywhere, across multiple devices can make them hard to resist.   For some people – especially younger players – the combination of these factors sometimes leads to gaming disorder, a habit that interferes with their daily responsibilities, relationships, and well-being. Warning Signs of Gaming Disorder Several factors separate a harmless hobby from a behavioral health problem. Constantly thinking about gaming, even when not playing. Neglecting family, friends, and previously enjoyable activities in favor of spending more time playing video games. Withdrawal symptoms like irritability, restlessness, or mood swings when unable to play video games. Using video games as a coping mechanism to mute negative feelings or avoid dealing with complex emotions. Spending increasing amounts of time and money on video games, even when they adversely affect well-being or conflict with obligations at school, work, or home. Hiding the amount of time spent gaming or downplaying its impact. How to Help Your Child Overcome a Video Game Habit Don’t lose hope if you spot these red flags of gaming disorder in your child. An evidence-based approach called cognitive behavioral therapy has shown some promise for breaking maladaptive habits. Therapists who specialize in this technique work with their clients to identify and challenge negative thought patterns and beliefs related to gaming, replacing them with healthy strategies.   Mindfulness techniques like meditation and breathing exercises are another way to overcome the compulsion to play video games. Developing a mindfulness practice allows people to become more aware and present, making it an excellent way to cultivate self-control. As a parent, you can teach your children how to use technology more responsibly by setting consistent rules and limits around video games. For example, limiting screen time and creating tech-free zones in your home can help your children develop healthier habits. Reduce their reliance on gaming and promote a more balanced lifestyle by finding alternative activities for your child, like playing sports or joining an extracurricular club at school.   Teen Mental Health Counseling You can find professional help by being vigilant for signs of a gaming disorder and knowing when your child’s video game use has become problematic. R&A Therapeutic Partners offers counseling services for adolescents and their families. We combine a personalized approach and a supportive environment to guide our young clients toward healthier, more resilient futures. Our experienced therapists use proven techniques to empower teens, including cognitive behavioral therapy, family systems therapy, motivational interviewing, and mindfulness practices. Adolescence can be a challenging time, so we provide a non-judgmental space where... --- ### Gambling Addiction Increases Alarmingly Among Younger People > The allure of gambling has intensified nationwide. Learn everything you need to know about gambling addiction among younger people with R&A Therapeutics. - Published: 2024-09-05 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/gambling-addiction-among-younger-people/ The allure of gambling has intensified nationwide, with Americans wagering nearly $120 billion on sports betting in 2023 – a stark reflection of a growing concern that disproportionately affects many young people. The National Council on Problem Gambling estimates that approximately 2. 5 million adults in the U. S. are severely addicted to gambling, and another 4 to 6 million people have mild to moderate gambling problems. This number will likely only increase as more platforms become available and more people are exposed to online gambling.   How Did the Crisis Develop? Federal law prohibited sports betting as recently as six years ago. Now, 38 states and the District of Columbia have legalized gambling on sports, leading to an explosion in sports books and aggressive advertising campaigns that are nearly impossible to ignore.   One study showed that NBA and NHL viewers see an average of nearly three gambling-related ads per minute. The constant bombardment makes it challenging for young people to avoid when they sit down to watch their favorite teams play. Commercials often entice new users to download their apps by misleadingly promising “risk-free” bets and simple wagers. However, this phrasing glosses over the fact that all gambling is inherently risky, particularly for teens and young adults.   The industry’s lack of regulation has also contributed to the gambling crisis, particularly among digital natives. Despite its vast reach, this industry is not subject to federal regulation, and there is no federal funding earmarked explicitly for gambling research. In the absence of stringent oversight, the problem continues growing unchecked, often at the expense of vulnerable people. The Dangerous Allure of Online Gambling The ease and accessibility of online betting through mobile apps have exacerbated the issue of problem gambling, particularly among young men. People can quickly wager with a few taps on a phone screen, from home or on the go. Attracted by this convenience, many users are sucked in, soon to develop a severe and costly habit that can lead to addiction. It has become quite normal for college-age students to get together on Saturdays and Sundays to watch their favorite football teams play while betting on these games. Online gambling provides anonymity and privacy, removing the social inhibitions that might otherwise discourage excessive risk-taking in a physical setting. The ability to wager large amounts without traveling to a casino or bookmaker has lowered the barriers to entry and made it easier for people to gamble impulsively and compulsively. Anytime you increase accessibility to a potentially addictive substance or behavior, you increase its potential to lead to addiction in some of its users. Gambling has become so easy, accessible, and acceptable, especially among high school and college-age students, that it is leading to a potential tsunami of young people who are going to develop serious problems in their lives as a result of gambling. The Mechanism Behind Gambling Addiction Gambling can alter the brain’s reward and pleasure system by releasing a flood of dopamine, a very powerful neurotransmitter... --- ### Separating Facts From Fiction – What Parents Should Know About College-Age Drug Use > As university campuses nationwide welcome new and returning students for the fall semester, here's what Parents Should Know About College-Age Drug Use - Published: 2024-08-30 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/college-age-drug-use/ As university campuses nationwide welcome new and returning students for the fall semester, it’s natural for parents of college-aged children to have concerns about the possibility of drug experimentation. Media coverage sensationalizes the issue, leaving many parents unsure of what to believe. Understanding the facts about student drug use on college campuses is essential to addressing concerns and protecting your child’s well-being. By staying informed about common drugs used in college and recognising the signs of drug abuse, parents can provide the necessary support to help their children make safe and healthy choices during this critical time. Myth: My child knows better than to use drugs.   Fact: College brings unique stressors. On top of their coursework, your student may have extra responsibilities like a full-time job, sports or other extracurricular activities. The newfound independence is thrilling for young people attending college in a different city or state but adds unaccustomed challenges. Many high-achieving students start using drugs to cope with the pressure they may be feeling from being away from home and dealing with rigorous academic demands.   For example, so-called “study drugs” like Adderall and Ritalin are easily available on many college campuses. Students may take these medications to sharpen their focus and help them meet the demands of a heavy course load. Because study drugs are stimulants, they can help keep someone awake so they can pull all-night study sessions. However, using prescriptions without a doctor’s guidance is dangerous and illegal and can cause health problems such as addiction, irregular heartbeat, insomnia, headaches, digestive problems, anxiety, mood swings, and high blood pressure. Many kids become dependent on these stimulant medications and then find they have difficulty studying or just functioning without them. Myth: Only students at schools with “party cultures” use drugs in college. Fact: Not every student who takes drugs is chasing a high. Some of them need help relaxing or sleeping, which may lead to them buying cannabis or Xanax. Regularly check in with your child about how they feel and ask whether they have experienced challenges like anxiety or insomnia. The truth is all college campuses have drugs and alcohol available so there really is not a place where your college student will not have the opportunity or be exposed to drugs and alcohol.   Myth: If my child’s friends use drugs, they will too. Fact: Peer pressure can be challenging, but it doesn’t automatically lead to drug use. Many factors influence a student’s decision to try various substances. Building a robust relationship with your child through honest conversations is one way to help them resist temptation. Many kids do experiment with alcohol and substances in college, and some will develop a serious problem as a result, but most will be able to maintain a casual relationship with substances while meeting their academic requirements and overall having a successful college experience. Myth: As a parent, I will be able to tell if my children start using drugs. Fact: Signs of drug use aren’t always obvious.... --- ### New Study Highlights Disconnect Between Teens and Parents > A new study suggests a disconnect between teens and their parents. Learn all you need to know with R&A Therapeutic Partners today. - Published: 2024-08-05 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/disconnect-between-teens-and-parents/ Adolescence is a period of significant physical, cognitive, and social-emotional changes. Teens without parental approval and encouragement during this crucial time may struggle to develop healthy coping mechanisms and self-regulation skills.   Lacking the resources to manage stress and peer pressure can also make children more vulnerable to mental health challenges like depression, anxiety, or substance abuse. The consequences can be long-lasting, potentially preventing them from forming meaningful relationships and achieving their academic or career goals. While all parents see themselves as their children’s champions, there may be a vast difference between your opinion and reality. Recent research published by the Centers for Disease Control and Prevention identified a significant gap between the support parents believe they provide and what their teens perceive. While 76. 9% of parents surveyed said they were always there for their teens, only 27. 5% of children between the ages of 12 and 17 reported feeling like that was the case. 5 Ways to Be More Present for Your Child  Addressing their children’s unique needs can equip parents with the tools to thrive. However, adolescents are not always forthcoming about asking for help. How can you stay involved in your child’s life while giving them the privacy and autonomy they need to grow, learn, and develop independence? When your teen shares a problem, actively listen without judgment or interruption. Allow them to express their feelings or frustrations without immediately trying to solve the problem. Ask open-ended questions encouraging your teen to elaborate, such as “What happened at school today? ” or “What’s been on your mind lately? ” Regular check-ins, even brief ones, can keep the lines of communication open. Teenagers need plenty of independence. Respect their boundaries while maintaining open communication. Encourage them to make decisions and take on more responsibility while making yourself available for advice and guidance. Make time for one-on-one activities you both enjoy, like going for a walk or cooking dinner. This quality time can strengthen your bond without feeling forced. Take time to learn about your teen’s hobbies or special interests. Demonstrating your enthusiasm is a nonverbal way to show you care about the person your child is becoming. Recognizing When Your Teenager Needs Professional Help Here are some signs that your teen may have emotional or behavioral issues. Noticing persistent changes or patterns and seeking counseling early is crucial for getting your child the needed assistance. Significant shifts in mood, behavior, or academic performance Withdrawing from hobbies, friends, and extracurricular activities Risky behaviors like substance abuse, self-harm, or reckless driving Persistent feelings of sadness, anxiety, low self-esteem, or hopelessness Frequent irritability or angry outbursts Changes in sleeping or eating habits Bullying, aggression, or other antisocial behaviors Teen Counseling Services in Miami Ultimately, identity and self-worth are vital for managing stress, solving problems, and making informed decisions. However, the absence of family support can stunt a child’s social and emotional growth, making it harder for them to develop the life skills necessary to thrive in adulthood. Patience, respect, and... --- ### The Relationship Between Anosognosia and Schizophrenia > Understand the relationship between Anosognosia and Schizophrenia. Learn everything you need to know and get the help you or a loved one may need today. - Published: 2024-06-19 - Modified: 2025-05-13 - URL: https://therapeutic-partners.com/blog/anosognosia-and-schizophrenia/ Research suggests up to 60% of people with schizophrenia also have anosognosia – a condition in which a person lacks awareness or insight into their illness or disability. Unfortunately, an inability to accurately perceive and interpret the experience of having a severe mental illness prevents many people from seeking or maintaining treatment. This lack of awareness can lead to non-compliance with medication, exacerbating symptoms and increasing the likelihood of hospitalization. Early intervention and targeted therapeutic strategies are essential in helping individuals with schizophrenia and anosognosia manage their condition effectively. Characteristics of Anosognosia The ability to understand and address anosognosia is critical for psychiatrists, therapists, and other mental health professionals to provide effective care for people with schizophrenia and other severe mental illness. Failure to recognize psychosis symptoms like delusions or hallucinations can be a significant challenge, preventing someone from asking for help or adhering to a medication regimen.   Since anosognosia prevents people from acknowledging they have a mental illness that causes cognitive impairment, they might insist there is nothing wrong with them and refuse to accept the reality of their condition. Even though a person may routinely believe irrational, unproven things or see, hear, and feel things that are not there, they may still downplay or deny the presence of psychosis or other symptoms. While anosognosia, psychosis, and schizophrenia can vary in severity, most people with these conditions lack the self-perception and insight to accept the need for significant support. They may be oblivious to the impact on their thoughts, behaviors, relationships, and daily function and unable to really understand their condition and why treatment is so important.   Addressing anosognosia requires a multifaceted approach that includes psychoeducation, therapeutic interventions, and family support. Educating patients and their families about the nature of anosognosia and its impact on treatment adherence can help create a supportive environment that encourages compliance. Additionally, compassionate communication techniques can foster trust and cooperation, making it easier to engage patients in their treatment plans and improve their overall prognosis. What Causes Anosognosia? Researchers have not pinpointed a specific cause of anosognosia, but professionals believe several factors can contribute to its development. Neurological: Damage or dysfunction in specific brain regions, such as the parietal lobe, can impair your ability to acknowledge your deficits. Likewise, disruptions in the neural circuits involved in self-awareness and reality monitoring can lead to anosognosia. Cognitive: Some degenerative conditions that impair memory, attention, and executive function can distort processing, making it difficult to perceive and integrate information about your well-being accurately. Psychological: Denial or defense mechanisms can also play a role, as you may subconsciously reject or minimize the reality of their illness to cope with the distress it causes. How Do Professionals Diagnose and Treat Anosognosia? A qualified health professional who has already diagnosed you with schizophrenia, psychosis, bipolar disorder, or other serious mental illness has reasons to screen for co-occurring anosognosia. Their evaluation may involve clinical interviews to evaluate your perception and attitudes about your symptoms and mental well-being. A thorough... --- ### Should There Be a Legal Age Limit for Social Media? > Though social media can help people stay in touch and find a sense of connection, there are also many downsides of this technology. - Published: 2024-06-19 - Modified: 2024-06-19 - URL: https://therapeutic-partners.com/blog/social-media-age-restrictions/ In today's digital age, social media platforms have become ubiquitous, weaving their intricate web into the very fabric of our daily lives. These platforms serve as arenas for connection, expression, and information exchange, profoundly shaping our social interactions and access to knowledge. However, as much as social media offers unprecedented connectivity, it also presents unique challenges, particularly for its youngest users. This raises a critical question: should there be a legal age limit for social media usage? The debate around imposing age restrictions on social media use is complex and multifaceted. On one hand, social media can enhance learning, foster relationships, and support mental health by providing platforms for expression and community building. On the other hand, a growing body of research suggests that early exposure to social media can lead to various adverse effects, including mental health issues such as anxiety and depression, distortion in self-image, and susceptibility to cyberbullying. As we navigate this debate, it is crucial to consider the broad implications of setting a legal age threshold. Such a decision must balance the protection of young individuals from potential harm with the preservation of their rights to information and social interaction. This article explores the myriad dimensions of this debate, drawing on recent studies, expert opinions, and real-world examples to provide a comprehensive overview of whether a legal age limit for social media is a necessity in our increasingly connected world. The Current Landscape Social media is no longer a novelty but a central element of daily life, especially for the younger generations. Currently, most social media platforms set the minimum age for creating an account at 13, based on the Children's Online Privacy Protection Act (COPPA), which governs the online collection of personal information from children under this age in the United States. Despite these regulations, the reality is that many children under 13 find ways to bypass these age restrictions with relative ease, often with the consent or even assistance of their parents. Statistical Overview Research indicates a staggering level of engagement with social media among teens. According to a Pew Research Center survey, about 95% of teens in the U. S. have access to a smartphone, and a similar percentage are active on at least one social media platform. This widespread access raises questions about the efficacy of current age limits and the exposure of young individuals to digital environments that they may not be equipped to navigate safely. Regulatory Responses In response to growing concerns, several policymakers and child development experts have proposed raising the minimum age requirement for social media use. Such proposals are backed by data suggesting that early and unrestricted social media use can lead to several developmental and mental health challenges. For example, Surgeon General Dr. Vivek Murthy has advocated for more stringent age limits to protect younger audiences from the "skewed and distorted environment" that these platforms can create. Global Variations Internationally, the approach to social media age restrictions varies significantly. In the European Union, the General Data... --- ### 10 Ways to Observe Mental Health Awareness Month > May is mental health awareness month. Here are 10 ways you can observe or get the help you or a loved one may need today. Contact R&A Therapeutic Partners. - Published: 2024-05-10 - Modified: 2024-05-10 - URL: https://therapeutic-partners.com/blog/10-ways-to-observe-mental-health-awareness-month/ May is Mental Health Awareness Month. This nationwide observation, recognized annually since 1949, is an excellent opportunity to increase awareness, reduce stigma, prioritize your well-being, and advocate for loved ones living with mental health disorders. Here are ten simple ideas for getting involved and making a difference throughout the month. 1. Educate Yourself  Take time to learn about the prevalence of mental health conditions like depression, anxiety, PTSD, and bipolar disorder and how widespread their impact can be on people’s lives.   Attending mental health webinars, reading books or articles, listening to podcasts, and watching documentaries can broaden your understanding of mental health issues so you can begin doing your part to end the stigma around these issues. 2. Start Conversations  Initiate open and honest dialogue about mental health to increase awareness among your family and friends. Share your experiences, listen to others without judging them, and encourage compassionate discussions around mental health topics. 3. Support Mental Health Organizations  Donate to mental health charities, volunteer, or raise funds to support worthy causes that provide valuable services, advocacy, and resources to those in need. 4. Practice Self-Care  Prioritize your mental well-being by promoting relaxation, stress reduction, and emotional balance: practice mindfulness, meditation, exercise, or creative hobbies to nurture your mental health. You can avoid burnout by setting aside a day dedicated to managing your stress, disconnecting from work responsibilities, and focusing on self-care. 5. Speak up for Change  Use your voice to advocate for mental health awareness, access to quality mental health care, and policies that support mental wellness. Contact your representatives, participate in advocacy campaigns, and do your part to spotlight initiatives that prioritize mental health. 6. Seek Support  There is no shame in asking for help with your mental well-being. Finding a therapist or support group for your specific concerns will give you a valuable outlet in times of stress. Individual or group therapy is a stigma-free space where you can feel validated and find a listening ear. 7. Promote Positivity  Share uplifting messages about mental health on social media, in your community, or through creative outlets. Encourage self-compassion and resilience and emphasize the importance of seeking treatment when needed. 8. Practice Inclusivity Mental health disorders affect people from all walks of life, beliefs, and backgrounds. Champion diversity, equity, and inclusivity in mental health discussions and initiatives that address different populations’ unique needs. 9. Take Time to Listen  Be a compassionate listener for friends, family members, or colleagues with mental health challenges. Use active listening skills and offer your empathy and understanding without interrupting or shifting the focus onto yourself. 10. Reflect and Act  Use Mental Health Awareness Month as your springboard to inspire introspection, growth, and action. Consider how you can foster compassion for yourself and others throughout the year as you work to create a more inclusive community where people living with mental health conditions can thrive despite obstacles. Mental Health Support You Deserve Understanding and addressing mental health is crucial for fostering a supportive community and... --- ### Study Suggests Link Between Pandemic and Women’s Alcohol Abuse > Delve deep into the study suggesting the link between the pandemic and women's alcohol abuse. Contact us today for therapeutic services for you or your family. - Published: 2024-05-06 - Modified: 2024-05-06 - URL: https://therapeutic-partners.com/blog/link-between-pandemic-and-womens-alcohol-abuse/ A recent study published in the journal JAMA Health Forum highlights the adverse effects of alcohol misuse among middle-aged women during the early stages of the COVID-19 pandemic.   Between April 2020 and September 2021, alcohol-related complications surged by 33% to 56% among women aged 40 to 64, as this demographic sought hospital care in record numbers due to alcohol misuse. Specifically, the study’s authors pointed to a sharp rise in alcohol-related complications that typically take years to manifest, including cirrhosis and severe withdrawal symptoms such as delirium tremens. What Has Changed? Over the last decade, women between 35 and 50 have also been binge drinking more frequently than ever before. Compared to pre-pandemic times, there was a 41% increase in heavy drinking days among women during the study period. Though the survey did not examine cause and effect, it’s reasonable to attribute the issue to the exacerbated stress, isolation, and worries of the early pandemic era. In other words, women who already had a problematic relationship with alcohol turned to a familiar crutch to cope with the exacerbated challenges of this unprecedented time. Understanding Women’s Unique Challenges and Treatment Barriers For many years, substance abuse research predominantly focused on men, ignoring the biological differences and cultural biases between genders. This gender bias has done a disservice to women in multiple ways by neglecting their experiences with addiction and adding obstacles that prevent them from seeking help. 1. Accelerated Progression in Women Women who drink alcohol experience a more rapid progression from tolerance to chronic dependence than men – a phenomenon called “telescoping. ” Those who enter addiction treatment may also face more severe physical, psychological, and social difficulties than their male counterparts, even if they have abused alcohol for less time. 2. Biological Differences Because women have slower metabolisms and more fatty tissue than men, they tend to have a higher BAC after consuming the same amount of alcohol. When women drink, the alcohol stays in their bodies for longer periods, elevating the risk of adverse effects like hangovers and blackouts. 3. Socioeconomics Many women are caregivers who may put their needs aside to prioritize the responsibilities of looking after young children or older parents, preventing them from seeking professional help. Additionally, because of the gender pay gap, women earn less than men and may believe they cannot afford to enter rehab.   4. Co-occurring Disorders  The prevalence of mental health issues such as anxiety, depression, and eating disorders is higher in women than in men. The presence of a dual diagnosis may make women more vulnerable to telescoping and less likely to recognize when they need treatment. 5. Cultural Norms Admitting to having a drinking problem can be more difficult for some women who fear the potential repercussions of public shame. Conversely, pop culture has gone a long way toward normalizing drinking for women, portraying alcohol as a coping mechanism for busy moms and professionals. These mixed societal messages can keep women in denial about the extent of their alcohol... --- ### Experts Warn High Potency Marijuana Strains Lead to Increase in Cannabis-Induced Psychosis > Widespread marijuana legalization in the U.S. has fueled an increase in cannabis-induced psychosis among users. Get all the information you need here. - Published: 2024-04-17 - Modified: 2024-07-19 - URL: https://therapeutic-partners.com/blog/high-potency-marijuana-strains-lead-to-cannabis-induced-psychosis/ Widespread marijuana legalization in the U. S. has fueled a misconception that cannabis products are largely harmless. Unfortunately, many teens and their families have discovered the connection between marijuana and psychosis – a potentially dangerous psychiatric condition that causes people to lose touch with reality. What Is Cannabis-Induced Psychosis? Lack of awareness about marijuana’s detrimental effects has proven to have severe consequences– especially among adolescent boys with a specific genetic vulnerability. This gene variant codes for an enzyme that affects dopamine signaling in the presence of drugs and other stimuli. Researchers discovered that the risk of psychosis among those with this hereditary susceptibility was seven times higher among daily marijuana users than people who rarely or never use cannabis. Psychotic breaks can be terrifying because they cause confusing, disorienting, and irrational thoughts or feelings, including hallucinations and delusions. Consequently, the easy availability of marijuana and cannabis-infused products has led to a rise in related health risks and emergency department visits in recent years. Heavy marijuana use has been shown to result in an increased risk of psychosis and other mental illnesses in teens and young adults, who are more susceptible for a variety of reasons. Also, once an individual has a psychotic break for the first time, if they keep using marijuana, they are more likely to have a second episode and less likely to return to baseline. If a young person continues using marijuana despite experiencing these psychotic episodes, they run the risk of developing a chronic and persistent mental illness like schizophrenia. The Dangers of High-THC Marijuana Strains Levels of THC – the psychoactive component in the marijuana plant – have continued increasing over the decades since states began legalizing cannabis for medicinal and recreational use. Additionally, an early lack of regulations created a loophole that allowed companies to manufacture edible products that look nearly identical to everyday treats like gummy bears and cookies. These sweets are familiar enough to seem innocuous, leading many people to underestimate their potency; however, some may have a THC concentration of up to 95%. The edible and vaping products sold at most dispensaries and specialty shops are especially appealing to teenagers because of their colorful packaging and different flavors. The novelty of using a psychoactive drug can add to the allure, particularly among curious teens experimenting with marijuana from an early age. Using edibles and vaping THC also typically produces a more intense, extended high compared to smoking the plant form of marijuana. How Cannabis Affects a Developing Brain Cannabis acts upon the innate endocannabinoid system, changing users’ moods and motivations. Frequent marijuana use can also lead to sleep disruptions and impaired learning and coordination. The earlier in life a person starts smoking, vaping, or eating THC-infused products, the more their likelihood increases of becoming dependent on marijuana and reducing the volume of specific brain regions that govern memory, organized thinking, and impulse control. Teens and young adults are more vulnerable to becoming dependent and developing an addiction problem because of their... --- ### Understanding Cannabinoid Hyperemesis Syndrome: Symptoms, Causes, and Treatment > Understanding Cannabinoid Hyperemesis Syndrome with R&A Therapeutics. Learn about the symptoms, causes, and treatment options available for you. - Published: 2024-03-26 - Modified: 2024-03-26 - URL: https://therapeutic-partners.com/blog/understanding-cannabinoid-hyperemesis-syndrome/ Cannabis, once considered solely for its therapeutic and recreational benefits, has increasingly become associated with some adverse health effects. One such condition that has emerged is Cannabinoid Hyperemesis Syndrome (CHS). This syndrome presents a perplexing medical challenge, characterized by cyclic episodes of vomiting, nausea, and abdominal pain in chronic cannabis users. In this blog post, we delve into the information known about CHS, exploring its symptoms, potential causes, and available treatment options. Symptoms of Cannabinoid Hyperemesis Syndrome: CHS manifests through distinct stages, with three primary phases: Prodromal Phase: This phase is marked by early warning signs such as nausea, abdominal discomfort, and mild stomach pain. These symptoms often occur for months or even years before escalating to more severe stages. Hyperemetic Phase: The hallmark of CHS is relentless vomiting, which can occur cyclically and persist for hours or even days. Due to excessive vomiting, patients may also experience severe abdominal pain, dehydration, and electrolyte imbalances. Recovery Phase: Following the hyperemetic phase, patients typically experience a period of relief from symptoms, often achieved through cessation of cannabis use. However, without intervention, the cycle may eventually repeat. Causes of Cannabinoid Hyperemesis Syndrome: While the exact mechanisms underlying CHS remain unclear, several hypotheses have been proposed: Dysregulation of the Endocannabinoid System: Prolonged cannabis use may disrupt the body's endocannabinoid system, leading to abnormal signaling and gastrointestinal dysfunction. Toxic Effects of Cannabinoids: Certain cannabinoids, particularly THC (tetrahydrocannabinol), may exert toxic effects on the digestive system, contributing to the development of CHS. Compounding Factors: Genetic predisposition, heavy cannabis use, and individual variations in cannabinoid metabolism may exacerbate susceptibility to CHS. Treatment Options for Cannabinoid Hyperemesis Syndrome: Managing CHS poses significant challenges, primarily due to the limited understanding of its pathophysiology. Nonetheless, several strategies have shown promise in alleviating symptoms and preventing recurrence: Abstinence from Cannabis: The most effective treatment for CHS involves complete cessation of cannabis use. Patients often experience symptom resolution within days to weeks after discontinuing marijuana consumption. Supportive Care: During acute episodes, supportive measures such as intravenous fluids, antiemetic medications, and electrolyte replacement help alleviate dehydration and electrolyte imbalances. Treating marijuana use from a mental health perspective typically involves a multifaceted approach that addresses both the psychological and physiological aspects of abuse, addiction, and dependence. A comprehensive and individualized treatment plan tailored to each person's specific circumstances is essential for achieving successful outcomes in the treatment of marijuana use. Here are some common strategies used in the treatment of cannabis use disorder:  **Assessment and Diagnosis**: The first step in treatment is often a comprehensive assessment by a mental health professional to evaluate the extent of marijuana use, any co-occurring mental health disorders, and other factors contributing to substance use. **Psychotherapy/Counseling**: Various forms of psychotherapy, such as cognitive-behavioral therapy (CBT), motivational interviewing, and contingency management, can be effective in helping individuals modify their behaviors, cope with cravings and triggers, and develop healthier coping strategies. **Lifestyle Changes**: Encouraging individuals to adopt healthier lifestyle habits, such as regular exercise, proper nutrition, stress management techniques, and... --- ### Mental Health and Substance Abuse Intervention in South Florida: R&A Therapeutic Partners - Published: 2023-11-21 - Modified: 2023-11-21 - URL: https://therapeutic-partners.com/blog/mental-health-and-substance-abuse-intervention-in-south-florida-ra-therapeutic-partners/ In the serene settings of Miami and Delray Beach, Florida, R&A Therapeutic Partners stands as a beacon of hope for individuals and families navigating the complex journey of mental health and substance abuse recovery. With an unwavering commitment to compassionate care, our team of experienced professionals specializes in crafting personalized intervention services that acknowledge the intricate relationship between mental wellness and substance use disorders. Why Choose an Intervention  Choosing to initiate an intervention can be one of the most impactful decisions you make for a loved one struggling with mental health challenges. It's a proactive step that can break through the barriers of denial and isolation often accompanying such struggles. An intervention is not a confrontation but a lifeline offered with love and concern. It can serve as a powerful wake-up call, illustrating the gravity of the situation to the individual in a compassionate manner while showing that they are not alone in their journey. By choosing an intervention, you enlist professional expertise to guide a carefully crafted conversation to encourage your loved one to accept help. This critical step can redirect the course of their life towards healing and recovery, and in doing so, can mend and strengthen the bonds between everyone involved. What is an Intervention  An intervention is a carefully planned process where family and friends, and sometimes colleagues and others involved in the person's life, come together to express concern to someone about their struggles with addiction, a mental health issue, or both and encourage them to accept treatment. An intervention is a powerful tool to help a loved one realize the impact of their destructive behaviors, not just on themselves, but also on those around them. Interventions are often associated with substance use and addiction, but they can also address other self-destructive behaviors stemming from eating disorders, process addictions or mental illness. The core aim of an intervention is to provide the individual with a structured opportunity to make changes and accept help. The Intervention Process: A Journey of Hope Our intervention process is meticulously crafted to ensure the highest clinical care and consideration for all involved. Here's what one can expect when engaging with R&A Therapeutic Partners: Assessment: Every journey begins with a comprehensive assessment to understand the unique challenges and needs of the individual. This includes assessment for both substance use disorders and mental health issues.   Planning: We develop a strategic intervention plan tailored to address both mental health and substance use concerns, involving the individual's support system in the process. Execution: With a plan in place, our team facilitates the intervention with compassion, respect, and a deep understanding of the sensitive nature of these conversations. Aftercare: We offer aftercare planning to ensure that the individual has access to the necessary resources for recovery, including therapy, support groups, and mental health services. The Role of an Interventionist Our interventionists, based in Miami and Delray Beach, Florida — Raymond Estefania and Ana Moreno — are not only seasoned in their respective fields but... --- ### Understanding Alcohol Use Disorder’s Causes and Symptoms > AUD is a chronic brain disease characterized by an inability to stop or control how much you drink, even when it causes multiple problems. - Published: 2023-09-27 - Modified: 2023-09-26 - URL: https://therapeutic-partners.com/blog/understanding-alcohol-use-disorders-causes-and-symptoms/ At R&A Therapeutic Partners, we believe in shedding light on prevalent mental and behavioral health issues affecting families, adolescents and adults. One such issue is alcohol use disorder, a medical diagnosis reflecting persistent, problematic alcohol consumption. The consequences of AUD can permeate every corner of someone’s life, affecting their health, work, relationships and more. Read on to learn more about this condition and how professional counseling can help. What Is Alcohol Use Disorder? AUD is a chronic brain disease characterized by an inability to stop or control how much you drink, even when it causes multiple problems. Alcohol abuse changes the brain’s built-in reward system, making it harder for someone with a drinking habit to feel pleasure from other sources. While the disorder sounds intimidating, there’s reason to hope. Regardless of the severity, evidence-based treatments can help you or a loved one achieve and maintain recovery. Alcohol Use Disorder by the Numbers Statistics from the 2021 National Survey on Drug Use and Health illuminate the gravity of AUD: Approximately 28. 6 million adults (11. 3%) aged 18 and over had AUD in 2021. An alarming 894,000 adolescents between ages 12 to 17 (3. 4%) were grappling with AUD. The numbers underscore the importance of early intervention, especially for teens and young adults. A young person’s brain continues developing until around age 25. The younger someone starts drinking alcohol, the more they risk having problems with their memory, learning, judgment, impulse control and decision-making skills. They may also develop a substance abuse problem later in life. Two brain areas most affected by early alcohol use include the hippocampus and prefrontal lobe. Damage to these regions can cause them to shrink, impairing cognitive abilities. Factors Increasing the Risk of AUD While addiction is a complex illness involving an array of variables, researchers have identified several elements that heighten a person’s risk of developing AUD. Early alcohol consumption: Starting to drink before age 15 can multiply the chances of experiencing AUD, especially for young women. Genetic predisposition and family history: Genetics play a part, with heritability making up about 60% of the risk. There’s also an interplay between genes and environment, including observing parents’ drinking patterns. Mental health and traumatic experiences: Conditions such as depression, ADHD, PTSD and a history of childhood trauma increase the susceptibility to AUD. Is Recovery Possible? Many people living with AUD find their way back to health and happiness. While setbacks can occur, therapeutic consulting can help you and your family heal. If you or someone close to you struggles with AUD, remember you’re not alone. At R&A Therapeutic Partners, our referring professionals are here to guide you at every step of the way. Together, we can navigate the challenges and find a path to recovery. We work with numerous treatment centers nationwide to provide you with various options, so you don’t have to make these difficult decisions alone. Reach out to request help today. --- ### First-Episode Psychosis and Substance Abuse in Young Adults > The emergence of mental health disorders such as first-episode psychosis can significantly impact a young adult’s life. - Published: 2023-09-12 - Modified: 2023-09-12 - URL: https://therapeutic-partners.com/blog/first-episode-psychosis-and-substance-abuse-in-young-adults/ The journey from adolescence to adulthood presents multiple challenges, growth opportunities and pivotal decisions. Amid these complexities, the emergence of mental health disorders such as first-episode psychosis can significantly impact a young adult’s life. As illustrated in a new SAMHSA report, this issue further intensifies when coupled with a co-occurring substance use disorder. What Is Psychosis? Psychosis is a mental state that causes intense and frightening delusions or hallucinations. During a psychotic episode, it can be challenging to tell what is real and what isn’t. Symptoms usually emerge between the ages of 16 and 30 and can link to various disorders, including: Schizophrenia Schizoaffective disorder Schizophreniform disorder Brief psychotic disorder Delusional disorder Moreover, other disorders such as major depression or bipolar disorder might present psychosis as a secondary, yet severe, symptom. Psychosis can be an overwhelming experience for young adults and their families. The impact of these symptoms can ripple through various facets of life, causing disruptions in education, relationships and overall well-being. The Connection Between Substance Abuse and Psychosis Drug use has shown a concerning correlation with first-episode psychosis, especially among young adults. 60 to 80% of young adults with first-episode psychosis have reported using cannabis. 88% have used alcohol. 70% report tobacco use. Alcohol and cannabis misuse can cause reduced social functioning and quality of life, and they also have direct repercussions on the onset and prognosis of psychosis. Persistent cannabis use after first-episode psychosis can aggravate symptoms, leading to frequent relapses even among people who consistently take antipsychotic medication. Among young people aged 18 to 25 in the United States, approximately 15. 1% have a substance use disorder, and up to 51% of young people who have first-episode psychosis have a co-occurring substance use disorder when starting psychosis treatment. The Complex Interplay and the Road to Recovery Recovering from co-occurring first-episode psychosis and substance abuse can be uniquely challenging. The presence of these conditions often results in: Recurring psychotic episodes Higher dropout rates from treatment Heightened severity of psychotic and depressive symptoms Increased risk of homelessness and medical issues However, it’s essential to underscore that recovery is achievable. Numerous studies suggest that when young adults stop taking drugs after a psychotic episode, they tend to experience significant improvements in their mental health symptoms. Moreover, the long-term outcomes generally parallel those who had never engaged in substance use. A Call to Vigilance and Action The intersection of first-episode psychosis and substance misuse calls for a comprehensive, informed and compassionate evaluation and treatment approach. At R&A Therapeutic Partners, we support young adults and their families as they navigate these complexities. With timely intervention, understanding and a tailored care plan, we can help guide you to recovery and a fulfilling life. If your family faces challenges related to first-episode psychosis and substance use, don’t hesitate to reach out to us today. Together, we can chart a path to better mental well-being. --- ### Substance Use Among Adolescents: Latest Insights From the Monitoring the Future Survey > The COVID-19 pandemic and related changes like school closures and social distancing led to a dramatic decrease in teen substance use from 2020 to 2021. - Published: 2023-08-23 - Modified: 2023-08-15 - URL: https://therapeutic-partners.com/blog/substance-use-among-adolescents/ The Monitoring the Future survey, conducted annually by University of Michigan researchers, serves as a critical tool in understanding trends and changes in substance use among young people. According to the latest results, the percentage of adolescents reporting substance use in 2022 remained steady after significantly declining the previous year. These findings provide essential insights into the impacts of the COVID-19 pandemic and the subsequent return to in-person learning on drug use among America’s teens. An Overview of Substance Use Trends in U. S. Teens The COVID-19 pandemic and related changes like school closures and social distancing led to a dramatic decrease in teen substance use from 2020 to 2021. The 2022 results further affirm this trend, with reported use of illicit drugs staying at or significantly below pre-pandemic levels for all grades. Eighth-graders: 11% reporting any illicit drug use Sophomores: 21. 5% reporting any illicit drug use Seniors: 32. 6% reporting any illicit drug use These figures underline the fact that teen substance use did not increase dramatically even as students returned to in-person schooling and other social activities. Alcohol, Vaping and Cannabis: A Closer Look Survey respondents commonly reported alcohol, nicotine vaping and cannabis use, with levels remaining consistent with 2021 statistics. Nicotine vaping and cannabis use: Stable across all three grades Alcohol use: Returned to pre-pandemic levels for seniors, with 51. 9% reporting usage in the past year Though these findings suggest a stability or decline in illicit drug use, it’s crucial to look at the broader picture. The Fentanyl Crisis Despite the encouraging overall trends, other research points to a concerning rise in overdose deaths among young people aged 14 to 18. This increase is primarily due to a synthetic drug called fentanyl contaminating counterfeit pills designed to look like prescription medications such as benzodiazepines, ADHD medications and opioids. The prevalence of fentanyl in the nationwide drug supply is deeply troubling. The potential risks associated with pills bought online or obtained from unknown sources emphasize the urgent need for education about the potential presence of deadly fentanyl. Continued Vigilance and Education The results from the Monitoring the Future survey provide valuable insights into teen substance use trends. While the data is encouraging, it’s impossible to overlook the hidden threat of fentanyl contamination. Education and prevention efforts must remain a priority, targeting known substance misuse and the dangers of counterfeit drugs. At R&A Therapeutic Partners, we remain committed to supporting families and teens in navigating the complex landscape of substance use and mental health. With years of experience, we offer honest, compassionate support tailored to your needs. If you’re struggling with these issues, please contact us today. Together, we can address these challenges and work toward a healthier future for your family. --- ### Health Risks Facing Today’s Teens > Being responsible for a teenager’s well-being means equipping yourself with the facts about the leading health risks they face. - Published: 2023-08-09 - Modified: 2023-08-09 - URL: https://therapeutic-partners.com/blog/health-risks-facing-todays-teens/ Today’s teenagers face a multitude of alarming risks. From the rise in online bullying and the threat of school shootings to the widespread challenges of alcohol and drug abuse, modern adolescents encounter stresses and dangers that have contributed to higher levels of mental illness and increasing suicide rates. Here’s what parents and guardians should know about leading teen health risks. Suicide Suicide is the second-leading cause of death among adolescents. Approximately one in 11 high school students attempts suicide, a shocking statistic that underscores the urgent need for awareness and intervention. Suicidal thoughts are complex and often rooted in other issues, like loneliness, a lack of unhealthy relationships and a poor self-image. Engaging in open communication with at least one trusted adult can significantly reduce a teen’s likelihood of engaging in dangerous behaviors and experiencing mental health disorders like anxiety and depression. Warning signs of suicidal thoughts in teens might include: Feelings of being a burden Isolation or increased anxiety A loss of interest in previously enjoyable activities Substance abuse Hopelessness or extreme mood swings If you suspect your child is contemplating self-harm or suicide, immediate intervention, compassionate listening and professional help can make a lifesaving difference. Underaged Drinking Underaged drinking introduces an array of problems such as academic struggles, poor impulse control and health challenges. Though excessive drinking claims thousands of lives a year, many teens still view alcohol use and binge drinking as a harmless rite of passage. Parents must educate their children about the dangers of underaged drinking and set clear expectations. Emphasize that: Alcohol is a depressant that affects the body and mind. Impairment influences coordination, reaction time, vision, thinking and judgment. Alcohol’s effects on a developing brain can lead to lasting cognitive damage. Recreational Drug Use Recreational drug use represents a significant health risk, with marijuana and opioids representing particularly dire dangers. While high-THC marijuana strains can trigger psychotic episodes, opioids are highly addictive and can cause an overdose. Many teens start experimenting with recreational drugs and quickly develop a physical or psychological dependency. Regular discussions about the dangers of drug use and how to say no can be vital tools in prevention. Depression Teen depression is a severe mental health condition causing persistent sadness and difficulties functioning in daily life. Pressures like peer influence, academic expectations and physical changes often contribute to this debilitating disorder. As a parent, you should encourage your child to be open with you about their emotions and get them therapy as needed. Parents Can Help Teens Avoid Health Risks Being responsible for a teenager’s well-being means equipping yourself with the facts about the leading health risks they face. Your love, guidance and wisdom can help them steer through all the ups and downs of adolescence. Professional counseling and support from our team at R&A Therapeutic Partners can provide your family with the necessary tools to cope with these challenges. Reach out to us for assistance in managing these complex issues, and let’s work together to ensure a safer passage... --- ### The Evolving Landscape of Teen Marijuana Use: What Parents Should Know > As a parent, it’s crucial to stay informed about modern marijuana strains and their link to psychosis. - Published: 2023-07-25 - Modified: 2023-07-25 - URL: https://therapeutic-partners.com/blog/teen-marijuana-use/ Many adults and adolescents perceive marijuana as a harmless recreational substance. While cannabis is less dangerous than substances like opioids and methamphetamines, it can still be hazardous. For instance, mounting clinical evidence suggests that marijuana consumption during the adolescent years can heighten the risk of psychosis. As states continue legalizing marijuana for recreational and medicinal use, worrying about its potential hazards to teenagers may seem overprotective. However, as a parent, it’s crucial to stay informed about modern marijuana strains and their link to psychosis. How Teen Marijuana Use Has Changed The changing environment of teenage marijuana use presents new challenges for today’s parents. Comparatively, the marijuana consumed by Generation X and millennials was far less potent, typically containing less than 4% THC, the psychoactive compound that creates pot’s characteristic high. In stark contrast, today’s cannabis strains average between 15 to 20% THC. Even more concerning are highly popular products like oils and edibles, which can contain up to 95% THC. This exponential increase in potency can severely impact a developing adolescent brain. Further, recent years have seen a sharp rise in American teens using these high-potency products. A 2022 study by Oregon Health & Science University highlighted a whopping 245% increase in adolescent cannabis abuse since 2000. In 2020, 35% of high school seniors and 44% of college students reported using marijuana within the past year. There is also an escalating trend toward vaping as the favored method of cannabis consumption. Despite the daunting reality of teen cannabis use, outdated cultural perceptions persist. Many parents believe marijuana couldn’t possibly be dangerous because they tried it when they were younger without ill effects. However, today’s readily available high-THC strains are hardly benign. For example, they can trigger psychotic episodes in adolescents and young adults. Recognizing Teen Marijuana Abuse and Its Consequences Being aware of the red flags of marijuana abuse can empower you to take early action. Warning signs can range from behavioral changes like lack of motivation, forgetfulness and declining academic performance to physical symptoms like bloodshot eyes and sudden weight gain or loss. High-THC strains can induce temporary psychosis, with symptoms such as hallucinations, delusions, paranoia and disorganized thinking. During a psychotic episode, teens may experience confusing, disorienting thoughts or feelings that have no connection to reality. Furthermore, research suggests adolescent marijuana use can increase the risk of developing chronic psychotic disorders, including schizophrenia, in adulthood. Responding to Your Teen’s Marijuana Use If you suspect your teen is using marijuana, immediate action is vital. Engage in open, non-judgmental discussions about the potential risks associated with marijuana use. Show understanding and offer support. With decades of experience in treating mental and behavioral health issues, R&A Therapeutic Partners can provide the family counseling you need during this challenging time. We believe in compassionate, ethical and personalized care to help your family get on a path to recovery. In the new landscape of teen marijuana use, arming yourself with information and resources is crucial. Reach out to us at R&A Therapeutic Partners... --- ### Fentanyl and the Rise of Teen Overdoses > Though drug and alcohol use are in decline among American high schoolers, teen overdose deaths have still doubled in recent years due to fentanyl. - Published: 2023-07-11 - Modified: 2023-07-10 - URL: https://therapeutic-partners.com/blog/fentanyl-and-the-rise-of-teen-overdoses/ Though drug and alcohol use are in decline among American high schoolers, teen overdose deaths have still doubled in recent years due to fentanyl. This human-made opioid is dangerously addictive and can be fatal, especially for young people who experiment with drugs. What Is Fentanyl? Inexpensive, easily manufactured and powerfully addictive, fentanyl has emerged as the narcotic of choice for drug traffickers. Fentanyl is a potent opioid that is up to 100 times stronger than morphine. People who take it may do so unwittingly because fentanyl can resemble so many other drugs, including legal prescription medications. Dealers lace their supplies with fentanyl because it is inexpensive, easy to come by and can keep people coming back for more. Most teenagers are aware of the overdose epidemic and have no desire to abuse opioids. However, many drugs sold on the black market contain at least trace amounts of fentanyl. Often, teenagers do not know what they are getting because fentanyl has crept into so many things. A teen may buy what they think is Xanax or Adderall, assuming it is safe, only to experience a fentanyl overdose. What Happens During a Fentanyl Overdose? Since fentanyl is a central nervous system suppressant, respiratory failure is the most common cause of a fentanyl overdose. Recognizing the signs of an opioid overdose can save a life. Slowed or stopped breathing Drowsiness or unresponsiveness Constricted pupils Loss of consciousness Slow, irregular heartbeat If you know how to respond to an overdose, you can reverse its effects. For example, you can administer an opioid antagonist called naloxone, available at many pharmacies without a prescription. Other critical steps include calling 911, keeping the victim awake and upright and moving them into the recovery pose. Your Partners in Overcoming Substance Misuse At R&A Therapeutic Partners, Ray Estefania and Ana Moreno use their four decades of combined experience to understand the intricacies of substance use disorders and mental health issues. Serving families throughout the South Florida area, as well as nationally and internationally, we’re here to help. Our mission is clear – to offer honest, ethical, compassionate concierge-level support to families grappling with these challenges. In an era where the threat of fentanyl looms large, we steadfastly help families navigate these troubled waters. Let us be your partners on this journey. Contact us today to learn about our outpatient programming, specialized services and therapeutic consulting. --- ### Teens Are Spending Less Time Than Ever With Friends > Many American adolescents have swapped in-person interactions for the allure of social media. As a result, they’re spending less time socializing in person. - Published: 2023-07-07 - Modified: 2023-07-07 - URL: https://therapeutic-partners.com/blog/teens-spending-less-time-than-ever-with-friends/ While you may have fond memories of going to the mall or the movies as a teenager, today’s children are unlikely to share that nostalgia as they grow up. Many modern American adolescents have swapped in-person interactions like sleepovers and study groups for the allure of social media. As a result, they’re spending less time socializing in the real world. The Dangers of Teen Isolation and the Benefits of Adolescent Friendships Often, loneliness leads to depression, anxiety, self-harm, suicidal thoughts and an increased risk of substance abuse – especially among young people whose brains and bodies are still developing. A lack of social connections can be particularly problematic among teens who are in marginalized groups due to characteristics like disability, race, ethnicity, sexual orientation, gender identity and religious beliefs. During adolescence, friendships are vital. They help young people forge a sense of independence and identity, while teaching them valuable skills like compassion and empathy. Other benefits of adolescent friendships include: Improved mental and physical health Boosted self-esteem Less anxiety and depression Happier, more optimistic outlook Longer life expectancy Stronger conflict resolution skills Improved cognitive function More feelings of trust toward others Emotional resilience Does Your Child Spend Too Much Time Online? In the smartphone and social media era, nearly half of the nation’s teens say they are online “almost constantly,” according to a survey from Pew Research. Though social media can help friends stay connected, these platforms can adversely affect teen friendships and mental health. Teenagers who spend most of their time online have a high risk of isolation, unrealistic viewpoints, cyberbullying and misinformation. Social media addiction can adversely affect your child’s health and relationships. If you worry that your son or daughter spends too much time online, you can take steps to curtail their use. Impose a time limit on devices like smartphones, tablets and laptops. Make your child’s bedroom a tech-free zone.   Set up age-appropriate parental controls on all the devices your child uses. These tools can shield children from accessing unacceptable or illegal online content. Monitor your kids’ screen time and the media they consume by keeping your TV and computer in a shared area and watching or playing with them. If you always have your head buried in a screen, consider the example you’re setting for your kids. Improving your behavior is one of the best ways to encourage your children to change theirs. Encourage Your Child to Make Real-Life Friends Healthy parent-child relationships create a foundation for positive teen friendships. Being supportive and actively listening to your kids can help them develop lifelong communications skills. You can also support your child by establishing an “open-door” policy – let them know they can always talk to you if they have questions or problems. Make sure your child feels comfortable inviting friends over, and give them plenty of space when they do. If your child has trouble making in-person friends, think about their interests and strengths. Based on these, you can look for new extracurricular activities they... --- ### Evidence Links Marijuana Use to Mental Health Risks in Young Adults > Mounting evidence links marijuana use with psychiatric disorders such as depression, bipolar disorder and schizophrenia, especially in young men. - Published: 2023-06-14 - Modified: 2023-06-14 - URL: https://therapeutic-partners.com/blog/marijuana-mental-health-risks/ Marijuana and cannabis-infused products are easily accessible and come in various forms that can be attractive to children and teenagers, including gummies and desserts. Many teens experiment with marijuana due to simple curiosity or peer pressure, but they may not realize the drug can have a lasting impact on their brains.   Is Marijuana Addictive? Countless movies and TV shows have depicted marijuana as a consequence-free way to have fun and relax. As a result, adolescents and adults may believe pot is safer than other drugs, but limited proof supports this claim. Cannabis remains a federally controlled substance that can have severe long-term health effects. According to the National Institute on Drug Abuse, up to 30% of people who use marijuana become dependent on it, which means their brains have gotten used to regular doses of THC and reduced the natural production of endocannabinoid neurotransmitters. Children who begin using cannabis before age 18 are more vulnerable to this problem. Attempting to quit using pot after developing a dependence will likely cause withdrawal symptoms like these:  Loss of appetite Mood swings and irritability Drug cravings Trouble sleeping Difficulty concentrating Sweating and chills Depression and anxiety The Health Risks of Marijuana While research about marijuana’s health benefits is scant, we know cannabis can impair functions such as attention, memory, learning and decision-making. Smoking, vaping or ingesting marijuana can also lead to severe consequences for young adults, including poor academic performance, a higher likelihood of dropping out and greater risk of unemployment. Adolescents whose brains are still developing may be more susceptible to experiencing lasting damage from drug exposure. For example, mounting evidence links marijuana use with psychiatric disorders such as depression, bipolar disorder and schizophrenia, especially in young men. Many states have legalized medicinal and recreational marijuana, enabling people to use it more frequently and in new ways. Unfortunately, the strains sold in dispensaries tend to have dangerously high concentrations of THC. A lack of consistent regulation surrounding these products also means the user experience can vary widely. Preventing Addiction for Teens and Young Adults Some parents dismiss teen substance use as a phase their children will soon outgrow. However, while new experiences and youthful experimentation are part of the learning process, drug use is particularly problematic for younger people and can have far-reaching consequences.   If marijuana use has become a habit for your teen, or you worry that cannabis may eventually pave the way to more harmful drugs, professional counseling can help your family get back on a healthy footing. At R&A Therapeutic Partners, we offer substance use and mental health evaluations to give people the best chance of recovery. Wherever possible, our team involves family and treatment professionals in the evaluation process to gather valuable collateral information. You and your family can find comfort in Raymond Estefania and Ana Moreno’s 35+ years of combined experience. Contact us today for compassionate support and specialized services. --- ### Families Need Help Reaching Addicted Loved Ones > In cases when a family has tried more traditional intervention approaches, we still have other tools available to get someone into therapy. - Published: 2023-05-25 - Modified: 2023-05-25 - URL: https://therapeutic-partners.com/blog/miami-interventionists/ Even those blessed with the gift of gab can find themselves at a loss for how to start difficult conversations. For example, you may have no idea what to say to reach someone struggling with a substance use disorder. But with the crisis level of the U. S. drug epidemic at an all-time high, your timely response can make the difference between convincing someone you love to get help and allowing their behavior to become even more self-destructive. Is It Time to Organize an Intervention? Denial is a leading characteristic of addiction. You might already have tried several times to approach a friend or family member, only to encounter stubborn refusal or rejection of the idea of getting help for a substance problem. Your loved one may offer excuses like “I can quit anytime I want to,” or they could angrily end the conversation and walk away. Families can become paralyzed when dealing with a loved one’s addiction and often need expert guidance to steer the conversation to an effective solution. If these scenarios sound familiar, it might be time to consider a professionally planned and managed intervention. For families who decide to go this route, an intervention specialist can play an essential role in helping them stage a drug or mental health intervention and suggest some proven treatment options along the way. However, sometimes even a well-orchestrated intervention is not enough to break through the carefully constructed wall of negativity. In cases when a family has tried more traditional intervention approaches, we still have other tools available to get someone the therapies they may desperately need. Can You Compel Someone to Get Treatment? In a perfect world, everyone living with a substance use disorder would eventually admit that their isolation and hopelessness are unsustainable, willingly undergo an addiction evaluation from qualified professionals and start their treatment and recovery journey. Unfortunately, waiting for your loved one to seek help for a potentially life-threatening illness that affects decision-making abilities can have tragic consequences. The prevalence of street drugs laced with potent substances like fentanyl and xylazine have dramatically increased the addiction and overdose rate in recent years. Most people hooked on these drugs lack the resources and support to safely quit on their own. In many cases, court-mandated treatment has proven to be the only way to get some addicted individuals lifesaving treatment. Florida’s Marchman Act, one of the most progressive laws of its kind in the U. S. , offers a path to get someone who cannot recognize the extent of their illness into a rehab center. Though this law encourages people to voluntarily get help, it also provides a way to have them involuntarily committed to a facility for evaluation, stabilization and treatment. How Does the Marchman Act Work? The Marchman Act allows concerned loved ones to petition the court to have someone committed for a substance use disorder for up to 90 days if they have reasons to believe it is warranted. However, they must have evidence proving... --- ### Meta-Analysis Reveals Risks of Moderate Drinking > Though you may have seen research suggesting that moderate amounts of alcohol can supposedly be beneficial, new evidence has refuted that claim. - Published: 2023-05-03 - Modified: 2023-05-24 - URL: https://therapeutic-partners.com/blog/moderate-drinking-2/ While April was officially designated Alcohol Awareness Month, it’s never a bad time to highlight the fact that alcohol is the world’s deadliest drug, and is responsible for widespread injury, illness and suffering. Because of our cultural glamorization of alcohol, we tend to forget how dangerous it is. New research is shining a bright spotlight on the facts surrounding alcohol use and abuse. How Much Alcohol Is Safe to Drink Daily? Though you may have seen research suggesting that moderate amounts of alcohol can supposedly be beneficial, new evidence has refuted that claim. The analysis, published March 31 in JAMA Network Open, examined more than 100 studies with nearly 5 million total participants. It found no significant health benefit to moderate alcohol consumption, while identifying an increased risk of death among people who drink daily. The CDC defines a “moderate” weekly alcohol intake as seven or fewer servings for women and 14 or fewer servings per men. One serving of alcohol counts as five ounces of wine and one and a half ounces of hard alcohol. However, the JAMA study suggests even that amount is detrimental. Researchers found people who drank more than two ounces of alcohol a day were at a 35% higher risk of premature death. Problems Linked to Alcohol Use Alcohol can damage every bodily organ and system, cause or worsen co-occurring mental health issues and undermine relationships. People who choose to drink are leaving themselves vulnerable to an array of future problems. Alcohol can quickly permeate body cells, where it can damage DNA and cause harmful mutations. Over time, alcohol impairs the body’s ability to absorb essential vitamins from food. As a result, many problem drinkers are malnourished, and can develop illnesses associated with nutrient deficiencies, such as Wernicke-Korsakoff syndrome. Because alcohol is primarily empty calories, people who rely on it tend to be overweight. Obesity links to an array of health problems, including diabetes, heart disease and hypertension. People who drink to self-medicate the symptoms of underlying mental health conditions such as depression, PTSD, anxiety or bipolar disorder often find that their emotional well-being dramatically declines due to alcohol abuse. Compassionate Support for Mental and Behavioral Health When someone simultaneously struggles with addiction and mental illness, health professionals call it a dual diagnosis. These co-occurring disorders can affect all facets of a person’s life, harming their health, interfering with their daily responsibilities and damaging their relationships. A dual diagnosis can be devastating, leaving people feeling desperate and out of control. At R&A Therapeutic Partners, we provide interventions and substance misuse and mental health evaluations conducted by qualified specialists. These tools can be invaluable in getting you or a loved one on the path to lifelong recovery. Since unaddressed co-occurring disorders can be complicated, diagnosing and treating them presents a unique challenge. Raymond Estefania and Ana Moreno involve family and treatment professionals in the evaluation process whenever possible to gather valuable collateral information. As needed, we can also collaborate with other qualified experts to arrange for... --- ### How Can You Tell if You’re Addicted to Marijuana? > According to the National Institute on Drug Abuse, up to 30% of people who use marijuana become dependent on it. - Published: 2023-04-27 - Modified: 2023-04-27 - URL: https://therapeutic-partners.com/blog/addicted-to-weed/ As states continue legalizing marijuana, it has become easily available in various forms, including candies and baked goods. Because cannabis often appears innocuous, many people mistakenly believe it is completely safe to use. Though it is not as addictive as substances like meth and cocaine, it still alters brain chemistry in a way that can cause a physiological dependence. Is Marijuana Addictive? People abuse marijuana because it contains tetrahydrocannabinol, also called THC, a psychoactive component that interacts with the body’s endocannabinoid system. When someone smokes pot, THC passes from their lungs to their bloodstream before finally reaching their brain.   Compared to other drugs, marijuana’s effects are slow to arrive, sometimes taking up to an hour to feel the characteristic high. Marijuana activates specific brain receptors, leading to effects such as mood changes, impaired memory and decision-making and an altered sense of time and reality. According to the National Institute on Drug Abuse, up to 30% of people who use marijuana become dependent on it. The strongest predictor of marijuana addiction is the age at which people begin using it. Younger people are more likely to develop a marijuana use disorder, and because their brains are still developing, they are also at a higher risk of associated mental health symptoms, including psychosis. Signs of Marijuana Addiction Regardless of how people prefer to use marijuana, they may develop a tolerance to it over time, which means they will require increasingly larger doses to experience the same effects. If they continue to smoke, vape or ingest pot, they can develop a marijuana dependence, which means their brain has become accustomed to regular doses of THC and has reduced its natural production of endocannabinoid neurotransmitters. Other red flags of a worsening marijuana addiction include: Neglecting responsibilities Doing risky things under the influence Continuing to abuse marijuana despite facing negative consequences A loss of control over cannabis use Marijuana Withdrawal Symptoms People who try to stop using pot after becoming psychologically and physically dependent will experience unpleasant withdrawal symptoms, ranging from mild to severe. The longer someone has used marijuana, the more they will struggle when trying to quit.   Loss of appetite Mood swings Trouble sleeping Loss of focus Sweating and chills Depression and anxiety Craving the drug to feel “normal” Experienced Help for Your Family Often, drug misuse results from an untreated mental illness. At R&A Therapeutic Partners, we offer substance abuse and mental health evaluations as the first step in an overall wellness plan. Whenever possible, Raymond Estefania and Ana Moreno involve family and treatment professionals in the screening and assessment process to gather valuable information. If a dual diagnosis is affecting your family, don’t wait – request help today. Our experienced team is here to put healing within reach. --- ### DEA Calls Xylazine a Public Safety Threat > The combination of fentanyl and xylazine – nicknamed “tranq dope” – puts people at a higher risk of suffering a fatal poisoning. - Published: 2023-04-12 - Modified: 2023-04-12 - URL: https://therapeutic-partners.com/blog/xylazine-tranq/ Last month, the U. S. Drug Enforcement Administration issued an alert warning Americans of an alarming new chapter in the nationwide fentanyl crisis. You may already know fentanyl has contributed to thousands of opioid overdose deaths in recent years, as states continue to limit prescription pain medications. Now, drug traffickers are adding a veterinary tranquilizer called xylazine to their supply, making its impact even more devastating. What Is Xylazine? Fentanyl causes a rapid high that can easily overwhelm a user’s system and cause an overdose. It is up to 100 times more potent than morphine, and even a tiny dose can suppress essential bodily functions like breathing. While fentanyl was previously the most significant public health threat related to illicit drug use, mixing it with xylazine has increased the stakes. According to DEA administrator Anne Milgram, the agency has seized xylazine/fentanyl mixtures in 48 out of 50 states. The combination of fentanyl and xylazine – nicknamed “tranq dope” – puts people at a higher risk of suffering a fatal poisoning. Because xylazine is not an opioid, it does not respond to naloxone, which is the standard medication administered to reverse a fentanyl overdose. Long-term xylazine use causes festering skin ulcers and tissue death that can lead to amputation if left untreated. How Common Is Tranq Dope? Some epidemiologists theorize that xylazine rose to prominence during the early days of the COVID-19 pandemic, when people who were already addicted to opioids discovered that it was cheaper and often easier to obtain than heroin. Because the drug is not on the DEA’s list of controlled substances, it isn’t subject to the same strict monitoring as substances like cocaine and morphine. However, Florida has listed xylazine as a controlled substance at the state level. Federal law enforcement agencies have not tracked xylazine’s use and misuse as closely as they do with other drugs. For example, hospitals and state medical examiners don’t routinely test for the presence of xylazine, making it impossible to get an accurate picture of its prevalence throughout the U. S. While there is ample research on opioids, there is almost none on the effects of xylazine in humans.  Still, we know that fentanyl and xylazine bind to different brain receptors, which can amplify both substances’ effects and make tranq dope highly addictive. Despite the known dangers of tranq dope, people keep using it to avoid severe withdrawal symptoms like migraines, double vision, nausea, numb fingers and toes, sweating and anxiety.   All Families Need Help Sometimes At R&A Therapeutic Partners, Raymond Estefania and Ana Moreno help families impacted by substance use disorders or mental health issues rebuild their lives with customized treatment plans. We offer professionally guided interventions, substance use evaluations and counseling services to guide people on the path to recovery. We spend about one out of every six weeks traveling the country and evaluating therapeutic resources that benefit individuals and families. To learn more about what we can do for you, contact us today. --- ### Sadness and Depression in Teen Girls > Since depression symptoms in young women and men can present themselves differently, it’s crucial to know what red flags to look for. - Published: 2023-03-20 - Modified: 2023-03-20 - URL: https://therapeutic-partners.com/blog/teen-girls-depression/ While teens of any gender can experience mood disorders, adolescent girls are far more likely than boys to become depressed. According to a report released by the CDC last month, almost three in five teenage girls said they felt persistent sadness in 2021, while one in three considered a suicide attempt. These rates are the highest in a decade, likely due to the unique stressors related to the COVID-19 pandemic. Why Are Teenage Girls More Vulnerable to Depression? Based on the CDC’s nationwide survey, girls feel sad at twice the rate of boys, but what causes this disparity? From looking at brain scans, we know that girls reach emotional maturity sooner than boys. Their heightened sensitivity to the world around them could make teen girls more vulnerable to depression and related issues such as anxiety. Young girls may also have more interpersonal stress and internalized conflicts than boys. A tendency to overthink problems, coupled with low self-esteem or body image issues, can be a recipe for mood disorders like depression and anxiety. Warning Signs of Teen Depression Since depression symptoms in young women and men can present themselves differently, it’s crucial to know what red flags to look for. Often, girls internalize their depression, as opposed to adolescent boys, who tend to act out or become irritable and aggressive. Therefore, it might take time for you to recognize the hallmarks of depression in your teen daughter. The first thing you might notice is that your daughter seems withdrawn or disinterested in school, sports or other activities. She could start spending more time alone and apart from friends and family. There may be other behavioral changes too, such as sleeping more than usual and having low energy or a lethargic attitude. If several of these warning signs are present, be vigilant about the possibility of depression – especially if mental health challenges run in your family. How to Help a Teen With Depression If left untreated, teen depression can persist into adulthood, where it can become increasingly debilitating. Mood disorders can prevent a young woman from reaching her full potential and becoming a happy, well-adjusted adult. That’s why it’s essential to talk to your daughter about her feelings and let her know that you’ll always be there to provide support if she needs it. Any noticeable deterioration in your daughter’s attitude or behavior that persists for two weeks or longer without stopping may indicate major depressive disorder. Young adults can also experience dysthymia, a milder form of depression that may not interfere with day-to-day responsibilities, but which can still adversely affect relationships and quality of life. Teenage depression frequently co-occurs with other mental and behavioral health issues like substance abuse, anxiety, disordered eating and self-harm. Since a dual diagnosis can severely impact every aspect of a young person’s life, a professional substance and mental health evaluation can give your child the best chance of recovery. At R&A Therapeutic Partners, we also offer family counseling and parenting support to help you work... --- ### What Is an Eating Disorder? > Diet culture, fatphobia and a mindset that equates thinness with beauty have created an ideal environment for eating disorders to flourish. - Published: 2023-03-08 - Modified: 2023-03-08 - URL: https://therapeutic-partners.com/blog/eating-disorder-types/ American diet culture, widespread fatphobia and a societal mindset that equates thinness with beauty have all created an ideal environment for eating disorders like anorexia, bulimia, binge eating and avoidant food intake disorder to flourish. Attempting to manage an unrealistic body image with repetitive, restrictive behaviors can significantly affect a person’s life. While the stereotypical image of someone with an eating disorder is a young, white woman, this health problem can affect anyone, regardless of age or gender. Another myth is that eating disorders are a deliberate choice, but they signify a severe mental health issue. What Causes Eating Disorders? There isn’t one specific cause of eating disorders – rather, these complex conditions develop due to a combination of biological, psychological and cultural variables. Due to the interplay among these factors, two people with the same eating disorder can have different experiences and symptoms. Eating disorder risk factors include the following. Perfectionism: One of the strongest predictors of an eating disorder is having unrealistic expectations. Distorted body image: People who develop eating disorders are more likely to report higher levels of body image dissatisfaction.   Mental health disorders: Eating disorders frequently develop alongside mental health challenges like anxiety, social phobia and OCD. Loneliness: Social isolation is another characteristic of eating disorders, as people with irregular eating and feeding patterns may have fewer friends, low self-esteem and less social support. Internalized fatphobia: Many young women and men grow up believing that only people with a specific body image can be healthy and attractive. While the media have made progress in showing diverse bodies, there is still work to do to instill confidence and a positive self-image among impressionable children and teenagers.   How to Recognize a Problem Anyone can develop an eating disorder, but young adults can be especially vulnerable to this mental health problem, due to hormonal changes during puberty and peer pressure to maintain specific body image standards. Though eating disorders are prevalent in girls and young women, as many as one-third of men will develop an eating disorder at some point in their lives. Though the behavioral warning signs can vary by person and the type of eating disorder they have, here are some general things to look for. Obsession with body weight, calorie and fat intake Feelings of guilt or self-loathing about food and appearance Vomiting or taking laxatives after meals Low self-esteem and an unrealistic body image Skipping meals entirely, or only eating small amounts Unwillingness to eat in front of others Eating large amounts of food, often to the point of discomfort Only feeling comfortable eating a small range of foods, and getting distressed about going outside that comfort zone Cooking for other people, but not eating anything themselves Preoccupation with weighing themselves and checking in the mirror for flaws Mood swings Cutting out entire food groups or switching diet plans to lose more weight Desire for perfection Refusal to participate in usual activities Making self-disparaging comments Compulsively exercising, even if they are sick or injured... --- ### Cutting Back on Alcohol Improves Anxiety, Depression > People who use alcohol to manage the symptoms of a mental illness like anxiety or depression must understand how drinking can make them feel worse. - Published: 2023-02-20 - Modified: 2023-02-20 - URL: https://therapeutic-partners.com/blog/alcohol-mental-health/ Since alcohol is easy to find, socially acceptable and marketed as a way to relax and have fun, you may see nothing wrong with having a few beers at happy hour or a glass of wine with dinner. However, all those TV commercials and movie depictions overlook the fact that alcohol is an addictive drug that causes mental and physical health issues. While alcohol acts like a stimulant – lowering inhibitions and helping people feel more relaxed – it’s a depressant. Even moderate alcohol consumption can cause or worsen mood and sleep disorders. Drinking can also lead to cognitive problems like trouble concentrating and memory loss. Alcohol slows down your central nervous system, impairing judgment and causing slowed reaction times, which can lead to accidents, serious injury and even death. Alcohol’s Effects on Mental Health People who use alcohol to manage the symptoms of a mental illness like anxiety or depression must understand how drinking can make them feel worse in the long run. Frequent alcohol use changes the brain’s reward pathways, making it increasingly hard to derive enjoyment from any other source. For those who try to cut back or quit, unpleasant withdrawal symptoms might make them even more anxious or depressed. When alcohol use disorder overlaps with a mental illness like anxiety or depression, health professionals call it a dual diagnosis. The two conditions evolve together until they are so intertwined that it’s nearly impossible to tell which came first.  Successful recovery requires treating both conditions simultaneously. Alcohol Use and Sleep Disorders Alcohol has a calming effect because it targets the GABA receptors in the brain. While it can make people feel drowsy, it also wears off quickly. Insomniacs who drink to help them fall asleep may find themselves awake and alert in the middle of the night. They may also snore and repeatedly stop breathing, which can cause them to wake up feeling groggy. Consuming alcohol before bed disrupts the sleep cycle – especially in the latter half of the night. People with severe alcohol use disorders may experience disruptions such as taking longer to fall asleep, waking up more often and struggling through daytime fatigue. Sometimes, if a person develops a physical dependence, withdrawal symptoms can wake them up in the night when their body asks for more alcohol. Therapeutic Consulting in Miami Often, those who habitually drink to excess don’t realize how much their lives will improve when they stop. They will enjoy more restful, high-quality sleep, wake up feeling alert and have a more balanced mood every day. It will be easier for them to concentrate on their tasks at school or work. Quitting alcohol allows the brain and body to heal and start reversing some of the damage, but it’s challenging to do alone. When you need help healing your family from illnesses like addiction and depression, trust R&A Therapeutic Partners to lead you on your journey. We take our role seriously, creating a robust therapeutic alliance with our clients.   Raymond Estefania... --- ### Understanding Family Resilience > The same principles behind the family stress model can contribute to family resilience: the ability to withstand adversity together. - Published: 2023-01-31 - Modified: 2023-01-31 - URL: https://therapeutic-partners.com/blog/family-resilience/ At some point, every family will encounter a crisis. Major events like job loss, the death of a loved one, and terminal illness create challenges for parents and children alike. To weather these storms, families must have a certain level of resilience: the capacity to withstand adversity and thrive afterward. While this type of mental toughness was originally seen as an individual trait, researchers have begun to explore the concept of family resilience. What is Family Resilience? Family systems therapists have long acknowledged the impact of adversity on the family unit. A crisis doesn’t just affect one member of the family; it creates ripples that touch each person in the household. Family resilience researchers believe that this same principle can be reversed. Put simply, the way each loved one responds can make a key difference in the outcome of a crisis. If everyone pitches in, the fallout from health problems, unemployment, or caregiving can be mitigated. Adversities Faced by Families The average family must overcome multiple persistent challenges, which are often related and ongoing. Common issues include: Caring for an aging or injured loved one Divorce, parental remarriage, and stepfamily formation One member being diagnosed with a serious illness or disability Financial strain and unemployment Natural disasters LGBTQ+ stigma Military families: deployment and relocation Sudden medical crisis (heart attack) Complex or multigenerational trauma Death of a parent or child What Makes a Family Resilient? Psychologists have begun to evaluate the ways in which parents, children, grandparents, and other members of the family can support one another when times are tough. They have identified three domains of family functioning. Shared Belief Systems Families must be able to make meaning out of their adversity, normalize feelings of distress, and foster a positive outlook for the future. If a family can cultivate optimism during a period of challenge, they are more likely to grow together after their trial has concluded. Organizational Resources A crisis requires both flexibility and organization. The household dynamic may change during this period, and that’s okay. Someone—not necessarily a parent—must step up and provide leadership to loved ones during this time. They will offer guidance and protection to others, then divide the work of mobilizing extended family and accessing institutional resources. Communication and Problem-Solving Processes The priorities for families in this area include clarity (direct, concise communication), open and emotional sharing (both painful feelings and positive interactions), and collaborative problem-solving (working together to make decisions). How to Build Family Resilience Fortunately, family resilience isn’t an inherited set of traits. It’s something you and your loved ones can develop over time. If your family is dealing with a challenge like substance use disorder, mental illness, or the issues listed above, R&A Therapeutic Partners can help. Ray Estefania and Ana Moreno offer concierge crisis and case management services. They help people get the clinical and psychological support they need to stay healthy and find happiness. Services include: Behavioral and mental health management Referrals to medical, psychiatric, educational, social, and benefit services... --- ### Fentanyl Worsens Withdrawal Symptoms > Fentanyl’s prevalence makes it more challenging for people struggling with addiction to begin effective treatment. - Published: 2023-01-05 - Modified: 2023-01-04 - URL: https://therapeutic-partners.com/blog/fentanyl-withdrawal-symptoms/ Fentanyl is a potent and fast-acting synthetic opioid that is leading the current wave of America’s drug overdose crisis. This human-made drug is usually cheaper and easier to obtain than other addictive substances. Because of fentanyl’s effects on the central nervous system, people who take fentanyl-laced drugs have a much higher risk of overdosing. Fentanyl also makes it harder for people who need to get sober to accomplish their goals. How Does Fentanyl Make Withdrawal Worse? Fentanyl’s prevalence is responsible for skyrocketing overdose cases in North America. This synthetic opioid also makes it more challenging for people struggling with addiction to begin an effective treatment regimen. That’s because it is more likely to cause severe withdrawal symptoms for people prescribed buprenorphine, one of two medications typically used to manage opioid use disorder. Withdrawal is the body’s response to the sudden absence of a drug. If you have used opioids and decide to quit, you will likely experience an array of uncomfortable and even painful physical and mental symptoms as your brain tries to regain equilibrium. Because withdrawal can be such an unpleasant experience, many people return to drug use to avoid its symptoms. As an opioid partial agonist, buprenorphine has proven safe and effective for managing drug withdrawals and cravings, which is why it has been a successful part of medically managed detoxification programs for years. Frequently, people who are trying to stop using fentanyl find their symptoms get worse when taking buprenorphine. Many feel so uncomfortable that they never return for a follow-up dose. Health professionals warn that these failed attempts often result in their patients continuing to misuse fentanyl. Start Your Healing Journey Today Substance abuse can affect all facets of your life, harming your physical and emotional well-being, undermining your relationships and interfering with your daily responsibilities. While recovering from addiction and co-occurring mental health disorders can be challenging, it isn’t something you have to face alone. At R&A Therapeutic Partners, our team uses years of experience in the mental and behavioral health field to help those struggling to get and stay sober. We will help you navigate the system, pair you with treatment centers, offer concierge crisis management services and provide proven educational and therapeutic consulting. Raymond Estefania and Ana Moreno are compassionate, qualified experts who specialize in family care, case management, adolescent and young adult interventions and addiction rehabilitation for young people. We also provide customized outpatient treatment programs for your unique needs. Our team will work with you to establish a plan that helps you achieve your long-term wellness goals. To learn more about the specialized services we offer, contact us today. --- ### Among Gen Z, Improved Mental Health is the #1 Resolution > More than any other generation, Gen Z has made mental health a priority. Their New Year's resolutions are more likely to focus on it. - Published: 2022-12-22 - Modified: 2022-12-22 - URL: https://therapeutic-partners.com/blog/gen-z-mental-health-resolutions/ While many of the difficulties faced today were just as challenging for our grandparents and great-grandparents, mental health concerns like depression and anxiety are on the rise. Previous generations may have swept mental issues under the rug, or told one another to “get over it,” but today's adult is taking control of their mental health and making inner peace a priority for 2023. As many older Americans are jotting down traditional new year's resolutions of getting in shape or getting a new job, Gen Z is making improved mental health the resolution of choice for the new year.   Forbes Finds a Trend in Gen Z New Year’s Resolutions Just a few weeks ago, Forbes published the results of a survey measuring new year’s resolutions and health among over 1000 adults. The survey found that about 45% of respondents cited mental health improvement as a top priority. When dividing the respondents by age group, it was found that half of Gen Z placed mental health above the usual health categories of weight loss and dietary resolutions. As more cases of mental illness are being reported, this generation is focusing on peace and mental well-being heading into the new year. Depression and Anxiety Trends Worldwide In the last three to five years, the occurrence of anxiety worldwide rose by about 25% in both men in women. Depression increased by almost 30%. In addition to stressors like relationships or financial strain, the pandemic contributed tremendously to this increase. Young adults are being diagnosed with anxiety and depression at higher rates than older members of the population. Why? They are more affected by educational disruptions, are more likely to lose their jobs, and are more prone to the effects of social isolation. Gen Z is changing the stigma by being more transparent and willing to talk about mental health than previous generations. They have been raised in an age of social media and the internet, so personal stories have always been easily available. This demographic also has the ability to share their own stories and struggles at a moment’s notice. Notably, they also have more resources than previous generations. Apps, forums, help groups, and more are easily available with just a little research and minimal effort.   Make Your Mental Health a Priority in 2023 Whether you’re a member of Gen Z or not, there are many things a person can do to shore up their mental health in the new year. We recommend: Being positive and gracious for the things you have. Research has cataloged countless benefits to a grateful state of mind. Focusing on your physical wellness helps to reduce anxiety and depression symptoms. Finding purpose and growing in that purpose can help with a sense of self-esteem. This little step reminds you that the world needs and appreciates you. All of these skills can promote the development of coping skills, which give you the confidence to reach out and connect with others.   For those that need a little help... --- ### How to Beat the Holiday Blues > It is holiday depression that's bothering you this December, or are you actually struggling with the holiday blues? Learn how to cope. - Published: 2022-12-15 - Modified: 2022-12-15 - URL: https://therapeutic-partners.com/blog/holiday-blues/ For most, the holidays are an opportunity to connect with loved ones, experience the joy of giving, and unwind as you close out another year. However, for some, this is a time of great anxiety, depression, and other overwhelming negative feelings known as “the holiday blues. ” Often called holiday depression, these strong emotions affect millions of people each year, taking away the joy and excitement that should be felt during this season. Read on to learn more about what causes the holiday blues, how they relate to existing conditions, and how you can cope this holiday season. Mental Health Around the Holidays With joyous events, magical decorations, and exciting annual traditions taking place this month, it can be difficult to understand why someone might begin to feel deeply sad or anxious during this time. However, the holiday blues are quite common and often occur due to an underlying cause. Not to be confused with depression, the blues only arise during the holidays and will fade once the season has passed. Signs of this seasonal slump include: Sadness Fatigue Anxiety Stress Loneliness Frustration Although mental illness is not a direct cause of the holiday blues, the symptoms of your previously diagnosed mental health conditions can be exacerbated during this time. Other potential causes include financial stress, nostalgia, loss, trauma related to this season, social and family pressures, and work-related stress. If your negative thoughts or feelings do not subside in the new year, it is important to consult your doctor and develop an action plan for coping.   Holiday Depression: How to Cope Navigating the holiday blues can be difficult, as its sudden appearance in your life can be jarring and difficult to understand. There are several ways to cope and find relief during the holidays, as well as provide you the opportunity for avoiding these overwhelming thoughts and feelings in the future. If you find yourself feeling down, try to: Utilize therapy to better understand and work through your stressors or trauma Set realistic expectations and boundaries for yourself during this season Maintain a healthy lifestyle Refrain from excessive alcohol and drug use Communicate with your loved ones about how you are feeling These coping methods relate directly to the possible causes of the holiday blues, allowing you to understand and work through the root of your feelings. Utilizing these coping methods can allow you to find freedom from your negative thoughts and enjoy the holiday season with loved ones without feeling anxious, sad, or frustrated.   Overcome the Holiday Blues The holiday season is long-awaited each year, as it brings about a spirit of giving, love, laughter, and renewal. However, this busy and eventful time can also bring feelings of pressure, loss, trauma, loneliness, and stress. If you or someone you love struggles with the holiday blues, you should know that there is hope. R&A Therapeutic Partners offers mental health evaluations, individual and family therapy, educational planning, and aftercare workshops that will help you understand, address, and overcome... --- ### How to Support Someone Experiencing a Psychotic Episode > It is much easier to support a loved one with psychosis and stay connected if you understand their condition, what causes it and what you can do to help. - Published: 2022-11-21 - Modified: 2022-11-21 - URL: https://therapeutic-partners.com/blog/psychotic-episode/ Psychosis can be a terrifying experience for everyone involved. Families and friends of someone having a psychotic episode may not understand what is happening or how to respond appropriately. The delusions and hallucinations associated with psychosis may seem very real to the person having them, but alarming to everybody else around them. A person having a psychotic episode may also behave unpredictably or violently, which can make you hesitant to approach them. It is much easier to support a loved one with psychosis and stay connected if you understand their condition, what causes it and what you can do to help. What Is Psychosis? Psychosis is a leading characteristic of mental health conditions like schizophrenia, depression, bipolar, addiction and borderline personality disorder. Drug-induced psychosis may be a side effect of substances like hallucinogens, high-THC marijuana, antidepressants, muscle relaxers and blood pressure medications. Additionally, psychosis can be a response to a brain injury, trauma or extreme stress. There is increasing evidence to support the hypothesis that using high-potency marijuana and other substances like hallucinogens can contribute to psychosis and mania in some people, especially if they have a family history of mental illness or other risk factors that make them more vulnerable. We also know that if someone has had one psychotic break, this makes them more likely to have another one, especially if they continue using substances and don’t receive mental health treatment. Psychotic breaks rarely arise out of nowhere. Instead, a psychotic episode may begin with small, seemingly minor issues like paranoia, trouble concentrating, neglecting self-care or withdrawing from friends and family. Treatment professionals call these early warning signs first-episode psychosis. FEP often occurs in adolescence or young adulthood and can be a sign of a chronic mental illness such as schizophrenia that may be beginning to show symptoms. Though you may feel unqualified to diagnose someone with psychosis, you can spot the unique warning signs that a loved one is starting to behave irrationally if you understand their risk factors and pay close attention to how psychosis symptoms manifest in them. Once a psychotic episode is over, you can also try asking your loved one to look back on what they were experiencing during that time and provide some insight into what it felt like. What Not to Say When Someone Is Psychotic During a psychotic episode, many people may be unaware that they are in a mental health crisis. The confusing, disorienting disruptions to their thoughts or feelings can make it difficult to determine what’s real and what isn’t.   When talking to someone experiencing psychosis, do not belittle them or dismiss their concerns. Instead, listen without judgment and provide verbal affirmation. Avoid criticizing them for things they say or do during a psychotic episode or take their words and actions personally. Here are some other don’ts for dealing with someone experiencing a psychotic episode. Do not challenge or confront them about their delusional beliefs.  Telling them they are having a psychotic break will not cure psychosis or... --- ### Mental Health Resources for Teens > Teen mental health challenges like depression and anxiety have been on the rise in recent years, fueled by the upheaval they face. - Published: 2022-11-11 - Modified: 2022-11-11 - URL: https://therapeutic-partners.com/blog/mental-health-resources/ As adults, we wish we could shield children and adolescents from mental health challenges like depression and anxiety, but these disorders are on the rise among the younger generation – and it’s no wonder. Often, children are more observant and sensitive than adults, and today’s young people are growing up amid unprecedented turmoil. Climate change, racism, mass shootings, political divisiveness and the COVID-19 pandemic are ongoing crises our nation’s leaders have failed to adequately address, making the past few years incredibly stressful for children. Factors Affecting Teen Mental Health In 2019, the CDC reported that the percentage of high school students with depression symptoms was nearly 40%, and almost 20% had suicidal thoughts. Two years later, the number of students experiencing persistent sadness and hopelessness had risen to 44%, and suicide is now the second leading cause of death among 10- to 14-year-olds. While adolescence has always been a rocky time characterized by rapid changes and difficult emotions, teens and young adults are inheriting a world in which upheaval and unrest are the norm. Many of them have fallen victim to the physical and psychological ramifications of chronic stress, characterized by symptoms ranging from insomnia to a weakened immune system. If left unaddressed, chronic stress can also cause long-term health problems like heart disease and depression. Identifying Teen Mental Health Symptoms Unfortunately, younger people often lack access to the resources that can help improve their mental well-being. The “new normal” created by the pandemic has left teens more isolated and introverted than ever before. Activities like playing team sports or joining academic clubs may be less accessible than they were pre-pandemic, meaning many adolescents are missing out on vital outlets for socializing. One of the most important things any parent can do is learn the signs that something is wrong. Warning signs of teen mental illness can include: Weight gain or lossNeglecting personal hygieneLoss of interest in previously enjoyable hobbiesWithdrawing from family and friendsPoor academic performanceFeeling hopeless or worthlessMood swingsSubstance abuse Starting a Conversation About Teen Mental Health To cope with depression and anxiety, many teens sleep more than usual and spend hours on their phones – neither of which is a helpful coping mechanism. While sleep should be refreshing and restorative, hypersomnia can become an unhealthy way of escaping from emotions instead of confronting them. Additionally, too much screen time could increase antisocial tendencies, while “doomscrolling” through news headlines can make people feel more anxious. Fortunately, robust mental health resources for teens are just a click or call away. Teens and young adults may need professional help to improve their mental well-being and deal with the obstacles they face. At R&A Therapeutic Partners, we make healing possible through our expertise, allowing us to offer services including dual-diagnosis evaluations, interventions and outpatient programs. Our relationships with other expert treatment providers allow us to coordinate care plans for a concierge experience. We connect teenagers with mental health resources that provide support, treatment and actionable steps to move forward. If your family... --- ### Marijuana's Effects on Teens > Adolescent exposure to marijuana can significantly impact cognitive ability later in life, including the ability to retain memories and learn new things. - Published: 2022-10-27 - Modified: 2022-10-27 - URL: https://therapeutic-partners.com/blog/marijuana-teenage-brain/ More than half of U. S. states plus Washington, D. C. , have passed laws legalizing marijuana for recreational or medicinal use. As a result, many teens and adults believe marijuana is a “safe” alternative to alcohol or other recreational drugs. In spite of the White House’s recent statement, marijuana is still illegal at the federal level, which means it is currently a Schedule I drug on the DEA’s controlled substances list. Because marijuana has been on Schedule I for so long, reputable studies of its long-term effects remain limited, but what we know about how it impacts developing adolescent brains is alarming. According to statistics from the National Institute on Drug Abuse, as many as 30% of people who use marijuana become dependent on it. Meanwhile, those who start using the drug before age 18 are up to seven times more likely to develop a marijuana use disorder. Adolescent exposure to marijuana can significantly impact cognitive ability later in life, including the ability to retain memories and learn new things. Drugs Are More Dangerous for Teen Brains Even if your son or daughter gets good grades and usually makes mature choices, it’s crucial to remember that teens are vulnerable to peer pressure. That’s because they use the emotional, impulsive part of their brain to make decisions. If a friend or someone they look up to offers them marijuana, they may have trouble saying no – especially if they believe it’s harmless. A peer-reviewed study published earlier this year in the research publication JAMA Pediatrics is the latest entry in a growing body of evidence suggesting that teens are more vulnerable to developing substance use disorders than fully grown adults. The study also supports the idea that early drug experimentation makes it more likely someone will develop a substance use disorder. Additional research suggests a connection between frequent marijuana use and psychosis. High-potency strains with more than 10% THC can increase a user’s odds of experiencing a frightening break with reality. That’s especially worrying because these products are much more readily available from dispensaries in states where marijuana is legal. Is Marijuana Addictive? Like all drugs, marijuana affects the brain’s reward centers, where it can cause mood changes, impair memory and decision-making skills and distort users’ sense of time and reality. Despite all its other negative effects, cannabis can feel like an escape mechanism for adolescents. Teens who become dependent on marijuana to feel “normal” will experience cravings and withdrawal symptoms if they try to quit or taper off. Ultimately, they may continue using it to avoid these side effects: Loss of appetiteMood swings and irritabilityTrouble sleeping and concentratingSweating and chillsDepression and anxiety Preventing Addiction in Teens and Young Adults Parents may brush off teen substance use as a brief phase their children will soon outgrow. While new experiences are a valuable part of the learning process, drug use can be especially problematic for adolescents, with far-reaching consequences.   If your son or daughter regularly uses marijuana and you worry... --- ### How to Talk to Your Teen About Mental Health > If you notice your teenager seems unusually withdrawn or is struggling to keep up in school, now is the time to speak up. - Published: 2022-10-24 - Modified: 2022-10-24 - URL: https://therapeutic-partners.com/blog/teenage-mental-health/ Starting a conversation about mental health can be challenging, especially if you are bringing up the topic with a teenager who may be especially sensitive about protecting their privacy. As a parent or guardian, you are responsible for keeping an eye on a child’s behavior, even if they are making it more difficult for you to do so. Like adults, many teens need encouragement to make positive changes in their lives. If you notice your teenager seems unusually withdrawn, has lost interest in hobbies or is suddenly struggling to keep up in school, now is the time to speak up. Here are some quick tips to help you. Ask What They Need Adolescents who are starting to establish their independence won’t appreciate an adult preaching at them or telling them how to live their lives. Instead of telling your child what you think they should do, ask what they want your help with, then use that information to guide your responses. For example, if they’ve been slipping academically because they don’t understand the subject matter, offer to find a tutor. Or, you can ask if they’d be open to working with a therapist who specializes in teen mental health issues. Listen Non-Judgmentally It can take a lot of courage for someone to talk about the mental health challenges they’re facing. Listen to your teen without interrupting, and do not minimize or dismiss their feelings. Reassure your child that mental health struggles like depression and anxiety are common worldwide, and that help is available. Choose the Right Time Conversations about touchy subjects usually go more smoothly when they happen organically. If you try to force the issue, you will probably encounter resistance. Wait for a time when you and your child have plenty of privacy and are not preoccupied with other responsibilities. Be Comfortable With Silence Your teen may need to take a moment to gather their thoughts or collect themselves emotionally. If this happens, don’t try to fill the conversational gap, as doing so could derail their train of thought. Be patient and give them the time they need to pull themselves together. Ask Open-Ended Questions Open-ended questions set the stage for a more detailed discussion by encouraging your child to provide a comprehensive answer. By phrasing questions thoughtfully, you can help your teen make better decisions about their mental health. If you sense any uncertainty, gently nudge them toward the best path. Keep Communications Lines Open Many mental illnesses begin in adolescence, but some teenagers don’t get the help they need right away. Make sure to emphasize that your child should always feel comfortable coming to you if they have any questions, concerns or problems with their friends or teachers. Focusing on Your Family’s Health At R&A Therapeutic Partners, we know parenting an adolescent can be challenging. That’s why we offer top-quality family counseling and parental support. If your family dynamic is dysfunctional or characterized by issues like substance abuse or codependency, reach out today to request help. --- ### Can Tech Help Prevent Teen Suicide? > Teenagers who grew up surrounded by technology naturally use the internet and their smartphones to navigate the world. - Published: 2022-09-27 - Modified: 2022-09-27 - URL: https://therapeutic-partners.com/blog/teen-suicide-prevention/ According to the National Alliance on Mental Illness, nearly 20% of high school students report seriously contemplating suicide, and 9% have attempted to take their lives. The American Foundation for Suicide Prevention lists suicide as the third-leading cause of death among young people and the second-leading cause of death among college students.  These heartbreaking statistics represent a nationwide teen mental health crisis that has gone unaddressed for far too long. Factors Contributing to Teen Suicide Rates Since the decision-making part of a teen’s brain doesn’t fully develop until their mid-20s, adolescents don’t evaluate risks the same way adults do. That’s why they tend to make decisions based on strong emotions instead of taking time to think things through. Teenagers also tend to lack some of the social connections and responsibilities older adults have. For example, adults who have families and full-time jobs might think twice about ending their lives because so many people rely on them. While anxiety, depression and other mental health disorders have been prevalent among adolescents for years, evidence suggests the unique stressors associated with the COVID-19 pandemic have made matters worse. According to CDC data, more than 140,000 American children lost primary or secondary caregivers to COVID-19 between April 2020 and June 2021. Even families that are not grieving a loved one have had to navigate pandemic-related challenges like remote learning, isolation and economic strain. Technology and Mental Health Teenagers who grew up surrounded by technology and are digital natives naturally use the internet and their smartphones to navigate the world. Because they are accustomed to the convenience of having all the information in the world at their fingertips, they are less likely to seek answers in person if they can find what they need online. That includes mental health resources such as counseling. Though many adults are quick to blame technology for worsening teens’ mental health, your teenager can use several practical apps, websites and other online resources if they are struggling with suicidal thoughts. They can also text or call 988 to reach the national Suicide & Crisis Lifeline and connect to trained mental health and substance use counselors. The idea of going to weekly therapy appointments in person may be overwhelming for socially anxious teenagers or those who struggle with their executive functioning skills. Fortunately, teletherapy has become more accessible than ever in recent years, allowing your family to participate in counseling from the comfort of your home. Online therapy is equally effective as in-person sessions for treating common mental health conditions like depression and anxiety, and most clients report no difference in satisfaction between online and face-to-face therapy. Customized Mental Health Care and Addiction Treatment At R&A Therapeutic Partners, Raymond Estefania and Ana Moreno are certified therapists, licensed mental health counselors and addiction professionals with more than 35 years of total experience in providing therapeutic consulting and intervention services. We help families rediscover their sense of hope with our outpatient programs and concierge-level crisis and case management. To learn how we can help your teen with... --- ### National Recovery Month: Teens and Young Adults > National Recovery Month 2022 is an observance of particular importance for the parents of teens and young adults. Here's why. - Published: 2022-09-16 - Modified: 2022-09-16 - URL: https://therapeutic-partners.com/blog/national-recovery-month-2022/ September is National Recovery Month: a time for communities to spread awareness about the widespread issue of substance use disorder (SUD). Since the 1980s, this observance has educated the public, reduced stigma, and celebrated those who have recovered. This topic is especially important to discuss with teens and young adults, a demographic at particular risk for the long-term ramifications of substance use. Why are young people at risk, and what can you do to protect your child as he or she matures? Pressure to Use and the Developing Brain Due to a number of factors (including highly targeted alcohol and nicotine product marketing, peer pressure, and the urge to experiment), teens and young adults are at a greater risk of developing SUD. Environments where heavy substance use is normalized and expected, such as high school and college social gatherings, can have an especially significant influence on the emergence of SUD. The pressure to binge drink and try addictive drugs can be a powerful force for young people. This becomes more understandable when one considers the underdeveloped prefrontal cortices of young people’s brains. According to the National Library of Medicine, the prefrontal cortex does not reach full maturity until age 25. This means the vast majority of high school and college-aged young adults navigate social situations without the complete cognitive ability to make wise decisions with regards to dangerous substances. Long Term Effects of SUD on Young Brains SUD can cause several cognitive and behavioral issues for teens and young adults later in life. Examples of observed ramifications include poor decision-making skills, trouble remembering things, impaired emotional development, lower motivation, and disruptive or even violent tendencies. These behavioral issues can lead to any number of other struggles in life, including difficulty maintaining relationships, jobs, and personal finances. Signs of Substance Use in Teens and Young Adults It's always better to prevent addiction early on than to treat it after it has taken over a young person’s life. A few signs of a developing substance use disorder are heavy and regular drinking or drug use, personality changes such as lower motivation, higher-than-normal anxiety levels, and engaging in out-of-character or risky behavior. “How Do I Talk to Them About Drugs and Alcohol? ” If you notice these signs in a teen or young adult in your life, remember to have compassion and approach them without anger or malice. Educational information and respect are both key to productive conversations. For example, many young people are unaware of the interaction of different alcohol percentages; they may not know how to moderate their alcohol intake or drink responsibly. Early education about topics like this can prevent young people from developing risky habits that can lead to a path of substance abuse. Recovery for Teens and Young Adults Because most people think of SUD as only affecting grown adults, teens and young adults might struggle to come to terms with their reliance on substances. This is especially true when it’s so normalized for young people to consume... --- ### Young Adult Cannabis and Hallucinogen Use Reach Record High > The National Institutes of Health’s Monitoring the Future survey revealed some alarming young adult drug use trends. - Published: 2022-08-30 - Modified: 2022-08-30 - URL: https://therapeutic-partners.com/blog/teen-drug-statistics/ The National Institutes of Health’s Monitoring the Future survey provides a snapshot of young adult drug use in the United States and a glimpse into how substance use might affect younger generations in years to come.   The survey’s most recent results reveal young adults between 19 and 30 used marijuana and hallucinogens at record-high rates in 2021. The number of people in this age group who used these drugs is higher than at any time since 1988. What Do the Statistics Say? The survey’s findings revealed some alarming young adult drug use trends, including the following. Among respondents, 11% of young adults reported daily marijuana use last year, and 12% said they had vaped marijuana within the past month. In 2021, 43% of young adults used cannabis products.  About 8% of young adults admitted to using hallucinogenic substances such as LSD, PCP, MDMA and psychedelic mushrooms in 2021, compared to only 3% in 2011.  High-intensity drinking rates also skyrocketed in 2021, with more than one in eight young adults reporting having 10 or more drinks in a row in the past two weeks. What Is Driving the Increase in Young Adult Drug Use? Young adult drug use had been consistently declining for years, but the unprecedented stress and uncertainty caused by the COVID-19 pandemic have caused an increase in substance abuse among all age groups. Overdose rates have also spiked in the last two years, taking the lives of an all-time high 107,600 Americans in 2021.   Mental health issues like depression, anxiety and trauma also go hand in hand with drug use. Perhaps unsurprisingly, the ongoing pandemic has also worsened these problems by causing isolation and limiting access to resources that help people cope with life’s challenges.   Ease of access to marijuana and cannabis products is another contributing factor to the problem. Recreational marijuana use is legal in 19 states, Guam and Washington, D. C. , while others have decriminalized low-level cannabis possession offenses or passed medical marijuana laws. Additionally, a loophole in the 2018 Farm Bill legalized CBD and Delta-8 THC, two compounds from the marijuana plant that bind to cannabinoid receptors.  These products are available in some states that have yet to fully legalize the sale of marijuana. The Risks of Marijuana and Hallucinogen Use Many young adults’ curiosity about these drugs’ mind-altering properties leads them to experiment, which can be dangerous. Marijuana and hallucinogens can be unpredictable due to variations in their active compounds. While some users have a relaxing or mentally stimulating experience, these substances can also cause undesirable side effects like mood swings, increased blood pressure, disturbed sleep, panic, paranoia and psychosis symptoms. There is also a risk of physical and psychological dependence when using any psychoactive substance for a prolonged period. Once this occurs, it will become increasingly harder to stop using cannabis and hallucinogens, no matter how much you want to. Customized Mental Health Care and Addiction Treatment At R&A Therapeutic Partners, we put healing within reach with our expert... --- ### Stress Management Techniques for Teenagers > Stress in teens is at an all-time high. Read this blog to access a list of 25 proven stress management techniques for teenagers. - Published: 2022-08-11 - Modified: 2022-08-11 - URL: https://therapeutic-partners.com/blog/teen-stress/ In the aftermath of the COVID-19 pandemic, our nation faces another crisis. Today’s teenagers report stress levels on par with adults—a new phenomenon in the field of psychology. Why is Gen Z so overwhelmed, and what can we do to help them? Read on for more information about stress management techniques for teenagers. Teen Mental Health ER Visits Increase Over 30% Youth mental health has become a public emergency in the U. S. Between 2019 and 2020, emergency rooms saw a 31% increase in visits related to teenage mental health issues. Most were for adolescents aged 12 and 17, with female patients making up the majority. In a report outlining this phenomenon, the Centers for Disease Control and Prevention offered a few possible explanations: Most teens receive mental health services through community agencies, like schools. The increase in visits may reflect pandemic-related stress. These may be unintended consequences of mitigation measures (social distancing, sheltering in place). Modified access to mental health services may have disrupted schedules. Many mental health disorders begin in childhood. Existing mental health problems were intensified by pandemic stress and changes to routine. Stress in Teens: Contributing Factors and Consequences This last point reflects a key concern: when a young person with anxiety or depression encounters a high-stress situation, they may experience a mental health emergency. The pandemic provided a clear illustration of what happens when adolescents live with chronic stress. While schools have returned to in-person learning and concerns about the virus have subsided, teenagers still report high stress levels. What is overwhelming them in 2022? The American Institute of Stress lists the following factors: Low self-esteem and negative self-conceptPuberty and bodily changesInterpersonal clashes with classmates or friendsFeeling unsafe at home, in their communities, or at schoolDivorce, separation, or parental conflictLoss of a loved oneFinals, midterms, and other testsFinancial strain at homeMajor life events like movingPressure to perform at schoolTaking on too many extracurricular or collegiate prep responsibilities Unfortunately, most teenagers struggle to cope when stress levels climb. They may not know how to deal with challenges in a constructive fashion. Overwhelm may manifest in isolation, aggression, or substance use. Some teenagers turn to escapism—they disconnect from their families, stop engaging at school, and drink or use drugs with their friends. Recognize that this rebellion is rarely just “teens being teens. ” It may signal that your child needs support, clinical intervention, and better coping skills. Effective Stress Management Techniques for Teenagers Parents can take action in a few key ways. First, remember that you must serve as your child’s advocate and confidant. Monitor their behavior; if they seem to be stressed, encourage them to open up about it. Listen actively and offer options for solving their problems. For example, if football and debate practice prevent your son from completing his homework, you can help him decide which activity to discontinue. No matter what you think, support your child’s decision. As parents, we can also model a series of healthy, effective stress management techniques. If your... --- ### 988 Is the New 911 for Mental Health > As of July 16, Americans experiencing a mental health crisis can call or text 988 to reach the national Suicide & Crisis Lifeline. - Published: 2022-07-28 - Modified: 2022-07-28 - URL: https://therapeutic-partners.com/blog/988-is-the-new-911-for-mental-health/ As of July 16, Americans experiencing a mental health crisis can call or text 988 to reach the national Suicide & Crisis Lifeline. This change will save lives by enabling people who need help to dial only three numbers to connect with trained mental health and substance use counselors. While the original suicide hotline phone number, 800-273-8255, is still available, the 988 shortcut should be easier for people to remember in an emergency. Counselors are available to answer free, confidential calls 24/7. They have experience in responding to a wide range of mental health issues, including self-harm, addiction, and suicidal ideation. 988 Fills a Gap in Mental Health Care Launching a new number is an opportunity to address our national suicide and addiction epidemics and make help more accessible nationwide. The Biden administration has already invested more than $400 million in enhancing response centers and other essential services to support the 988 system. During a mental health crisis, many people call 911 because they don’t know where else to turn. However, doing so typically results in stressful emergency room visits or interactions with police officers, either of which can lead to tragedy or trauma. Ideally, 988 will become a widely known, safer, and more effective alternative. Calling or texting 988 will route people to the nearest response center based on their area code, which will connect them to experienced mental health counselors who are familiar with nearby resources and services. Supporting 988 Requires Additional Funding Transitioning to 988 is part of a widespread, long-term effort to scale up mental emergency response teams around the country. Congress approved 988 as the national suicide hotline in 2020, but did not allocate full federal funding, leaving it up to each state to come up with the resources. When people are alone, afraid, and in dire need of help, they should receive an immediate response. Unfortunately, a lack of resources has forced many crisis centers to close in recent years. According to the Department of Health and Human Services, the lifeline received 3. 6 million calls, texts, and chat messages in 2021. But a 2021 report by SAMHSA found the current system responds to only 85% of calls, 56% of texts, and 30% of chats. In response to the launch of 988, Florida has started increasing its ability to provide urgent care to people experiencing mental and behavioral health problems. In 988’s first year, it will cost the state an estimated $28 million to respond to the increased demand of having a more accessible crisis support hotline. Tailored Mental Health Treatment at R&A Therapeutic Partners If you struggle with mental or behavioral health issues, our trained therapists can create a personalized plan for improving your well-being. We improve your quality of life with our concierge-level crisis and case management, which is available at nights and on weekends. We also maintain collaborative, team-based relationships with other professionals, including physicians and recovery coaches, to provide the additional support you and your family might need. Contact us today... --- ### Potent THC Negatively Impacts Teens > What is considered high THC? Today, cannabis products have up to 95% THC, compared to 2% in the 80s. This harms teenagers. - Published: 2022-07-07 - Modified: 2022-07-08 - URL: https://therapeutic-partners.com/blog/teens-thc-cannabis/ The Rise in THC Concentration Cannabis has changed considerably since its legalization was first debated in the 1960s. At that time, the average THC content of a marijuana flower was less than 2%. 1 Today, the industry has developed new, more concentrated strains with much higher THC levels. Between 1995 and 2015, for example, there was a 212% increase in the THC content in marijuana available at dispensaries in Colorado. In 2017, the most popular strains ranged between 17 and 28% THC. The way people consume cannabis has also changed. Oil, dabs, shatter, and edibles have become widely available. These products can yield a THC concentration of up to 95%. These alternative modes of consumption have become especially popular among young people. In 2022, teenagers are vaping potent THC concentrates—and experiencing serious health effects. Teens in Harm’s Way In a recent article for the New York Times, reporter Christina Caron interviewed Elysse, a young girl who was 14 when she first started vaping cannabis. 2 Because her vape pen was odorless and convenient, it was easy to hide from her parents. Unfortunately, the oils and waxes she purchased typically contained around 90% THC. A host of negative reactions quickly replaced the initial euphoria Elysse experienced: she passed out in the shower, became anxious, and began vomiting uncontrollably. Doctors eventually diagnosed her with cannabinoid hyperemesis syndrome. This condition causes recurrent vomiting in those who consume large amounts of marijuana. This reaction isn’t uncommon among teens who use high-potency THC products. Other repercussions include: Disruption of brain developmentPsychosisLifelong psychiatric problemsDepressionSuicidal ideationChanges to brain anatomyMemory problemsAddiction Despite these severe side effects, regulating bodies have shied away from intervening. Because cannabis is federally illegal, the Food and Drug Administration has declined to take action. Long-Term Consequences Despite what some teens and parents may think, there are many lifelong health issues associated with adolescent marijuana use. A 2021 study published in JAMA Psychiatry reported that, in 1995, only 2% of Denmark’s schizophrenia diagnoses were affiliated with cannabis use. In 2010, that number had risen to 6 to 8%. Marijuana can change the physical structure of the brain among young users. It reroutes connections in ways that researchers don’t fully understand. Psychotic symptoms like hallucinations, strange behavior, hearing voices, and struggling to distinguish fantasy from reality have become more common. If a teenager displays these symptoms, Dr. Sharon Levy says that “ becomes an emergency. Because maybe, just maybe they’ll clear up, and we’re preventing someone from developing a lifelong psychiatric disorder. ” “The younger you are, the more vulnerable your brain is to developing these problems,” she added. For this reason, teenagers who are heavy users of marijuana should receive professional help. Help for Teens Addicted to High-Potency THC If your child is consuming high-potency THC, help is available. Ray Estefania and Ana Moreno have more than 40 years of experience working with individuals and families struggling with complex substance use disorders. They provide evaluations, interventions, and concierge-level support to families who are stuck in... --- ### The Long-Term Consequences of Adolescent Binge Drinking > While some parents may think that binge drinking is just a part of growing up, adolescent alcohol abuse can have serious consequences. - Published: 2022-06-23 - Modified: 2024-07-19 - URL: https://therapeutic-partners.com/blog/adolescent-binge-drinking/ The teenage years are a time of continued growth and development. As adolescents start to build their social circles and solidify their identities, they must also begin making difficult choices. For many teens, binge drinking represents a crucial crossroads. According to the National Institute on Alcohol Abuse and Alcoholism, over 7 million young people between the ages of 12 and 20 have reported drinking “more than just a few sips” of alcohol within the past month. 1 While some parents may believe that the occasional beer-fueled party is “just part of growing up,” the reality is that heavy alcohol consumption can have lifelong effects. Today, we’ll explore the long-term consequences of adolescent binge drinking. The Dangers of Teenage Binge Drinking Increased Risk of Addiction The biggest concern for parents of partying teens should be alcohol use disorder. Choosing to binge drink at a young age majorly increases a person’s risk of addiction. Research published in JAMA Pediatrics demonstrates this connection. A cross-sectional survey of more than 43,000 adults found that relative to those who began using alcohol in adulthood, those who drank before age 14 were more likely to experience chemical dependence. 2 An alcohol use disorder can be life-threatening. It’s a chronic, relapsing condition, which means that without treatment, it tends to worsen over time. While help is available for those dealing with addiction, prevention is the best step parents and teens can take to prevent a lifelong struggle. Legal Issues Teens who engage in binge drinking are also more likely to get in trouble with the law. Since 1988, every state has passed legislation setting the minimum age for alcohol consumption to 21. This means that nearly everywhere, it is illegal for teenagers to: Possess any alcoholic drinks Purchase alcohol Consume intoxicating beverages Use false identification to buy alcohol Get drinks from someone who is over the age of 21 Drive while under the influence at any blood alcohol concentration Host parties where underage people are drinking Choosing to violate these laws can result in a litany of legal issues. Teenagers caught with illicit beverages may face fines, suspended driver’s licenses, and even jail time. This complicates the process of applying for college, jobs, and housing later in life. Isolation and Other Problems Many teens begin using substances with the goal of “fitting in”—unfortunately, the truth is that adolescent substance use can be incredibly alienating. If a young person becomes reliant on alcohol and begins to drink more and more often, they may lose touch with their friends. They’ll also be more likely to fall behind in school, avoid extracurricular activities, and forego their hobbies. Other consequences of underage alcohol use include: Increased risk-taking. According to the Centers for Disease Control and Prevention, unprotected sex and illicit drug use are more likely for those who are often under the influence of alcohol. 3 Bad grades. Adolescents who misuse substances are more likely to experience academic problems and perform poorly in school. 4 Serious injury or death. Teenagers who... --- ### Researchers Look at the Effectiveness of Alcoholics Anonymous > A recent literature review looked at the effectiveness of Alcoholics Anonymous by analyzing past research. Learn how AA can help your recovery. - Published: 2022-06-16 - Modified: 2022-06-16 - URL: https://therapeutic-partners.com/blog/effectiveness-of-alcoholics-anonymous/ A group of researchers at the Stanford School of Medicine analyzed a variety of studies on the effectiveness of Alcoholics Anonymous. Specifically, these medical professionals looked at trends in sobriety and abstinence from substance use. They compared outcomes of participants in AA programs alongside those in a traditional psychotherapy setting. Researchers overwhelmingly found that those in AA achieved positive outcomes and lasting sobriety at higher rates than their counterparts. Treating Alcohol Use Disorders The literature review sought to determine the best course of treatment for those with an alcohol use disorder. For years, AA has been the go-to choice for those struggling with excessive alcohol consumption. The community that this program provides has helped many people recover from substance use disorder, resulting in long-lasting sobriety. AA has drawn criticism in the past from some therapists and psychologists because it has more of a community focus as opposed to the individualized support of therapy. However, this analysis demonstrated that this program actually achieves great success rates. The Benefits of AA The studies included in this analysis measured levels of abstinence from substance use for those in an Alcoholics Anonymous group. According to the review, one specific study found that people who consistently participated in AA were 60% more likely to maintain sobriety when compared to those who had no treatment or other types of treatment, like therapy. As a whole, AA was found to be at least as effective in treating alcohol use disorders, if not more so, than other interventions.   Traditional Therapy for Substance Use Disorders Traditional therapy allows people to have individualized treatment for their alcohol use disorder. These one-on-one conversations give a client the chance to process some of the roots of their disease and develop coping skills to combat cravings. They may not be comfortable discussing more personal life issues, especially those that relate to past trauma. Individual counseling provides space for introspection that’s guided by a professional who can ask intentional questions. This isn’t something that typically happens in an AA group, which is what makes therapy unique.   Choosing AA or Individual Therapy The purpose of this study was to demonstrate the effectiveness of Alcoholics Anonymous in the treatment of an alcohol use disorder. However, traditional therapy can work alongside attending AA meetings for even greater success. These two treatment options don’t have to be mutually exclusive, meaning you can utilize both to better manage this disease. Both traditional therapy and recovery support groups provide unique benefits, and combining the two creates a comprehensive treatment model for alcohol use disorder. Individual counseling gives you space to process past experiences in a private setting, while AA creates a community of support and people you can learn from.   Substance Use Disorder Treatment in Florida Alcohol use disorders and addictions can be difficult to manage, but R&A Therapeutic Partners can help. We offer individual psychotherapy where you can unpack the events and feelings that have contributed to your diagnosis. Our skilled team wants to help you... --- ### Recent Study Shows Decrease in Stigma Associated with Depression > A recent study looked at the perception of mental illness. Read about how efforts in reducing the stigma of depression have affected public views. - Published: 2022-05-31 - Modified: 2022-05-31 - URL: https://therapeutic-partners.com/blog/mental-health-stigma/ In recent years, open conversations about mental health have become the norm. Celebrities, athletes, and other public figures have begun to share their experiences and diagnoses. This has paved the way for regular people to talk about anxiety, depression, and other conditions. In the past, freely discussing such topics would be unthinkable. What has changed? A recent study has found that the stigma associated with mental illnesses, specifically depression, may be decreasing.   How Does Society View Mental Illness? The study, published in Jama Network Open, consisted of interviews with over 4,000 U. S. adults in 1996, 2006, and 2018. Researchers asked participants to react to one of three vignettes related to a diagnosed mental health disorder. Perceptions were measured and compared to opinions from prior years. The most notable change observed throughout these interviews was a significant decrease in the stigma associated with depression. The researchers suggest that the public perception of depression has improved over time due to generational factors and an increase in information.   Reducing the Stigma of Mental Illness In this same study, researchers interviewed participants about other conditions. Notably, they collected data about schizophrenia and alcohol dependence. While there was a marked improvement in stigma related to depression, the other two categories showed a regression in views. This indicates that there is still a long way to go in our understanding of mental illnesses. The negative effects of stigma on those with a diagnosed disorder can be detrimental. Not only can these views impact relationships and employment opportunities – they can also worsen current symptoms.   This research is encouraging for the future of mental health awareness; it demonstrates a possible change in public perception. However, the work of mental health professionals and the general population is far from finished. According to the National Institutes of Health, depression is one of the most common mental health disorders in the United States. This likely contributes to the general acceptance of the disease within the study. To help reduce negative views associated with more uncommon conditions, we must continue to work to bring awareness. Promoting Mental Wellness There is often misinformation associated with these disorders, resulting in skewed perceptions. To promote awareness and encourage mental wellness in our society, here are some practical steps we can take: Provide Accurate Information When discussing any mental illness, it’s important to know the facts. Research and statistics can help guide conversations and ensure you aren’t contributing to negative perceptions. The NIH and Centers for Disease Control and Prevention provide evidence-based information you can use to increase your own understanding before having a conversation. Ask Questions Research is a great starting point, but you will likely still have questions about a given diagnosis. If you know someone who has a specific condition, you may be able to ask them questions about their experience. If they aren’t comfortable discussing it with you, mental health professionals are a great resource to further your understanding. Be Empathetic and Understanding As a whole, this... --- ### Driving High: A False Sense of Security After Marijuana Use > What is the difference in driving high vs drunk? Driving while high is an incredibly dangerous decision with life-threatening consequences. - Published: 2022-05-11 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/driving-high/ Rising Marijuana Use in Florida: Illicit and Medical Marijuana is the most frequently abused illicit drug in the country and in the state of Florida. Most of it is grown in Mexico or Jamacia, then smuggled into the Sunshine State in maritime vessels, private vehicles, and package delivery services. In addition, major Florida cities serve as a hub for the distribution of cannabinoid products throughout the South. Our state’s legalization of medical marijuana has created a higher potential for misuse among the population. As of January 2022, there are over 640,000 patients eligible for medical cannabis prescriptions. This number has risen from about 455,000 in 2020. Additionally, while 2020 only saw 558,000 applications for medical marijuana cards, by November 2021, the state had received over 650,000 applications. According to Christopher Ferguson, the director of the Office of Medical Marijuana Use, “That’s just over a 125 percent growth between 2019 and 2021. ” This rapid expansion has resulted in easier access to medical cannabis, which in turn has led to increased rates of marijuana use in Florida. Unfortunately, this rise has created a new problem: more Floridians are driving high than ever before. Driving High: Why Do People Take the Risk? The dangers of driving drunk are well-known – they’re the subject of school assemblies, televised PSAs, and driving test questions around the country. However, less attention is given to the issue of operating a vehicle after using marijuana. This lack of education, coupled with the sedative effects of the drug, can result in people getting behind the wheel while they’re still too impaired to drive. To examine this phenomenon, researchers at the University of California San Diego put drivers to the test. In a two-year randomized trial, they asked 191 cannabis users to operate a driving simulator after smoking a joint. The simulator tests occurred at 30-minute intervals after initial consumption. The experimental group’s performance was then compared to a control group that had consumed a placebo. The results were staggering. Compared to the placebo group, those who smoked: Displayed more diminished driving skills, Peaked in poor driving performance around the 90-minute mark, and Could not match the placebo group’s performance until 4. 5 hours into the test. The researchers also noted an interesting trend: while marijuana users could tell that they were too impaired to drive at the 30-minute mark, by 90 minutes in, a significant percentage of the group believed the drug’s effects were wearing off. This is especially concerning since the data indicated that this exact moment represented the point of greatest impairment. The study’s senior author, Thomas Marcotte, Ph. D. , believes that this represents a “false sense of safety” among those who use marijuana. When You Feel Fine to Drive (But Aren’t) Marcotte’s statement reflects what statisticians already know: Americans just don’t see driving while high as that dangerous. According to the AAA Foundation for Traffic Safety, 70 percent of people do not think they would get caught while driving under the influence of marijuana.... --- ### Rising Teen Depression Rates > The next generation of U.S. adults is more emotionally vulnerable to anxiety and depression symptoms than those who came before. - Published: 2022-04-28 - Modified: 2024-12-09 - URL: https://therapeutic-partners.com/blog/rising-teen-depression-rates/ Mental health is worsening among American teens, creating a national health issue we can’t afford to ignore. According to data from the CDC, the next generation of U. S. adults is more emotionally vulnerable than the generational cohorts that came before them, with 44% of teens reporting depression symptoms like persistent hopelessness in a 2021 survey. One significant factor contributing to the mental health crisis among teens is the impact of social media. Studies suggest that excessive screen time and exposure to curated, idealized versions of others’ lives can lead to feelings of inadequacy, anxiety, and depression. Additionally, cyberbullying and the constant pressure to maintain an online presence further exacerbate stress levels. Coupled with academic pressures, family dynamics, and societal expectations, these influences create a challenging environment for teens, often leaving them feeling isolated and overwhelmed. Political and Environmental Uncertainty While history is full of upheavals and instability, the past two decades have been a uniquely fraught time in America. Today’s adolescents have grown up in an increasingly divided nation, with a stark split between political ideologies fueling discord and anxiety. Teenagers are also more likely to witness traumatic events like gun violence and police abuse of authority through social media and 24/7 news cycles, which can magnify their psychological impact. Teenagers are coming of age during two global crises that represent a severe threat to their future well-being – climate change and the COVID-19 pandemic. The relentless news of environmental catastrophes and inadequate policy responses fuel fears about the planet's future. Similarly, the pandemic disrupted their formative years, increasing social isolation and academic stress while highlighting systemic health and economic inequalities. American political leaders have shown little to no appetite for tackling either issue with the compassionate and coherent approach they deserve, allowing these crises to worsen virtually unchecked. Adolescents who are keenly aware of these threats may experience heightened anxiety, a sense of powerlessness, and even a deep-seated fear about inheriting the consequences. These teen mental health challenges highlight the urgent need for comprehensive mental health support and advocacy. Addressing adolescent anxiety requires not only therapy and resources but also systemic changes to create a more hopeful, stable, and secure future for the next generation. Social Media Use Has Replaced Other Activities The widespread use of social media is another issue adversely affecting teens’ mental health. Social media platforms provide a valuable outlet for connection and self-expression – especially for teens who get marginalized or bullied in the real world. However, teenagers who become too dependent on social media may use their favorite apps to replace beneficial activities like joining extracurricular clubs at school. On social media, it is almost impossible to ignore upsetting or frightening news about the world, which can aggravate mental health problems like depression and anxiety. For some teenagers who are already struggling with low self-esteem, platforms like Instagram can present them with unrealistic or unattainable ideals. Trying to emulate these is ultimately an exercise in self-defeat, which can leave adolescents feeling more depressed... --- ### Why You Should Properly Dispose of Prescription Medications > Knowing why and how you should properly dispose of prescription medications helps prevent unused drugs from creating dangerous situations in your home. - Published: 2022-04-15 - Modified: 2022-04-15 - URL: https://therapeutic-partners.com/blog/how-to-dispose-of-unused-medication/ If you’ve ever been prescribed medication, you know there are often times when you have leftover pills. Whether your prescription changed, you no longer needed to take the medication, or you misplaced the bottle only to find it a few weeks later, having unused drugs in your home can be unsafe and even deadly. Let’s look at when and how you should properly dispose of old prescriptions. The Dangers of Keeping Unused Medication It can be tempting to keep old prescriptions in the home out of concern that you may need them again in the future. This practice, though, can have negative health effects for you and others in your home. One of the first dangers of keeping these comes from taking medication improperly. When prescribing anything, a medical professional decides the proper dosage based on your current health situation. Taking any medication outside of the recommendation of your provider can have serious consequences for your health. If you ever stop taking medication and feel like you should start taking it again, always consult with your doctor first.   Prescriptions, like other things approved by the U. S. Food and Drug Administration, also have an expiration date. Choosing to consume anything past its expiration date can result in severe consequences. When formulated, medication has a specific balance of ingredients to make it safe and effective. Taking this outside of the window of its expiration date puts you at risk because these are no longer considered safe. Just like produce can grow bacteria and mold, prescription medications can also experience chemical changes that reduce their effectiveness and change their method of action. One of the most dangerous consequences of not disposing of unused medication, though, is the potential that others in your household will access your prescription. Teens and young adults may be tempted to try a medication that is left unattended, and this can have deadly consequences. Because prescribers take into consideration a person’s weight, existing conditions, and other health-related factors, it is incredibly unsafe for another person to take something not prescribed to them. This is especially true for younger people. For example, if a teen decided to take a medication meant to lower blood pressure without knowing what it was for, they could experience severe heart issues that may require hospitalization. Properly disposing of medication helps lower the risk of this falling into the hands of someone who could be harmed by it.   How to Properly Dispose of Medication April 30th is National Drug Take Back Day During the month of April, the U. S. Drug Enforcement Administration highlights these dangers and provides an opportunity for people to dispose of unused or expired medications. Specifically, April 30, 2022 is National Drug Take Back Day. This day allows individuals to bring old medications to a designated drop-off point where they will be properly disposed of. To find a drop-off location near you, you can visit the DEA’s website. Return Drugs to the Pharmacy Outside of this specific date,... --- ### Study: Alcohol-Related Deaths Increased 25% in First Year of the Pandemic - Published: 2022-03-31 - Modified: 2022-03-31 - URL: https://therapeutic-partners.com/blog/covid-alcohol-deaths/ According to recent research published in the Journal of the American Medical Association, the number of alcohol-related deaths increased by 25. 5% between 2019 and 2020. The study analyzed causes of death for people 16 and older as reported from the National Center for Health Statistics over the course of 2019 and 2020. Researchers reported on the number of deaths that listed alcohol as a contributing factor. In 2019, the number of reported deaths in the United States related to alcohol use was 78,927; in 2020, that number jumped to 99,017.   The same study reports that alcohol-related deaths have been on the rise, but the rate of increase was only an average of 2. 2% per year between 1999 and 2014. Compared to all-cause deaths, which increased at a rate of 16. 6% in the first year of the pandemic, this change is cause for concern.   What is it about the pandemic that has caused us to see such a drastic increase in alcohol-related deaths? Stress and Isolation in the COVID-19 Pandemic Alcohol consumption, though not a healthy coping mechanism, is often used by individuals to manage the stressors of life. During the COVID-19 pandemic, especially in the beginning months, stress levels increased and many healthy coping mechanisms were not readily available. Recently, CNN reported on this study and quoted Aaron White, a neuroscientist at the National Institute on Alcohol Abuse and Alcoholism, who said: "It's not uncommon for people to drink more when they're under more duress, and obviously, the pandemic brought a lot of added stress to people's lives. In addition to that, it reduced a lot of the normal outlets people have for coping with stress, social support and access to gyms. " The COVID-19 pandemic increased feelings of isolation for many as we were asked to stay home and reduce our interactions with others. Working from home became the norm, and our daily in-person conversations were almost nonexistent. For those who have always struggled with feelings of loneliness, these new standards only heightened those emotions. It stands to reason, then, that substance use would increase alongside feelings of isolation. Reduced access to healthy coping mechanisms also likely contributed to this increase in alcohol-related deaths. Many people utilize public facilities such as fitness centers or group classes to manage their stressors, but those were no longer available to them at the height of the pandemic. The time people spent working to better themselves in the gym or build skills in various classes now had to be filled with something else. Often, those environments create accountability and stability for those who struggle with healthy coping skills, and the COVID-19 pandemic created barriers to meeting these needs. Increased substance use is a natural consequence of these circumstances, which likely contributed to the increase in alcohol-related deaths.   Lack of social support and access to supportive environments are both contributing factors to this growing issue. Supportive communities, such as Alcoholics Anonymous, create accountability and provide an opportunity for... --- ### Revenge Bedtime Procrastination: Workaholism, Sleep Deprivation, & Self-Harm > Workaholic symptoms include sleep deprivation. If you choose to stay awake due to work stress, you may be engaging in self-harm. - Published: 2022-03-17 - Modified: 2024-10-16 - URL: https://therapeutic-partners.com/blog/sleep-deprivation/ The pressure to “do it all” is taking a severe toll on our health, particularly when it comes to sleep deprivation. Studies show that students today are far more likely to be perfectionists compared to their Gen X predecessors, and much of this is driven by societal expectations. One of the most significant changes contributing to this pressure is the rise of social media. Unlike in the 1980s, today’s widespread use of platforms like Instagram and TikTok has increased connection and fostered intense competition. As students, young adults, and even parents scroll through the carefully curated achievements of their peers, they feel compelled to work harder and longer. Unfortunately, this often leads to extended work hours and a lack of sleep. Many individuals end up engaging in revenge bedtime procrastination—staying up late to reclaim personal time at the expense of getting enough sleep. Sleep deprivation, caused by insufficient sleep or poor sleep quality, can lead to a host of health issues, including sleep disorders like insomnia and sleep apnea. While consistent sleep is crucial for overall well-being, chronic sleep deprivation can affect mental and physical health. Individuals who regularly sacrifice quality sleep often find themselves unable to focus during the day, increasing their risk of accidents, anxiety, and even depression. Sleep disorders, such as sleep apnea, are becoming more prevalent as people struggle to get enough rest. Sleep apnea, in particular, disrupts breathing during sleep and significantly impacts sleep quality, often resulting in daytime fatigue. To achieve optimal health, it’s essential to prioritize the right amount of sleep and adopt habits that improve sleep hygiene, such as maintaining a regular bedtime routine and minimizing screen time before bed. The competition-driven culture and the constant need to succeed are leading many to sacrifice sleep. However, prioritizing quality sleep and addressing any sleep disorders is vital for maintaining mental clarity, physical health, and emotional balance. Without enough sleep, the consequences of sleep deprivation can build over time, leading to more severe health concerns. Revenge Bedtime Procrastination: Why Stay Up? The phrase “revenge bedtime procrastination” comes from a translation of a Chinese expression: “bàofùxìng áoyè. ” It often refers to frustration from an intense, high-stress workday. When someone returns home and only has a few hours, they may delay bedtime by several hours, resulting in sleep deprivation. Some people use this time to indulge in leisure activities, like watching television, playing video games, or socializing with loved ones. However, For those with high-pressure careers or time-sensitive responsibilities, these hours may be spent working into the night. When Working Hard Goes Too Far American culture values hard work, a concept that The Atlantic’s Derek Thompson calls “works. ” In his article "Workism is Making Americans Miserable," Thompson discusses the deep connection between self-worth and productivity many Americans experience. Workism is the belief that work is essential for economic survival and the centerpiece of one’s identity and life purpose. This mindset fuels the idea that productivity equals personal value, leading to increased stress, anxiety, and... --- ### Can Cannabis Use Lead to Psychosis? > Consuming highly potent cannabis can result in psychosis symptoms. Learn about THC psychosis, sometimes mistaken for schizophrenia. - Published: 2022-02-28 - Modified: 2022-02-28 - URL: https://therapeutic-partners.com/blog/thc-psychosis/ According to a 2016 study, hospitalizations due to psychiatric issues have risen 74% since 2016, when police began cracking down on recreational cannabis use. The same data showed that hospitalizations for mental health or behavioral issues linked to marijuana consumption rose 74% in 2021. Psychiatric stays attributed to cannabis use increased 18% between the 2019 and 2020 years. But what does this data mean for someone who uses cannabis? The Effects of Regular Cannabis Use Despite what the cannabis industry would like you to believe, marijuana use can lead to dependency on the substance. Dependence on the substance is similar to other substance use disorders, such as alcohol use, smoking, and other drug addictions. Those who struggle with marijuana use disorder are likely to experience symptoms of withdrawal if they attempt to stop using the substance which leads to a number of physical and mental side effects. Aside from the symptoms of dependence, the increase in psychiatric hospitalizations for cannabis use is rising at an alarming rate. What is a Psychiatric Hospitalization? When someone is hospitalized for a psychiatric condition, this could be due to a number of factors that are affecting a person’s ability to function successfully in society. This can range from a person exhibiting severe depression to someone experiencing symptoms of psychosis. Psychosis can be a terrifying experience for a person and the loved ones who surround this person. Patients exhibiting symptoms of psychosis could experience any one or more of the following: Hallucinations (seeing things that are not present in reality)Delusions (hearing sounds or voices that are not present in reality)Paranoia (belief that they are being watched, followed, etc. )Intrusive thoughtsDifficulty thinking clearly The Link Between Psychosis and Cannabis Use The number of cannabis-related psychiatric hospitalizations are both linked to symptoms of dependence as well as psychosis. Typically, those who experience symptoms of psychosis linked to cannabis use will show signs within the first three to four years. This can be detrimental to a person’s long-term well-being as later stages of psychosis, such as diagnosed schizophrenia, can only be managed with medication and intensive levels of care. The legalization of cannabis has led to an increase in recreational use and can increase the likelihood of someone exhibiting symptoms of psychosis. Harvard Medical School studied psychosis patients and found that 47% of those hospitalized were either currently or had previously been dependent on the drug. There is Help for Cannabis Use These numbers can feel staggering, especially if your teenage child uses cannabis regularly. Despite the legalization of this drug in many states, there are still a number of dangers related to regular use. Strains of the drug have become stronger, and levels of dependence continue to rise. This presents additional concerns for parents of teenagers who smoke, vape, or otherwise consume marijuana products. With a link between cannabis use and symptoms of psychosis, there is no better time than now to get help for cannabis use. Our team at R&A Therapeutic Partners are here to help... --- ### Silver Lining: Pandemic Responsible for Largest Ever Drop in Teen Drug Use > The 2021 Monitoring the Future survey found that teen drug use statistics have dropped dramatically due to the COVID-19 pandemic. - Published: 2022-02-03 - Modified: 2022-02-28 - URL: https://therapeutic-partners.com/blog/teen-drug-use/ Every year since 1975, the National Institute on Drug Abuse (NIDA) administers a survey assessing substance use among adolescence. This research, known as the Monitoring the Future survey, asks teenagers in 8th, 10th, and 12th grades to describe their drug use and alcohol consumption over various lengths of time. In 2021, researchers identified an astounding trend. A record low number of adolescents reported substance use, possibly due to the impact of the global pandemic. These findings have become a silver lining in the face of COVID-19. Teen Drug Use Survey Findings To understand the significance of the survey’s results, it is important to compare this year’s numbers with previous findings. Dr. Richard A. Miech, lead author of the paper, stated that “in addition to looking at these significant one-year declines in substance use among young people, the real benefit of the Monitoring the Future survey is our unique ability to track changes over time. ” In 2021, the numbers for use of alcohol, marijuana, vapes, and other illicit substances painted a promising picture of the future. Alcohol – 28. 5% of 10th graders reported drinking within the past year in 2021, compared to 40. 7% in 2020. Marijuana – The rate of marijuana use decreased among all age groups. The most significant shift also took place among 10th graders: 17. 3% admitted use in 2021, compared to 28. 0% in 2020. Vaping – The new trend in nicotine consumption, vaping rates lowered among all age groups. 26. 6% of high school seniors responded that they had vaped during 2021, while 34. 5% of them said as much in 2020. Other Illicit Drugs (Excluding Marijuana) – This statistic also dropped significantly among all ages. (8th graders: 4. 6% in 2021, 7. 7% in 2020. 10th graders: 5. 1% in 2021, 8. 6% in 2020, 12th graders: 7. 2% in 2021, 11. 4% in 2020. ) This trend was true among individual substances like cocaine, amphetamines, hallucinogens, opioids, and tranquilizers. 2021 Monitoring the Future Survey Results In past years, the Monitoring the Future survey has identified downward trends in adolescent drug use. However, the 2021 results represent an unparalleled reduction in youth drug consumption. According to the report published by the National Institutes of Health, “These findings represent the largest one-year decrease in overall illicit drug use reported since the survey began in 1975. ” The survey measures consumption of a variety of substances, including: MarijuanaAlcoholVaped nicotineTobaccoIllicit substances Researchers and high-ranking officials have extolled this precipitous drop in unhealthy habits. “We have never seen such dramatic decreases in drug use among teens in just a one-year period,” said Dr. Nora Volkow, director of NIDA. “These data are unprecedented and highlight one unexpected potential consequence of the COVID-19 pandemic, which caused seismic shifts in the day-to-day lives of adolescents. ” Youth Mental Health During the Pandemic As Dr. Volkow asserts, COVID-19 has changed the lives of teens in myriad ways. As part of the Monitoring the Future survey efforts, the mental health of participants... --- ### Understanding the Disease Model of Addiction > Researchers have embraced the disease model of addiction. However, there may be some shortcomings to this definition of substance use. - Published: 2022-01-31 - Modified: 2022-01-31 - URL: https://therapeutic-partners.com/blog/disease-model-of-addiction/ For hundreds of years, addiction was considered a moral failure or lack of willpower. Only recently has society reshaped its opinion of this condition. Today, most medical associations recognize substance use disorder as a disease of the brain. While this is the most popular interpretation – and one with significant scientific backing – it may not be the entire story. Today, we’d like to discuss the finer points of the disease model of addiction.   A Nuanced Interpretation of the Disease Model of Addiction When medical professionals call addiction a disease, this is what they mean: Addiction is a chronic, relapsing condition, just like diabetes or hypertension. Like these disorders, substance use disorder can be brought on by psychological, genetic, behavioral, and environmental factors. It also affects the way the body operates. If left untreated, it can have life-threatening consequences. Since addiction shares many qualities with other chronic conditions, it is essentially a disease.   For Dr. Carl Fisher, an addiction physician and author of The Urge: Our History of Addiction, this concept did not reflect his experience. “Thinking of addiction as a disease might simply imply that medicine can help, but disease language also oversimplifies the story... Addiction becomes an individual problem, reduced to the level of biology alone. This narrows the view of a complex problem that requires community support and healing. ” Dr. Fisher asserts that in addition to viewing substance use disorder through the lens of Western medicine – as a problem to be diagnosed and medicated away – it is crucial to remember that a holistic approach is necessary for recovery. Seeking Comprehensive Treatment for the Disease of Addiction Those responsible for running treatment programs understand the myriad factors that contribute to substance use disorder. To ensure long-term recovery, each area of one’s life should be addressed. An example would be: Mental health – Treating any anxiety, depression, or trauma that may contribute to substance abuse. Physical health – Helping the client to restore their strength through proper nutrition, exercise, and medication-assisted treatment. Financial health – Learning life skills that will help the client to retain employment, pay bills, and get out of debt. Social health – Opening up to others about their condition, forming new bonds, and establishing a sober support network. However, the layperson may not believe all of this is necessary. If they perceive the disease model of addiction as a simple issue solved by medication, they are unlikely to attend a residential program or dedicate much time to getting well. While outpatient programs can be effective, they must include the elements listed above to have real staying power.  This is the concern expressed by Dr. Fisher. To correct the public’s understanding, a nuanced explanation of the disease model of addiction must be made widely known. The Complexity of Substance Use Disorder In his article for The New York Times, Dr. Fisher cautions providers against embracing a simplified explanation for addiction. “Not all drug problems are problems of addiction,” he writes, “and drug problems are strongly influenced by health inequities and injustice...... --- ### Opioids and Love: Understanding America’s Opioid Crisis > Did you know taking opioids produces feelings similar to a mother's love? Learn how opioids impact the brain and what causes addiction. - Published: 2022-01-18 - Modified: 2022-01-18 - URL: https://therapeutic-partners.com/blog/opioids-abuse/ Over 75,000 people died from opioid abuse from April 2020 to April 2021. One of the keys to understanding how the prevalence of opioid use is so high is to examine how the brain reacts to opioid use.   Opioids Create Feelings Like Love When using opioids, people may have experiences that feel something like motherly love. According to research conducted by neuroscientist Jaak Panksepp, using drugs like heroin mimics the feelings of falling in love or visiting family or friends. How it works is when a person takes opioids, they experience feelings of safety, love, and warmth. The brain produces oxytocin, the same chemical released during social engagements. It allows the person to feel relaxed, calm, and like they belong. Therefore, it should not be a surprise that when a person does not have access to these feelings from friends or family, they might use opioids to replace them. Why Do People Become Addicted to Opioids? There can be many reasons why people become addicted to using opioids. One of the most common is isolation. When people do not have access to a social community, they look elsewhere to mimic these feelings. And with the pandemic creating more social isolation than ever before, it leads to a situation whereby more people might consider using. The New York Times reported that 60% of young people surveyed felt lonely all the time or experienced prolonged periods of loneliness. Moreover, there is a correlation between opioid use and childhood traumas. People who experience neglect as a child or abuse have a higher likelihood of using opioids sometime throughout their lives.   Another group susceptible is those with developmental disabilities. The disabilities on their own might not cause drug abuse. It is what the disability creates: social isolation. When someone has little to no social interactions, they feel alone, depressed, and disconnected. Therefore, when using this as a framework for cause, it is simple to see why some turn to using opioids. These drugs create the feelings they miss from childhood or regular social interaction. A Spike in Opioid-Related Deaths in Florida Florida witnessed an increase in opioid-related deaths. According to Dose of Reality, 3,834 people overdosed on opioids in 2020–a 30% increase from 2019. The correlation between drug overdoses and the rise of the COVID-19 pandemic is striking. In the first eight months of 2020, there were 43% more deaths from opioids than during the same time of 2019.   With that said, Florida is one of the few states that allow people the legal option of sending addicted friends or loved ones to court-ordered treatment. Under the Marchman Act, you can file a legal motion to have a loved one treated because they cannot control their drug addiction, which could result in them harming themselves or others. The subject’s county court will review the case and, based on the evidence, rule whether to order the person to undergo treatment. Break Free from Opioids Did you know that involuntary therapy can be... --- ### How to Deal with Toxic Family Members During the Holidays > Are you sharing the holidays with toxic family members? Check out our seven tips for dealing with toxic people during the holidays. - Published: 2021-12-22 - Modified: 2021-12-22 - URL: https://therapeutic-partners.com/blog/toxic-family-members-holidays/ The holidays usher in family get-togethers. While it is good to see everyone, family members have a unique way of getting on each others’ nerves. And in some unfortunate cases, people meet with relatives for this reason. Our guide helps you spot toxic behaviors and ways to deal with family members who exhibit them.   What Behaviors Makes a Family Member Toxic? Toxic people press your emotional buttons. Their actions and attitude bring negativity to your life. In a season of joy and being together, they make the situation about themselves, manipulate you into doing or saying something you don’t want to, you might feel confused by their behavior, or they might overindulge in alcohol.   Dealing with Toxic Family Members When devising a plan for a peaceful holiday, keep these things in mind: Set Expectations If you have a family member who always acts up during gatherings, expect that situation to continue. Doing so doesn’t mean you’re judging them. It prevents you from becoming surprised, appalled, or mortified by their behaviors. With this expectation in mind, you can devise situations where they do not have the opportunity to bait you or other family members. Take Time for Yourself Preparing for the holidays is a tremendous undertaking. Then, bringing in the stress of dealing with troubling behaviors can only add to your holiday stress. A wise way to prepare for the season is to take some time for yourself. Find an activity you enjoy doing and carve out time for it. Set Aside Holiday Time for Nuclear Family  If you can, try to set aside some time on the actual holiday to spend with your nuclear family only. It allows you to avoid the toxic behaviors of other family members and keep the holiday special.   Plan the Holidays Wisely If you know family members who always butt heads at the table, assign seats and position them far away from each other. You can also invite more friends and family, as it could dissuade the person from engaging in toxic behaviors in front of strangers.   Limit Alcohol Use Do you have family fights because people binge alcohol? If so, consider doing away with alcohol for the next gathering. While it might upset some members initially, you also avoid some of the other unpleasantries on that day. Avoid Triggers that Set Off Toxic Family Members Should discussions on politics evolve into shouting matches, set ground rules upfront for everyone to refrain from speaking about hot-button issues. And if someone tries to wedge it in, gently remind them that the topic is off-limits. Disengage Don’t address the toxic behaviors head-on. Instead, try to distract the person by changing the subject. And if that doesn’t work, remove yourself from the situation. Take a quick break, regroup, and approach other family members.   Getting Help for Holiday Stress The holidays can magnify the things causing your stress. If you’re feeling down or anxious, rest assured we can help. Feel free to contact us.... --- ### How Does Social Media Affect Teens? > Recent research on social media has indicated that more than one third of teen girls feel worse about themselves after using Instagram. - Published: 2021-12-03 - Modified: 2021-12-03 - URL: https://therapeutic-partners.com/blog/social-media/ Adolescence is a turbulent time. As girls and boys become women and men, they begin to become self-conscious, question their roles in their peer groups, and strive for independence. Ideally, these formative years will help young people to become adjusted members of society. The advent of social media, however, has fundamentally changed what it means to be a teen in America today. Research indicates that apps like Instagram have begun to cause real damage to teenagers. The Problem of Social Media In an article for The Atlantic, social psychologist Jonathan Haidt lays out the negative impacts of social media. His argument refers to large-scale trends in teen mental health. The advent of Instagram – and other forms of social media – correlates with an increase in depressive episodes, suicide, and self-harm. Haidt names Instagram as the app responsible for “the massive, sudden, gendered, multinational deterioration of teen mental health during the period in question. ” The studies back this up. Instagram doesn’t make teens happy – in fact, the opposite is true. Facebook’s Studies Consider the Facebook research leaked by whistleblower Frances Haugen: “Teens blame Instagram for increases in the rate of anxiety and depression... this reaction was unprompted and consistent across all groups. ” Prior Research Back in 2017, a survey of 1,500 British teens named Instagram as the most harmful social network, with respondents pointing to its negative effects on their loneliness, body image, and anxiety. New Findings A recent study confirmed these outcomes. They found that when randomly assigned to browse Facebook, Instagram, or play a video game, young women in the Instagram group reported decreased positive affect, increased negative affect, and decreased body satisfaction. Gender Differences: The Experience of Female Teens Adolescence is an especially difficult stage of life for girls. Thanks to hormonal changes, emotional chaos, and social pressure, this period is challenging at the best of times. Think back to that time and you’ll probably remember complex friendships, zits, mood swings, parental nagging, academics, and a whole host of “firsts. ” On top of this, young women now have to contend with another pressure: the need to look picture-perfect. The rise of Instagram has impacted girls more than their male peers. Here are a few reasons why. Social comparison can be harmful. Comparison is already a cornerstone of teen life. For decades, television shows and glossy magazines have left young girls wishing they looked different. Today, there are millions of highly filtered, subtly edited images – some posted by their own peers – for teenagers to compare themselves to. Photo editing runs rampant. Perfectly curated profiles are a hallmark of the Instagram experience. Editing apps like FaceTune have brought the power of Photoshop to the smartphone. Through a combination of retouching and filters, teens can smooth away skin texture, remove acne spots, and even make their eyes larger. A British photographer named Rankin sought to explore this through a photo series called “Selfie Harm. ” He took a photo of each teen, then asked them... --- ### Experts Declare Youth Mental Health a National Emergency > Experts have declared youth mental health a national emergency during the public health crisis of the COVID-19 pandemic. - Published: 2021-11-22 - Modified: 2024-02-05 - URL: https://therapeutic-partners.com/blog/youth-mental-health-national-emergency/ The uncertainties, isolation, and anxiety that have increased in adults during the COVID-19 pandemic have also affected young people in significant ways. So much so, in fact, that experts have declared youth mental health a national emergency during the public health crisis. Losing a Parent With over 750,000 COVID-related deaths in the US, many people have lost loved ones. For a young person, losing a parent is devastating. Research from the American Academy of Pediatrics (AAP) shows that over 140,000 children in the US have lost at least one caregiver, including parents and grandparents, since the beginning of the pandemic. A separate report details the fact that 120,630 young people under the age of 18 lost a primary caregiver, such as a parent or grandparent. These caregivers provided housing, basic needs, care, and emotional support for the youth affected. In addition, over 22,000 children have experienced the death of a secondary caregiver, including grandparents who did not necessarily support the children but who may have provided housing for them. These numbers show that being orphaned is a hidden but ongoing secondary tragedy that has been caused by the pandemic. Identifying and caring for the needs of these youth who have lost caregivers during their developing years is an urgent aspect of the pandemic response and will continue to be so into the post-pandemic era. Adverse Childhood Experiences (ACEs) When a young person loses a mother, father, or grandparent who provided them with a home and loving care, they are permanently changed. The loss of such a caregiver is among the adverse childhood experiences (ACEs) that are linked to youth mental health issues. ACEs can lead to problems for young people such as lower self-esteem, issues at school, and an increased risk of substance abuse, violence, and suicide. A Worsening Crisis The AAP stated that “This worsening crisis in child and adolescent mental health is inextricably tied to the stress brought on by Covid-19 and the ongoing struggle for racial justice, and represents an acceleration of trends observed prior to 2020. ” Even before the pandemic began, the rate of youth mental health concerns and suicide risk had been rising steadily among individuals under the age of 18. In 2018, suicide was the second leading cause of death for youth between the ages of 10 and 24. Between March 2020 and October 2020, emergency room visits for youth with mental health emergencies rose by 24% for children between the ages of 5 and 11, and 31% for those between the ages of 12 and 17. The number of girls between the ages of 12 and 17 taken to the emergency room for potential suicide attempts rose more than 50% in the early part of 2021. Challenges Coping Emotionally Many young people in the US also lost their social support during the height of the pandemic, as schools turned to remote options and outside activities were severely curtailed or completely canceled. Children who lost caregivers had few people to turn to as... --- ### College Marijuana Use Reaches Historic Levels > College marijuana use has reached historic levels, with more young people using marijuana in 2020 than in previous decades. - Published: 2021-11-09 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/college-marijuana-use-historic-levels/ A study that has tracked substance use among college students since 1980, that is funded by the National institute on Drug Abuse (NIDA), has found that college marijuana use has reached historic levels. The trend has continued to increase over the past several years, with more young people using marijuana in 2020 than in previous decades. Monitoring the Future The study, Monitoring the Future (MTF), has been tracking the use of substances including marijuana, tobacco, and opioids, by adults between the ages of 19 and 22. The study includes those in college and those who are of college age but not enrolled in school. The study is funded by NIDA, which is part of the National Institutes of Health (NIH), and is conducted by scientists at the University of Michigan’s Institute for Social Research in Ann Arbor. The 2020 survey was conducted online between March 20 and November 30, 2020. Historically High Levels The study found that the use of marijuana has continued to rise among college students and college-age adults over the past five years. Among those non-college adults in the surveyed age group, the levels of marijuana use were at historically high levels in 2020. The use of marijuana, according to the study, is at its highest level since marijuana use was first recorded in the 1980s. Among the young adults in college, 44% reported using marijuana in the past year. That number was 38% in 2015. For those adults in the same age group who were not in college, annual marijuana use was 43%. The study also found that 35% of high school seniors reported in 2020 that they had used marijuana in the past year. The use of marijuana on a daily or near daily basis has also continued to rise since 2015, with 8% of the college students surveyed saying that they used marijuana daily or almost daily in 2020. In 2015, 5% of college students said they used the drug daily or almost daily. Of the young adults not in college, 13% said they used marijuana daily or on a near daily basis. Regional Findings The MTF study found some regional differences in the use of marijuana and other drugs among college students and college-age adults. The annual prevalence of marijuana use was higher in the northeastern part of the country than in the south. Study results revealed estimates of 47% in the Northeast, 46% in the West, 42% in the Midwest, and 36% in the South. Prevalence of the use of illegal drugs, which is driven in large part by marijuana use, was 50% in the West, 49% in the Northeast, 45% in the Midwest, and 41% in the South. Marijuana Use Among Friends While a relatively high proportion of college age adults report that they have friends who use drugs, including opioids, the numbers were highest for marijuana use. Among the 19-22 year old survey respondents, 78% said they had friends who also use marijuana. The number increased to 82% for those... --- ### How to Know If You Have Depression > It’s important to know the signs and symptoms to know if you have depression, so you can get the treatment you need. - Published: 2021-10-21 - Modified: 2021-10-21 - URL: https://therapeutic-partners.com/blog/depression-signs-symptoms-treatment/ Moments of sadness happen in everyone’s life. When you lose a job or lose a loved one, you will naturally feel sad for a while. When your symptoms continue for several weeks or months, you may have a mental health condition known as depression. It’s important to know the signs and symptoms to know if you have depression, so you can get the treatment you need. National Depression and Mental Health Screening Month October is National Depression and Mental Health Screening Month. While a screening is not a diagnosis, taking advantage of a free online screening can help you better understand if you have depression symptoms. Your healthcare professional can then guide you through what you need to know to get the help you need so you can feel better. Why It’s Important to Know Your mental health can also affect your physical health and other aspects of your life. The National Alliance on Mental Illness (NAMI) has shared some important statistics that show the ripple effect of mental illness: Over 18% of adults in the US who have a mental health issue also experience a substance use disorder. Individuals who have depression have a 40% higher risk of developing metabolic and cardiovascular diseases than the general population. Students in high school who have significant symptoms of depression are more than twice as likely to drop out of school than their peers. Students who are between the ages of 6 and 17, who have mental, emotional, or behavioral concerns are three times more likely to have to repeat a grade in school. Signs and Symptoms of Depression While sadness is temporary, the symptoms of depression can affect you every day, sometimes all day, for at least two weeks. If you have depression, you may be experiencing: Feelings of hopelessnessA persistent sad or “empty” moodIrritabilityLoss of interest or pleasure in hobbies and activities you once enjoyedFeelings of worthlessness or helplessnessDecreased energy, with a feeling of fatigueFeelings of guiltMoving or talking more slowlyFeeling restless or having trouble sitting stillDifficulty concentrating, remembering details, or making decisionsDifficulty sleeping, including waking up too early or oversleepingAppetite and/or weight changesAches or pains, including headaches or stomach problems without a clear physical causeThoughts of death or suicide, or suicide attempts While not everyone who has depression experiences every symptom, if you have several persistent symptoms in addition to a low mood, you may be diagnosed with depression. Depression and Anxiety Are Not the Same If you have depression, you may also experience symptoms that are similar to those of an anxiety disorder, but depression and anxiety are different. Each condition has its own causes and symptoms of emotion and behavior. Many individuals with depression have a history of an anxiety disorder, but there is no evidence that one causes the other. Many people do suffer from both depression and anxiety, experiencing symptoms such as irritability, nervousness, and problems with concentration or sleep. Causes of Depression Common causes of depression include a family history, early childhood trauma, your... --- ### Mental Illness Awareness Week at R&A Therapeutic Partners > During Mental Illness Awareness Week at R&A Therapeutic Partners, we want you to know that we care about your health and well-being. - Published: 2021-10-05 - Modified: 2024-03-04 - URL: https://therapeutic-partners.com/blog/mental-illness-awareness-week/ The week of October 3-9 is designated as a time to learn more about mental illness, and about how it can affect you and your family. During Mental Illness Awareness Week at R&A Therapeutic Partners, we want you to know that we care about your health and well-being. Help is here, as we work together for your mental health. Together for Mental Health The theme for Mental Illness Awareness Week for 2021 is “Together for Mental Health. ” Virtually everyone is affected by mental illness, as millions of people in the US live with a mental health condition. The first week in October is set aside as a time to recognize what mental illness is and how individuals who suffer from it can get the help they need. As part of the week’s observances, Thursday, October 7, has been designated as National Depression Screening Day. A screening is quick and simple and can help you determine how to move forward with managing your symptoms. The professionals at R&A Therapeutic Partners emphasize the importance of a mental health evaluation, along with a comprehensive substance misuse evaluation, that can identify areas that may require further assessment. This helps us to develop an appropriate treatment plan based on your specific needs. Mental Illness in the US The National Alliance on Mental Illness (NAMI) shares numbers that emphasize the need for mental illness to be an open topic of discussion during Mental Illness Awareness Week and throughout the year. In the US each year: 1 in 5 adults experience mental illness1 in 20 adults experience serious mental illness1 in 6 youth aged 6-17 experience a mental health disorder. Specific conditions affecting adults in the US include: Anxiety Disorders: 48 millionMajor Depressive Episode: 19. 4 millionPosttraumatic Stress Disorder: 9 millionBipolar Disorder: 7 millionBorderline Personality Disorder: 3. 5 millionObsessive Compulsive Disorder: 3 millionSchizophrenia: 1. 5 million. Learn About Mental Illness Understanding more about mental illness can help reduce the stigma around the conditions themselves as well as the stigma around seeking treatment. The more you know about the symptoms you are experiencing, the more likely you may be to reach out for the help you need to manage those symptoms. Depression Depression is one of the most common mental illnesses, causing those who suffer from it to lose the pleasure they should be getting from their daily life. In addition, depression can complicate other medical conditions and can be serious enough to lead to devastating results. Depression can happen to anyone, regardless of age, race, or ethnic background. It is important to know that depression is not part of normal life, no matter what your situation may be. Only about a third of the individuals who suffer from depression seek treatment. When you get help for your depressive disorder, you have the opportunity to live a healthier life. If you have been resisting treatment because you think it isn’t serious, that you can treat it yourself, or that it seems to be more of a personal weakness than... --- ### How to Cope with Anxiety About the Delta Variant > It’s more important than ever to understand how to cope with anxiety about the delta variant and to keep safe and healthy. - Published: 2021-09-24 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/delta-variant-anxiety/ The coronavirus pandemic that has been spreading throughout the country, causing shutdowns and new restrictions in movement over the past year and a half, seemed to be on its way out with the launch of several effective vaccines. However, the delta variant of the virus is creating a new round of uncertainty and worry about COVID-19. It’s more important than ever to understand how to cope with anxiety about the delta variant and to keep safe and healthy. The Delta Variant Discovered in October 2020, as of August 2021, the delta variant has overtaken the alpha variant, the original form of the virus, in the US. The new variant is thought to be between 55% and 90% more transmissible than all other variants, and experts believe that the delta variant is 30%-100% more infectious than alpha. The top symptoms associated with the new variant have been reported as sore throat, headache, runny nose, and fever. Unlike the alpha form of the virus, a cough is less common, and the loss of smell is no longer included in the list of the top 10 symptoms. Worry and Anxiety Along with the spread of the delta variant of the virus, concerns are returning about becoming infected and the stress is increasing over having to once again isolate, wear masks, and maintain social distances. These concerns can develop into anxiety and fear, becoming detrimental to an individual’s mental health. A recent Associated Press-NORC Center for Public Affairs Research poll found that 41% of adults in the US are “extremely” or “very” worried about becoming infected and about their family contracting the virus. This number is up significantly from 21% in June and is comparable to the 43% in January, when the previous major surge occurred. About half of the people participating in the poll say they often or always wear a mask around other people and avoid large groups of people as well as non-essential travel. Almost 60% are in favor of full vaccination for anyone traveling on airplanes or attending public events. Approximately 60% support vaccine mandates for healthcare workers, government employees, restaurant workers, members of the military, and public-facing retail store employees. Just over half favor mandatory vaccinations for people going to bars and restaurants and 55% favor requiring masks anywhere outside the home when people are interacting with other people. In addition, 62% support mask mandates for employees working with the public. These strategies emphasize the need most people feel to stay safe and physically healthy, while they also become anxious about the effects the virus may have on them and their family. How to Cope with Anxiety About the Delta Variant Stress and worry over the delta variant are increasing, just as the number of cases is increasing. While the virus itself can seriously impact a person’s physical health, so can the state of that person’s mental health. Focusing on coping with anxiety can be an important aspect of an individual’s overall health and well-being during the pandemic. Accepting... --- ### National Recovery Month > The focus of National Recovery Month 2021 is that everyone deserves the opportunity to recover from substance use and mental health disorders. - Published: 2021-09-09 - Modified: 2021-09-09 - URL: https://therapeutic-partners.com/blog/national-recovery-month-2021/ Everyone deserves the opportunity to do what it takes to recover from a substance use disorder and mental health issue. That is the focus of National Recovery Month for September 2021 and the focus of treatment professionals throughout the year. Recovery is for Everyone National Recovery Month is now in its 32nd year. Each September is set aside to celebrate the gains made by people in recovery and to promote and support evidence-based treatment and recovery practices. The theme for 2021 is “Recovery is For Everyone: Every Person, Every Family, Every Community. ” What Recovery Means Recovery from substance use disorders and mental health concerns deserves to be celebrated just as individuals may celebrate successfully managing other health conditions. Recovery is the process of change through which people affected by the disease can improve their health and well-being, as they learn to live self-directed lives, and work toward reaching their full potential. When an individual is in recovery, they voluntarily adopt a lifestyle that includes these positive changes and values. Recovery from a substance use disorder is not just living without drugs or alcohol. Rather, it is the ability to handle daily life, including negative feelings, without using those addictive substances. Recovery also involves managing the symptoms of a mental health disorder, moving forward with living a life that is meaningful and productive. Substance Use Disorder and Mental Health It is quite common for someone with a substance use disorder to also have a mental health condition and vice versa. In fact, research has found that about half of the individuals with a mental illness also experience a substance use disorder. Likewise, about half of people with substance use disorders also have a mental illness. The same is true for these conditions in younger people. Adolescents with substance use disorders have been found to have high rates of co-occurring mental illness. More than 60% of adolescents in substance use disorder treatment programs also meet the criteria to be diagnosed with a mental illness. Those individuals of all ages with anxiety disorders show high rates of co-occurring substance use disorders. Anxiety disorders include panic disorder, generalized anxiety disorder, and post-traumatic stress disorder (PTSD). Mental health disorders such as depression, attention-deficit hyperactivity disorder (ADHD), bipolar disorder, borderline personality disorder, antisocial personality disorder, and psychotic illness also show a high rate of co-occurrence with substance use disorders. Substance use includes the nonmedical use of prescription opioids, which data suggests poses a greater risk for individuals with mental health, personality, and substance use disorders. Approximately 43% of people receiving treatment for misuse of prescription painkillers also have symptoms or a diagnosis of mental health disorders, especially anxiety and depression. Related Causes There are three possibilities, according to research studies, that could explain the co-occurrence of the two diseases. There are common risk factors for both conditions. They can both run in families, so genetics can be a risk factor. Environmental factors, including trauma and stress, can cause genetic changes that can then be passed down... --- ### OCD and Health Anxiety > The uncertainty of COVID-19 can make OCD and health anxiety that much worse for those who suffer from the mental health issues. - Published: 2021-08-31 - Modified: 2021-08-31 - URL: https://therapeutic-partners.com/blog/ocd-health-anxiety/ Fear of a serious health condition can cause anxiety even in the best of times. During the coronavirus pandemic, the uncertainty of the disease can make obsessive compulsive disorder (OCD) and health anxiety that much worse for those who suffer from the mental health issues. Concern with Illness For someone with OCD, obsessions and compulsions are, in part, focused on reducing or eliminating the possibility of becoming ill. A person with OCD might be obsessed with germs and diseases, environmental contaminants, household chemicals, and anything related to dirt. Their major concern with these obsessions is the possibility of getting a disease or a physical illness. Compulsions for an individual with OCD can include washing their hands excessively or in a specific manner. They are concerned with cleanliness to the extreme, and will shower, brush their teeth, and groom excessively as well. Their focus on cleanliness extends to household items and they will do whatever it takes to prevent contact with potential contaminants. Anxiety About Health Issues Health anxiety is a deep fear that results in a person worrying about their health so much it affects their daily life. The individual with health anxiety will obsessively look for signs of a disease or illness, checking their body constantly for indications such as new lumps or marks on their skin. They will seek reassurance from those around them regarding their health and will not believe a healthcare professional who tells them they are okay. The individual will obsessively request that tests such as blood tests and scans be done to check for an illness or disease. The Cycle of Health Anxiety Even though a physician may reassure the individual that there is nothing wrong with them, physically, their anxiety about their health will persist. A vicious cycle typically develops for the individual, which involves noticing a sensation, such as a tingling in the fingers, then learning about an illness with similar symptoms. The person will misinterpret a symptom as threatening, become more anxious, and then go to their doctor. The individual may insist on repeated medical tests and even go to the emergency room or an urgent care center to have the perceived symptoms investigated. Reassurance from a healthcare professional may provide temporary relief, but usually the cycle begins again with the next odd feeling or new bump on the skin. Real Symptoms of Anxiety The anxiety involved in OCD and health anxiety can have real physical symptoms. A person might experience stomachaches, a rapid heartbeat, dizziness, tingling, jitteriness, chest pressure, muscle tension, and other symptoms that stem from their mental health condition. With these symptoms, the cycle continues as the person feels they have real evidence that something is wrong with them and then goes to their physician and request tests to confirm their ailment. Reason for Concern The reasoning behind the obsessions of OCD and health anxiety may be due to several factors. The individual may have someone close to them with a similar illness, so they believe it’s only... --- ### Going Back to School After Remote Learning > Parents and teachers should watch for mental health signs among teens who have a difficult time going back to school after remote learning. - Published: 2021-08-18 - Modified: 2021-08-18 - URL: https://therapeutic-partners.com/blog/back-to-school-after-remote-learning/ The fall of 2021 will mark the beginning of the third school year that has been impacted by the COVID-19 pandemic. During the past year and a half, the isolation, uncertainties, and loss have affected virtually everyone – however, this time has been particularly stressful for students. Remote Learning Considerations In the spring of 2020, most schools across the country shifted to remote learning as the new pandemic caused a number of restrictions and shutdowns. Often, this shift was sudden and unexpected. Teachers and students alike were caught off guard and were not able to prepare appropriately for the transition. Students lost ground in their academic progress during those last few months of the 2019-2020 school year. As the pandemic continued through the fall of 2020, the majority of classes continued to be held virtually. Although slightly more prepared, virtual learning was still challenging for students, their families, and their teachers. However, some students actually fared better in the remote settings. Teenagers, especially, who were shy or uncomfortable around their peers, were more comfortable attending school online. In the fall of 2021, as the pandemic is still considered a major public health issue in the US, middle school and high school students are returning to the classroom, facing different challenges in their mental health and stress levels. As the delta variant becomes a rising public health concern, teens may have to deal with this re-entry process time and again. Spikes in Depression and Anxiety Overall, remote learning has increased mental health issues in teenagers who were isolated at home. Research over the past few months has pointed to alarming spikes in anxiety and depression among students and their parents. Studies also show that remote students are learning less than they would if they were in the classroom. A survey in the fall of 2020 found that students who had been able to spend time in school, even part-time, reported lower rates of worry and stress than students who were learning completely online. Over half of the more than 10,000 students surveyed said they were more stressed in school in 2020, but the stress level was much more pronounced among those students attending school remotely. Their stress resulted in insomnia, headaches, and exhaustion, among other symptoms. One junior at Yonkers Middle High School in New York said that it was stressful for him to worry about contracting COVID-19 at school, but that his online classes were wearing him down. The teenager stated, “When I’m at home, fully remote, it’s more like a sluggish feeling. I’m usually feeling distressed and tired, and I just don’t want anything to do with school anymore. ” Teenage Struggles The teenage years are full of transition and growth. During the pandemic, the mental health challenges have been even greater for children and adolescents, as they have struggled emotionally with the isolation and uncertainty. Teens are social in nature but have been forced to deal with the loneliness of remote learning. The result has been an increase... --- ### Delta 8 THC and Delta 10 Cannabinoid: What You Need to Know > There are many facts you need to know about Delta 8 THC and Delta 10 cannabinoid, especially why they are considered a health and safety risk. - Published: 2021-08-09 - Modified: 2024-08-02 - URL: https://therapeutic-partners.com/blog/delta-8-delta-10/ Even though substances such as CBD and marijuana may be legal in some states, they can still be dangerous. It's essential to understand what these substances contain and why they are considered a health and safety risk, particularly for the developing brains of teenagers and young adults. There are several facts you need to know about Delta 8 THC and Delta 10 cannabinoids. What is a Cannabinoid? The term "cannabinoid" refers to a group of chemically diverse substances found within the cannabis plant, which interact with the body's endocannabinoid system. The main cannabinoids, tetrahydrocannabinol (THC) and cannabidiol (CBD) are the most well-known and studied. THC is primarily responsible for the psychoactive effects of marijuana, causing the "high" sensation that alters an individual's mental state. This psychoactive component interacts with CB1 receptors in the brain, influencing mood, memory, and perception. On the other hand, CBD is non-psychoactive and is known for its potential therapeutic benefits, such as reducing anxiety, pain, and inflammation. Cannabis plants vary widely in their THC content; some strains are explicitly bred to have deficient levels of THC, making them non-intoxicating, while others are cultivated to maximize this compound for its potent psychoactive effects. Beyond THC and CBD, scientists have identified over 100 other cannabinoids in the cannabis plant, each with unique properties and potential impact. These include cannabinoids like cannabigerol (CBG), cannabinol (CBN), and tetrahydrocannabivarin (THCV), which are currently under investigation for their potential health benefits and therapeutic applications. These lesser-known cannabinoids also interact with the endocannabinoid system, albeit in different ways than THC and CBD. For example, CBG is believed to have potential antibacterial properties, while CBN is being studied for its soothing effects, which might aid in sleep disorders. THCV, in contrast, has shown promise in modulating appetite and weight loss, making it of interest in obesity research. The study of cannabinoids is a rapidly evolving field, with ongoing research aiming to uncover the full spectrum of their effects on human health. As our understanding grows, so too does the potential for developing new treatments for a variety of conditions, harnessing the unique properties of each cannabinoid. This diversity within the cannabis plant highlights the importance of comprehensive research to understand the benefits and risks associated with its use entirely. Delta 8 THC: Deceptively Harmful Delta 8 is one of the most common cannabinoids derived from marijuana and hemp. It entices young people, mainly when it is sold as gummy candies. That is also when it is hazardous. Children who eat even one gummy can be at serious risk of significant health issues. Young people, including teenagers and adults, who eat multiple gummies can suffer harmful consequences as well. Dr. Elizabeth Scharman, West Virginia Poison Center Director and West Virginia University Professor of Clinical Pharmacy emphasizes that "Delta-8-THC is not the same as CBD. Taking more than one dose may cause harm. Even one dose may cause harm if the product does not contain the labeled ingredients. These products are not regulated, so there is... --- ### Alcohol Consumption on the Rise in the US > After a brief decline in the 1980s and 1990s, alcohol consumption is again on the rise in the US; many factors have impacted the increase. - Published: 2021-06-22 - Modified: 2024-07-19 - URL: https://therapeutic-partners.com/blog/alcohol-consumption-on-rise/ After a brief decline in the 1980s and 1990s, alcohol consumption is on the rise in the US once more. Many factors have contributed to this increase, including the fact that American drinking patterns are considerably different than those in other parts of the world. Uniquely American The US has a history of being concerned about its citizens’ drinking habits. Americans tend to drink more and for different reasons than people in other countries. For example, Italy, known for its commonly accepted practice of drinking wine, has some of the lowest rates of alcoholism in the world. According to an article recently published in The Atlantic, Italians drink mostly wine and beer, usually over meals shared with other people. When they do consume liquor, it is usually in small quantities either immediately before or after their meal. Alcohol is to be enjoyed as part of the meal and drinking just to get drunk is discouraged, as is the concept of drinking alone. Preference for Drinking Alone The idea of drinking alone has taken root in America, even before the pandemic forced so many people into isolation. The alcohol consumption rate has increased in recent years and especially in the period since March 2020. People who have been stuck at home, struggling with their anxiety and with the uncertainty of COVID-19, are now drinking more frequently and, even when they can go out, seem to prefer to drink by themselves. Drinking in bars has become less social in recent years, even before the pandemic hit, according to The Atlantic. One bartender in San Francisco told the magazine reporter, “I have a few regulars who play games on their phone, and I have a standing order to just refill their beer when it’s empty. No eye contact or talking until they are ready to leave. ” Another bartender, in Columbus, Ohio, observed that spending money to drink alone in a bar, rather than at home, was a case of “trying to avoid loneliness without actual togetherness. ” Women vs Men Researchers have found that women are more likely to use alcohol to cope with a stressful situation and with their negative feelings, perhaps because they are more likely to be stressed and sad. Women suffer from depression and anxiety at twice the rate of men and women’s overall happiness has decreased significantly in recent decades. Today, women appear to be using alcohol in an attempt to control their anxiety around the “breathtaking pace of modern economic and social change. ” They are also feeling the loss of “social and family cohesion” that previous generations enjoyed. These women also tend to drink alone, not necessarily to feel better but to try to not feel so bad. Increases During COVID The presence of alcohol has become more prevalent and more acceptable in America in the past two decades and the rate of alcohol consumption has risen steadily. Many other countries have actually shown declines in their numbers in recent years. The consequences in the... --- ### Substance Use and Mental Health Treatment Plan > Having an advocate for your loved one’s substance and mental health treatment plan can make all the difference in their success in recovery. - Published: 2021-06-08 - Modified: 2021-06-08 - URL: https://therapeutic-partners.com/blog/substance-use-mental-health-treatment/ When you notice signs of substance use or mental health problems in your loved one, your first instinct is probably to try to find help for them. Often, family members become frustrated because they just don’t know what to do or where to turn. Having an advocate for your loved one’s substance and mental health treatment plan can make all the difference in their success in recovery. What Is Recovery? You may have heard some terms that are confusing as you seek out help for your loved one. A substance use treatment plan will help guide your loved one toward recovery from a substance use disorder. The Substance Abuse and Mental Health Services Administration (SAMHSA) explains that recovery is a process of change through which your loved one will improve their health and wellness, live a self-directed life, and work toward reaching their full potential. SAMHSA outlines four major dimensions important to the support of recovery: Health—when your loved one is able to overcome or manage their addiction and their symptoms and able to make informed healthy choices for their physical and mental well-being. Purpose—the individual in recovery can conduct meaningful daily activities and has the independence and resources to participate in society in a meaningful way. Home—your loved one knows they have a safe and stable place to live. Community—the relationships and social networks that your family members offer as you provide support, love, and hope. A Champion for Your Loved One’s Recovery It is through your loved one’s relationships and social networks that they are most often able to continue through a successful recovery. As a family, you will become champions of their recovery even as you may also experience stress, guilt, anger, fear, and a sense of loss because of their substance problem. Knowing where to start, how to find a qualified provider, and how to begin the steps toward recovery can be crucial for your family member’s health and well-being. Tailored Treatment One of the key points to remember is that there is no “one size fits all” substance use treatment plan. An effective treatment and recovery program must be flexible and tailored to the specific needs of the individual who is addicted. Every situation has its own complexities. You want to be sure that the addiction treatment program takes into consideration any co-occurring conditions as well, including mental health, social issues, and physical health challenges. What You Can Do The first thing to understand is that if you have noticed issues with a family member that is affecting their health, work, relationships, social functioning, or safety , you are not overreacting in wanting to get treatment for them. If an individual is using drugs or appears to be addicted to alcohol and continues to use those substances even after their problems have become obvious, then it is important that you reach out for help. A few steps you can take include: Learning all you can about the signs of substance abuse and how it affects... --- ### Mental Health Awareness Month | Overcoming the Stigma, Getting Help > May is Mental Health Awareness Month. Overcoming the stigma and getting help are critical steps for your mental and physical health. - Published: 2021-05-20 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/overcoming-stigma-getting-help/ May is Mental Health Awareness Month. When you are facing the challenges of a mental health issue, you may be hesitant to reach out for help, given the stigma that you may feel. However, overcoming the stigma and getting help are critical steps for your mental and physical health. Mental Health Awareness During the month of May and throughout the year, the National Alliance on Mental Illness (NAMI) continues to emphasize their message that “You Are Not Alone” when you are struggling with a mental health issue. The organization encourages everyone to use the designated month, designed to focus on awareness, to also focus on the healing value of connecting in safe ways, to prioritize mental health, and to know that it’s okay to not be okay. In fact, over half of the adults in the US will need mental health treatment sometime during their life. One in 25 adults is living with a serious mental illness, including bipolar disorder, major depression, an eating disorder, or post-traumatic stress disorder (PTSD). In addition, just over 11% of adults in the US report that they regularly experience worry, anxiety, or nervousness. Just under 5% report that they frequently experience sadness or symptoms of depression. Mental Illness and Mental Health The CDC clarifies that a mental illness, such as anxiety, bipolar disorder, depression, or schizophrenia, can affect the way you feel, the way you think, your mood, and your behavior. A mental illness can be an occasional condition, or it can be chronic, which means that it is long-lasting and affects your ability to function as well as to relate to others appropriately. Mental health is focused on your well-being, socially, emotionally, and psychologically. Your mental health also affects how you act, how you feel, and how you think. It can help determine how you relate to others, whether you are able to make healthy choices, and how you handle stress. Poor mental health is not the same thing as mental illness. You can have poor mental health and not necessarily be diagnosed with a mental illness. In the same way, you can be diagnosed with a mental illness and still experience brief periods of mental, social, and physical well-being. Causes of Mental Illness It’s important during Mental Health Awareness Month to understand that there is not one single cause of mental illness. Many factors can contribute to your risk factors, including: A feeling of isolation or intense lonelinessEarly life experiences, such as abuse or traumaAdverse experiences related to chronic medical conditions, such as diabetes or cancerGenetic factors, including whether you have a family history of mental illnessChemical imbalances in the brainThe use and abuse of recreational drugs or alcohol. Overcoming the Stigma Getting help for your mental illness can be critical to your mental and physical health. The first step is to overcome the stigma you may feel. When you experience the feeling of stigma, you may have had others in your life treat you differently or view you in a negative... --- ### Languishing: A New Label for COVID Mental Health > Languishing is a new label for your COVID mental health, to describe what may just be the dominant emotion of 2021. - Published: 2021-05-06 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/languishing-covid-mental-health/ The past year has certainly been a challenging one for many people. The isolation and uncertainty caused by the pandemic have affected almost everyone’s mental health in some way. When it’s difficult to pinpoint exactly what you are feeling, but you know you are not quite where you should be mentally, you may be languishing. The term is a new label for your COVID mental health, to describe what may just be the dominant emotion of 2021. Somewhere In Between In the mental health field, most professionals view the spectrum as ranging from depression to flourishing. When you are flourishing, you are at the peak of well-being. When you are depressed, you are in the valley of ill-being, feeling despondent and drained. Adam Grant, an organizational psychologist at Wharton, writes in a recent issue of The New York Times that somewhere in between is languishing, when you are not feeling the symptoms of mental illness but you’re not truly experiencing complete mental health either. The COVID mental health condition is described as a sense of stagnation and emptiness, as though you are simply muddling through each day, viewing your world through a foggy windshield. A Predictor of Future Concerns The term “languishing” was coined by sociologist Corey Keyes almost 20 years ago. Keyes realized that there were many people who weren’t depressed but who weren’t thriving either. He conducted extensive research and found that people who are languishing are more likely to experience major depression and anxiety disorders in the years to come. In fact, his research found that the risk of a major depressive episode was two times more likely among those individuals who were languishing than adults who were moderately mentally healthy. The risk was nearly six times greater among adults who were languishing than those who were flourishing. During the pandemic, evidence from healthcare workers in Italy shows that people who were languishing last spring were three times more likely to later be diagnosed with post-traumatic stress disorder (PTSD). Keyes found that languishing and depression were associated with significant psychosocial impairment in the limitations of daily living activities, perceived emotional health, and in lost or reduced workdays. In contrast, flourishing and moderate mental health were associated with a much higher level of psychosocial functioning. Pandemic Emotional Long-Haul COVID-19 has been discovered to have long-term physical effects, known as long-haul COVID. It’s also been found that many individuals are struggling with an emotional long-haul as part of their COVID mental health condition. Initially, many people experienced intense fear and anxiety. Those who lost loved ones or who suffered a job loss or physical illness themselves experienced an intense sense of grief. Most people were unprepared for the emotions of the pandemic, as they were put in a completely new and unknown situation. After the initial fear and grief subsided, they may fallen into a sense of “blah” or languishing, feeling neither depressed nor anxious. As the pandemic drags on, that initial state of anguish has given way to... --- ### Protect Your Child from Addiction by Building Self-Efficacy > Protect your child from addiction by building self-efficacy so that they are prepared with a sense of control and hope. - Published: 2021-04-20 - Modified: 2021-04-20 - URL: https://therapeutic-partners.com/blog/protect-your-child-from-addiction/ As a parent, you probably worry about your child’s mental and physical health constantly. As your child grows, they may be tempted by a lot of negative influences in their life. You can take steps to keep your child safe even when you can’t be there to watch over them. Protect your child from addiction by building self-efficacy so that they are prepared with a sense of control and hope. Self-Efficacy The idea of self-efficacy was defined by psychologist Albert Bandura in 1977, who stated that “expectations of personal efficacy determine whether coping behavior will be initiated, how much effort will be expended, and how long it will be sustained in the face of obstacles and aversive experiences. ” Essentially, self-efficacy is your belief that you can succeed. As a result, you have the foundation needed to control and regulate your thoughts and emotions, giving you a sense of fortitude and resilience even in the most challenging situations. People who do not have a sense of self-efficacy can be inflexible and pessimistic with low self-esteem. They can tend to act more helpless, become depressed, and lose hope. These traits are also associated with someone who is more likely to turn to alcohol or drugs as a way to address and alleviate their negative feelings. Self-Efficacy and Addiction You can protect your child from addiction by taking steps to build up their self-efficacy, which is one of the most powerful protective factors you can provide your child. Peer pressure is huge in childhood, particularly as kids grow into their teens. Self-efficacy can help them be strong enough and confident enough to resist that peer pressure, directly and indirectly. They will also be more likely to be open and talk to you honestly about their challenges in life. On the other hand, one of the risk factors for addiction is a lack of self-efficacy. Research studies have shown the significant effects of psychological factors on decreasing the risk of addiction. The self-efficacy belief is a cognitive-motivational force that can determine an individual’s coping level under pressure, especially the peer pressure they may face to use alcohol or drugs. In addition, some studies have found a significant negative relationship between self-efficacy and addiction relapse. Self-Esteem and Self-Efficacy More than simply believing in yourself, self-efficacy helps your child develop a realistic sense of their strengths and weaknesses, which can determine their actions and their achievements. You can protect your child from addiction by helping them develop a realistic sense of their own strengths and fortitude. Self-efficacy, though, is more than self-esteem, which is the opinion they hold about their own worth or value. Self-esteem is important but by itself does not give your child the optimistic attitude and willingness to persist they will need in challenging situations, such as when they are tempted by drugs or alcohol. These traits are developed as part of self-efficacy, which helps them believe they are capable to continue to move forward even when experiencing setbacks. Influencing Your Child... --- ### Teen Marijuana Addiction > Many recent research studies have determined that not only is cannabis addictive, but the teen marijuana addiction rate is a serious concern. - Published: 2021-04-06 - Modified: 2021-04-06 - URL: https://therapeutic-partners.com/blog/teen-marijuana-addiction/ Marijuana has often been thought of as a harmless drug that does not lead to addiction. However, many recent research studies have determined that not only is cannabis addictive, but the teen marijuana addiction rate is a serious concern. One study in particular found that adolescents are especially vulnerable to addiction, emphasizing the need for early screening and treatment. Prevalence of Teen Marijuana Addiction Researchers from the National Institute on Drug Abuse (NIDA) and the National Institutes of Health (NIH) recently examined data collected from 2015 to 2018 to determine the prevalence of specific substance use disorders among adolescents, teenagers, and young adults. Specifically, the team’s goal was to determine the rate of addiction after the first use of drugs, including cannabis, tobacco, alcohol, cocaine, heroin, and methamphetamine, and after the first incidence of misusing drugs such as opioids. They reviewed data for adolescents and teenagers aged 12 to 17 and for young adults aged 18 to 25. The prevalence of lifetime substance use among the adolescent group in 2018 was 15. 4% for cannabis, 26,3% of alcohol, and 13. 4% for tobacco. In contrast, the prevalence of lifetime substance use for the young adult group was 51. 5% for cannabis, 79. 7% for alcohol, and 55. 0% for tobacco. However, there was a higher prevalence of substance use disorders within 12 months of cannabis use among adolescents and teenagers than among young adults, which was consistent with the younger age being associated with a faster transition to addiction for cannabis as well as for prescription misuse. The researchers found that 10. 7% of youth between the ages of 12 and 17 were addicted after one year of cannabis use. After 36 months of cannabis use, 20. 1% of the study participants in this age group met the criteria for addiction. Among the young adult group, 6. 4% were addicted to cannabis within 12 months and 10. 9% after 36 months. Impact on Developing Teenagers’ Brains Teen marijuana addiction is more concerning than may have been previously evident, as shown by the results of these and other studies. Particularly as the teenage brain is still developing, cannabis may have a significant impact on its growth and development, potentially causing long-term or possibly permanent adverse changes in the brain, according to the NIDA. Some studies have suggested that regular marijuana use in teenagers is associated with altered connectivity and reduced volume of specific brain regions involved in a broad range of executive functions. Teen marijuana use has been known to impact areas of the brain such as memory, learning, and impulse control. Marijuana as an Addictive Drug Many other studies have shown that marijuana use does, indeed, lead to a substance use disorder and addictive behaviors. In fact, some research suggests that 30% of people who use marijuana may have a substance use disorder. According to these studies, individuals who begin using marijuana as a teenager, before the age of 18, are 4 to 7 times more likely to develop a... --- ### Famous Women in Psychology > Famous women in psychology began their work in the 1800s and continue to provide the research and innovations important to the field. - Published: 2021-03-23 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/famous-women-in-psychology/ March is Women’s History Month. In the field of mental health, many women have made significant accomplishments and contributions, even though it seems most people primarily recognize the names of men who have been involved in mental health throughout history. Famous women in psychology began their work in the 1800s and continue to provide the research and innovations that are so important to the field. Margaret Floy Washburn Technically, Washburn was the first woman to earn a doctoral degree in psychology in the US. She was awarded the degree in 1894 by Cornell University, one of the few institutions that accepted females as graduate students. Washburn spent much of her career teaching at Vassar College and was also the author of several books that have been instrumental in the field of mental health. Washburn involved many of her undergraduate students, all women, in her research and writing. Her first book was one of the earliest and most successful textbooks in comparative psychology, The Animal Mind. By 1903, Washburn was ranked among the top 50 psychologists in the country. In 1921, she was the second woman to be elected president of the American Psychological Association and was elected to the National Academy of Science in 1931. Mary Whiton Calkins Calkins also completed the work toward her doctoral degree in 1894, but she studied at Harvard, which refused to grant her the degree because she was a woman. Having earned her BA at Smith College, she began teaching at Wellesley College in 1887. Her work in psychology and philosophy was recognized early and she became the first woman elected president of the American Psychological Association in 1905. By 1908, Calkins was ranked 12th on the list of the top 50 psychologists in the country. Calkins is known for inventing the paired-associates technique for studying learning and memory as well as for founding one of the first psychology laboratories. She also was a prolific writer, having authored 4 books and over 100 articles on dream analysis, self-psychology, memory, and consciousness. Elisabeth Kübler-Ross Author of what is now known as the five stages of grief, Kübler-Ross was born in Switzerland in 1926 and became a pioneer in the study of near-death experiences. She is perhaps best well-known for her book, On Death and Dying, in which she first discussed the stages of grief, denial, anger, bargaining, depression, and acceptance, as a pattern of adjustment. Today many business organizations use these stages, which have been adopted into The Kübler-Ross Change Curve™ to train their employees on change and loss. Kübler-Ross was also a pioneer in the hospice movement. She helped establish more than fifty hospices around the world in the 1970s and 1980s. In 1985, she established the world’s first prison hospice, for the California State Prison in Vacaville. Kübler-Ross had been trying to start an AIDS hospice for abandoned babies when an arsonist burned down her house. She retired shortly afterwards. Mamie Phipps Clark Clark was born into a comfortable, middle-class family in Arkansas,... --- ### A Year of Anxiety for Teens > This has been a year of anxiety for teens especially, as they have faced the challenges of isolation and pandemic-related stress. - Published: 2021-03-09 - Modified: 2021-03-09 - URL: https://therapeutic-partners.com/blog/year-of-anxiety-teens/ The COVID-19 outbreak was declared a pandemic one year ago, in March of 2020. Since then, its effects have reached everyone in some form. Adults are working from home. Medical appointments are being conducted remotely. School is being held virtually. This has been a year of anxiety for teens especially, as they have faced the challenges of isolation and pandemic-related stress. Struggling Parents Parents have watched their children try to deal with the pandemic while struggling themselves with how best to navigate the changes of the past year. When these parents see their teens experience mental and emotional issues, they are often frustrated by the process of deciding what to do and how to help. Parents are finding that it can be difficult for teens to get the help they need or to even receive a psychiatric diagnosis. When their child exhibits certain symptoms that become concerning to them, their initial instinct is to call 911 or to take their teen to the emergency room, because they see no other option. Emergency Room Visits Increasing The CDC has reported that the proportion of mental health-related visits to the emergency room increased beginning in April 2020 and remained elevated through October of the same year. Compared with the same months in 2019, the proportion of mental health visits increased approximately 31% for young people between the ages of 12 and 17. The researchers stated that the increase in the proportion of emergency visits for children’s mental health concerns might reflect increased pandemic-related stress. Emergency Departments Unprepared Beyond the fact that most emergency rooms have been overwhelmed by the COVID-19 pandemic, there is also the challenge that many lack the capability to provide mental health services. In response to this crisis, a study was done of the emergency departments in the US. The study found that the majority of children do not have access to an ER with pediatric mental health care services. In fact, only around 46% of emergency departments have any form of mental health care policy for younger patients. Those located in remote areas of the country were 60% less likely to have such a policy. When teens go to the emergency room, they are typically treated for physical symptoms and then sent home. Teenage Anxiety During COVID The isolation imposed by the pandemic has been particularly hard on some teens, who have not been able to participate in sports or other extracurricular activities, have begun to take all classes online, and have not socialized in person with their friends since last March. It has been a year of anxiety for teens, particularly for those who were already showing some signs of mental health issues or mood disorders. Dr. Adiaha I. A. Spinks-Franklin, an associate professor of pediatrics at the Baylor College of Medicine, notes that “What parents and children are consistently reporting is an increase in all symptoms — a child who was a little anxious before the pandemic became very anxious over this past year. ” She... --- ### High-Functioning Depression: When Is It Time to Seek Help? > Understanding functional depression, and particularly when it is time to seek help, is critical for your health and well-being. - Published: 2021-02-23 - Modified: 2021-02-23 - URL: https://therapeutic-partners.com/blog/high-functioning-depression/ Everyone can have a “down” day now and then. Usually, they can shake it off and continue with their lives. If you are experiencing high-functioning depression, however, you may continue to meet your career and personal obligations, all while struggling to cope with negative emotions. Understanding functional depression, and particularly when it is time to seek help, is critical for your health and well-being. What is High-Functioning Depression? You may appear “normal” to others as you go about your day. You may go to work, doing your job well, go shopping, pay your bills, and talk to other people as though nothing was wrong. When you get home, though, it may be all you can do to walk in the door and crawl into bed. You could find yourself sitting on the couch crying all evening. On the inside, you are experiencing the symptoms of depression, even though you appear on the outside to be able to function well throughout the day. The diagnosis of high-functioning depression is thought to be rooted in persistent depressive disorder. Although you experience the symptoms of depression, you are still able to function despite them. You may even find that you are trying to hide your feelings. You are not alone. More importantly, you should understand when it is time to seek help. Suffering Invisibly When you have high-functioning depression, you may feel that no one understands what you are going through, that you are suffering invisibly. During the day, you tend to forge ahead to achieve your goals. Others around you may not realize that you are experiencing problems of any kind. In addition, you may think that you cannot admit that you are feeling depressed, either because of the stigma associated with it or because you worry that it may impact your career or your family life. Battles with mental health conditions are often fought internally. It can be easy for you to fly under the radar because you are able to hide your suffering well.  Your friends and co-workers might be surprised to learn that you are having a hard time. As a result, you may feel that you have to keep it to yourself. You may even believe that if you think positively long enough, your high-functioning depression will go away on its own, which it will not. Symptoms of High-Functioning Depression As someone with functional depression, you may appear on the outside to be high-functioning, but you may have persistent depressive disorder. Common symptoms include: Sleeping too much or too little,Decreased appetite or overeating,Difficulty concentrating,Low self-esteem,Trouble making decisions, andFeelings of hopelessness. When to Seek Help If you recognize these symptoms in yourself, it may be time for you to seek help. Particularly if your symptoms are affecting your life such that you find it even more difficult to continue to be high functioning, you should reach out and find appropriate treatment options. You may think that you are getting by in your job, at school, or with your family, and... --- ### Enjoying the Empty Nest | Therapy & Emotional Support for Older Adults > Many older adults are enjoying the empty nest, but some are challenged with adjusting, finding themselves facing unexpected consequences. - Published: 2021-02-09 - Modified: 2021-02-09 - URL: https://therapeutic-partners.com/blog/enjoying-the-empty-nest/ Parents naturally want to raise their children to be successful and independent. Then, one day, the last child leaves the house and the parents become “empty nesters. ” Many celebrate that day, enjoying their new freedom and lifestyle. However, some are challenged with adjusting and may even find themselves dealing with unexpected consequences like loneliness, feeling a sense of having a lack of purpose, or other stressors that can make this stage in life challenging. Unfortunately, some older adults may turn to alcohol and prescription medications to help them deal with these new stressors. Baby Boomers Aging Older adults are in the second-largest age group, the Baby Boomers. Their children make up the largest age group, the Millennials. Baby Boomers were born from about 1946 to 1964. By 2030, everyone in this group will have turned 65. As this group has aged, their children have aged out and moved out. Most Baby Boomers should be enjoying the empty nest at this point in their lives. There are many who are anxious and uncertain about their new life structure, though. They are part of a growing public health concern among older adults. Prescription Medication Misuse Older adults experience the misuse of prescription medications at growing rates. Non-medical use of prescription drugs among older adults has been estimated to have increased from 1. 2 percent (911,000) in 2001 to 2. 4 percent (2. 7 million) in 2020, which is a 100 percent increase. The increase may be because of the sheer size of the population or it could be a result of the fact that Boomers are a little more accepting of experiences with both prescription medications and illicit drugs. These older adults, the empty nesters, also tend to be prescribed more medications than other age groups and to use more over-the-counter medications. They may be more sensitive to even smaller amounts of medications because of their slower metabolism and elimination processes. They tend to experience more pain, anxiety, sleep disorders, and insomnia than other population groups as well. One study found that up to 11 percent of women over the age of 60 misuse prescription medications. Another found that about 25 percent of older adults use prescription psychoactive medications with a potential to be misused or abused. In addition, the combination of alcohol use and medication misuse has been estimated to affect up to 19 percent of older Americans. Unintentional Misuse Older adults do not typically intend to misuse prescription medications. Given the added stress and anxiety of living alone, possibly even being isolated, combined with the physical and mental challenges faced by people naturally as they grow older, this unintentional prescription misuse may progress when an older adult continues to use the medication for its desirable effects, without understanding the potential consequences. Tolerance and physical dependence can also develop when older adults take psychoactive medications such as benzodiazepines. Older adults are more likely to be prescribed opioid analgesics for pain and central nervous system depressants like benzodiazepines for sleep disorders... --- ### The Link Between Teen Stress and Internet Addiction > The link between teen stress and internet addiction has been clear for several years but is now growing with intensity. - Published: 2021-01-28 - Modified: 2021-01-28 - URL: https://therapeutic-partners.com/blog/teen-stress-internet-addiction/ Even before the COVID-19 pandemic rerouted most personal interactions into the virtual world, teenagers were spending a great deal of time online. The excessive screen time has had some adverse effects on everyone, but particularly on younger people. The link between teen stress and internet addiction has been clear for several years but is now growing with intensity. Social Environment The online world has been easily accessible for several years. The generation of teenagers, now known as Generation Z, are considered “digital natives,” meaning they’ve grown up in the midst of technology. They’ve never known a time when there wasn’t an internet or social media. Now they use their online time not just as a tool for research or to do homework, but as a social environment on which they’ve come to depend for personal interaction. Young people are now isolated from their friends and classmates, as most schools have shifted to online learning and social activities have been severely curtailed. During the pandemic, teens may only have access to their social circle through the internet, on social media, and on gaming sites. Internet addiction is not new, however. In a survey conducted in 2016, half of the teenagers responding said they believed they were addicted to their electronic device. Three-fourths of the teens said they felt compelled to respond immediately to social media posts as well as to text messages and other notifications that popped up on their screens. The Link Between Internet Addiction and Stress More recent studies have shown the close relationship between stress and internet addiction, particularly in adolescents. These studies reveal that there is a link between teen stress and internet addiction, finding that the individuals’ coping style, time management tendencies, as well as other factors play an intermediary role in the connection. Social support has been found to play a regulatory role in the link. Social Anxiety and Internet Addiction Researchers have also found that social anxiety is closely related to internet addiction, actually increasing the probability of the addiction. Kids who display the symptoms of social anxiety are more likely to become addicted to internet use. The relationship is more obvious in male teens. A study of 1,634 middle school students conducted in 2019 found that internet addiction is positively correlated with stress and social anxiety and negatively correlated with social class. The researchers found that social class indirectly influences internet addiction by moderating the relationship between stress and social anxiety. This means that teens from different social classes have different types of anxiety when they feel the stress, which influences their choices concerning internet use. Stress and Internet Addiction During COVID-19 In a more recent research study of just over 1,000 middle school students, the effects of the pandemic were included in determining the link between teen stress and internet addiction. The average age of the group was 14. 66 years. Just like adults, teens are encountering psychological impacts and stress due to the COVID-19 outbreak and the resulting restrictions put in... --- ### New CDC Stats: Increased Overdose Deaths During the Pandemic > Unfortunately, COVID challenges have also resulted in increased overdose deaths during the pandemic, according to new CDC stats. - Published: 2021-01-13 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/increased-overdose-deaths/ The COVID-19 pandemic has affected many aspects of virtually everyone’s life. The stress of economic uncertainty, the isolation of the pandemic-related restrictions, and the fear of the virus itself have created a significant strain on people’s physical and mental health. Unfortunately, COVID challenges have also resulted in increased overdose deaths during the pandemic, according to new CDC stats. Record Number of Overdose Deaths In the 12-month period ending in May 2020, over 81,000 people died from drug overdose deaths, the CDC reports. This is the highest number of overdose deaths ever recorded in a 12-month period in the US. The main driver of these overdose deaths appears to be synthetic opioids (primarily fentanyl). The CDC states that during this period: 10 western states reported more than a 98 percent increase in synthetic opioid-involved deaths. 37 of the 38 US jurisdictions with available synthetic opioid data reported increases in synthetic opioid-involved overdose deaths. 18 of these jurisdictions reported increases greater than 50 percent. In addition, overdose deaths involving cocaine increased by 26. 5 percent. It appears that these deaths are linked to co-use or contamination of the cocaine with the illicitly manufactured fentanyl or heroin. An even higher percentage of the deaths, 34. 8 percent, involved psychostimulants such as methamphetamine. CDC Director Robert Redfield, MD, states that “The disruption to daily life due to the COVID-19 pandemic has hit those with substance use disorder hard. As we continue the fight to end this pandemic, it’s important to not lose sight of different groups being affected in other ways. We need to take care of people suffering from unintended consequences. ” Mental Health Concerns Other researchers have found that concerns are growing regarding the pandemic’s long-term impact on mental health in the US. Crisis hotline use is rising. In Los Angeles, for example, calls to suicide and mental health hotlines have increased 8,000 percent during COVID-19. Projections are that, as a result of the mental health challenges, the pandemic will lead to as many as 75,000 deaths from alcohol and drug misuse and from suicide. The number of adults in the US with symptoms of anxiety disorder and/or depressive disorder have quadrupled since before the pandemic. In one study conducted in mid-July, 53% of adults in the US reported that their mental health has been negatively impacted during the COVID-19 pandemic. Additionally, people are experiencing difficulty sleeping or eating as well as worsening chronic conditions and are increasing their consumption of alcohol. Substance use is also increasing during the pandemic. Stress and worry stemming from isolation and job loss are major contributors to these negative impacts. An Unhealthy Response Even during normal times, unhealthy responses to stress can include an increase in the use of drugs or alcohol, which can lead to new addictions. In particular, being isolated at home can cause an individual to struggle because of an excess of unstructured time, anxiety about visiting a healthcare provider, loss of contact with supportive friends and family, and worry about the future.... --- ### 5 New Year’s Resolutions to Improve Your Mental Health > You're ready for new possibilities. Check out these five New Year’s resolutions to improve your mental health in 2021 and beyond. - Published: 2020-12-30 - Modified: 2020-12-30 - URL: https://therapeutic-partners.com/blog/resolutions-improve-mental-health/ You are probably counting down the days until 2020 is over. This has been a challenging year for many people on multiple levels, and you may be one of those who are struggling with mental health issues as a result. Now you are ready to focus on a new year and new possibilities. Check out these five New Year’s resolutions to improve your mental health in 2021 and beyond. Physical and Mental Health a Priority Typical resolutions of years past are not as relevant in the midst of the pandemic. Most people in the US are now focused on renewing their physical and mental health in the new year, rather than on financial gains or career moves. Physical health continues to be the source of most resolutions, such as eating healthier, getting more exercise, and losing weight. Many of those resolutions related to physical health can also help improve your mental health. Start with the Basics Eating a healthy diet is a major part of reducing stress, improving your self-esteem, and reducing vitamin deficiencies, leading to better mental health. Set a plan, as part of your New Year’s resolutions to improve your mental health, to include more fruits and vegetables into your daily menu. Studies have shown that people who eat more fruits and vegetables experience lower levels of depression than those who don’t eat as many. Planning a balance of vegetables, fruits, grains, and proteins for your daily meals can improve your mental health as well as your physical health. It’s also been shown that eating leafy greens and vegetables in the broccoli family, such as cabbage, cauliflower, and kale, can slow cognitive decline. Determine to Focus on What You Can Control  It’s not easy to think positive, particularly given the year we’ve all been through. For the new year, though, resolve to focus on what you can control and let go of what you cannot. Depression and other mental health issues may have you thinking only about the negative in your life. Make a resolution for 2021 to control how you respond to potentially negative situations. In fact, the very step of making a New Year’s resolution is a step toward taking back control of your thoughts. The physical act of writing your resolution on a piece of paper is making a behavior change for yourself. You are freeing your thoughts to go in the direction you choose, not the direction depression or mental health issues choose. You have control over your thoughts and actions. Resolve to maintain that control for improved mental health. Move More Just as eating healthier improves your physical and mental health, so does exercise. While it may seem as though exercising more is a typical New Year’s resolution that is not often kept, it is one of the most effective ways of reducing depression or anxiety as well as maintaining your cognitive functions. Go for a walk or a run. Ride your bicycle. Find a form of exercise you enjoy and will stick... --- ### The Impact of Online Support Groups During COVID-19 > The move to the virtual means meetings can continue during the crisis, but the impact of online support groups during COVID-19 has been mixed. - Published: 2020-12-09 - Modified: 2024-07-19 - URL: https://therapeutic-partners.com/blog/impact-of-online-support-group/ When the coronavirus was declared a pandemic in March 2020, most in-person activities were either canceled or shifted online. Schools made plans for remote sessions, business meetings morphed into video chats, and addiction support groups went virtual. While this transition has meant that certain activities can continue during the crisis, the impact of online support groups during COVID-19 has been mixed. Substance Use and COVID The COVID-19 pandemic is challenging for everyone. For those with a substance use disorder, however, the dangers can be multiplied many times over. Dr. Nora Volkow, Director of the National Institute on Drug Abuse (NIDA), along with several professional colleagues, recently published a study of more than 73 million patients at 360 US hospitals. Out of those patients, 7. 5 million had a substance use disorder, addicted to drugs or alcohol, and 12,030 had been diagnosed with COVID-19. The researchers confirmed that people with substance use disorders are at higher risk of contracting and suffering more severe consequences from COVID-19. In fact, patients with a substance use disorder made up 15. 6% of the COVID-19 group in the study. The risk of acquiring COVID-19 was highest among patients who had received a substance use disorder diagnosis in the past year. Patients with an opioid use disorder were 10. 2 times more likely to have COVID-19 than patients who did not have a recent substance use disorder. Dr. Volkow and the NIDA emphasize that chronic substance use harms or weakens the body in ways that make people who use drugs or alcohol more vulnerable to infection.  Opioids can cause a slowing of breathing that can lead to reduced blood oxygen, which can harm the brain as well as compromise cardiac and pulmonary health. In addition, behaviors associated with opioid use and certain other kinds of illicit drug use raise the risk of contracting all kinds of infectious disease. The Positive Impact of Online Support Groups An individual with an addiction to drugs or alcohol needs to get professional help to get and stay healthy. During the COVID-19 pandemic, in particular, treating the substance use disorder can help the individual who would otherwise be even more susceptible to the virus. Support groups help those who are addicted by providing them an opportunity to discuss, open and honestly, the challenges they face in addiction and recovery. Face-to-face meetings are much more effective, but online support groups give the addicted person the opportunity to continue receiving support in a safe environment throughout the pandemic. As was recently reported in The Washington Post, virtual meetings have become a lifeline for people who have been isolated by the pandemic, helping them maintain their sobriety during a very stressful time. In fact, online support groups give individuals the opportunity to meet new people across the country, expanding their support network at a time when they probably need it the most. The Negative Impact However, as also discussed in the Post article, many experts point out that Zoom meetings and other virtual group... --- ### How to Cope with Family Separations During the Holidays > It is very important for you to understand how to cope with family separations during the holidays, for your mental and physical health. - Published: 2020-11-24 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/cope-family-separations-holidays/ Just like most of the rest of 2020, the holidays will be different this year. More people will be celebrating alone or with immediate family members rather than traveling for large gatherings. It is very important for you to understand how to cope with family separations during the holidays, for your mental as well as your physical health. Holiday Celebrations During COVID-19 There are now over 12 million cases of COVID-19 in the US, with over 250,000 deaths. The number of cases continues to increase daily. As a result, the CDC strongly recommends that people stay home during the holidays this year. The organization states that celebrating virtually or limiting your in-person celebrations to members of your own household is one the most low-risk ways of spending the holidays. They define your household as anyone who lives and shares common space in your home, such as family members or roommates. Acknowledge Your Own Feelings The sense of isolation you are feeling now is completely understandable. Many people are facing the same struggles as the holidays approach. One way to cope with family separations during the holidays is to identify your feelings. When you are able to figure out your emotions about the upcoming holidays, it can help make things a little less overwhelming for you. Sort through your emotions by talking with a friend (on the phone or via video chat), starting a journal, and spending some quiet time thinking about what you are feeling and how you can best cope with your emotions. Accept Your Own Needs These are difficult times. Your mental and physical health are critical for you. During the holidays, even if you cannot be with family, make the effort to be kind to yourself. The holidays will be more stressful than usual this year, so you should recognize your triggers so you can be prepared. Identify what makes you feel mentally and physically agitated. For example, is shopping too stressful for you? Recognize your own needs and then take steps so you can more fully cope with your stress. Coping Strategies The National Alliance on Mental Illness (NAMI) suggests a few steps you can take to better cope with family separations during the holidays, especially during the COVID-19 pandemic. Find something to be thankful for and write it down. Thank those who have supported you this year. If you are physically healthy, be grateful for your well-being. Start a journal and keep a list of what you can be thankful for, even during the challenges of the pandemic. Don’t overdo it. Prioritize your time, making a daily schedule so you won’t feel overwhelmed by tasks and deadlines. Learn how to say “no” to plans that don’t fit in your schedule or that will just cause you more stress and anxiety. Practice relaxation techniques. Try deep breathing, mindfulness, and meditation to calm yourself and to stay calm when things become a bit too much for you. When you take a break and refocus, it will benefit... --- ### Treating Seasonal Affective Disorder Amid COVID-19 > Treating seasonal affective disorder amid COVID-19 has become much more critical to the health and well-being of those suffering from it. - Published: 2020-11-11 - Modified: 2020-11-11 - URL: https://therapeutic-partners.com/blog/seasonal-affective-disorder/ As the days grow shorter, we change our clocks to adjust to the winter hours. What many of us cannot change, though, is our reaction to less sunlight and more darkness throughout the winter months. While many people experience the winter blues, some people have more serious symptoms of a condition called seasonal affective disorder. This year, the pandemic has complicated the situation even more and treating seasonal affective disorder amid COVID-19 has become much more critical to the health and well-being of those suffering from it. Seasonal Affective Disorder (SAD) The symptoms of SAD can be distressing and overwhelming and can interfere with daily functioning. However, it can be treated. About 5 percent of adults in the U. S. experience SAD and it typically lasts about 40 percent of the year. It is more common among women than men. SAD has been linked to a biochemical imbalance in the brain prompted by shorter daylight hours and less sunlight in winter. As seasons change, people experience a shift in their biological internal clock or circadian rhythm that can cause them to be out of step with their daily schedule. More Than Just Sadness Many people go through short periods of time where they feel sad or not like their usual selves. Sometimes, these mood changes begin and end when the seasons change. People may start to feel “down” when the days get shorter in the fall and winter (also called “winter blues”) and begin to feel better in the spring, with longer daylight hours. In some cases, these mood changes are more serious and can affect how a person feels, thinks, and handles daily activities. If you have noticed significant changes in your mood and behavior whenever the seasons change, you may be suffering from seasonal affective disorder (SAD), a type of depression. SAD is more common in people with major depressive disorder or bipolar disorder, especially bipolar II disorder, which is associated with recurrent depressive and hypomanic episodes (less severe than the full-blown manic episodes typical of bipolar I disorder). Additionally, people with SAD tend to have other mental disorders, such as attention-deficit/hyperactivity disorder, an eating disorder, an anxiety disorder, or panic disorder. SAD Symptoms SAD is not considered a separate disorder but is a type of depression characterized by its recurrent seasonal pattern, with symptoms lasting about 4 to 5 months per year. Therefore, the signs and symptoms of SAD include those associated with major depression, and some specific symptoms that differ for winter-pattern and summer-pattern SAD. Symptoms of major depression associated with SAD may include: Feeling depressed most of the day, nearly every dayLosing interest in activities you once enjoyedExperiencing changes in appetite or weightHaving problems with sleepFeeling sluggish or agitatedHaving low energyFeeling hopeless or worthlessHaving difficulty concentratingHaving frequent thoughts of death or suicide. Complicated by COVID-19 Treating seasonal affective disorder amid COVID-19 is more critical and more complicated. Many people are feeling isolated as they stay at home or curtail their activities with other people during... --- ### Does Teletherapy Work? | Benefits and Applications > Does teletherapy work? Recent research shows the benefits and applications of teletherapy, a safe option during the pandemic. - Published: 2020-10-20 - Modified: 2020-10-20 - URL: https://therapeutic-partners.com/blog/benefits-applications-teletherapy/ Telehealth has been an option in healthcare for several years. Recently, and particularly in the time of COVID-19, remote sessions have become more popular among providers and patients. Teletherapy provides a safe option when care is needed during the pandemic. Does teletherapy work? Recent research shows the benefits and applications of teletherapy. Early Studies In 2013, a randomized trial was conducted of web-based videoconferencing for substance abuse counseling. The study found that web-based videoconferencing can improve access to substance abuse treatment by allowing patients to receive counseling services in their homes.   Participants exposed to the study conditions had similar rates of counseling attendance and drug-positive urinalysis results and reported similar and strong ratings of treatment satisfaction and therapeutic alliance. These results support the feasibility and acceptability of web-based counseling as a good method to extend access to individual substance abuse counseling when compared to in-person counseling for patients that are able to maintain a computer and internet connection for reliable communication. Telehealth Technology In 2020, more people have access to a computer or other electronic device as well as to an internet connection, enabling them to access teletherapy more easily and safely. In fact, the American Medical Association (AMA) states that the use of telemedicine and remote care services are critical to the safe management of the COVID-19 pandemic. Telemedicine spans a continuum of technologies that offer new ways to deliver care including:  Real-time, audio-video communication tools (telehealth) that connect providers and patients in different locations. Store-and-forward technologies that collect images and data to be transmitted and interpreted later. Remote patient-monitoring tools such as blood pressure monitors, Bluetooth-enabled digital scales and other wearable devices that can communicate biometric data for review (which may involve the use of mHealth apps). Verbal/Audio-only and virtual check-ins via patient portals, messaging technologies, etc. Teletherapy Sessions The benefits and applications of teletherapy include the ability to conduct a session remotely while the patient remains safe at home. Teletherapy can be conducted via email or phone but is typically done via video chat. The therapeutic process is similar to in-person therapy. It usually begins with a few initial sessions during which the therapist and client get to know one another and discuss treatment goals. After that, the therapist may dig more deeply into the client’s issues, make recommendations for behavioral changes, and encourage the client to reflect on their emotions. The therapist may ask the client to take steps to ensure confidentiality. These might include: Logging on from a private networkKeeping their computer locked to prevent others from viewing the sessionAccessing therapy via an encrypted therapy platform. Telehealth and Substance Use Disorders A 2018 study published in the International Journal of Telemedicine and Applications found that telemedicine applications offer innovative approaches for treating and reducing the effects of substance use disorders (SUDs). Researchers determined that telemedicine technologies could alter substance use disorder (SUD) treatment service delivery patterns and outcomes. Texting, videoconferencing, mobile apps, web-based treatment supports, telephone-based support, and use of virtual worlds have all been... --- ### October 10th is World Mental Health Day > October 10th is World Mental Health Day, a day to reflect on good mental health and how mental illness can affect people’s lives. - Published: 2020-10-06 - Modified: 2020-10-06 - URL: https://therapeutic-partners.com/blog/world-mental-health/ Mental health is a concern throughout the year, of course, but each year we take a day to highlight the need to recognize and treat mental health issues. October 10th is World Mental Health Day, a time to reflect on what good mental health really is and how mental illness can affect people’s lives. Even before the COVID-19 pandemic, about one in five US adults reported having a mental illness in the past year, and over 11 million people had a serious mental illness. Mental Health During COVID-19 The Centers for Disease Control and Prevention (CDC) has reported alarming statistics about the toll the pandemic is taking on everyone’s mental health in the US. They found that about 41% of adults surveyed in late June "reported an adverse mental or behavioral health condition. " The number of Americans suffering from an anxiety disorder had tripled by late June compared to the same time last year, and the number of those with depression had jumped fourfold. The findings, based on surveys conducted from June 24-30, also show that "one quarter of respondents reported symptoms of trauma- and stressor-related disorder. " About 1 in every 10 survey respondents also said they'd started or increased their use of alcohol or illicit drugs during the pandemic. In a separate study, conducted by the Kaiser Family Foundation (KFF), researchers confirmed that the COVID-19 pandemic has also created new barriers for people already suffering from mental illness and substance use disorders. In addition, many adults are also reporting difficulty sleeping (36%) or eating (32%), increases in alcohol consumption or substance use (12%), and worsening chronic conditions (12%), due to worry and stress over the coronavirus. Greater Access The theme for this year’s World Mental Health Day is “Mental Health for All. Greater Investment – Greater Access. ” This theme reflects KFF’s finding that people with mental health issues have been facing new barriers in these challenging times of the coronavirus outbreak. Access to care is critical for those who are experiencing mental health issues. R&A Therapeutic Partners is also concerned with ensuring that our patients can access appropriate treatment for their mental health issues during COVID-19. Already experienced and capable with telehealth technologies, we have now enhanced our remote platform to prepare for the “new normal. ” Tips for Good Mental Health World Mental Health Day is also a good time to focus on taking care of yourself, including these steps you can take to work on your mental health. Talk about your feelings. Talking about your feelings can help you stay in good mental health and deal with times when you feel troubled. Reaching out to talk to a mental health professional is also a critical step for you to take now. Keep active. Regular exercise can boost your self-esteem and can help you concentrate, sleep, and feel better. Exercise keeps the brain and your other vital organs healthy and is also a significant benefit towards improving your mental health. Eat well. Your brain needs a mix of nutrients in order... --- ### Observing National Suicide Prevention Awareness Month > September is National Suicide Prevention Awareness Month, a time to focus on understanding warning signs and knowing the options for help. - Published: 2020-09-24 - Modified: 2024-07-19 - URL: https://therapeutic-partners.com/blog/suicide-prevention/ If you or a loved one struggle with the idea of suicide, please know that there is hope. You are not alone. When you are in crisis, help is available and there is no shame in reaching out to others for support during this challenging time in your life. September is National Suicide Prevention Awareness Month, a time to focus on understanding the warning signs as well as knowing the options for help. Crisis Resources In times of crisis, know that you can reach out to someone who is there to help you: If you or someone you know is in an emergency, call 911 immediately. If you are in crisis or are experiencing difficult or suicidal thoughts, call the National Suicide Hotline at 1-800-273 TALK (8255) If you’re uncomfortable talking on the phone, you can also text NAMI to 741-741 to be connected to a free, trained crisis counselor on the Crisis Text Line. Suicidal Thoughts Affect Everyone Suicidal thoughts, much like mental health conditions, can affect anyone regardless of age, gender, or background. In fact, suicide is often the result of an untreated mental health condition. Suicidal thoughts, although common, should not be considered normal and often indicate more serious issues. Every year thousands of individuals die by suicide, leaving behind their friends and family members to navigate the tragedy of loss. In many cases, friends and families affected by a suicide loss (often called “suicide loss survivors”) are left in the dark. Too often the feelings of shame and stigma prevent them from talking openly. The Statistics In 2018, suicide was the tenth leading cause of death overall in the United States, claiming the lives of over 48,000 people. Suicide was the second leading cause of death among individuals between the ages of 10 and 34, and the fourth leading cause of death among individuals between the ages of 35 and 54. There were more than two and a half times as many suicides (48,344) in the United States as there were homicides (18,830) in 2018. COVID-19 and Mental Health The coronavirus pandemic has been challenging for many people, affecting both their physical and mental health. The stress of the outbreak, along with worries about finances and the increased isolation, has taken its toll already. A survey conducted by the Centers for Disease Control and Prevention (CDC) in late June found that 40. 9% of those participating in the surveys experienced an adverse mental or behavioral health condition, including those who reported symptoms of anxiety disorder or depressive disorder (30. 9%), those with trauma- and stressor-related disorder symptoms related to COVID-19 (26. 3%), those who reported having started or increased substance use to cope with stress or emotions related to COVID-19 (13. 3%), and those who reported having seriously considered suicide in the preceding 30 days. Warning Signs and Behaviors One of the keys of suicide prevention is to be aware of the warning signs of suicidal thoughts in yourself or your loved one. If you recognize any of... --- ### How to Recommit to Your Recovery | September is National Recovery Month > September is National Recovery Month: a great time to celebrate your success and to recommit to your recovery. - Published: 2020-09-09 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/recommit-to-your-recovery/ Recovery does not happen overnight; it is an ongoing process. After you have successfully completed your addiction treatment program, you will need to continue to focus on a sober, healthy life in the years ahead. September is National Recovery Month: a great time to celebrate your success and to recommit to your recovery. Hope and Resilience National Recovery Month is sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA). Their goal is to educate others on how people with mental and substance use disorders can live healthy and rewarding lives. SAMHSA emphasizes that your recovery from drug or alcohol addiction is a process of change through which you improve your health and wellness, live a self-directed life, and work toward reaching your full potential. The foundation of your successful future is hope: the belief that your challenges and conditions can be overcome. This process is highly personal and can occur via many pathways. Your successful recovery is characterized by continual growth and improvement in your health and wellness; it may even involve setbacks. Because those setbacks are a natural part of life, resilience is also a key component of your recovery. Learn from Your Slips If you do slip in recovery, it is important to understand that you have not failed. This is the perfect opportunity to learn from past mistakes and to recommit to your recovery. The first step is to explore the reasons behind the slip and to understand what triggered it in the first place. Without some serious soul-searching, you will be less able to avoid relapse in the future. There is no need to feel guilty if you slip. The most important thing to remember is that you need to take it seriously and acknowledge the mistake, which is temporary, and which gives you the opportunity to learn. Using the lessons from the slip to recommit to your recovery, keep in mind several very important points: Instead of feeling guilty, redouble your effort to achieve and maintain sobriety. The fact that you are recommitting means that you understand the depth of your addiction. Instead of feeling shame about your mistakes, look at them squarely and identify what you need to do to avoid making them again. Do not feel like you've lost everything and gone back to day one. Everything we do in life informs our recovery moving forward. A person who has been sober for several days often experiences sobriety in a more profound way than someone who has been sober for years. Use that feeling to move your recovery forward. Celebrate Your Successes In recovery, you will more than likely set goals for your life, your health, your family, and your work. Take the opportunity to celebrate your successes when you achieve those goals. Use those successes to recommit to your recovery. Acknowledging and celebrating the hard work of recovery is helpful for keeping you motivated and reminding you why you took this brave step toward sobriety in the first place. Just be sure that... --- ### Screen Time and Teen Well-Being > The connection between screen time and teen well-being is an important topic during these challenging times. - Published: 2020-08-25 - Modified: 2020-08-25 - URL: https://therapeutic-partners.com/blog/screen-time-teens/ During the COVID-19 pandemic, everyone is spending more time online. Adults are using virtual meeting platforms for remote work and meetings. Kids are using online resources to attend school remotely. Beyond that, people who are staying home and maintaining safe social distances are spending more time socializing virtually than ever before. The connection between screen time and teen well-being is an important topic during these challenging times. Increase in Screen Time Teens who are attending school remotely are spending much more time in front of their screens, including for educational purposes. However, they are also interacting with their friends more online as they are not able to get out and socialize in person. Screen time, including the use of social media, has risen significantly during the COVID-19 pandemic. There is a link between balanced screen time and teen well-being, however, that carries even more impact now. Forbes reports on recent findings from a survey in which 57% of surveyed Americans said their screen time has increased by one hour or more since going into isolation. The study also found that 30% of surveyed Americans said they spend most of their time streaming TV shows or movies while in isolation, while 70% of surveyed Americans say they have downloaded a new app to stay entertained while in quarantine, including games and entertainment. Sedentary Lifestyle One of the more significant connections between screen time and teen well-being is the reduced amount of physical activity that correlates with the increased use of digital media. Teens and adults alike are spending more time sitting on chairs or couches, or lying in their beds, while participating in remote classes and meetings. They are then continuing to be sedentary as they socialize online. Putting down the electronic devices and going outside to enjoy some fresh air and exercise is important for teens’ mental and physical health. Social Media Researchers have found that social media appears to be more harmful to mental health than other types of screen time. These researchers suggest that teens who want to keep in touch with their friends should video chat using Facetime or Skype. These options are the closest they can get to in-person social interaction with friends during the pandemic, and they are vastly preferable to the curated, competitive, and anxiety-provoking world of social media. The researchers’ findings strongly suggest that limiting social media use to approximately 30 minutes per day may lead to significant improvement in well-being. Interfering with Sleep Sleep is essential for a teenager. Often, though, teenagers don’t get as much restful sleep as they need for staying healthy, mentally and physically. An increased amount of screen time has been linked to sleep issues, including insomnia, as well as symptoms of depression in teens. Screen time affecting teens’ ability to sleep well includes social messaging, web surfing, watching TV, and gaming, in addition to using the internet for schoolwork. The science behind the link between screen time and teen well-being, in regard to sleep interference, relates to... --- ### Teens, Mental Health, and the Pandemic > The pandemic has affected teenagers also. A recent study has found a concerning link between teens, mental health, and the pandemic. - Published: 2020-08-12 - Modified: 2020-08-12 - URL: https://therapeutic-partners.com/blog/teens-mental-health-pandemic/ The uncertainties and challenges of the COVID-19 pandemic have been stressful for almost everyone across the globe. We have been under orders to stay at home, maintain our distances from other people, and wear masks when out in public. Many people have lost their jobs or have had to put their careers on hold. Businesses are struggling to keep up. The pandemic has also affected teenagers in a significant way. In fact, a recent study has found a concerning link between teens, mental health, and the pandemic. School Challenges Most schools shifted to online learning in the spring, shortly after it became apparent that COVID-19 was an extremely contagious virus. Teenagers in middle school and high school suddenly had to stay home all day, isolated from their friends. Some struggled with the concept of online learning. Now that school is starting back up for the fall, they are faced with the challenges of continuing the online learning model or the uncertainty of returning to a school that may leave them susceptible to the virus. Isolation Staying home has been challenging for most adults, as they have had to adjust to working remotely and overseeing their children’s online school sessions. Teenagers, in particular, have felt the impact of this isolation as they tend to depend on and thrive on personal interaction with their friends. Not being able to participate in any outside activities has also taken a toll on their mental health. Mental Health and the Pandemic A Harris Poll conducted online, on behalf of 4-H from May 4 to May 14, 2020, found that 7 out of 10 teenagers were struggling with mental health issues during the pandemic. Of the 1,516 respondents ages 13-19 who participated in the poll: 64% said the experience of COVID-19 will have a lasting impact on their generation's mental health. 67% said sometimes the pressure they feel at school, home, etc. feels like too much to handle. 65% said COVID-19 has negatively impacted the mental health of society overall. 43% also say, “the way things are going, I don't know how I'm going to cope with the stress if it continues at this pace. ”65% also say, “the current pandemic has increased stress on my family. ”71% also feel misunderstood by other generations, saying, “most older people do not understand the struggles of young people today. ” Stressors Among those participating in the Harris Poll, 61% said “The COVID-19 pandemic has increased my feeling of loneliness. ” Other stressors on the teenagers’ mental health included: Inability to hang out with friends/family in person – 43%Conducting school online – 42%Being stuck at home with my family – 40%Worrying about me/my family getting sick – 38%Cancellation of extracurricular activities/summer internships and jobs – 34%Loss of normalcy and routine – 34% Pretending to Be Happy The teenagers participating in the poll said they are three times as likely to experience peer pressure to hide their feelings during the pandemic than to drink or do drugs. 62% said they... --- ### When Pandemic Drinking Turns to Addiction – Know the Signs > People are drinking more in isolation. It’s important for you to know the signs of when pandemic drinking turns to addiction, for your health and safety. - Published: 2020-07-22 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/pandemic-drinking-turns-to-addiction/ COVID-19 has changed seemingly every aspect of most people’s daily lives. You have probably seen this in the way you work, in the way your kids are learning, in the way you shop for essentials, and in the way you socialize with friends and family. You may also see it in the amount of alcohol you are consuming now. It’s important for you to know the signs of when pandemic drinking turns to addiction, for your health and safety. Stay at Home Orders In March 2020, states began issuing orders for people to stay at home. Businesses sent employees home to work or had to furlough their staff. Opportunities to go out for a meal and a drink with friends or family were essentially non-existent. Restaurants shifted to takeout only and bars had to close. By the beginning of May, the data showed that people were drinking more in their isolation. Total alcohol sales were up by more than 32% during the week ending May 2. The numbers remain high as the pandemic continues through the summer. Rules Changing When those orders were put in place that prohibited people from eating and drinking inside restaurants and bars, many state laws were adjusted to accommodate the need for takeout, including those for alcohol sales. Trends toward liquor delivery, virtual happy hours, and online wine tasting signaled a significant shift in the country’s drinking habits. Restaurants were suddenly able to offer legal curbside cocktails, which helped them stay in business, but which also contributed to the increase in pandemic drinking. Increased Susceptibility to COVID-19 Health officials are concerned about the increase in drinking during the COVID-19 pandemic. Drinking excessively causes its own health problems, but it also may increase COVID-19 susceptibility and severity. David Fiellin, MD, director of the Yale Program in Addiction Medicine, says “In general, because we know that alcohol has a negative impact on the lungs and the immune system, we believe it will be associated with more severe cases of COVID-19 disease. Alcohol can damage the intestinal lining, which then allows bacteria to enter the body more easily. That can ‘rev up’ the inflammatory response, which is also a big part of COVID-19 disease. ” The CDC emphasizes that drinking alcohol does not protect you from COVID-19, rather it weakens your body’s ability to fight infections, increasing the risk of complications and making it harder to get better if you are sick. In addition, alcohol use can increase the risk of acute respiratory distress syndrome and pneumonia, which are sometimes associated with COVID-19. Know the Signs When your pandemic drinking turns to addiction, you should know the signs so you can get help for your own health and safety. Moderate drinking is up to one drink (about 12 ounces of beer, 5 ounces of wine, or 1. 5 ounces of distilled spirits) per day for women and two drinks for men. High-risk drinking for women is the consumption of four or more drinks on any day or eight or more drinks per week. For... --- ### What is a Personality Disorder? | The Three Clusters Explained > So, what is a personality disorder? Personality disorders are categorized into ten specific types, within three clusters. - Published: 2020-07-09 - Modified: 2024-07-11 - URL: https://therapeutic-partners.com/blog/personality-disorder-three-clusters/ Everyone has a unique personality. Each person thinks, feels, and behaves differently. Personality is developed through experiences, environment, and inherited traits. We often speak of someone having a “great personality” as a reason to enjoy that person's company. So, what is a personality disorder? When aspects of the personality become troublesome for the individual and those around them, they may be diagnosed with a disorder. The diagnoses are generally categorized into three clusters. What is a Personality Disorder? A personality typically develops early in life and stays relatively the same as one age. When someone has a personality disorder, their way of thinking or behaving deviates from their culture’s expectations. It causes distress to them and others and problems functioning in daily life. Personality disorders are categorized into ten specific types within three clusters. The American Psychiatric Association (APA) states that personality disorders affect at least two of the following areas: The way of thinking about oneself and others includes distorted self-perception and persistent negative thoughts about others. Individuals with personality disorders may see themselves in an unrealistically negative or grandiose light and have unfounded suspicions or misinterpretations about other people's intentions. Way of responding emotionally: Individuals may experience intense and unstable emotions disproportionate to the situation. These emotional responses can be erratic and unpredictable, making it difficult for individuals to regulate their feelings and reactions, often leading to emotional outbursts or prolonged periods of emotional distress. Way of relating to others: They might have difficulty forming and maintaining healthy relationships, often resulting in conflicts. Individuals with personality disorders may struggle with empathy, exhibit inappropriate or extreme reactions in social situations, and have trouble understanding social norms, making it challenging to build and sustain meaningful connections with others. Controlling one’s behavior can involve impulsive actions and poor decision-making that disrupt daily life. Individuals may engage in risky or harmful behaviors without considering the consequences, have difficulty adhering to societal rules and responsibilities, and struggle with maintaining consistency in their actions and plans. Understanding these key areas can help recognize the presence of a personality disorder and its impact on an individual’s life. If you or someone you know exhibits these signs, seeking professional help for proper diagnosis and treatment is essential. Cluster A: Odd or Eccentric Disorders The first of the three clusters, Cluster A, is described as the odd or eccentric cluster of personalities. Social awkwardness and social withdrawal are standard features. Although people with Cluster A personality disorders may have a solid link to a relative who has been diagnosed with schizophrenia, these disorders are typically less extensive and impact daily functioning less than schizophrenia. People with Cluster A personality disorders tend to have relationship issues because their behavior is seen as peculiar, suspicious, or detached. Three types of personality disorders are included in this cluster: Paranoid Personality Disorder Affecting between 1% and 2% of adults in the US, paranoid personality disorder is characterized by chronic and pervasive distrust of other people. Individuals with this disorder often suspect... --- ### Observing Men’s Health Month | Stigma and Mental Health > Men face specific challenges around stigma and mental health that must be overcome for their well-being during Men’s Health Month and throughout the year. - Published: 2020-06-18 - Modified: 2020-06-18 - URL: https://therapeutic-partners.com/blog/observing-mens-health-month-stigma-and-mental-health/ June is Men’s Health Month, a time to focus on the specific physical and mental health needs of men and boys. Men and women are obviously different in terms of their physical health needs, but they also have different needs in regard to their mental health. In particular, men face specific challenges around stigma and mental health that must be overcome for their well-being during Men’s Health Month and throughout the year. Men’s Health Month In 1994, Men’s Health Week was created to mark the week before Father’s Day as a time to focus on the health and wellness of men and boys. The week was expanded to Men’s Health Month and includes an emphasis on mental health as well as physical health. Researchers have found that men die five years younger than women and die at higher rates from nine of the top 10 causes of death.  When dealing with mental health issues, many challenges arise partly because of the stigma of mental health and partly because men may not have developed appropriate skills they need to be able to talk about their problems. Myths About Men and Depression The National Alliance on Mental Illness (NAMI) states that men account for 3. 5 times the number of suicides as women and depression is the leading cause of suicide. The organization offers five myths about men and depression. Dispelling and overcoming these myths can help men overcome the stigma of mental health challenges that may haunt them. Myth: Depression = Weakness. Fact: Depression has nothing to do with personal weakness. Depression is a serious health condition and must be treated as such, just as diabetes or high blood pressure are treated as health conditions. Men can actually show their strength by working on building supports to help them get better. Myth: A man should be able to control his feelings. Fact: Depression is a mood disorder. Sometimes you can feel “down” even when there is nothing to feel down about. You can’t always control how you feel, but you can work on ways to control how you react. Myth: Real men don’t ask for help. Fact: Trying to battle a mental health condition on your own is like trying to push a boulder up a mountain by yourself. Sometimes you just need help and it’s okay to ask for it. Myth: Talking about depression doesn’t help. Fact: Talk therapy is a proven treatment for depression. When you can talk about the issues that have been causing you so much stress in your own mind, you can gain a new perspective as well as develop effective coping skills. Myth: Depression will make you a burden to others. Fact: People in your life want to help you. They want you to be healthier. Asking for help does not make you a burden to anyone. Overcoming the Stigma During Men’s Health Month, it’s important to focus on ways to overcome the stigma of mental health, particularly when it comes to seeking treatment. Even when the myths are... --- ### How Do I Know If I Have PTSD | Screenings, Resources, & PTSD Awareness Month > June is PTSD Awareness Month and, with the stressful effects of the COVID-19 pandemic, you may be wondering, “How do I know if I have PTSD?” - Published: 2020-06-08 - Modified: 2024-01-08 - URL: https://therapeutic-partners.com/blog/how-do-i-know-if-i-have-ptsd/ Post-traumatic stress disorder (PTSD) is usually associated with military veterans. While it is true that PTSD is often a result of war or combat, there are also many other causes that affect people from all walks of life. June is PTSD Awareness Month and, as you are suffering through the stressful effects of the COVID-19 pandemic, you may be wondering, “How do I know if I have PTSD? ” What is PTSD The American Psychiatric Association (APA) defines PTSD as “a psychiatric disorder that can occur in people who have experienced or witnessed a traumatic event such as a natural disaster, a serious accident, a terrorist act, war/combat, rape or other violent personal assault. ” The term is closely linked to military language. The disorder was referred to as “shell shock” during World War I and “combat fatigue” after World War II.   However, PTSD also occurs in non-military individuals. In fact, PTSD affects approximately 3. 5 percent of U. S. adults, and an estimated one in 11 people will be diagnosed PTSD in their lifetime. Women are twice as likely as men to have PTSD. Causes Why do some people develop PTSD after a traumatic event when others may not have the same reaction? PTSD can occur as a result of being a part of or witnessing a car accident, an act of violence such as a shooting, a natural disaster, or abuse or neglect, among other incidents. Virtually everyone will develop some symptoms of PTSD immediately following such trauma, but some people continue to have issues for months or years afterwards. Health professionals think that people with PTSD have abnormally high levels of stress hormones, which are released during traumatic events. These high amounts of hormones could be the cause of extended PTSD symptoms. Risk factors may also include having a history of mental health disorder, such as panic disorder or depression, and having little support from loved ones after the event. Symptoms When you are wondering, “how do I know if I have PTSD,” you should pay attention to any symptoms you may be experiencing. The APA explains that symptoms of PTSD can cause significant distress or problems functioning. In addition, PTSD often occurs with other related conditions, such as depression, substance use, memory problems, and other physical and mental health problems. Symptoms can include intrusive thoughts such as repeated, involuntary memories and distressing dreams. You may also experience disturbing flashbacks of the traumatic event. When you have these flashbacks, you may actually feel as though you are reliving the event itself. You may find that you are going out of your way to avoid reminders of the event, including avoiding the people, places, activities, and objects that bring on your memories. You may try to push the incident out of your mind so that you won’t remember or think about it. You may also resist talking to anyone about the incident or about how it makes you feel now. Another symptom of PTSD manifests in negative thoughts about... --- ---