Recovery Center at MRHC to Expand Services with New Resource Location in Denison

The Recovery Center at Manning Regional Healthcare Center (MRHC) is expanding access to care with the opening of a new Recovery Center resource location in Denison, Iowa, in the Annex Building at 105 N Main Street.

The Denison location will offer substance use consultations and transportation for individuals seeking treatment. Through this resource site, individuals can meet one-on-one with a counselor to explore residential and outpatient treatment options available at the Manning Recovery Center. Transportation will be provided from Denison to Manning for those receiving treatment, with rides available upon request.

“This new resource location removes barriers that often prevent people from seeking help,” said Recovery Center Director Taya Vonnahme, ARNP, FNP, PMHNP, IADC. “By offering transportation to treatment in Manning, we’re making recovery more accessible and meeting individuals where they are on their journey.”

The Manning Recovery Center offers a full continuum of substance use treatment services, including intake evaluations, prevention and education, medical detoxification, outpatient care, and residential treatment. Care is individualized, with each patient receiving a personalized treatment plan designed to meet their unique recovery needs.

The Recovery Center is a 16-bed, co-ed rehabilitation facility providing evidence-based medical care, behavioral therapy, and social support to help individuals build a healthy, substance-free lifestyle. The facility is licensed by the Iowa Department of Public Health and is covered by most insurance plans.

Individuals seeking help for themselves or a loved one struggling with substance use are encouraged to call (712) 655-2300. For more information, visit www.manningrecoverycenter.com.

Mental Health Awareness Month Highlights Rising Anxiety Across Generations with Focus on ”More Good Days, Together”

May marks Mental Health Awareness Month, and this year’s theme, “More Good Days, Together,” highlights the importance of connection and support in building stronger mental health for individuals of all ages.

Mental health challenges can look different depending on where someone is in life. MRHC mental health professionals are seeing one common trend: a growing sense of anxiety surrounding situations that feel outside of personal control.

Teens Face Overload in a Fast-Paced World

For teenagers and adolescents, constant exposure to content on social media platforms, like TikTok and Instagram, means information is coming at them from all angles and often faster than they can process. Combined with the natural developmental stage of seeking independence and identity, this can feel overwhelming.

“In this stage of life, teens are trying to figure out who they are while navigating a world that feels increasingly uncertain,” said MRHC Mental Health Therapist Tiffany Johnson, T-LMHC. “With limited control over their environment and still-developing emotional regulation skills, this can lead to increased anxiety.”

Anxiety may present as:

  • Overthinking
  • Irritability
  • Perfectionism
  • A strong need to control small aspects of daily life

“By understanding these behaviors, adults can better respond with empathy,” added Johnson. “When adults lead with guidance and reassurance, they help teens build confidence and learn to focus on what they can control.”

Existential Anxiety Affecting Older Adults

Older adults are also experiencing heightened anxiety, often tied to financial pressures and concern for loved ones. Existential anxiety around rising costs of essentials such as gas, groceries, and insurance can be particularly stressful for those on fixed or limited incomes. Additionally, uncertainty around the safety of children or grandchildren, particularly those in the military or law enforcement, can add to this stress.

“It is normal to feel anxious when so much feels out of our control,” said Senior Life Solutions Therapist Maribeth Christensen, BSW, MA, MSW, LMSW, CADC. “Shifting focus to what is within your control, your thoughts, responses, and behaviors can be a powerful way to reduce anxiety. Practicing self-care and intentionally creating ‘good days’ or even ‘good moments’ can make a meaningful difference.”

Simple Ways to Support Your Mental Well-Being

Small daily habits can make a meaningful difference in managing stress and improving overall mental health. For more ideas, visit the Mental Health America Action Guide.

  • Practice positive affirmations
  • Try journaling to process thoughts and emotions
  • Get enough sleep to support emotional and physical health
  • Focus on eating for well-being
  • Stay active through regular exercise
  • Spend time on hobbies that bring joy and relaxation
  • Explore healthy ways to manage stress such as meditation

Need Help? MRHC Is Here for You         

When feelings of anxiety become overwhelming, affecting sleep, limiting daily activities, or leading to withdrawal from others, it may be time to seek professional support. Whether you’re seeking individual counseling, group support, or resources for a loved one, MRHC offers mental health services designed to meet you where you are.

Counseling for All Ages: Hollie Schechinger and Tiffany Johnson offer in-person and telehealth counseling for ages five and up. No referral needed.

Diagnosis and Treatment: Virtual appointments and medication management are available for anxiety, depression, ADHD, and more. Provider referrals are recommended but not required.

Play Therapy for Children: For kids struggling to express their emotions, play therapy helps them process trauma and build coping skills through creative play.

Senior Life Solutions: Individual and group counseling for adults over 65 dealing with depression and anxiety related to aging.

Recovery Center: Integrated care for those facing addiction and mental health issues, with medical, behavioral, and social support.

If you need additional mental health information, education, or would like to discuss support, please schedule an appointment with your primary care physician by calling (712) 655-8100 to discuss treatment options. For those 65 and older, call Senior Life Solutions at (712) 655-8262. For concerns of substance abuse call the Manning Recovery Center at (712) 655-2300.

Mental Health Support for Children and Teens at MRHC

Mental health concerns among children and teens continue to rise. According to the CDC data from the 2023 Youth Risk Behavior Survey, about 40% of U.S. high school students reported persistent feelings of sadness or hopelessness in the past year. At Manning Regional Healthcare Center (MRHC), anxiety is one of the most common mental health challenges seen among youth. Increased stress from academics, athletics, and social pressures is contributing to emotional distress, and, in some cases, self-harm behaviors. Support and professional care are available through MRHC’s mental health services.

“We are seeing a significant increase in anxiety among children and adolescents,” said MRHC Mental Health Therapist Tiffany Johnson, T-LMHC. “That anxiety often presents in different ways depending on the child’s age and can lead to serious concerns if not addressed early.”

Common Stressors Affecting Youth

MRHC reports that academic expectations, athletic pressure and bullying, including cyberbullying, are frequent stressors for youth. Social media use has also become a growing concern, as it can affect brain development, self-image, and how children and teens perceive the world.

“Social media often presents an unrealistic view of life,” said MRHC Mental Health Counselor Hollie Schechinger, LISW. “It’s important for teens to understand that what they see online is not an accurate reflection of reality.”

Warning Signs

Symptoms can present differently by age. Younger children often display behavioral changes, including aggression, while teens may withdraw from family and peers. Parents, teachers, and caregivers are encouraged to watch for early signs that a child or teen may be struggling, including:

  • Increased isolation from family or friends
  • Changes in behavior, such as acting out or becoming unusually quiet
  • Declining academic performance

Adults Supporting Youth

Parents can support teens by validating their feelings and listening without judgment. MRHC cautions against minimizing a child’s feelings by labeling them as “overly dramatic” or telling them to “calm down,” as this can discourage open communication.

Creating safe, consistent opportunities for conversation, such as shared meals, daily check-ins, and engaging in their favorite activities, can help ongoing dialogue. For teens, informal settings, such as going for a drive, often make difficult conversations feel more comfortable.

Healthy Daily Habits

Strong mental health is supported by daily routines, including adequate sleep, structured schedules, physical activity, and healthy screen time boundaries. Limiting screen use allows children to develop social and coping skills through real-world interactions. 

When to Seek Professional Care

Parents are encouraged to reach out for professional support anytime they have concerns about their child’s mental health. Early intervention can make a significant difference.

Counseling sessions at MRHC typically last 45 minutes to an hour and provide a safe environment for children and parents to discuss concerns. MRHC utilizes a dedicated playroom and incorporates play therapy techniques, especially for younger children. As children grow older, sessions may include individual time with the provider while maintaining parental involvement.

For more information about youth mental health services, visit the MRHC website or call (712) 655-8100 to schedule an appointment.

Recovering After the Holidays: Winter Self-Care Tips

After the holidays, it’s common to feel drained as routines shift and winter brings shorter days and increased isolation. This time of year makes it especially important to prioritize both mental and physical recovery. To help support individuals during this time, Manning Regional Healthcare Center (MRHC) shares practical tips to aid in post-holiday recovery and winter self-care.

“The weather during this time of year does not help with mental health conditions. The days are shorter; it appears gloomier and colder outside,” said MRHC Mental Health Counselor Hollie Schechinger, LISW. “This causes people to spend more time isolated indoors and not communicate as much with their supports.”

Post-Holiday Recovery

The holiday season often comes with disrupted routines, social fatigue, and sleep changes. Along with heightened emotions, these factors can all take a toll on our mental health. MRHC encourages individuals to allow time for the mind and body to reset. Simple strategies include:

  • Soft Landing Week: Fewer appointments, slower mornings, and smaller errands.
  • Re-Establish Sleep Gradually: Adjust bedtime or wake time by 15–20 minutes.
  • Let Your Body Lead: Use helpful cues such as “pacing myself today” or “this is a transition period”.
  • Micro-Resting: Incorporate brief restorative breaks with a warm drink, gentle stretching, or quiet music.
  • Hydrate & Nourish: Support overall well-being with balanced meals and staying hydrated.
  • Reestablish a Routine: Choose a daily anchor like a morning coffee, a short walk, or a consistent mealtime.

Winter Self-Care

Practicing self-care during the winter months is essential, as it supports physical, emotional, mental, social, and spiritual well-being during a season marked by shorter days, colder temperatures, and post-holiday fatigue. Winter can bring low energy, mobility limitations, transportation barriers, increased isolation, pain or stiffness, emotional decline, and disrupted routines.

“During the winter months, hibernation looks like intentional rest that helps the mind and body heal, while isolation looks like withdrawing from the world because things feel too hard,” said Senior Life Solutions Therapist Maribeth Christensen, BSW, MA, MSW, LMSW, CADC. “If stepping back gives you comfort, that’s healthy, but if it deepens the feelings of sadness or hopelessness, it may be an indication to seek support.”

These factors can make self-care feel difficult or even “selfish,” but it is not indulgence; it is necessary maintenance. MRHC’s practical, simple strategies can help make winter care more manageable:

  • Two-minute rule: Complete quick tasks such as stretching, opening curtains, or drinking water.
  • Comfort basket: Include items like cozy socks, a hot pack, lotion, tea, a puzzle, or a book for easy access.
  • Weather backup plan: When leaving home isn’t possible, choose alternatives such as a phone call or a short video chat to stay connected with friends and family.
  • Warmth rituals: A warm drink, a heated blanket, a warm bath, lotion on your hands, or sitting in a sunny window can promote relaxation.
  • Daily meaning check: Note one moment of comfort, gratitude, or connection each day.
  • Stay connected: Schedule weekly check-ins or attend community events when the weather allows.
  • Lower the bar: Keep expectations realistic. Small, consistent acts of care are most effective.

These small, steady practices help the body and mind stay regulated, grounded, and supported through the winter season. If feelings of sadness, anxiety, or stress persist and interfere with your daily routine, it is important to seek professional help. If you or a loved one is struggling, MRHC provides mental health services to support individuals of all ages:

Counseling Services in person or virtually for individuals 12 and older. Call (712) 655-2072 to schedule an appointment.

Play Therapy to support children five and older. Call (712) 655-2072 to schedule an appointment.

Senior Life Solutions for individuals 65+ struggling with anxiety, depression, or life transitions. Call (712) 655-8262.

The Recovery Center provides residential and outpatient treatment. Call (712) 655-2300 for help.

If you or someone you know is in immediate distress, contact the Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or call or text 988 for confidential, 24/7 support.

Behavioral Health Services Meet Growing Needs

Over the past year, MRHC has expanded its behavioral health services to address the #1 community health need affecting the region: mental health. Through an integrated, team-based approach, MRHC is ensuring that individuals and families across all stages of life have access to compassionate, professional, and personalized care close to home.

“The expanded services now include a network of therapists and counselors, as well as specialized support for the Recovery Center’s substance abuse treatment and education programs,” shared CNO, Michelle Andersen, RN, BSN. “This integration allows patients to receive coordinated care that addresses the full spectrum of behavioral health needs, from early intervention and counseling to long-term therapy and medication management.”

MRHC’s behavioral health services extend across the lifespan. For children ages five and older, early childhood interventions and play therapy help identify developmental and emotional concerns before they escalate. For seniors ages 65+, MRHC’s Senior Life Solutions program offers counseling, group support, and therapeutic resources designed to help individuals manage life changes, grief, depression, and anxiety. Together, these efforts ensure that every patient, regardless of age or circumstance, has access to the care and support they need.

Throughout the past year, MRHC has seen a steady increase in behavioral health service usage, reflecting both rising awareness and growing trust in the care being provided. This continued demand underscores the importance of MRHC’s commitment to expanding mental health resources and adapting services to meet the evolving needs of our communities.

Coping with the Winter Blues during the Holiday Season

The winter season can bring emotional challenges for many people, with some experiencing Seasonal Affective Disorder (SAD) while others face the stress and emotional toll of the holiday season. Manning Regional Healthcare Center (MRHC) aims to help individuals recognize and cope with both SAD and depression during the holidays.

Recognizing Seasonal Affective Disorder (SAD)
SAD is a form of depression triggered by reduced sunlight. According to the American Psychiatric Association, its symptoms closely mirror those of depression, including:

  • Low mood and energy
  • Fatigue
  • Oversleeping or difficulty sleeping
  • Loss of interest in activities
  • Cravings for carbohydrates and subsequent weight gain

“Many of us have days that we don’t feel like ourselves, and sometimes the winter months can enhance those feelings,” said Janet Brus, RN, program director for Senior Life Solutions at MRHC. “Be aware of how you are feeling. If you normally get up and perform your daily activities and instead find yourself staying in bed longer, not getting dressed, or avoiding activities, you may be experiencing seasonal affective disorder.”

Brus recommends staying active, reading, maintaining a healthy diet, and seeking professional support if symptoms persist.

Understanding Holiday-Related Depression
While the holiday season is often filled with celebrations, emotional distress during this time is frequently linked to increased stress and elevated expectations. Some individuals may face grief, financial strain, loneliness, or pressure to “make the holidays perfect.”

“The holidays can be both joyful and emotionally challenging,” said MRHC Mental Health Therapist Tiffany Johnson, T-LMHC. “It’s important to use coping skills and lean on support to address difficult feelings before they get worse. The holidays are meant to bring us together and remind us of who we can trust.”

Practical Tips to Manage Holiday Stress and Depression
  • Set Realistic Expectations: Avoid pressure to create a perfect holiday. Focus on meaningful moments rather than perfection.
  • Maintain Routines: Stick to regular sleep, meals, and exercise routines, especially for children.
  • Establish Boundaries: Say no when needed to avoid burnout from over-commitment.
  • Engage in Self-Care: Dedicate time for relaxation and activities you enjoy.
  • Connect with Others: Combat loneliness by reaching out to friends, family, or support groups.
  • Manage Finances: Stick to a holiday budget and consider thoughtful, low-cost gifts.

While adults may typically feel the weight of the holiday stress, children can be affected too. Parents can support their child’s emotional well-being by keeping consistent routines, limiting screen time, and encouraging meaningful conversations.

“This is a great time to connect with your children and build a close relationship,” said MRHC Mental Health Therapist Hollie Schechinger, LISW. “Talk with your kids about their day during a fun activity where they can open up and not feel like they are being questioned. Most importantly, have fun with your kids!”

When to Seek Help
If feelings of sadness, anxiety, or stress persist and interfere with your daily routine, it is important to seek professional help. If you or your child is struggling with depression or anxiety, contact your primary care provider for an evaluation. MRHC also provides mental health services to support individuals of all ages:

Counseling Services in person or virtually for individuals 12 and older. Call (712) 655-2072 to schedule an appointment.

Play Therapy to support children five and older. Call (712) 655-2072 to schedule an appointment.

Senior Life Solutions for individuals 65+ struggling with anxiety, depression, or life transitions. Call (712) 655-8262.

The Recovery Center provides residential and outpatient treatment. Call (712) 655-2300 for help.

If you or someone you know is in immediate distress, contact the Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or call or text 988 for confidential, 24/7 support.

Setting Healthy Boundaries During the Holidays

Healthy boundaries and realistic expectations are essential for protecting mental health during the holiday season. Boundaries help safeguard your time, energy, emotional well-being, and personal space, while expectations influence how you feel the holidays “should” go. To support the community during this busy time, Manning Regional Healthcare Center (MRHC) is sharing tips to help individuals navigate these pressures and encourages anyone experiencing increased mental health concerns to seek professional support.

“The holidays are viewed as a joyful season, but the pressure to be happy can increase stress, especially for those already managing mental health conditions,” said MRHC Mental Health Counselor Hollie Schechinger, LISW. “This expectation can heighten feelings of depression or anxiety this time of year.”

When boundaries are unclear or expectations become unrealistic, individuals may experience guilt, heightened stress, and emotional fatigue. Clear boundaries and realistic expectations promote emotional stability and healthier holiday traditions. To support this, MRHC encourages individuals to intentionally establish boundaries, adjust expectations, and implement practical strategies that foster a more balanced and meaningful holiday season.

Types of Healthy Boundaries

  • Emotional Boundaries: Protecting emotional safety by taking breaks when needed.
    Example: “I need a few minutes to step away and take a break.”
  • Time and Energy Boundaries: Setting limits on availability or participation.
    Example: “I can come for a bit, but I’ll need to leave by 6:00.”
  • Role Boundaries: Adjust caregiving, hosting, or “doing it all” expectations.
    Example: “I can help set the table, but I can’t host this year.”
  • Conversation Boundaries: Redirect or decline topics that are stressful or triggering.
    Example: “Let’s focus on positive memories today instead of difficult topics.”
  • Physical/Sensory Boundaries: Honor comfort, mobility, and health needs.
    Example: “I need a chair with back support.”

Realistic Expectations to Hold

  • Expect Mixed Emotions: Gratitude and grief, joy and loneliness, connection and stress can all exist at once.
  • Expect Imperfection: Awkward silences, burnt food, last-minute changes, or tension are normal and do not mean failure.
  • Expect Energy Limits: Fatigue may occur more quickly, and taking breaks or leaving early may be appropriate.
  • Expect People to Be Themselves: Family members may continue their usual patterns, and individuals can focus on adjusting their own response regardless of others’ behavior.
  • Expect Your Needs to Matter: Participation itself is meaningful; contribution does not require perfectionism or taking on excessive tasks.

Practical Strategies for Navigating Boundaries & Expectations

  • Use “gentle but direct” phrases:
    “I’m going to pass on discussing that topic.”
    “Thank you for thinking of me, but that doesn’t work for me.”
    “I need a little space; I’ll rejoin in a bit.”
  • Practice “short & kind” responses when explanations aren’t needed:
    “No, thank you.”
    “Not this year.”
    “I’m taking care of myself today.”
  • Prepare a backup plan:
    A quiet room to step away to, a supportive person to sit with, have transportation available if an early exit is needed, or a list of “safe topics.”
  • Release the pressure to please everyone:
    Use the mantra: “I’m responsible for how I show up, not for how others feel.”
  • Normalize taking breaks:
    Join in the moments that feel good, sit near an exit if that helps, take slow breaths, or step out for a short walk when things feel heavy.
  • Focus on today, not the past:
    Stay present, let go of old roles or wounds, and create new traditions that fit your current reality.

Healthy boundaries and realistic expectations can make the holidays feel more manageable and emotionally safe. However, if feelings of sadness, anxiety, or stress begin to interfere with daily routines, seeking professional support is important. For those who are struggling, MRHC offers a range of mental health services for individuals of all ages:

Counseling Services: Available in person or virtually for individuals 12 and older. Call (712) 655-2072 to schedule an appointment.

Play Therapy: Supports children five and older dealing with stressful or traumatic experiences. Call (712) 655-2072 to schedule an appointment.

Senior Life Solutions: Group therapy for individuals 65+ struggling with anxiety, depression, or life transitions. Call (712) 655-8262 for support.

The Recovery Center: Residential and outpatient treatment for substance use concerns. Call the Recovery Center at (712) 655-2300 for help.

If you or someone you know is in immediate distress, contact the Suicide Prevention Lifeline at 1-800-273-8255 or text or call 988 for confidential, 24/7 support.

MRHC Welcomes Mental Health Therapist, Tiffany Johnson

Tiffany Johnson

Tiffany JohnsonManning Regional Healthcare Center (MRHC) is pleased to welcome Mental Health Therapist, Tiffany Johnson, T-LMHC, as the newest addition to the mental health team starting in September. With a strong background in community service, a passion for helping others, and specialized training, Tiffany brings a compassionate and insightful approach to supporting the mental health needs of all ages.

“Bringing Tiffany on board is a great step in expanding mental health support at MRHC,” said CEO Shannon Black. “Having an additional therapist available helps ensure that more individuals and families in our area can access the counseling services they need, when they need them most.”

Tiffany’s professional experience includes years of ministry and youth counseling at Trinity Lutheran Church and Zion Lutheran Church. It was during this time that she became deeply aware of the growing mental health crisis, especially among adolescents. That awareness ultimately inspired her to pursue a career in mental health counseling.

“I believe mental health care is essential for everyone,” Tiffany shared. “We have seen a spike in mental illness since the pandemic, and there is such a need for counselors at the moment. I believe coping mechanisms need to be learned more broadly and that there should never be a stigma surrounding mental health. In so many ways, mental illness is much like a physical illness; however, it needs to be talked about more.”

Counseling Services

Tiffany is trained in Trauma-Informed Cognitive Behavioral Therapy and SMART Stepfamily Therapy. She has a particular interest in grief counseling, helping those impacted by spiritual abuse, and is committed to tailoring therapy methods to each client’s individual needs. While she will work with individuals of all ages, Tiffany brings valuable experience working with pre-teens, teenagers, and young adults.

In her new role at MRHC, Tiffany is excited to continue her mission of serving her neighbors with professional, empathetic care.

“My goal has always been to work in my community and serve the people I know and care about,” Tiffany said. “I want to be able to professionally help those in my community and the surrounding areas, as mental health not only affects the individual, but the entire community. My late husband and I served these communities in the best way we knew how. Now, my ability to serve just looks a little different.”

Tiffany is currently pursuing her Master of Arts in Mental Health Counseling from Concordia University-Irvine and is set to graduate in August 2025. She also holds a Bachelor of Arts in Journalism and a Master of Arts in Deaconess Studies.

Tiffany will begin seeing patients in September. To schedule an appointment or learn more about mental health services at MRHC, please call 712-655-2072.

Mental Health Matters: MRHC Addresses Pressing Concerns

Mental health struggles don’t always look the same. Sometimes, it’s visible in tears and isolation. Other times, it’s hidden behind a smile or a busy schedule. Mental health affects all of us, regardless of age, background, or life circumstances, but many people suffer in silence because they think they have to.

This Mental Health Month, MRHC is challenging that narrative. We’re here to say: You’re not alone. Mental health is part of your overall health, and getting support is necessary. Whether you’re navigating the pressures of daily life, facing a major life transition, or supporting someone through a hard time, mental health plays a role in how we feel, think, and interact with others. And just like physical health, it requires care and attention.

What We’re Seeing Right Now

Based on the outcomes of the latest Community Health Needs Assessment (CHNA), mental health is one of the main concerns of our rural communities. MRHC mental health professionals are seeing rising levels of anxiety across all age groups. Anxiety can be especially isolating. It’s not just “worrying too much”; it can cause physical symptoms like trouble sleeping, fatigue, or even frequent trips to the ER, especially in older adults. Many people express feelings of hopelessness, depression, or fear that they’ll never feel “normal” again. For people experiencing those feelings, MRHC’s Mental Health Therapist, Hollie Schechinger, LISW, shares an important reminder that “that feeling is temporary, and it will go away. However, the decisions made on that feeling could be permanent.”

In older adults, grief and loss often lead to loneliness and disconnection. Life without a long-time partner can be disorienting, especially when routines, like sharing meals or attending events, suddenly shift. Changes in physical health and independence can also lead to feelings of sadness or frustration. These emotional shifts can impact physical health too, often worsening aches, pains, or illnesses that might otherwise be manageable.

Why Talking Helps and Why It Matters Who You Talk To

The stigma around mental health often prevents people from seeking help, but starting the conversation can break down those barriers. Talking to a friend is a great start, but working with a licensed therapist can be especially beneficial. A friend may offer advice based on personal experiences, but a therapist provides professional support, tools, and a confidential space to talk openly without judgment. Therapists use evidence-based techniques to help you understand your emotions and move toward healing at your own pace.

Tips for Talking to Someone Who’s Struggling

If you know someone dealing with a mental health challenge, you don’t have to have all the answers, but your approach can make a difference. Here are some helpful ways to start the conversation:

  1. Choose a quiet, comfortable place free of distractions.
  2. Ease into the conversation gently. Sometimes just saying, “I’m here” is enough.
  3. Speak calmly and stick to one topic at a time.
  4. Listen more than you speak and make eye contact.
  5. Use “I” statements instead of “you” statements to avoid sounding accusatory. Try saying, “I hear that you’re having a rough day. I understand.” Avoid saying, “You just need to change your attitude” or “Stop focusing on the negative”.
  6. Be patient. Let them open up on their terms, and don’t rush the conversation.
  7. Offer support through questions like, “How can I help?”. Avoid comments like “Just pray about it” or “Everyone feels that way sometimes.” These can make someone feel even more isolated.

What Parents Can Do

It is evident that kids and teenagers are struggling too. The best thing parents and caregivers can do is be present. “Talk with them, cry with them, listen to them, and teach them it is okay to not be okay and it will get better,” Schechinger advised. “Kids follow what their parents or guardians teach them, so encourage them to express what they are feeling and validate that, even if you do not like what they feel, they need to know it is okay to have different emotions.”

Break the Stigma

Mental health professionals at MRHC agree—one of the most important steps we can take is to break the stigma that still surrounds mental health. The team at Senior Life Solutions shared how vital it is to “help everyone understand that mental health is an important part of everyone’s health and needs to be nurtured/attended to regularly.”

Schechinger emphasized the importance of “breaking the stigma of mental health so people don’t feel like they will be judged for getting help. We need to work together to let people know that there are options for help, and they don’t have to let their mental health define their life.”

Need Help? MRHC Is Here for You              

Whether you’re seeking individual counseling, group support, or resources for a loved one, MRHC offers mental health services designed to meet you where you are.

Counseling for All Ages: Hollie Schechinger offers in-person and telehealth counseling for ages five and up. No referral needed.

Diagnosis and Treatment: Virtual appointments and medication management are available for anxiety, depression, ADHD, and more. Provider referrals are recommended but not required.

Play Therapy for Children: For kids struggling to express their emotions, play therapy helps them process trauma and build coping skills through creative play.

Senior Life Solutions: Individual and group counseling for adults over 65 dealing with depression and anxiety related to aging.

Recovery Center: Integrated care for those facing addiction and mental health issues, with medical, behavioral, and social support

If you need additional mental health information, education, or would like to discuss support, please schedule an appointment with your primary care physician by calling (712) 655-8100 to discuss treatment options. For those 65 and older, call Senior Life Solutions at (712) 655-8262. Or call the Manning Recovery Center at (712) 655-2300.

 

Seasonal Affective Disorder vs. Holiday Depression

The winter season can bring emotional challenges for many people, with some experiencing Seasonal Affective Disorder (SAD) while others face the stress and emotional toll of the holiday season leading to holiday depression. Manning Regional Healthcare Center (MRHC) aims to help individuals recognize the differences between these conditions and offers strategies to manage both.

“Many of us have days that we don’t feel like ourselves, and sometimes the winter months can enhance those feelings,” said Janet Brus, RN, program director for Senior Life Solutions at MRHC. “Be aware of how you are feeling. If you normally get up and perform your daily activities and instead find yourself staying in bed longer, not getting dressed, or avoiding activities, you may be experiencing seasonal affective disorder.”

Seasonal Affective Disorder (SAD)

SAD is a form of depression triggered by reduced sunlight. According to the American Psychiatric Association, its symptoms closely mirror those of depression, including:

  • Low mood and energy
  • Fatigue
  • Oversleeping or difficulty sleeping
  • Loss of interest in activities
  • Cravings for carbohydrates and subsequent weight gain

To combat SAD, Brus recommends staying active, reading, maintaining a healthy diet, and seeking professional support if symptoms persist.

Understanding Holiday Depression

Unlike SAD, holiday depression is tied to stress, expectations, and emotions surrounding the holiday season. This time of year can trigger stress, anxiety, and feelings of loneliness. Some people are excited to share Christmas with loved ones, while others are mourning a loss. Some are shopping for perfect gifts, but others are struggling financially and anxiously checking their bank accounts. Some can’t wait for their yearly Christmas party with friends and family; others may be stressed by the thought of it.

“Not everyone experiences the holidays in the same way,” shared Brus. “It’s important to prioritize mental health and address feelings of distress before they escalate.”

Practical Tips to Manage Holiday Depression

Set Realistic Expectations: Avoid pressure to create a perfect holiday. Focus on meaningful moments rather than perfection.

Maintain Routines: Stick to regular sleep, meals, and exercise routines, especially for children.

Establish Boundaries: Say no when needed to avoid burnout from over-commitment.

Engage in Self-Care: Dedicate time for relaxation and activities you enjoy.

Connect with Others: Combat loneliness by reaching out to friends, family, or support groups.

Manage Finances: Stick to a holiday budget and consider thoughtful, low-cost gifts.

For parents, taking time to engage with children, setting aside time where all devices (including parents’ cell phones) are put away, ensuring they aren’t isolating themselves, sticking to routines like consistent bedtimes, and having open conversations can help foster emotional well-being.

“This is a great time to connect with your children and build a close relationship to let them know that you are a safe person they can talk to,” said MRHC Mental Health Counselor Hollie Schechinger, LMSW. “Talk with your kids about their day during a fun activity where they can open up and not feel like they are being questioned. Most importantly, have fun with your kids!”

When to Seek Help

If feelings of sadness, anxiety, or stress persist and interfere with your daily routine, it is important to seek professional help. If you or your child are struggling with depression or anxiety, contact your primary care provider for an evaluation. MRHC also provides mental health services to support individuals of all ages:

Counseling Services: These services are available in person or virtually for individuals 12 and older. Call (712) 655-8100 to schedule an appointment.

Play Therapy: This is an intervention method to support children five and older in navigating traumatic experiences. Call (712) 655-8100 to schedule an appointment.

Senior Life Solutions: Group therapy for individuals 65+ struggling with anxiety, depression, or life transitions is available through this program at MRHC. Call (712) 655-8262 if you need support.

The Recovery Center: If the stress and pressure from the holidays have caused you or a loved one to turn to drugs and alcohol to cope, please call the Recovery Center at (712) 655-2300 for help. Residential and outpatient treatment are available.

If you or someone you know is in immediate distress, contact the Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or dial 988 for confidential, 24/7 support.

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MENTAL HEALTH      SENIOR LIFE SOLUTIONS      RECOVERY CENTER