MRHC Recovery Center Awarded Opioid Settlement Funding

Manning Regional Healthcare Center (MRHC) announced that the Recovery Center has been awarded more than $500,000 in Iowa opioid settlement funding through the Iowa Department of Health and Human Services’ Substance Misuse Prevention and Treatment program. The award will support a regional initiative to expand evidence-based opioid use disorder (OUD) services in Carroll, Crawford, Shelby, and Audubon counties.

“This investment allows us to reduce barriers that often prevent rural residents from getting timely, effective care,” said Shannon Black, CEO of MRHC. “It strengthens our ability to serve patients close to home while responding to a growing regional need.”

MRHC’s Recovery Center will use the funding to strengthen the region’s continuum of care, expanding access to intake and outpatient services, Medication-Assisted Treatment (MAT), and chronic pain management. The initiative will increase access for Crawford County residents through a partnership with Crawford County Public Health in Denison, including on-site intake assessments and transportation to Manning for outpatients and MAT services.

The initiative includes establishing an integrated MAT clinic at MRHC and strengthening its multimodal chronic pain management program to reduce opioid reliance and improve outcomes. The project also supports specialized staff training, program leadership, workforce recruitment, and retention efforts to ensure long-term sustainability.

“MAT is one of the most effective tools we have for treating opioid use disorder,” said CNO, Michelle Andersen, RN, BSN. “This funding allows us to integrate treatment, education and care coordination so more people can access services and stay engaged in prevention and recovery.”

A key focus of the project is restoring local access for Crawford County residents following the closure of Denison’s former outpatient provider. MRHC will partner with Crawford County Public Health to offer onsite intake assessments in Denison and coordinated transportation to treatment services in Manning.

MRHC’s Recovery Center is uniquely positioned to serve medically-complex patients, including high-risk pregnant women, through access to 24/7 nursing, diagnostics, emergency services and coordinated obstetric care through a partnership with Myrtue Medical Center in Harlan, allowing patients to remain in treatment during medically-vulnerable stages of pregnancy.

“This support allows us to expand care while preserving the individualized, hospital-based approach that has defined the Recovery Center for more than four decades,” said Taya Vonnahme, Recovery Center Director. “By strengthening access, staffing and coordination, we can better meet patients where they are and support lasting recovery.”

MRHC will continue working with regional partners, including county leaders, hospitals, EMS, law enforcement, schools, and community organizations, to reduce stigma, strengthen referral pathways and improve access to care.

In addition to the opioid settlement funding, MRHC has applied for a Centers of Excellence designation through the state’s Healthy Hometown initiative under the Hometown Connections strategy. The designation would support rural health system partnerships and workforce recruitment and retention efforts, with award announcements expected in mid-January and contracts beginning in mid-February.

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.

Recovery Center Works to Save Lives and Break Stigma on Overdose Awareness Day

overdose

Every overdose is more than a statistic. It’s a life, a family, and a community forever changed. As overdose rates continue to rise across the U.S., Manning Regional Healthcare Center’s Recovery Center is marking Overdose Awareness Day with an urgent reminder: education, prevention, and timely intervention save lives. By equipping community members with tools like Narcan training, proper medication disposal, and local recovery resources, the Recovery Center is working to reduce stigma, empower individuals, and create a safer, healthier future for all.

Overdoses can happen to anyone, regardless of age, background, or circumstance, which is why awareness and preparedness are critical. Recognizing the symptoms of an overdose can make the difference between life and death. Common signs may include:

  • Slow, shallow, or stopped breathing
  • Unresponsiveness or unconsciousness
  • Pinpoint pupils
  • Pale, blue, or cold skin
  • Slow heartbeat or low blood pressure

If you suspect someone is experiencing an overdose, call 911 immediately. While waiting for emergency responders, administer Narcan (naloxone) if it is available. Narcan is a safe and effective medication that can reverse the effects of an opioid overdose.

The Recovery Center at MRHC offers free Narcan training and kits to community members. Staff members are available to travel locally and provide training to equip individuals with the knowledge and confidence to act quickly during an overdose emergency.

“Narcan education empowers communities by reducing stigma, increasing awareness of overdose symptoms, and promoting timely intervention,” says Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, CADC. “It supports a harm reduction approach that prioritizes the preservation of life and opens the door for individuals to seek long-term treatment and recovery. Training in Narcan use should be widely accessible, culturally competent, and integrated into broader efforts to combat substance use disorder.” 

Overdose Prevention

Preventing overdoses also includes limiting access to unnecessary or expired medications. Community members can properly dispose of medications at local drop boxes at the MRHC Emergency Room entrance and the Manning Pharmacy. Proper disposal keeps medications out of the wrong hands and helps reduce risks of misuse.

On Overdose Awareness Day and every day, the Recovery Center is here to support individuals and families impacted by addiction. A variety of service levels are available depending on individual situations, including residential or outpatient treatment, detoxification, and evaluations. If you or a loved one is struggling, please call the Recovery Center at (712) 655-2300 to learn more about treatment options and resources available.

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.

Learn More Here:

MENTAL HEALTH      SENIOR LIFE SOLUTIONS      RECOVERY CENTER

Gaming May Lead to Dangerous, Addictive Behaviors

gaming

Struggling to keep the video game controller out of your kids’ hands? While playing video games may seem like a harmless activity for adolescents, gaming may be more dangerous than parents think.

“As adults, many aspects of our bodies such as our eyes and brain are developed. Our children are still developing, so we are seeing how increased screen time can affect development and cause other long-term effects,” said Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, CADC.

Gaming addiction is a diagnosable medical condition by the World Health Organization. When video game play takes up significantly more time than the other activities in your life, it is a sign that there is a problem. Gaming addiction has become increasingly more prevalent as access to devices and a variety of games increases daily, and it does not discriminate based on age or status.

Whether it’s you or a loved one, signs that there is a gaming addiction include becoming distressed or on edge when asked to stop, inability to stop thinking about gaming while not playing, and various other signs that mimic substance abuse withdrawal.

As with any medical condition, there are health risks that can amplify and worsen over time if not addressed. Some of these risks that can result from video game addiction are:

  • Lack of social engagement
  • Problems concentrating on tasks
  • Poor hygiene
  • Lack of adequate sleep
  • Failure to complete school/family/work-related obligations
  • Loss of appetite
  • Reduced physical exercise
  • Anxiety/irritability/anger/agitation.

If you are seeing any of these symptoms in yourself, some things you can do to redirect your addiction would be to set firm boundaries for yourself, find other hobbies you enjoy to occupy your time, avoid people or situations that encourage gaming, join a support group, focus on your physical health, and get professional mental health support.

“Gaming addiction is something we are all continuing to learn about and figure out how to teach balance in a child’s life. This starts with our own examples in the home and around our children. We are working hard to continue to educate ourselves and promote healthy habits with children and adults in the community,” Vonnahme shared.

Could Gaming Lead to Gambling Issues?

One major aspect of gaming addiction is gambling. Young people are getting exposed to gambling at earlier ages than ever before – not only in traditional forms like casinos, lotteries, or sports betting, but in new, less obvious forms like gaming, loot boxes, and fantasy sports. Research shows that children introduced to “harmless betting” by age 12 are four times more likely to engage in problem gambling later. A teen’s brain isn’t wired yet to weigh risks and make healthy choices. So that “win” on an online game today can lead to the negative side effects of real-life gambling tomorrow.

Gambling disorders can begin in children as young as ten years old, and problem gambling impacts about 4-8% of youths as compared to only 1% of adults. Additionally, gambling can serve as a gateway addiction as teens who gamble are more likely to engage in the use of illegal drugs. Risk factors leading to adolescent gambling can include, but are not limited to suicidal ideation or behaviors, a close family member with a gambling problem, major negative life events or traumatic experiences, excessive video game use, disconnection from family, poor coping skills, and theft/fighting/violence.

Early warning signs that your adolescent may be addicted to gambling could be any of the following:

  • Showing less interest in activities
  • Changes in their attitude with school (missed classes, incomplete assignments, lower grades)
  • Behavior changes (more aggression, defensiveness, signs of anxiety/depression)
  • Noticeable interest in competition/winning/being right
  • Missing cash or finding stashed cash your child is keeping
  • Increased time spent online – especially in secret

All these early warning signs, if left undetected and treated, can all become problematic when they interfere with school/work/other activities, cause problems with family and friends, lead to isolation and loneliness, contribute to alcohol/drug misuse, bring safety concerns, or create financial stressors.

As with any addictive behavior, there are steps you can take to reduce the risks of your child being influenced. Talk to your child about the risks of gambling, model responsible behavior related to gambling, monitor your adolescent’s computer and cellphone usage, limit their access to money – including credit cards, get help for mental health and substance use concerns, and strengthen important relationships in your child’s life (i.e.: parent-child, extended family, friends, and other key adults).

If you need help or guidance, or are looking for support and resources, we encourage you to reach out to your family care provider or contact the Recovery Center at (712) 655-2300.

 

Are Gaming or Gambling Habits More than a Hobby?

Gambling, sports betting, and video games – we all know they can be fun in moderation. But when do they become more than just a hobby? The community is invited to learn more about addictive behaviors such as sports betting, gambling, and gaming disorder at the “Addiction to Gambling and Gaming” event on Tuesday, March 12th from 4-6 pm at the Timmerman Shelter House at City Park in Manning. This is a free, come-and-go event for adults and children hosted by the Recovery Center at Manning Regional Healthcare Center, the City of Manning, and New Opportunities.

“We know that we live in a tech-filled world, and this has made activities, such as gambling, easy to access and indulge in, to the point of affecting lives and relationships,” said Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, CADC. “The same goes for gaming; this is at anyone’s fingertips including children. We are hoping to educate the community on how these behaviors can lead to addiction and how to get help if needed.”

Attendees will learn how to identify symptoms of addiction and gambling-related lifestyle changes; understand the risks and consequences associated with gambling, sports betting, and gaming; discover how gambling can begin in adolescence; and learn when these common pastimes are considered a problem. The event will also address myths surrounding sports betting, similarities between video games and gambling, and how video game developers design games to be addictive.

For additional support regarding a gambling addiction, the Recovery Center offers problem gambling services on an outpatient basis that can be added to recovery services. Gambling services also include financial counseling with therapy. Call (712) 655-2300 to learn more or to schedule an appointment.