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.

 

MRHC Expands Mental Health Services

child playing in sand table

Hollie SchechingerMRHC is continually working to address one of the primary health concerns affecting our rural communities, mental health. Hollie Schechinger, LMSW, provides counseling in Manning Monday-Thursday for patients 12 and older and is now accepting virtual telehealth appointments. Referrals are not needed. Schechinger is also now offering play therapy for children 5+. This is an intervention method to support children navigating traumatic experiences. As it can be challenging for children to articulate their emotions verbally, play therapy enables them to express themselves, process and communicate their traumatic experiences, and learn coping mechanisms through play.

“Play therapy is designed for children to work through trauma by telling the story in a way they know how, through play,” said Schechinger.

The focus will be on sand play therapy, utilizing a designated sand tray alongside an assortment of miniature figurines. This intervention method allows children to build boundaries, hopes, and safe places in their lives by making them in the sand tray. An array of toys, including those simulating courtroom scenarios or facilitating imaginative role-play through puppet shows and kitchen sets, will also be used. The objective is to empower children to address and prepare for potentially stressful situations. child playing in sand table

To learn more or schedule an appointment, call (712) 655-8100. If you need additional mental health information, education, or would like to discuss support, please contact your primary care physician at (712) 655-2072. For those 65 and older, call Senior Life Solutions at (712) 655-8262. Or call the Manning Recovery Center at (712) 655-2300 and talk to a professional.

MRHC Welcomes Dina Irwin, New Mental Health Provider

Dina Irwin

Dina IrwinMRHC is continually working to address one of the primary health concerns affecting our rural communities, mental health. The MRHC Specialty Clinic is excited to welcome Dina Irwin, PMHNP-BC, who is now offering virtual appointments on the first and third Monday every month to diagnose and treat mental health disorders.

“People in rural areas have mental illnesses just like people living in cities,” said Irwin. “Unfortunately, they don’t always have access to the health care that they need. I am really looking forward to reaching out to those unable to find local services and help them right where they live.”

Certified for the entire lifespan, Irwin works with patients ages five years and up. She can treat patients suffering from anxiety, ADHD, Schizophrenia, Schizoaffective Disorder, Depressive Disorder, Bipolar Disorders, a variety of mood disorders, and more.

“I have had my own struggles with anxiety and depression, and I strive to pay that forward,” Irwin shared. “I also have experience with my own son, who is autistic. Mental health issues influence every part of our lives – our relationships, our contributions to our community, work productivity, and realizing our full potential. Optimal mental health means living your best life.”

Irwin received her ADN from Western Iowa Tech, her BSN from the University of Wisconsin, and her MSN from Allen College. She then attended Briar Cliff University for a postgraduate certificate as a Psychiatric Mental Health Nurse Practitioner.

Call (712) 655-8100 to schedule an appointment with Irwin. Provider referrals are recommended.

If you need additional mental health information, education, or would like to discuss support, please contact your primary care physician at (712) 655-2072. For those 65 and older, call Senior Life Solutions at (712) 655-8262. Or call the Manning Recovery Center at (712) 655-2300 and talk to a professional.

Mental Wellness Tips for Happier Holidays

sad old man at Christmas

The holidays are not the same for everyone. 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 out shopping for the perfect gifts, but others may be 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 just the thought of it.

At MRHC, we recognize the importance of mental well-being, especially this time of year when pressures and stress can intensify. Here are some practical tips you can implement to help prioritize your mental health during the holidays.

Establish realistic expectations. It’s easy to feel pressured to create a picture-perfect holiday. Remember, it’s okay not to meet unrealistic standards. Set achievable goals and focus on enjoying meaningful moments rather than perfection.

Maintain routine and balance. With holiday gatherings and commitments, it’s important to maintain a routine as much as possible, especially when little ones are involved. Prioritize sleep, healthy meals, and regular exercise to help regulate everyone’s mood and energy levels.

Set boundaries. It’s okay to say “no” sometimes. Overcommitting to events or responsibilities can lead to burnout. Establish boundaries to protect your time and mental well-being.

Take care of yourself. Make self-care a priority and engage in activities that will help you relax and reduce stress.

“Try participating in activities that will keep your mind active such as taking a walk, reading, and staying healthy and hydrated. It is important to be kind to yourself,” shared Janet Brus, program director for Senior Life Solutions at MRHC.

Connect and communicate. The holidays can be lonely for some people. Reach out to friends, family, or support groups if you are feeling lonely or vice versa, reach out to those who may be alone during the holidays. Talk to someone about your feelings and let others know they can do the same with you.

Manage finances. Buying presents, food, decorations, and more during the holidays can lead to financial stress. Create a budget and stick to it. Consider thoughtful gestures rather than expensive gifts.

Plan ahead for post-holiday recovery. If you find yourself feeling distressed and overwhelmed with sadness as the seasons change, it may be more than just the winter blues.

“Many of us have days that we don’t feel like ourselves and sometimes the winter months can enhance those feelings,” said Brus. “Be aware of how you are feeling. If you normally get up and perform your normal daily activities and instead find yourself staying in bed longer, not getting dressed, or avoiding activities that normally bring you pleasure, you may be experiencing seasonal affective disorder.” Anticipate the post-holiday blues by scheduling activities or self-care practices to look forward to once the festivities wind down.

For parents with children who will be home during winter break, keep these tips in mind to help their mental well-being.

  • Spend quality time with children.
  • Make sure they are not isolating in their bedrooms.
  • Be present – emotionally as well as physically.
  • Ask them how they are doing and take the time to listen.

“This time during the holidays 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 Hollie Schechinger, LMSW, a designated mental health counselor at MRHC.

Seek Professional Help if Needed

Remember that it’s okay to seek help, take breaks, and prioritize self-care. If feelings of sadness, anxiety, or stress persist and interfere with your daily routine it is important to seek professional help. MRHC offers a variety of mental health support resources. If you or your child are struggling with depression or anxiety, contact your primary care provider for an evaluation. Counseling services are offered in Manning three days a week for individuals 12 and older. Call (712) 655-8100 to schedule an appointment.

For individuals who are 65 and older, MRHC offers group therapy through their Senior Life Solutions program for those suffering from anxiety and depression. Call (712) 655-8262 if you need support.

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.

If you or someone you know needs immediate assistance with mental health concerns, please contact the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). You can also call 988 for 24/7, free and confidential support.

Back-to-School Mental Health Tips

back to school tips

As children will soon transition from their summer schedules and head back to school, MRHC shares tips to ensure they are mentally ready and prepared to adjust well to their new routines.

To make the transition back to school easier, Hollie Schechinger, LMSW, a designated mental health counselor at MRHC, recommends starting children’s morning routine a week or so before school starts. She also stresses that communication is a big part of helping children with anxiety and other mental health problems. Hollie Schechinger

“Talk with them about their fears and worries so that you can reassure them that they will be okay,” Schechinger said. “Once school starts, ask them how their day was. Make sure they know that you are a safe person they can talk to. If they look upset or their behavior changes, then have a conversation with them. Just check in with them. Keep that line of communication open with your children. Allow them to feel their emotions, cry, and express themselves.”

Warning signs that a child is not adjusting well or that they are struggling mentally can appear physically or mentally.

“In children, a lot of their anxiety symptoms come out as stomach aches or headaches,” said Schechinger. “If they are complaining of them consistently after school, they may not be adjusting well. If they are sleeping immediately after school for a long period of time or just not having very good behaviors after school these could be signs that they are struggling.”

If you notice these changes in your children and intervention methods you have tried with your child do not seem to be helping, Schechinger offers counseling services in Manning three days a week for individuals 12 and older.

“I provide mental health therapy by using a wide variety of interventions and therapy models,” Schechinger said. “I will sit down with your child and complete an assessment and engage them in conversations. I will then schedule follow-ups to help with coping skills and other interventions to help your child cope with their mental health. Counseling is a safe place for them to share what they are feeling and what is happening in their life. It is also a place where they can share their feelings or learn what their feelings are. Counseling helps people learn how to cope with their mental health concerns so they can live a productive life.”

For parents with children younger than 12 who appear to be struggling, Schechinger recommends taking them for a walk or sitting down and playing with them, so they feel more comfortable talking. She stresses that keeping communication open with your child and making sure they know they can speak with you is important in helping them with their mental health concerns. There are also some child mental health therapists in the area that Schechinger can put parents into contact with if needed.

To schedule a counseling appointment with Schechinger at MRHC, call (712) 655-8100. Referrals are not needed. If you need additional mental health information, education, or would like to discuss support for your child, please contact their primary care physician at (712) 655-2072.