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.

MRHC Welcomes Maribeth Christensen as Senior Life Solutions Therapist

Maribeth Christensen

Maribeth ChristensenManning Regional Healthcare Center (MRHC) is pleased to welcome Maribeth Christensen, BSW, MA, MSW, LMSW, CADC, as the therapist for the Senior Life Solutions program. With a rich background in mental health and social work, Christensen brings a wealth of experience and compassion to the role as she provides care and support to seniors in the Manning community.

Originally from Toronto, Canada, Christensen earned her Bachelor of Social Work, Master of Arts, and Master of Social Work degrees before beginning her career providing group, individual, and family therapy at a women’s center, supporting clients dealing with domestic violence, trauma, and addiction. She later led programs for victims and vulnerable persons.

Christensen moved to Manning with her husband in 2022. Since arriving in Iowa, she has served as a mental health therapist and clinical director at St. Gregory’s Recovery Center in Bayard and held leadership roles at Ivory Plains Recovery Center in Adair. Most recently, she worked as the Senior Life Solutions Therapist at CHI in Corning before the opportunity arose to work locally in Manning.

“While I loved the role and my patients, my heart was in Manning,” Christensen shared. “I’m excited to continue working with the Senior Life Solutions program and in my ‘adopted hometown’, giving back directly to the community that has been so welcoming of me and my family.”

At MRHC, Christensen provides individual and group therapy to older adults through the Senior Life Solutions program. Group sessions are held up to three days per week, where participants receive education on topics like depression, anxiety, and grief, as well as evidence-based coping strategies. She also provides individual therapy sessions for a more personalized and in-depth opportunity for healing. Family therapy is also available based on the needs or desires of the individual.

“Mental health is such an important part of overall health,” said Christensen. “Your mental health has the potential to not only improve your physical health, but also your overall quality of life. Having been in mental health recovery myself for over 20 years, I truly believe in prioritizing your mental health and caring for yourself in order to care for others and live a healthy life.”

Seniors, providers, or concerned family members noticing signs of withdrawal, mood changes, or difficulty with daily activities are encouraged to contact Senior Life Solutions. While reaching out can be difficult, especially due to stigma or the symptoms themselves, Christensen emphasizes that support is available and effective. To learn more or make a referral, call (712) 655-8262. Family members, physicians, or other health professionals can refer individuals to the Senior Life Solutions program.

About Senior Life Solutions

MRHC’s Senior Life Solutions program is designed to meet the unique needs of older adults over the age of 65 struggling with depression and anxiety, often related to aging. The program can be helpful for those who have recently experienced a traumatic event or lost a spouse or close family member and have noticed physical and mental effects like changes in appetite, no energy, difficulty sleeping, loss of interest in activities, or intense feelings of sadness and grief.

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.

 

Janet’s Journey from Nursing to Mental Health

Janet Brus wide shot

Janet BrusWhat started as a career in nursing for Janet Brus, RN, gradually evolved into a focus on mental health. Her career path led her to her current role as Program Director for Senior Life Solutions at Manning Regional Healthcare Center (MRHC), where she has made a lasting impact on her patients.

After graduating from Iowa Methodist School of Nursing in Des Moines, Janet quickly immersed herself in patient care, gaining valuable experience on the medical/surgical floor at Iowa Lutheran Hospital.

“I was able to float to different floors where I touched on the care of cardiac, orthopedic, renal, and urological patients,” Janet shared. But she soon came to a realization. “The city life was just not for me, and I found myself coming home on the weekends that I did not work.”

After returning to her rural roots and getting married, Janet transitioned to Myrtue Medical Center, where she worked in labor and delivery and the medical/surgical units. It was during this period that she began to build her family, eventually shifting to home health care—a role she embraced for 15 years. Janet’s career also included 13 years as the Health and Wellness Manager at the Denison Job Corps, where she cared for students with a wide range of health needs, inspiring her to pursue a career in mental health.

Janet Transitions to the Mental Health Field

“I have always worked in the healthcare field, no matter the role. However, my transition to mental health was a gradual process as I encountered people who experienced mental health concerns,” Janet explained. “I did not set out to work in the mental health area, but I certainly do have a soft spot for people who are experiencing mental health concerns because the stigma is definitely there.”

In 2019, Janet took on her current role with Senior Life Solutions at MRHC, a program that provides counseling services for seniors over 65 struggling with depression and anxiety. Her goal as the program director is to ensure that every patient knows she genuinely cares.

“I will pursue every avenue to make sure that I can help someone,” she emphasized. “If there is an option to help, I will do all within my power to make that happen. Each person needs to feel comfortable to be here. After all, this is their space to heal. Whatever I can do to facilitate that, I will.”

Confidentiality is a cornerstone of Janet’s approach. “What happens here, stays here,” she stated firmly. She works tirelessly to create a safe, home-like environment where patients feel supported as they navigate their mental health journey.

A Supportive Environment at MRHC

Janet credits the positive work culture at MRHC as well as the administrative staff for enabling her to thrive in her role and provide the best care for patients.

“MRHC staff are amazing. They have been incredible as far as support to make sure that we can fully take care of our patients. We know we can call anyone for assistance,” Janet shared. “I appreciate the support that we have from the administrative staff to be able to do our jobs and do it well. They are there if we need something, but we have the autonomy to make it our program.”

She also appreciates the newly remodeled space dedicated to Senior Life Solutions, which includes a separate entrance to ensure privacy and comfort for patients.

Working in a small town like Manning also reaffirms her decision to provide care in a rural health setting. “I get to know my patients and their families and see them in the community,” she said. This connection fuels her ongoing efforts to break the stigma surrounding mental health, especially among the senior population. “Our seniors are so resilient, and I want them to be the best they can be. I am here to help with that.”

Janet Brus’s career is a testament to the power of compassion and the impact of creating a supportive, patient-centered environment. As the Program Director for Senior Life Solutions, she continues to touch lives and foster healing, one patient at a time.

If you are interested in joining the MRHC team, click here or call (712) 655-2072 for more information.

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

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.

MRHC Creates Important Economic and Community Impact

MRHC exterior
In all, Iowa’s hospitals provided 145,252 jobs statewide

Last year, MRHC generated just over 250 jobs that added $290,577 to Carroll County’s economy, according to the latest study by the Iowa Hospital Association. Economic impact of an organization is often measured in terms of employment, income (payroll and benefits), taxable retail sales, and sales tax collections.

“We are grateful to be able to make such an impact on our local communities,” said MRHC Chief Executive Officer, Linn Block, RN, BSN, MHA. “It takes all aspects of a community working together to be vibrant and strong.”

The study was compiled from hospital-submitted data to the American Hospital Association’s annual survey of hospitals. The study found that Iowa hospitals employed 145,252 people in 2022. As an income source, Iowa hospitals provided over $9.3 billion in wages and expenses accounted for over $21.5 billion of the state’s gross domestic product.

“Iowa’s hospitals and health systems implemented the programs and services accounted for in this study in response to their communities’ needs,” IHA President and CEO Chris Mitchell said. “Many of these programs and services wouldn’t exist without hospital support and leadership. These efforts, with IHA’s advocacy, help ensure the financial stability of hospitals, making it possible for them to provide the services and programs most-needed by the people they serve.”

Community Impact

As a non-profit, critical access hospital, the mission and purpose of MRHC is to serve those in the local community and provide a public benefit. Quality healthcare has a large community and economic impact, and it is essential for attracting other industries.

MRHC continually works to provide quality healthcare services for the community. Expanding mental health services has been a recent top priority as it consistently rates high on community health needs assessments. To meet this need, MRHC now has a counselor providing therapy services as well as telehealth mental health care for patients 12+.

To provide additional convenient healthcare options, Manning Regional now has a dedicated provider offering more same-day appointments, a new patient portal was launched to improve patient experience, and orthopedic services have been expanded to include total hip replacements. These initiatives to expand and improve healthcare services have made an important community impact, adapting to the current needs of the community.

“In addition to providing healthcare through the services we offer, we also provide widespread benefits to support our community,” Block said. “We are proud to have served at least 473 people through various community service programs in the past year.”

MRHC offers a variety of community education events, trainings, and clinics such as CPR, AED, & First Aid training classes, blood drives, monthly wellness clinics, blood pressure clinics, concussion testing at the high school, walk-in flu shot clinics, and fall prevention screenings.

They also hold and participate in educational events, such as the Bike Rodeo, babysitting courses, Suicide Prevention Walk, Live Healthy Iowa Healthiest State Walk, Senior Fun Day, Medicare seminars, giving away bike helmets, and other health-related activities at Kinderfest. Many of these efforts have a direct impact on the local economy and overall community health.

Most notably, MRHC has held several Healthcare Career Camps for local middle and high school students to have an immersive experience learning about a variety of careers in the healthcare field. This effort was recently funded by a University of Iowa grant to continue the program for more students and expand the offering to additional school districts.

MRHC has also supported foundations such as the IKM-Manning Education Foundation, West Central Iowa Healthcare Foundation, American Cancer Society, as well as community organizations such as Little Hawks Childcare Center, Manning Child Care Center, IKM-Manning Color Run, Kinderfest, Trail to Nowhere Bike Ride, Pack the Pantry, Fireman’s Golf Tourney, Main Street Manning, Manning Chamber, Manning Hausbarn Heritage Park, Manning Rotary, and Boy Scouts of America.

“We are proud to share that in the past three years, we have provided over $100,000 in community health improvement services to benefit our local communities,” shared Block.

In 2022, Manning Regional provided $92,572.41 in charity care and served more than 54 people through those efforts. Charity care is also known as uncompensated health care, which is provided for free, or at a reduced cost, to people with limited income who would otherwise be unable to pay for their treatment. Various types of financial assistance are provided to patients, and community education events and important information about health and well-being are shared through radio and print advertising, news articles, social media, and the MRHC website.

“MRHC will continue to adapt and evolve our services to meet the needs of our patients,” shared Block. “We value being a trusted community partner to improve the health and well-being of residents in west-central Iowa.”