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.”

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.

MRHC Welcomes Dedicated Mental Health Provider, Hollie Schechinger

Hollie Schechinger

Hollie SchechingerTo address one of the primary health concerns affecting our rural communities, MRHC is expanding mental health services. Hollie Schechinger, a counselor in the Recovery Center at MRHC, will now be a designated mental health provider offering services in Manning three days a week for those 12 and older starting July 1st, 2023.

“My new position will help expand the availability of mental health services for everyone,” said Schechinger, LMSW. “I will be able to help people in Manning and surrounding communities get the help they need. Mental health services in this area are difficult to get as there are long waiting lists so people struggle to get appointments. My hope is to provide support for people who are just waiting for help.”

In addition to providing mental health services for the general community, Schechinger will also continue working with Recovery Center inpatient clients two days a week.

“I will be providing mental health therapy by using a wide variety of interventions and therapy models,” Schechinger said. “I am very excited about this opportunity and building the availability of mental health services in Manning. I hope we can spread awareness of mental health and the importance of not hiding it. I want to bring more access to mental health services so that those who are staying quiet about their mental health problems can speak out about them.”

Mental health care has always been important to Schechinger, and she is hopeful that her new role will help those in need and change the stigma surrounding mental health.

“I have always wanted to work in healthcare in some way. During high school when we took those career quizzes, I always got therapist. I just have a passion for helping people,” Schechinger shared. “I found that social work would be a great way to help others in the healthcare setting, so after getting my social work feet wet working with troubled youth at Quakerdale in Manning, I really realized how important mental health is. Many people still see mental health as being taboo, but I want people to understand that mental health impacts everyone in multiple ways. That is when I realized I wanted to focus on helping others in mental health.”

A 2009 Coon Rapids-Bayard graduate, Schechinger received a social work degree from Briar Cliff University in 2013. After working at Quakerdale, she worked in the Recovery Center for almost five years before going into Home Health with Carroll Area Nursing Services. She then returned to school to get her master’s in social work with a focus in mental health and trauma from the University of Denver.

“After finishing my degree, I realized I really missed providing therapy, so when a position opened at the Recovery Center, I decided to take it,” said Schechinger. “I spoke with the Director, Taya Vonnahme, about wanting to improve access to mental health services in this community, and she ran with the idea. The amazing administration team at MRHC came together and we came up with the plan of adding a full-time mental health therapist. Having an administration that will help us achieve our career goals is amazing. They really care and want you to succeed. I wanted to expand mental health services, and now less than a year later I am already working on making that goal reality.”

“Hollie is very passionate about helping our community in more ways than we already do,” said Vonnahme, MSN, RN, ARNP, CADC. “She has been working with the Recovery Center in Manning for years, and when she came back, she made it clear that as much as she loves substance abuse that she wanted to do more. I knew we had a great opportunity to provide additional services to our patients and community, so we are very excited to expand mental health services here in Manning.”

In addition to feeling supported in her career goals, Schechinger shares that working at MRHC is fulfilling in other ways as well.

“Working at MRHC is almost like having another family,” Schechinger shared. “I believe it speaks volumes that I worked here for 4.5 years and eventually decided to come back. We are very team-oriented, close with one another, and help each other out. Everyone is very encouraging and helpful in many ways even if they don’t work in the same department. We are all here to work together to help ensure patient safety and needs are met.”

To schedule a mental health appointment, call (712) 655-8100. Referrals are not needed. 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 Health Resources at MRHC

mental health services

“Based on the outcomes of our latest Community Health Needs Assessment (CHNA), mental health is one of the main concerns of our rural communities,” shared MRHC Education Coordinator, Julie Hodne, RN. “So, we are prioritizing mental health support, increasing available mental health resources, and sharing insight to better help people of all ages.”

Hollie Schechinger, a counselor at the Recovery Center at MRHC will be adding to her responsibilities in the coming weeks to serve as a full-time mental health counselor. Schechinger will begin seeing patients ages 12 and older beginning in June.

Mental health continues to affect many people regardless of their age, gender, medical history, life status, etc. and MRHC recognizes that a “one size fits all” approach to treatment does not work. MRHC strives to offer a variety of mental health services for different ages and needs.

According to the CDC, one in five people, including children, will experience a mental illness at some point in their life. With that in mind, it is important to be aware of common mental health warning signs.

Common Warning Signs in Children
  • Ongoing behavior problems at school, home, or daycare
  • Constant movement or hyperactivity
  • Frequent and unexplainable temper tantrums, outbursts, or explosive emotional reactions
  • Unusual fears/worries, thoughts, beliefs, feelings, or behaviors
  • Having a hard time getting involved with age appropriate activities
  • Difficulty concentrating, paying attention, or being organized for their age level
  • Lack of interest in friends and avoiding or isolating from friends and family
  • Negative moods for long periods of time
  • Obsession on certain thoughts, activities, or actions
  • Lack of energy even when well rested
  • Difficulty with sleeping
  • Frequent physical complaints with no obvious cause
  • Sad or hopeless feeling with no reason
  • Self-harm or talk of self-injury or suicide
  • Persistent nightmares or visual or audio hallucinations
  • Eating problems (too little or too much)
  • Violence towards others, animals, or property
  • Refusing to go to school and ongoing decline in school performance
  • Risky or dangerous behaviors like sexually acting out, recklessness, or running away

“Depending on the severity of their behaviors, we recommend that parents call to schedule a mental health evaluation with a mental health provider,” said Schechinger, LMSW. “If a child is making comments of self-harm or suicide, take them to the nearest emergency room.”

If you notice some of these warning signs, the CDC recommends several strategies for helping children cope with mental health issues. Talk to them about and validate their feelings of stress or sadness, reassure their safety, let them know it is okay to feel upset, be a good role model, spend time together, and provide professional support if needed. It is also important to limit their social media exposure, provide fun and relaxing activities, and maintain regular routines.

While symptoms can be similar to children’s, warning signs in adults often involve:

  • Decrease in enjoyment from and isolating from friends and family
  • Significant decrease in school or work performance or resisting to attend
  • Memory, attention, and concentration problems
  • Large changes in energy levels, eating, and sleeping patterns
  • Physical symptoms (headaches, stomachaches, backaches)
  • Feeling hopeless, sad, anxious, or crying often
  • Frequent aggression, disobedience, or lashing out verbally
  • Neglect of personal hygiene
  • Substance abuse
  • Dangerous or illegal thrill-seeking behavior
  • Being overly suspicious of others
  • Visual or auditory hallucinations

“Some effective ways to help cope with depression, anxiety, and other mental health disorders include going for a walk, reading a book, calling a friend, taking a nap, playing with animals, exercising, spending time with family or friends, taking a shower, watching a favorite movie or TV show, eating a snack, and going out to eat with friends or family,” Schechinger recommended.

Schechinger goes on to advise that if these strategies are not helping, it’s important to see a mental health provider for an evaluation and to follow their recommendations for treatment.

“MRHC provides outpatient mental health support through a therapist, medication management, and substance abuse addiction services through the Recovery Center if needed,” Schechinger shared.

Substance Abuse and Mental Health

Mental illness and addiction can often go together. Individuals with mental health disorders are statistically proven to be at high risk for addiction and those struggling with addiction have a high risk for mental health disorders, especially depression and anxiety.

“Rarely do we treat someone who has an addiction that does not have at least one mental health diagnosis as well,” said Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, CADC. “These two iare very different diagnoses and have different treatments but are still associated with each other in various ways.”

Mental issues are sometimes signs of substance abuse as well. Psychological warning signs of drug abuse that can be seen as mental health issues are things such as changes in personality or attitude; sudden mood swings, irritability, or angry outbursts; and appearing fearful, anxious, or paranoid for no reason.

“Here at the Recovery Center, we have mental health therapists who come once a week to meet with clients. In addition to that, when I see clients, I help them address many of these issues from a medical standpoint,” Vonnahme said. “This is an area we are working to expand in the near future.”

Mental Health in Aging Individuals

Elderly individuals can also suffer from the effects of mental illness. Things such as more physical complaints, frequent ER visits, sleeping problems, low energy, cognitive issues, weight loss or gain, and isolation from family and friends can all result from an individual dealing with a mental health issue.

“Oftentimes, people attribute these changes as part of the aging process, but that’s not always necessarily the cause,” said Senior Life Solutions Program Director, Janet Brus, RN.

If you notice these things in a loved one, it is important to be aware of other red flags that may point to a mental health issue.

  • Change in physical status – not eating, losing, or gaining weight, or eating junk food
  • Increased irritability when normally very pleasant and easy going
  • Previously independent with daily tasks and now relies on someone to get groceries, pay bills, shower, etc.
  • Misplacing things
  • Talking about feeling lonely and isolated
  • An increase or start in using alcohol or other substances
  • Poor medication compliance

For elderly individuals over the age of 65 who are struggling with depression or anxiety, the Senior Life Solutions program at MRHC offers group counseling sessions that have seen great success.

“People often find a common ground with each other as they have all been through some of the same life experiences and enjoy the support from each other,” shared Brus. “It also makes them get up, leave their home, and gives them a purpose. We all need a purpose – something to get up and do and look forward to each day. Without purpose, one would just stay in bed and no longer participate in life.”

Family members, physicians, or other health professionals can refer individuals to the Senior Life Solutions program. For those interested in learning more or signing up, call 712-655-8262.

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.