Monday, June 30, 2025



James Donaldson on Mental Health - Mental health professionals worry about possible cuts to 988 suicide hotline funding: 'A detriment'
By Elaina Athans 

RALEIGH, N.C. (WTVD) -- The North Carolina Department of Health and Human Services (NCDHHS) says that since the 988 Suicide Hotline was launched in July 2022, more than 219,000 calls have been answered. NCDHHS said the state is a national leader in operating 988, and right now, every call is being answered within 14 seconds.

Mental health professionals say the 988 hotline is an "invaluable resource" and any cuts would affect the strides being made in the state to meet growing demand.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

The Trevor Project claims a leaked budget draft shows the federal government is looking to eliminate all funding for the 988 Suicide and Crisis Lifeline's LGBTQ+ youth specialized services starting in October.

Shaun Thomas is a licensed mental health counselor and the Opioid Treatment Program Director at Southlight Healthcare.

"Losing access to that resource would be a real detriment to a lot of people," said Thomas.

Southlight offers an array of services for hundreds of people each day.

It just finished an 18-month renovation project to meet the growing demands for more mental health and opioid treatment help.

Thomas said that even with the changes, it's still hard to help everyone in need, and all 988 hotline services are necessary.

The more avenues to entry that a person has in some kind of emotional crisis or behavioral health crisis situation, the better," he said. "However someone gets access to help in their moment of need doesn't matter ... as long as they have that access."

NCDHHS said that though it cannot speculate on potential cuts, "Federal funding is critical to the lifeline's success in ensuring calls are answered timely and people are getting connected to valuable resources."

RESOURCESIf you or someone you know is experiencing suicidal, substance use or other mental health crises, please call or text 988. You will reach a trained crisis counselor for free, 24 hours a day, seven days a week. You can also go to 988lifeline.org.

The Trevor Project is a leading national organization providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, queer & questioning (LGBTQ) young people under 25. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at (866) 488-7386 https://standingabovethecrowd.com/?p=14473

James Donaldson on Mental Health - What Happens When a 10-Year-Old Dies by Suicide?

James Donaldson on Mental Health - What Happens When a 10-Year-Old Dies by Suicide?

Child suicide is avoidable. Here's what we must change, before it's too late.



JoAnn Stevelos, MS, MPH


Reviewed by Margaret Foley


THE BASICS


- Suicide Risk Factors and Signs
- Take our Depression Test
- Find a therapist near me
Key points
- Suicide is rising among children under 12—we must stop calling it rare and start acting.
- Prevention starts with empathy education, not punishment or silence.
- Hope can be taught—let’s give every child the tools to stay, even when the world feels too hard.

On April 5, 2025, The Washington Post published the story of Autumn Bushman, a 10-year-old girl from Virginia who died by suicide. Her parents' account is heartbreaking: She was a kind, thoughtful child who loved playing piano and being creative, but who struggled quietly under the weight of bullying and internal emotional distress.


Autumn’s story is devastating—but it is not rare.


According to the Centers for Disease Control and Prevention (CDC), suicide is a leading cause of death among children ages 10 to 14. Between 2010 and 2020, the suicide rate in this age group nearly tripled.¹ Rates are rising particularly quickly among girls, children of color, and LGBTQ+ youth. While suicide under the age of 12 is often described as statistically rare, what’s rare is our willingness to talk about it.


We remain deeply uncomfortable confronting the emotional realities of children. Conversations about suicide in young kids are still taboo, often dismissed with phrases like “too young to understand” or “just a phase.” But children do understand pain. And more often than not, they suffer in silence—because the adults around them aren’t equipped to help.


What We Know About Risk


Children who die by suicide often experience multiple, compounding stressors: bullying, social exclusion, family instability, trauma exposure, and undiagnosed mental health conditions.² Many also display signs of withdrawal or behavioral change in the months leading up to their death—but these signs are often overlooked or misinterpreted.


The systems around these children—schools, health care, community services—are rarely structured to intervene early. Instead, we remain focused on managing "at-risk youth" while failing to address the behavior of adults who harm, isolate, or ignore them. We react after the fact. We track trauma, but rarely track perpetrators. We support survivors, but not always in ways that prevent new harm.


There Are Proven Ways to Intervene


We do not have to accept these outcomes. There are evidence-based tools and programs that have been shown to reduce bullying, build empathy, and promote emotional resilience in young children.


1. Hope MASS (Meaning, Attachment, Survival, Spirituality)
This model, grounded in Hope Theory,³ teaches children that hope is not a feeling—it’s a cognitive skill set involving goal-setting, agency, and pathways thinking. Hope MASS integrates trauma-informed strategies with relational development, helping children find purpose and belonging even in difficult circumstances.


2. Roots of Empathy
Founded by Canadian educator Mary Gordon, Roots of Empathy is a classroom-based program where babies visit schools to help children learn to recognize emotions in others and build compassion. Studies show that the program significantly reduces aggression and increases prosocial behavior.?


3. Empathy Education in Denmark
Since 1993, Denmark has incorporated mandatory weekly empathy lessons (Klassens tid) into its national curriculum. The goal is to teach students how to discuss their emotions and understand the experiences of others—an effort linked to Denmark’s consistently high global happiness rankings and low bullying rates.?


These interventions work. They are cost-effective, evidence-based, and scalable. Yet in many U.S. school systems, they remain absent or underfunded.


Policy Recommendations


To prevent future tragedies like Autumn’s, we need to do more than mourn—we need to act. That means:


- Mandating age-appropriate suicide prevention education in elementary schools
- Funding teacher training in trauma-informed practices and empathy development
- Creating national early childhood mental health screening guidelines
- Replacing punitive zero-tolerance policies with whole-family treatment models
- Expanding access to school-based mental health services

Crucially, we must also confront the broader cultural context in which cruelty is rewarded, bullying is normalized, and public leaders model contempt rather than care.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy



Click Here For More Information About James Donaldson



Let Autumn’s Life Matter


As her mother told The Washington Post, “Autumn didn’t want to die. She just didn’t want to feel the way she felt anymore.”


We owe it to her—and to every child still suffering—to do better. That means shifting our focus from risk to responsibility. From managing damage to preventing harm. From silence to action.


Autumn should be here. Other children still can be. But only if we choose to see them. And only if we refuse to look away.


If you or someone you love is contemplating suicide, seek help immediately. For help 24/7, dial 988 for the National Suicide Prevention Lifeline, or reach out to the Crisis Text Line by texting TALK to 741741. To find a therapist near you, visit the Psychology Today Therapy Directory.


https://standingabovethecrowd.com/james-donaldson-on-mental-health-what-happens-when-a-10-year-old-dies-by-suicide/


James Donaldson on Mental Health - What Happens When a 10-Year-Old Dies by Suicide?
Child suicide is avoidable. Here's what we must change, before it's too late.

JoAnn Stevelos, MS, MPH

Reviewed by Margaret Foley

THE BASICS

- Suicide Risk Factors and Signs

- Take our Depression Test

- Find a therapist near me

Key points

- Suicide is rising among children under 12—we must stop calling it rare and start acting.

- Prevention starts with empathy education, not punishment or silence.

- Hope can be taught—let’s give every child the tools to stay, even when the world feels too hard.

On April 5, 2025, The Washington Post published the story of Autumn Bushman, a 10-year-old girl from Virginia who died by suicide. Her parents' account is heartbreaking: She was a kind, thoughtful child who loved playing piano and being creative, but who struggled quietly under the weight of bullying and internal emotional distress.

Autumn’s story is devastating—but it is not rare.

According to the Centers for Disease Control and Prevention (CDC), suicide is a leading cause of death among children ages 10 to 14. Between 2010 and 2020, the suicide rate in this age group nearly tripled.¹ Rates are rising particularly quickly among girls, children of color, and LGBTQ+ youth. While suicide under the age of 12 is often described as statistically rare, what’s rare is our willingness to talk about it.

We remain deeply uncomfortable confronting the emotional realities of children. Conversations about suicide in young kids are still taboo, often dismissed with phrases like “too young to understand” or “just a phase.” But children do understand pain. And more often than not, they suffer in silence—because the adults around them aren’t equipped to help.

What We Know About Risk

Children who die by suicide often experience multiple, compounding stressors: bullying, social exclusion, family instability, trauma exposure, and undiagnosed mental health conditions.² Many also display signs of withdrawal or behavioral change in the months leading up to their death—but these signs are often overlooked or misinterpreted.

The systems around these children—schools, health care, community services—are rarely structured to intervene early. Instead, we remain focused on managing "at-risk youth" while failing to address the behavior of adults who harm, isolate, or ignore them. We react after the fact. We track trauma, but rarely track perpetrators. We support survivors, but not always in ways that prevent new harm.

There Are Proven Ways to Intervene

We do not have to accept these outcomes. There are evidence-based tools and programs that have been shown to reduce bullying, build empathy, and promote emotional resilience in young children.

1. Hope MASS (Meaning, Attachment, Survival, Spirituality)This model, grounded in Hope Theory,³ teaches children that hope is not a feeling—it’s a cognitive skill set involving goal-setting, agency, and pathways thinking. Hope MASS integrates trauma-informed strategies with relational development, helping children find purpose and belonging even in difficult circumstances.

2. Roots of EmpathyFounded by Canadian educator Mary Gordon, Roots of Empathy is a classroom-based program where babies visit schools to help children learn to recognize emotions in others and build compassion. Studies show that the program significantly reduces aggression and increases prosocial behavior.?

3. Empathy Education in DenmarkSince 1993, Denmark has incorporated mandatory weekly empathy lessons (Klassens tid) into its national curriculum. The goal is to teach students how to discuss their emotions and understand the experiences of others—an effort linked to Denmark’s consistently high global happiness rankings and low bullying rates.?

These interventions work. They are cost-effective, evidence-based, and scalable. Yet in many U.S. school systems, they remain absent or underfunded.

Policy Recommendations

To prevent future tragedies like Autumn’s, we need to do more than mourn—we need to act. That means:

- Mandating age-appropriate suicide prevention education in elementary schools

- Funding teacher training in trauma-informed practices and empathy development

- Creating national early childhood mental health screening guidelines

- Replacing punitive zero-tolerance policies with whole-family treatment models

- Expanding access to school-based mental health services

Crucially, we must also confront the broader cultural context in which cruelty is rewarded, bullying is normalized, and public leaders model contempt rather than care.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

Let Autumn’s Life Matter

As her mother told The Washington Post, “Autumn didn’t want to die. She just didn’t want to feel the way she felt anymore.”

We owe it to her—and to every child still suffering—to do better. That means shifting our focus from risk to responsibility. From managing damage to preventing harm. From silence to action.

Autumn should be here. Other children still can be. But only if we choose to see them. And only if we refuse to look away.

If you or someone you love is contemplating suicide, seek help immediately. For help 24/7, dial 988 for the National Suicide Prevention Lifeline, or reach out to the Crisis Text Line by texting TALK to 741741. To find a therapist near you, visit the Psychology Today Therapy Directory. https://standingabovethecrowd.com/james-donaldson-on-mental-health-what-happens-when-a-10-year-old-dies-by-suicide/


James Donaldson on Mental Health - What Happens When a 10-Year-Old Dies by Suicide?
Child suicide is avoidable. Here's what we must change, before it's too late.

JoAnn Stevelos, MS, MPH

Reviewed by Margaret Foley

THE BASICS

- Suicide Risk Factors and Signs

- Take our Depression Test

- Find a therapist near me

Key points

- Suicide is rising among children under 12—we must stop calling it rare and start acting.

- Prevention starts with empathy education, not punishment or silence.

- Hope can be taught—let’s give every child the tools to stay, even when the world feels too hard.

On April 5, 2025, The Washington Post published the story of Autumn Bushman, a 10-year-old girl from Virginia who died by suicide. Her parents' account is heartbreaking: She was a kind, thoughtful child who loved playing piano and being creative, but who struggled quietly under the weight of bullying and internal emotional distress.

Autumn’s story is devastating—but it is not rare.

According to the Centers for Disease Control and Prevention (CDC), suicide is a leading cause of death among children ages 10 to 14. Between 2010 and 2020, the suicide rate in this age group nearly tripled.¹ Rates are rising particularly quickly among girls, children of color, and LGBTQ+ youth. While suicide under the age of 12 is often described as statistically rare, what’s rare is our willingness to talk about it.

We remain deeply uncomfortable confronting the emotional realities of children. Conversations about suicide in young kids are still taboo, often dismissed with phrases like “too young to understand” or “just a phase.” But children do understand pain. And more often than not, they suffer in silence—because the adults around them aren’t equipped to help.

What We Know About Risk

Children who die by suicide often experience multiple, compounding stressors: bullying, social exclusion, family instability, trauma exposure, and undiagnosed mental health conditions.² Many also display signs of withdrawal or behavioral change in the months leading up to their death—but these signs are often overlooked or misinterpreted.

The systems around these children—schools, health care, community services—are rarely structured to intervene early. Instead, we remain focused on managing "at-risk youth" while failing to address the behavior of adults who harm, isolate, or ignore them. We react after the fact. We track trauma, but rarely track perpetrators. We support survivors, but not always in ways that prevent new harm.

There Are Proven Ways to Intervene

We do not have to accept these outcomes. There are evidence-based tools and programs that have been shown to reduce bullying, build empathy, and promote emotional resilience in young children.

1. Hope MASS (Meaning, Attachment, Survival, Spirituality)This model, grounded in Hope Theory,³ teaches children that hope is not a feeling—it’s a cognitive skill set involving goal-setting, agency, and pathways thinking. Hope MASS integrates trauma-informed strategies with relational development, helping children find purpose and belonging even in difficult circumstances.

2. Roots of EmpathyFounded by Canadian educator Mary Gordon, Roots of Empathy is a classroom-based program where babies visit schools to help children learn to recognize emotions in others and build compassion. Studies show that the program significantly reduces aggression and increases prosocial behavior.?

3. Empathy Education in DenmarkSince 1993, Denmark has incorporated mandatory weekly empathy lessons (Klassens tid) into its national curriculum. The goal is to teach students how to discuss their emotions and understand the experiences of others—an effort linked to Denmark’s consistently high global happiness rankings and low bullying rates.?

These interventions work. They are cost-effective, evidence-based, and scalable. Yet in many U.S. school systems, they remain absent or underfunded.

Policy Recommendations

To prevent future tragedies like Autumn’s, we need to do more than mourn—we need to act. That means:

- Mandating age-appropriate suicide prevention education in elementary schools

- Funding teacher training in trauma-informed practices and empathy development

- Creating national early childhood mental health screening guidelines

- Replacing punitive zero-tolerance policies with whole-family treatment models

- Expanding access to school-based mental health services

Crucially, we must also confront the broader cultural context in which cruelty is rewarded, bullying is normalized, and public leaders model contempt rather than care.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

Let Autumn’s Life Matter

As her mother told The Washington Post, “Autumn didn’t want to die. She just didn’t want to feel the way she felt anymore.”

We owe it to her—and to every child still suffering—to do better. That means shifting our focus from risk to responsibility. From managing damage to preventing harm. From silence to action.

Autumn should be here. Other children still can be. But only if we choose to see them. And only if we refuse to look away.

If you or someone you love is contemplating suicide, seek help immediately. For help 24/7, dial 988 for the National Suicide Prevention Lifeline, or reach out to the Crisis Text Line by texting TALK to 741741. To find a therapist near you, visit the Psychology Today Therapy Directory. https://standingabovethecrowd.com/?p=14470

Sunday, June 29, 2025

James Donaldson on Mental Health - The Role of Physical Touch in Mental Health

James Donaldson on Mental Health - The Role of Physical Touch in Mental Health

In today's fast-paced world, where digital interactions often outweigh real-life connections, the power of a simple touch is frequently overlooked. Yet, physical touch remains a fundamental aspect of human existence, deeply intertwined with our mental well-being. Let's explore how this basic human need can significantly impact our mental health.


Table of Contents


1. The Importance of Touch
2. The Science Behind Touch
3. Benefits of Physical Touch
4. Ways to Incorporate More Physical Touch
5. Conclusion
6. FAQ


The Importance of Touch


Physical touch is one of our most basic forms of communication. From the moment we're born, touch is our primary language. A gentle hug, a pat on the back, or even a firm handshake can convey emotions and build connections that words often can't. Touch is crucial in forming bonds and nurturing relationships, often serving as a foundation for emotional and psychological health.


The Science Behind Touch


Research reveals that touch activates the vagus nerve, which is a key player in reducing stress and promoting relaxation. This activation helps decrease cortisol levels (the stress hormone) and boosts oxytocin, often known as the "love hormone," which fosters feelings of trust and connection. Neuroscientists have also found that physical touch can stimulate the brain's orbitofrontal cortex, which is linked to feelings of reward and compassion.


Benefits of Physical Touch?


Embracing physical touch offers numerous mental health benefits, including:


Stress Reduction: Touch can trigger the release of endorphins, natural mood lifters that combat stress and anxiety.


Improved Relationships: Regular physical touch strengthens emotional bonds, fostering intimacy and trust between individuals.


Enhanced Emotional Well-being: Consistent physical touch can reduce feelings of loneliness and depression, promoting an overall sense of well-being.


Better Sleep: The calming effects of touch can improve sleep quality by lowering blood pressure and heart rate.


Ways to Incorporate More Physical Touch


Incorporating more physical touch into daily life can be simple and rewarding:


Hug Your Loved Ones: Make it a habit to hug your family and friends, even if it's just for a few seconds. It can make a world of difference!


Pet Your Pets: Animals, especially dogs and cats, love affection. Petting your furry friend can be therapeutic for both of you.


Massage Therapy: Consider regular massages to relieve tension and improve your mood. It's a wonderful way to unwind and connect.


Handshakes and High-Fives: These simple gestures can boost camaraderie and provide a quick mood lift in social settings.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy



Click Here For More Information About James Donaldson



Conclusion


Physical touch is an essential component of mental health, offering profound benefits that go beyond the surface. Whether it's a warm hug or a gentle pat, incorporating touch into our lives can lead to a happier, healthier, and more connected existence. So, next time you see a friend or family member, remember the power of a simple touch.


FAQ?


1. Why is physical touch important for mental health?


Physical touch is important because it helps reduce stress, enhances emotional connections, and improves overall well-being by releasing beneficial hormones like oxytocin.


2. How can physical touch reduce stress?


Touch activates the vagus nerve and reduces cortisol levels, promoting relaxation and reducing stress.


3. Can physical touch improve my sleep?


Yes, the calming effects of touch can lower blood pressure and heart rate, leading to improved sleep quality.


4. What are some ways to incorporate more touch in my daily life?


You can hug loved ones, pet animals, enjoy massages, and use simple gestures like handshakes and high-fives.


Remember, a little touch can go a long way in enhancing your mental health and well-being.


https://standingabovethecrowd.com/the-role-of-physical-touch-in-mental-health/


James Donaldson on Mental Health - The Role of Physical Touch in Mental Health
In today's fast-paced world, where digital interactions often outweigh real-life connections, the power of a simple touch is frequently overlooked. Yet, physical touch remains a fundamental aspect of human existence, deeply intertwined with our mental well-being. Let's explore how this basic human need can significantly impact our mental health.

Table of Contents

1. The Importance of Touch2. The Science Behind Touch3. Benefits of Physical Touch4. Ways to Incorporate More Physical Touch5. Conclusion6. FAQ

The Importance of Touch

Physical touch is one of our most basic forms of communication. From the moment we're born, touch is our primary language. A gentle hug, a pat on the back, or even a firm handshake can convey emotions and build connections that words often can't. Touch is crucial in forming bonds and nurturing relationships, often serving as a foundation for emotional and psychological health.

The Science Behind Touch

Research reveals that touch activates the vagus nerve, which is a key player in reducing stress and promoting relaxation. This activation helps decrease cortisol levels (the stress hormone) and boosts oxytocin, often known as the "love hormone," which fosters feelings of trust and connection. Neuroscientists have also found that physical touch can stimulate the brain's orbitofrontal cortex, which is linked to feelings of reward and compassion.

Benefits of Physical Touch?

Embracing physical touch offers numerous mental health benefits, including:

Stress Reduction: Touch can trigger the release of endorphins, natural mood lifters that combat stress and anxiety.

Improved Relationships: Regular physical touch strengthens emotional bonds, fostering intimacy and trust between individuals.

Enhanced Emotional Well-being: Consistent physical touch can reduce feelings of loneliness and depression, promoting an overall sense of well-being.

Better Sleep: The calming effects of touch can improve sleep quality by lowering blood pressure and heart rate.

Ways to Incorporate More Physical Touch

Incorporating more physical touch into daily life can be simple and rewarding:

Hug Your Loved Ones: Make it a habit to hug your family and friends, even if it's just for a few seconds. It can make a world of difference!

Pet Your Pets: Animals, especially dogs and cats, love affection. Petting your furry friend can be therapeutic for both of you.

Massage Therapy: Consider regular massages to relieve tension and improve your mood. It's a wonderful way to unwind and connect.

Handshakes and High-Fives: These simple gestures can boost camaraderie and provide a quick mood lift in social settings.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

Conclusion

Physical touch is an essential component of mental health, offering profound benefits that go beyond the surface. Whether it's a warm hug or a gentle pat, incorporating touch into our lives can lead to a happier, healthier, and more connected existence. So, next time you see a friend or family member, remember the power of a simple touch.

FAQ?

1. Why is physical touch important for mental health?

Physical touch is important because it helps reduce stress, enhances emotional connections, and improves overall well-being by releasing beneficial hormones like oxytocin.

2. How can physical touch reduce stress?

Touch activates the vagus nerve and reduces cortisol levels, promoting relaxation and reducing stress.

3. Can physical touch improve my sleep?

Yes, the calming effects of touch can lower blood pressure and heart rate, leading to improved sleep quality.

4. What are some ways to incorporate more touch in my daily life?

You can hug loved ones, pet animals, enjoy massages, and use simple gestures like handshakes and high-fives.

Remember, a little touch can go a long way in enhancing your mental health and well-being. https://standingabovethecrowd.com/the-role-of-physical-touch-in-mental-health/

Saturday, June 28, 2025

James Donaldson on Mental Health - How to Create a Stress-Free Workspace at Home

James Donaldson on Mental Health - How to Create a Stress-Free Workspace at Home
Smiling woman using a laptop seated on the floor in a cozy living room, working remotely work from home.

Working from home has become the norm for many. While it offers flexibility and comfort, it can also introduce a fair share of distractions and stress. Creating a stress-free workspace at home isn't just about aesthetics; it's about boosting productivity and maintaining mental well-being. Let's dive into some practical tips and tricks to transform your home office into a sanctuary of calm and efficiency.


Table of Contents


1. Declutter Your Space
2. Choose the Right Lighting
3. Focus on Ergonomics
4. Add Personal Touches
5. Introduce Green Space
6. Conclusion
7. FAQ


Declutter Your Space


Let's start with the basics: decluttering. A cluttered desk often leads to a cluttered mind. Spend a few minutes each day tidying up your workspace. Keep only the essentials on your desk and store away anything that isn't immediately necessary. This simple habit can significantly reduce stress and enhance focus.


Choose the Right Lighting


Lighting plays a crucial role in creating a stress-free environment. Natural light is the best option, so if possible, position your desk near a window. If that's not feasible, opt for warm, soft lighting that mimics daylight. Avoid harsh fluorescent lights, as they can cause eye strain and fatigue.


Focus on Ergonomics


Comfort is key to a stress-free workspace. Invest in a good chair that supports your back and promotes good posture. Ensure your desk and computer screen are at the right height to prevent neck and eye strain. An ergonomic setup can prevent physical discomfort, allowing you to work efficiently and comfortably.


Add Personal Touches


Your workspace should reflect your personality. Adding personal touches like family photos, inspirational quotes, or artwork can make your space feel more inviting and less sterile. Choose items that bring you joy and motivate you throughout the day.


Introduce Green Space


Plants are not just decorative; they also improve air quality and reduce stress levels. Consider adding a few easy-to-maintain plants like succulents or a peace lily to your workspace. The presence of greenery can create a more relaxed atmosphere and boost your mood.


Conclusion


Creating a stress-free workspace at home doesn't have to be a daunting task. By making small, intentional changes, you can design a space that enhances productivity and supports your mental well-being. Remember, your work environment should inspire you, not stress you out. Take these tips and make your workspace a place where you thrive.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy



Click Here For More Information About James Donaldson



FAQ


Q1: How can I make my home workspace more productive?


A: Start by decluttering, optimizing lighting, and ensuring ergonomics. Personal touches and plants can also boost your mood and productivity.


Q2: What type of lighting is best for a home office?


A: Natural lighting is ideal, but if that's not possible, opt for warm, soft lighting that mimics daylight to reduce eye strain.


Q3: Why are plants recommended for a workspace?


A: Plants improve air quality, reduce stress, and create a more relaxed atmosphere, making them a great addition to any workspace.


Q4: How often should I declutter my workspace?


A: It's a good idea to spend a few minutes each day tidying up to maintain a stress-free and organized environment.


Q5: What are some budget-friendly ways to enhance my home office?


A: Use existing items like family photos or DIY decorations, and consider affordable plants or second-hand furniture to improve your space without breaking the bank.


Smiling woman using a laptop seated on the floor in a cozy living room, working remotely work from home https://standingabovethecrowd.com/how-to-create-a-stress-free-workspace-at-home/


James Donaldson on Mental Health - How to Create a Stress-Free Workspace at Home
Working from home has become the norm for many. While it offers flexibility and comfort, it can also introduce a fair share of distractions and stress. Creating a stress-free workspace at home isn't just about aesthetics; it's about boosting productivity and maintaining mental well-being. Let's dive into some practical tips and tricks to transform your home office into a sanctuary of calm and efficiency.

Table of Contents

1. Declutter Your Space 2. Choose the Right Lighting 3. Focus on Ergonomics 4. Add Personal Touches 5. Introduce Green Space 6. Conclusion7. FAQ

Declutter Your Space

Let's start with the basics: decluttering. A cluttered desk often leads to a cluttered mind. Spend a few minutes each day tidying up your workspace. Keep only the essentials on your desk and store away anything that isn't immediately necessary. This simple habit can significantly reduce stress and enhance focus.

Choose the Right Lighting

Lighting plays a crucial role in creating a stress-free environment. Natural light is the best option, so if possible, position your desk near a window. If that's not feasible, opt for warm, soft lighting that mimics daylight. Avoid harsh fluorescent lights, as they can cause eye strain and fatigue.

Focus on Ergonomics

Comfort is key to a stress-free workspace. Invest in a good chair that supports your back and promotes good posture. Ensure your desk and computer screen are at the right height to prevent neck and eye strain. An ergonomic setup can prevent physical discomfort, allowing you to work efficiently and comfortably.

Add Personal Touches

Your workspace should reflect your personality. Adding personal touches like family photos, inspirational quotes, or artwork can make your space feel more inviting and less sterile. Choose items that bring you joy and motivate you throughout the day.

Introduce Green Space

Plants are not just decorative; they also improve air quality and reduce stress levels. Consider adding a few easy-to-maintain plants like succulents or a peace lily to your workspace. The presence of greenery can create a more relaxed atmosphere and boost your mood.

Conclusion

Creating a stress-free workspace at home doesn't have to be a daunting task. By making small, intentional changes, you can design a space that enhances productivity and supports your mental well-being. Remember, your work environment should inspire you, not stress you out. Take these tips and make your workspace a place where you thrive.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

FAQ

Q1: How can I make my home workspace more productive?

A: Start by decluttering, optimizing lighting, and ensuring ergonomics. Personal touches and plants can also boost your mood and productivity.

Q2: What type of lighting is best for a home office?

A: Natural lighting is ideal, but if that's not possible, opt for warm, soft lighting that mimics daylight to reduce eye strain.

Q3: Why are plants recommended for a workspace?

A: Plants improve air quality, reduce stress, and create a more relaxed atmosphere, making them a great addition to any workspace.

Q4: How often should I declutter my workspace?

A: It's a good idea to spend a few minutes each day tidying up to maintain a stress-free and organized environment.

Q5: What are some budget-friendly ways to enhance my home office?

A: Use existing items like family photos or DIY decorations, and consider affordable plants or second-hand furniture to improve your space without breaking the bank. https://standingabovethecrowd.com/how-to-create-a-stress-free-workspace-at-home/

James Donaldson on Mental Health - How to Address Mental Health Issues in Refugee Communities

James Donaldson on Mental Health - How to Address Mental Health Issues in Refugee Communities
Children enjoying playtime in a muddy puddle at a refugee camp in Idlib, Syria.

In a world that seems to be constantly in motion, the plight of refugees often goes unnoticed. While physical needs such as food and shelter are essential, mental health is an equally critical component that requires our attention. Let's delve into how we can address mental health issues in refugee communities with empathy and actionable strategies.


Table of Contents


1. Understanding the Mental Health Challenges
2. Creating Safe Spaces for Healing
3. Providing Culturally Sensitive Support
4. Building Community Connections
5. Leveraging Technology for Support
6. Conclusion: A Path Forward
7. FAQ Section


Understanding the Mental Health Challenges


Refugees often experience a range of mental health challenges, including PTSD, depression, and anxiety. These issues stem from traumatic experiences in their home countries, challenging journeys to safety, and the stress of adapting to new environments. Recognizing these unique challenges is the first step towards providing effective support.


Creating Safe Spaces for Healing


Safe spaces are crucial for refugees to express their feelings and experiences without judgment. These spaces can be physical, such as community centers, or emotional, created through trust and empathy in relationships. Providing a haven where refugees feel secure can significantly aid in their mental health recovery.


Providing Culturally Sensitive Support


Cultural sensitivity is key to effective mental health support. Understanding and respecting cultural differences can help in tailoring mental health interventions that are more acceptable and effective for refugee communities. This includes employing translators, hiring culturally competent mental health professionals, and incorporating traditional healing practices.


Building Community Connections


Community support is a powerful tool for mental health recovery. Encouraging refugees to build connections with local communities can foster a sense of belonging and reduce isolation. Community programs and events can serve as a bridge, bringing together refugees and local residents in meaningful ways.


Leveraging Technology for Support


In today's digital age, technology offers innovative ways to address mental health issues. Online counseling services, mental health apps, and virtual support groups can provide refugees with the tools they need to manage their mental health. These resources are especially useful for those who may not have access to traditional mental health services.


Conclusion: A Path Forward


Addressing mental health issues in refugee communities requires a multifaceted approach that combines empathy, cultural understanding, and innovative solutions. By creating supportive environments and fostering community connections, we can help refugees heal and thrive in their new homes.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy



Click Here For More Information About James Donaldson



FAQ Section


1. How can I help support the mental health of refugees in my community?


You can support refugees by volunteering at local organizations, donating to mental health programs, or simply offering your friendship and understanding.


2. Are there specific mental health resources available for refugees?


Yes, many organizations provide mental health services tailored to refugees, including the International Rescue Committee and local community health centers.


3. What are some signs that a refugee might be struggling with mental health issues?


Signs may include withdrawal from social activities, changes in mood or behavior, difficulty sleeping, and expressing feelings of hopelessness or fear.


4. Is language a barrier to accessing mental health services for refugees? ?


Language can be a significant barrier, which is why it's important to provide translation services and culturally competent care to effectively support refugees.


5. Can children in refugee communities access mental health support?


Absolutely. Many organizations offer specialized support for children, recognizing their unique needs and experiences during resettlement.


Refugee Children enjoying playtime in a muddy puddle at a refugee camp in Idlib, Syria. https://standingabovethecrowd.com/?p=14482

Friday, June 27, 2025

James Donaldson on Mental Health - How to Address Mental Health Issues in Refugee Communities

James Donaldson on Mental Health - How to Address Mental Health Issues in Refugee Communities
Children enjoying playtime in a muddy puddle at a refugee camp in Idlib, Syria.

In a world that seems to be constantly in motion, the plight of refugees often goes unnoticed. While physical needs such as food and shelter are essential, mental health is an equally critical component that requires our attention. Let's delve into how we can address mental health issues in refugee communities with empathy and actionable strategies.


Table of Contents


1. Understanding the Mental Health Challenges
2. Creating Safe Spaces for Healing
3. Providing Culturally Sensitive Support
4. Building Community Connections
5. Leveraging Technology for Support
6. Conclusion: A Path Forward
7. FAQ Section


Understanding the Mental Health Challenges


Refugees often experience a range of mental health challenges, including PTSD, depression, and anxiety. These issues stem from traumatic experiences in their home countries, challenging journeys to safety, and the stress of adapting to new environments. Recognizing these unique challenges is the first step towards providing effective support.


Creating Safe Spaces for Healing


Safe spaces are crucial for refugees to express their feelings and experiences without judgment. These spaces can be physical, such as community centers, or emotional, created through trust and empathy in relationships. Providing a haven where refugees feel secure can significantly aid in their mental health recovery.


Providing Culturally Sensitive Support


Cultural sensitivity is key to effective mental health support. Understanding and respecting cultural differences can help in tailoring mental health interventions that are more acceptable and effective for refugee communities. This includes employing translators, hiring culturally competent mental health professionals, and incorporating traditional healing practices.


Building Community Connections


Community support is a powerful tool for mental health recovery. Encouraging refugees to build connections with local communities can foster a sense of belonging and reduce isolation. Community programs and events can serve as a bridge, bringing together refugees and local residents in meaningful ways.


Leveraging Technology for Support


In today's digital age, technology offers innovative ways to address mental health issues. Online counseling services, mental health apps, and virtual support groups can provide refugees with the tools they need to manage their mental health. These resources are especially useful for those who may not have access to traditional mental health services.


Conclusion: A Path Forward


Addressing mental health issues in refugee communities requires a multifaceted approach that combines empathy, cultural understanding, and innovative solutions. By creating supportive environments and fostering community connections, we can help refugees heal and thrive in their new homes.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy



Click Here For More Information About James Donaldson



FAQ Section


1. How can I help support the mental health of refugees in my community?


You can support refugees by volunteering at local organizations, donating to mental health programs, or simply offering your friendship and understanding.


2. Are there specific mental health resources available for refugees?


Yes, many organizations provide mental health services tailored to refugees, including the International Rescue Committee and local community health centers.


3. What are some signs that a refugee might be struggling with mental health issues?


Signs may include withdrawal from social activities, changes in mood or behavior, difficulty sleeping, and expressing feelings of hopelessness or fear.


4. Is language a barrier to accessing mental health services for refugees? ?


Language can be a significant barrier, which is why it's important to provide translation services and culturally competent care to effectively support refugees.


5. Can children in refugee communities access mental health support?


Absolutely. Many organizations offer specialized support for children, recognizing their unique needs and experiences during resettlement.


Refugee Children enjoying playtime in a muddy puddle at a refugee camp in Idlib, Syria. https://standingabovethecrowd.com/how-to-address-mental-health-issues-in-refugee-communities/


James Donaldson on Mental Health - How to Address Mental Health Issues in Refugee Communities
In a world that seems to be constantly in motion, the plight of refugees often goes unnoticed. While physical needs such as food and shelter are essential, mental health is an equally critical component that requires our attention. Let's delve into how we can address mental health issues in refugee communities with empathy and actionable strategies.

Table of Contents

1. Understanding the Mental Health Challenges 2. Creating Safe Spaces for Healing 3. Providing Culturally Sensitive Support 4. Building Community Connections 5. Leveraging Technology for Support 6. Conclusion: A Path Forward 7. FAQ Section

Understanding the Mental Health Challenges

Refugees often experience a range of mental health challenges, including PTSD, depression, and anxiety. These issues stem from traumatic experiences in their home countries, challenging journeys to safety, and the stress of adapting to new environments. Recognizing these unique challenges is the first step towards providing effective support.

Creating Safe Spaces for Healing

Safe spaces are crucial for refugees to express their feelings and experiences without judgment. These spaces can be physical, such as community centers, or emotional, created through trust and empathy in relationships. Providing a haven where refugees feel secure can significantly aid in their mental health recovery.

Providing Culturally Sensitive Support

Cultural sensitivity is key to effective mental health support. Understanding and respecting cultural differences can help in tailoring mental health interventions that are more acceptable and effective for refugee communities. This includes employing translators, hiring culturally competent mental health professionals, and incorporating traditional healing practices.

Building Community Connections

Community support is a powerful tool for mental health recovery. Encouraging refugees to build connections with local communities can foster a sense of belonging and reduce isolation. Community programs and events can serve as a bridge, bringing together refugees and local residents in meaningful ways.

Leveraging Technology for Support

In today's digital age, technology offers innovative ways to address mental health issues. Online counseling services, mental health apps, and virtual support groups can provide refugees with the tools they need to manage their mental health. These resources are especially useful for those who may not have access to traditional mental health services.

Conclusion: A Path Forward

Addressing mental health issues in refugee communities requires a multifaceted approach that combines empathy, cultural understanding, and innovative solutions. By creating supportive environments and fostering community connections, we can help refugees heal and thrive in their new homes.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

FAQ Section

1. How can I help support the mental health of refugees in my community?

You can support refugees by volunteering at local organizations, donating to mental health programs, or simply offering your friendship and understanding.

2. Are there specific mental health resources available for refugees?

Yes, many organizations provide mental health services tailored to refugees, including the International Rescue Committee and local community health centers.

3. What are some signs that a refugee might be struggling with mental health issues?

Signs may include withdrawal from social activities, changes in mood or behavior, difficulty sleeping, and expressing feelings of hopelessness or fear.

4. Is language a barrier to accessing mental health services for refugees? ?

Language can be a significant barrier, which is why it's important to provide translation services and culturally competent care to effectively support refugees.

5. Can children in refugee communities access mental health support?

Absolutely. Many organizations offer specialized support for children, recognizing their unique needs and experiences during resettlement. https://standingabovethecrowd.com/how-to-address-mental-health-issues-in-refugee-communities/


James Donaldson on Mental Health - Assisted Suicide Should Not Be Provided by Physicians: A Response to H. Steven Moffic, MD
Author(s):

Mark S. Komrad, MD, DFAPA

The debate on physician-assisted suicide challenges medical ethics, emphasizing the role of doctors in providing care, not death, while navigating societal pressures.

FROM OUR READERS

I appreciate H. Steven Moffic, MD’s reflections regarding his personal choice of possibly receiving assisted suicide in his future. However, as Dr Moffic graciously referenced in his piece, I have published here several times,1-3 arguing that systematic legalization and institutionalization of physician-assisted suicide and medical euthanasia is neither good medical ethics, nor good public policy. I want to make the point in response to Dr Moffic that suicide is generally legal in most places, and there are ways of ending one’s life (eg, voluntary stopping of eating and drinking4) that do not involve the agency of a professional to implement it. To go to a physician (or other medical professional) with the request that they aid and abet suicide, by either prescribing a chemical gun or starting a lethal intravenous drip, is a profound violation of Hippocratic medical ethics.

The mighty 2500 year old tree of medicine is firmly rooted in Hippocratic values, the most distinct and core of which is the statement, “I will not give poison to anyone though asked to do so, nor will I suggest such a plan."5 This proscription against actively killing your patient has been a through-line in history as societies and nations have come and gone. This Hippocratic dictum has over 2 millennia of ethical momentum and is now sustained by the stewardship of the World Medical Association, which is “firmly opposed to euthanasia and assisted suicide.”6 Historical examples when physicians have capitulated to societal demands to deviate from this, like the Nazi T4 program,7 have later been morally condemned by physicians. All ethics, including medical ethics, are vulnerable to being swept off their moorings in the torrent of rapidly changing social mores—as is occurring now. Though physicians can and must sometimes step out of the way of death and provide state-of-the-art palliative support, for a physician to administer death, or abet suicide, is an inversion of the fundamental ethos of what it means to be a physician. This is especially so for psychiatrists, who have a core professional dedication to preventing, not providing, suicide.

Though there are many reasons why legalizing these procedures is bad public policy, in terms of medical ethics, the Swiss approach is slightly better. It does not directly require physicians to participate in their suicide clinics. However, it does include doctors in the chain of culpability, as they must certify that individuals have the capacity to consent to suicide. Indeed, I have received many calls from individuals throughout the US asking if I would evaluate them for capacity to go to the Dignitas clinic in Switzerland. I would not.

Paul Farmer, MD, won the prestigious Berrugen Prize for Philosophy and Culture in part for his notion of accompaniment in medicine. Accompaniment means, “I'll go with you and support you on your journey wherever it leads. I'll keep you company.”8 We devotedly travel with patients in their journeys of illness, sometimes to the very edge of the cliff. We peer over that cliff with them, hold their hand, and comfort them, but do not push them off. There is much we can do to support and minister to those who are terminally ill. Psychiatrists are particularly experienced in this kind of accompaniment. We are equipped to process and ameliorate feelings like “life is not worth living any more,” or anxiety about impending death, debilitation, or disability. We have these and other skills to help such emotions—independent of a patient's diagnosis. Indeed, we can even help with these kinds of thoughts and feelings for those who have no psychiatric diagnosis. This is what we do; we do not provide death, but we can help individuals prepare for it. It is not irrelevant that it is unethical for physicians to administer lethal injections for the death penalty.9

So, a critical piece of the conversation is—who is satisfying the kinds of desires that Dr Moffic is contemplating. To designate doctors as dealers of death is to institutionalize a fundamental change in our civilization itself, which is undergoing so many rapid vertiginous changes now. Legalizing one set of human beings who can provide the means for suicide, or could actively kill certain others, even on request, is a profound moral decision. But to give that task to physicians, of all people, is another level of ethical contortion altogether. It also conveys the idea that assisted suicide and euthanasia are “medical” procedures, which they are not. The British Medical Association just recently declared “assisted suicide is not a ‘health activity.’”10 Medicalizing these activities obscures the moral culpability of these suicides by depicting them as just another medical service we can provide. This softens the taboo against suicide which, unlike stigma, is a vital aspect of suicide prevention. It also parses suicide into 2 tiers—the suicide we should provide and the suicide which we should prevent. Distinguishing who belongs in each category is both clinically and morally impossible, not made any easier by deploying euphemisms for one of them, like "death with dignity.”

Back in the days of Dr Kevorkian's activities, former Chair of Psychiatry at Johns Hopkins Paul McHugh wrote11:

“Patients are seduced... by isolating them, sustaining their despair, revoking alternatives, stressing examples of others choosing to die and sweetening the deadly poison by speaking of ‘death with dignity. If even psychiatrists succumb to this complicity with death, what can be expected of the lay public?"

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

Dr Komrad is a psychiatrist on the teaching staff of Johns Hopkins Hospital in Baltimore, Maryland. He is also a clinical assistant professor of psychiatry at the University of Maryland in Baltimore and on the teaching faculty of psychiatry at Tulane University and Louisiana State University in New Orleans, Louisiana. https://standingabovethecrowd.com/?p=14460

Thursday, June 26, 2025



James Donaldson on Mental Health - What do I do? How can I help? and other hard questions about suicide prevention
Written by Kylee Bailey

If you or someone you know is experiencing a mental health crisis, skip to the bottom of this article for resources. 

Lindsay Hainsworth is a community mental health worker with the Mental Health and Addictions Program run by Southern Health-Santé Sud.  

In practice, however, her career is much more — she provides hope and help to people in their darkest moments, and those who love them. 

What can I do to help someone in crisis? 

While it can sometimes seem like a solitary experience to struggle with mental health, in most cases, the people surrounding the one struggling are also affected.  

Often, the main source of concern is wondering how to help. 

Hainsworth has some advice for people who find themselves grappling with this question. 

“My first instinct is to make sure you take care of yourself first,” she says. “Caregiving is a heavy role, whether you're caregiving for someone with physical or mental health needs, so it's important to make sure that you're taking care of yourself.” 

Hainsworth says it’s also important to “recognize what is your responsibility and what’s not.”  

“ create those boundaries as best you can, though I can appreciate that that's very difficult when your loved one is struggling,” says Hainsworth.  

Let them lead 

Another tip Hainsworth has is to allow the loved one in distress to take the lead. She says asking them questions about their goals and priorities is a good approach.  

“Sometimes we might have different ideas of what people need, so it's good to know ... their perspective,” she says. 

“If they're so unwell that you're concerned about them, you can reach out to any ... crisis line to get some guidance on how to best support them in those moments.” 

Hainsworth also encourages people who want to be a mental health boon to seek out training opportunities in the community.  

What do I do if I’m struggling? 

As for people who are going through mental health challenges, Hainsworth’s advice begins with imparting that the moment will pass.  

“In this moment, this feeling is very strong and it might be hard to imagine this feeling not being there, but it will pass,” she says, adding that the priority when one is struggling is to ask oneself what could be done in the moment to keep safe until the clouds break.  

“I would encourage you to reach out to somebody that you trust, and if you don't have someone that you trust, reach out to the crisis lines that are available to anybody, because the person on the other line is there because they care and they want to support,” she says.  

Hainsworth adds that it’s important not to keep mental health challenges to oneself, because “there’s help out there,” and others have similar experiences. 

“It doesn't discriminate. It affects everybody, and so, as humans, this is a shared suffering and a shared experience,” she says. “The hope is obviously that if this is a shared experience, then that means we can provide support because we've all been there or could be there.”  

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

What is Roots of Hope? 

For those who desire even more support navigating mental health hurdles, Hainsworth says a unique initiative is in development that strives to help.  

It’s called Roots of Hope. 

“Basically, Roots of Hope is a framework meant to help communities build suicide prevention initiatives locally that fit their community, so it's very individualized to a community,” she says.  

The cross-Canada program, which was initially developed by the Mental Health Commission of Canada in 2015, began to be rolled out across the country in 2018. 

"Roots of Hope is based on what the community voices prioritize," says Hainsworth. "The framework is there just to help put that into action and develop some priorities based on areas proven to be effective for community suicide prevention.” 

Some of the areas that Roots of Hope has addressed across the country are: 

- Building awareness 

- Reducing stigma and shame surrounding mental health or suicide 

- Training for those Hainsworth calls “natural helpers” that struggling people tend to reach out to in the community before they are connected with mental health services 

- Building up specialized supports for groups with higher rates of suicide, including bereavement support, for example 

- Initiatives to reduce access to harmful substances through means like medication boxes to make the home a safer place 

The program, which Hainsworth calls a “tool” that enables mental health programming, is in development in Manitoba.  

“This is something that is being rolled out as we speak,” says Hainsworth. “We're looking at working with communities that maybe have identified some need and are ready to start taking some steps at creating a network to do some community assessments and action planning.” 

Hainsworth says the program also looks for ways it can amplify work that is already being done. In her view, everyone has a role in suicide prevention as a community.  

“As a community, as a society, as a province, we can all play a role in preventing suicide because there are so many factors that can influence people getting to that point,” she says. “I think that also gives us hope in that we can all contribute to making suicide preventable."

What options are there for struggling people? 

For those struggling with an immediate mental health crisis, Hainsworth offers the following suggestions for care: 

- The Mental Health and Addictions Program provides free walk-in counselling for people over the age of 16 throughout the region. In Winkler, the program is at Pathways (31 Main St) on Mondays from 9 a.m. to 3 p.m. 

- There is also a variety of emergency lines available to someone in crisis or someone supporting a loved one in crisis:  24-Hour Crisis Line  1-888-617-7715 Manitoba Suicide Line  1-877-435-7170 Klinic Crisis Line  1-888-322-3019 Manitoba Farm, Rural & Northern Support Services  1-866-367-3276 Sexual Assault Crisis Line  1-888-292-7565 Problem Gambling Help Line  1-800-463-1554 

- The Kids Help Phone (1-800-668-6868 or Kids Help Phone website) is also available for children to text or call. Hainsworth notes that those who use this resource do not need data or the internet to access it, but can text Connect to 68-6868 any time. 

For people who are not in acute distress but would benefit from help addressing mental health challenges, Hainsworth suggests the following courses of action: 

- Connect with a primary caregiver, whether that is a family doctor or nurse practitioner. For those who don’t have access, Hainsworth says a walk-in clinic is also an option. 

- For those with health insurance plans like Blue Cross, Hainsworth suggests reaching out directly to the insurance company for care. She says they usually have a toll-free number and can recommend solutions.  

- Counselling is also available for adults and adolescents without access to health insurance plans through the Community Mental Health program.  

- Hainsworth says that for anyone waiting on mental health services, visiting the Strongest Families Institute website or the BounceBack Manitoba program will yield practical tips for navigating anxiety and/or depression.   https://standingabovethecrowd.com/?p=14454


James Donaldson on Mental Health - Preventing suicide among women Veterans
VA offering programs and initiatives to save more lives

By Matthew Miller

Executive director, VA Suicide Prevention

You may not know the following facts, but it’s true that the suicide rate among women Veterans decreased between 2021 and 2022, and that it’s because VA suicide prevention programs are playing a part.

After climbing over the last two decades, the suicide rate among women Veterans decreased from 2021 to 2022, according to data from the 2024 National Veteran Suicide Prevention Annual Report.

The age-adjusted suicide rate (which gives us a more accurate way to compare Veteran and general U.S. population data) among women Veterans decreased by 24.1% between 2021 and 2022 (the latest year for which data is available). This decline tells us VA programs may be effectively reaching this group.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

Women Veterans: The latest data

The report reveals other notable improvements from 2021 to 2022, including:

- 12% decrease in the use of firearms in women Veteran suicide deaths.

- 30% decrease in firearm and suffocation suicide rates among women Veterans.

- 29.6% decrease in the age-adjusted suicide rate among women Veterans receiving care from the Veterans Health Administration (VHA).

Though we’re encouraged by these numbers, we will keep working to enhance our meaningful programs and resources for women Veterans.

VA efforts to support women Veterans

In addition to being the fastest-growing population in the Veteran community, women are the fastest-growing group of Veterans who use VA services. We continue to expand services so that women can receive trauma-sensitive, tailored care, particularly for those at increased risk for suicide.

Here are resources currently available:

- Women Veterans Program managers: These people are available at every VA medical center to ensure women receive tailored care and are connected to necessary services.

- Expanded mental health care access: A complete range of care, including telehealth and peer support, is available to address PTSD, depression, anxiety and substance use disorders.

- Military sexual trauma services: VA offers free services and resources to meet survivors where they are in their recovery.

- Whole Health approach: This type of treatment includes traditional care and therapies like yoga and meditation to manage stress and build resilience.

- Postpartum and perinatal mental health: These programs focus on health during and after pregnancy, addressing postpartum depression and related concerns.

- Reproductive mental health: VA offers treatments for reproductive mental health conditions.

- Research and data-driven interventions: Researchers constantly work to find ways to tailor suicide prevention treatments and programs.

- VA Women’s Health Research Network: This program ensures women Veterans’ health research is considered when creating new practices and policies.

- Center for Women Veterans: CWV advocates for access to VA benefits and services.

- VHA Assault and Harassment Prevention Office: This office oversees VA’s commitment to providing a safe, welcoming and professional environment for all employees, Veterans, volunteers and visitors. Harassment or sexual assault will not be tolerated at any VA facility.

- Women Veterans coordinators: Each Veterans Benefits Administration regional office has a coordinator who provides information, assistance and resources to women concerning VA benefits, non-VA resources and any additional benefits.

If you’re a Veteran in crisis or concerned about one, contact the Veterans Crisis Line to receive 24/7, confidential support. You don’t have to be enrolled in VA benefits or health care to connect. To reach responders, Dial 988 then Press 1, chat online at VeteransCrisisLine.net/Chat, or text 838255. 

You can get more information about the Veterans Crisis Line and can access VA’s suicide prevention resources.

A call to action

- Suicide is preventable.

- Everyone plays a role in suicide prevention.

- There is hope for people who have thoughts of suicide.

Experience tells us that when Veterans have access to the right support before a crisis happens, lives can be saved.

A commitment to women Veterans

As the women Veteran population has grown, it’s become a bigger focus for VA. We continue to create support systems and outreach programs to reduce suicides among women Veterans and improve their overall quality of life.

Through these efforts, VA is working to empower women Veterans to seek help and receive the care they’ve earned.

Learn how you can help prevent suicide at the Office of Suicide Prevention. https://standingabovethecrowd.com/?p=14133

Wednesday, June 25, 2025



James Donaldson on Mental Health - HHS Plans to Cut the National Suicide Hotline’s Program for LGBTQ Youth
In February, the program received an average of 2,100 contacts per day.

- Julia Lurie Senior Reporter

Health and Human Services Secretary Robert F. Kennedy Jr. attends a swearing in ceremony for Dr. Mehmet Oz as the Medicare and Medicaid Services Administrator in the Oval Office on Friday

The federal government plans to eliminate services for LGBTQ youth who call 988, the national suicide and crisis hotline, according to a Health and Human Services budget draft leaked last week. The budget, first reported by the Washington Post, would go into effect in October if approved by Congress.

Since the hotline’s launch in 2022, callers have been able to speak with counselors trained to work with specific at-risk populations, including LGBTQ youth, who are four times more likely to attempt suicide than their peers.

The service for LGBTQ youth has received 1.3 million calls, texts, or chats since 2022. In February, the program received an average of 2,100 contacts per day.

“Here we are cutting off the nation’s lifeline to those in crisis,” says Paolo del Vecchio, former director of the Substance Abuse and Mental Health Administration’s Office of Recovery. “Due to the discriminatory practices of the Trump administration, they’re pulling that life preserver away from thousands and thousands of people.”

Mental health experts say that trained counselors provide key cultural competency to LGBTQ youth, understanding the stress caused by recent political attacks, the importance of using appropriate pronouns, and the ways in which the youth often face lack of family support and harassment.

“I worry that LGBTQ young people will reach out to 988 and not receive a compassionate and welcoming voice on the other end—and that will only deepen their crisis.”

“I worry deeply that we will see more LGBTQ young people reach a crisis state and not have anyone there to help them through that,” says Janson Wu, director of advocacy and government affairs at the Trevor Project, a LGBTQ suicide prevention organization. “I worry that LGBTQ young people will reach out to 988 and not receive a compassionate and welcoming voice on the other end—and that will only deepen their crisis.”

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

The Trevor Project, one of the handful of organizations that make up the LGBTQ+ Youth Subnetwork, responds to about half of 988’s calls and texts from LGBTQ youth. This year, the subnetwork received an estimated $50 million in federal funding.

Trump’s first months in office have been particularly harrowing for transgender youth. The president has signed executive orders restricting access to gender-affirming care for young people, barring transgender people from serving in the military, and threatening to prosecute teachers who support nonbinary students.

Under the leadership of health secretary Robert F. Kennedy Jr., HHS has already cut about a quarter of its workforce. SAMHSA has been eliminated, and mental health initiatives have been consolidated with disparate programs in a newly-created Administration for a Healthy America. The leaked budget proposes further sweeping cuts to HHS, including a 40 percent budget cut to the National Institutes of Health; elimination of funding for Head Start, the early childhood education program for low-income families; and a 44 percent funding cut to the Centers for Disease Control, including all the agency’s chronic disease programs. https://standingabovethecrowd.com/?p=14452

Tuesday, June 24, 2025

James Donaldson on Mental Health - Why Are Kids Different at Home and at School?

James Donaldson on Mental Health - Why Are Kids Different at Home and at School?

Some hold it together at school, only to lose it at home. Others stress out in the classroom.


Boy in Classroom

Writer: Beth Arky


Clinical Experts: Stephanie A. Lee, PsyD , Jerry Bubrick, PhD


What You'll Learn


- Why do some children act out at school but not at home?
- Why are some kids better behaved at school than at home?
- What can parents do to help kids behave better and feel better?
- Quick Read
- Full Article
- Why do some kids do better at school?
- Suppressing symptoms at school
- Why do some kids do better at home?
- How to help kids
- Therapies that can help

Some children seem very different at home and at school. That can be confusing to parents and make you wonder if you’re doing something wrong.


Some kids with learning or behavior issues do great at school, where structure makes them feel secure. At home, though, they totally lose it. For other kids, the opposite is true. School triggers their symptoms because it is stressful for them. They seem like different kids at home, where they’re more relaxed.


There are also kids who work so hard to keep it together at school that they melt down the second they get home. That’s because parents may not be as strict and will love them no matter what. These kids include some with autism, OCD, anxiety or ADHD.


To understand what your child’s behavior might mean, the first thing to do is talk to the teacher and compare notes. This helps you both figure out what’s causing stress for the child and what’s causing the behavior. Then you can work on ways to help your child feel better, which helps with behavior.


For kids who do better at school, adding more routine and structure at home can help. If the change from school to home is hard, then downtime and a snack can help. It goes the other way too. If parents have routines that help kids at home, then sharing those with the teacher can help kids at school.


For kids who need more help with behavior, the best treatment is called cognitive behavioral therapy (CBT). CBT teaches kids how to manage their emotions when they get too big and strategies to control their behavior. And parents also get trained in how to help their kids.


It’s not unusual for kids to behave differently in different settings. For instance, you’d expect a child to act one way at a friend’s birthday party and another at her grandparents’ house. But the behavior of some kids — especially those with issues such as anxietylearning disabilitiesADHD and autism — can vary much more markedly, especially when they’re at home versus school. This discrepancy can leave parents puzzled, if not upset, and worried that they’re doing something wrong.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy



Click Here For More Information About James Donaldson



Take the case of Sam, now 15, who is gifted but also diagnosed with autism spectrum disorder, ADHD and learning challenges. His mother, Maratea Cantarella, who serves as executive director of Twice Exceptional Children’s Advocacy, recalls how challenges at school led to explosive behavior at home.


At school, between trying to please his teachers and interact with peers, “he was really working hard to keep himself in control,” Cantarella says. By the time he got home, “I felt often that he was just looking for a way to release all the built-up tension.” Release it he did, with 30-minute tantrums over homework or “really anything.” Afterward, when he was calm, she adds, “he would feel terrible shame and guilt.”


But for some kids, school is where their challenges are most visible. Chloe, 8, has selective mutism and social anxiety. Her mother, Kim Byman, says that at home, Chloe is a “fun, goofy, talkative, energetic girl.” But when she gets to school, she shuts down. She has never spoken to her teachers or classmates, though she participates in all areas that don’t require being verbal. She won’t ask to use the restroom; she waits until she gets home.


So why is it kids can perform so differently in different settings?


Why do some kids do better at school?


Some children may do a good job meeting expectations at school, but it’s such a struggle for them it will take its toll at home. Children with ADHDanxietyautism and learning disabilities “may be using a lot of their resources to follow directions or cope in the classroom,” says Stephanie Lee, PsyD, a clinical psychologist. Once all these kids get home, “it’s challenging for them to conjure up the same amount of resources to manage.”


Meanwhile, she adds, many kids, including those on the autism spectrum, benefit from the consistency, structure, predictability and routine that come with their school environment. This often cannot be mirrored at home “because that’s not how life works,” she says.


At school, rewards and consequences are likely to occur in a consistent way that may be more challenging for parents to set up at home. Also, social modeling in school can help kids fall into line, literally and figuratively. Finally, teachers have no time for dawdling: If a child doesn’t follow a direction on the first or second prompt, the teacher will likely have an immediate consequence, whereas parents might end up allowing their child to avoid or delay the next step because they spend a lot of time talking about it.


Suppressing symptoms at school


Jerry Bubrick, PhD, a clinical psychologist who treated many children with anxiety and OCD at the Child Mind Institute, notes that kids with some disorders, including anxiety and OCD, are very concerned about how people perceive them, especially when they get into the middle and high school years. So they really try to hide their symptoms. “Typically, we’ll see kids functioning at a higher level at school,” says Dr. Bubrick, “less symptomatic because they’re trying to maintain this social perception that they’re fine. And they tend to have a lot of embarrassment and shame around their symptoms.”


Another key reason kids do better at school: They feel safe to be “their worst selves” at home, secure in the knowledge that their parents will still love and support them.


“I think sometimes kids come home and it’s like when you take off your shoes and feel a sense of relief,” Dr. Bubrick explains. “Like, ‘OK, I can be myself now.’” For kids who have done a really good job of suppressing their symptoms at school, at home, where they feel there’s no one judging them, “there can be an explosion of symptoms.”


As one mom of a 10-year-old with OCD recalls, at school her daughter would rock herself or doodle on a sticky pad to resist her obsessive thoughts, even though she was in distress. “So she would bottle it up at school, and then basically come off the bus at home and just explode,” she says. “Physically and verbally, she was very upset.”


This, too, can leave parents confused. “It’s common for parents to say, ‘I go to the school and the teachers say, Johnny is so lovely in class and I don’t see him squirming. I don’t see any of these things that you’re talking about,’” Dr. Bubrick says. “And then the kid comes home from school and he’s really symptomatic and having a hard time controlling it.”


Why do some kids do better at home?


For most kids, academic and social demands at school are above and beyond what they typically face at home, notes Dr. Lee. That may trigger problem behaviors in some their families never see at home.


Kids with challenges like ADHD and anxiety often have a very low frustration tolerance; asking them to be patient or persistent at school can be a big stressor. “That can be incredibly challenging for kids,” Dr. Lee says, “so we might see a lot of acting out in those types of situations.”


Similarly, children with social anxiety who have worries about how they’re being perceived by others, or children who have anxieties relating to performance, might not have any problem behaviors at home. But when they get to school and have to do math or read a passage aloud, they might engage in some negative behaviors to avoid that. “Acting out in this particular situation might end up being functional for them,” Dr. Lee says, “because if they act a little silly, the teacher might scold them, but then they move on.’”


When it comes to autistic kids, they may be allowed very ritualized or self-directed behavior at home, such as screen time or Legos. When they get to school, not being allowed to do those things, or having to wait for activities they may have free access to at home, can be very challenging for them. This can also lead to disruptive behavior.


How to help kids


One of Dr. Lee’s major suggestions is encouraging collaboration and open communication between home and school as much as possible. “If there are strategies or techniques that the child is really benefiting from at home or in school, can they be shared and adapted to support that child in both environments?” she says.


For instance, she notes, if a child is helped by being able to see a visual schedule in school, can one be created for home? “Similarly,” she adds, “if we know that a child really benefits from when/then statements at home — meaning ‘when you do this, then this will happen’ — share that with the teacher.”


Dr. Lee says the best way to create a collaborative relationship with the school is to “make sure you praise the teacher and value the work they’re doing in addition to giving them information about your child.”


For kids whose problem behavior comes out at home, Dr. Lee recommends that they get a chance to decompress when they transition after school: “It’s absolutely OK to have less stringent demands during that period of time for your child if they need a break. That said, it’s important for them to understand that the rules of the household still need to be followed.”


Dr. Bubrick echoes that idea, saying it’s vital to note how well-nourished and well-rested the child is. Coming home starving, after struggling all day to keep it together, is a good recipe for an afternoon meltdown. He advises parents to get kids back on track by giving them a snack and having them rest, allowing them to regroup to get a healthy start for the evening.


Therapies that can help


The tool most experts recommend to help kids manage their behavior, whether at school or at home, is cognitive behavioral therapy, or CBT. CBT has been adapted for many different kinds of emotional and behavioral challenges; what these specialized therapies all have in common is that kids learn self-regulation skills, or how to handle powerful emotions in better ways than acting out impulsively.


When kids use CBT skills at school, they are able to function better without having to expend so much energy, Dr. Bubrick explains. So when they get home, there’s less stress and the possibility of an explosion of symptoms. “The more kids practice these skills,” he says, “the better they get at them.”


Dr. Bubrick notes that with CBT, parents are included from the beginning, to understand their child’s condition and see what things they’re doing that are, despite good intentions, contributing to the problem. “We teach parents the dos and don’ts on how to parent a child with anxiety disorder,” he says. He gives the example of a child with OCD who is afraid of germs. A parent doesn’t do the child any favors by opening doors for him. Instead, the child must learn skills that will help him deal with his anxieties and compulsions.


Dr. Lee says behavioral parent training, which includes components of CBT, is often what is needed to assist parents in determining what’s going on in either environment and the best way to support their child.


Boy in Classroom https://standingabovethecrowd.com/james-donaldson-on-mental-health-why-are-kids-different-at-home-and-at-school/