The Power of Being Present: How Meditation Can Transform Your Mental & Physical Health 

Meditation has been on the rise across social media and self-care centered media, for good reason. Studies have shown promising results for the mental health benefits of meditation, including reducing anxiety and mental stress levels. It should come as no surprise that many therapists incorporate meditation into their practices.

One popular form of therapy that has shown great success in reducing anxiety and depression symptoms, Dialectical Behavior Therapy (DBT), draws from Zen Buddhism and mindfulness, which both incorporate meditative practices. Keep reading to learn about the benefits of meditation and how to incorporate meditation into your mental healthcare and wellness routine.

 

Who can benefit from meditation?

You don’t have to be an expert or a guru to benefit from meditation. Along with the many benefits that meditation can bring you, it can be done by anyone, anywhere, at any time, for free! For those with anxiety disorders, such as Generalized Anxiety Disorder (GAD), meditation has been shown to be highly successful in improving symptoms, reducing anxiety and improving outcomes for those with this mental health disorder. 

A blog post titled “Mindfulness meditation may ease anxiety, mental stress”, which was published on Harvard Health Publishing, Harvard Medical School’s blog, shared that Johns Hopkins University researchers reviewed close to 19,000 studies on meditation, finding that mindfulness meditation can be highly beneficial in regards to psychological stresses such anxiety, depression and pain. To learn more about these studies, click here.  

The blog also shared similar findings from Dr. Elizabeth Hoge, who is a psychiatrist at the Center for Anxiety and Traumatic Stress Disorders at Massachusetts Hospital and an assistant professor of psychology at Harvard Medical School.

“If you have unproductive worries, you can train yourself to experience those thoughts completely differently,” says Dr. Hoge. “You might think ‘I’m late, I might lose my job if I don’t get there on time, and it will be a disaster!’ Mindfulness teaches you to recognize, ‘Oh, there’s that thought again. I’ve been here before. But it’s just that—a thought, and not a part of my core self.”

 

 

How can meditation benefit me?

Meditation can provide many benefits including physical, emotional and cognitive benefits.

An article by Headspace outlines the following 12 benefits of meditation:

  1. Reduced Stress
    • Mindfulness Meditation in particular has been shown to reduce the inflammation caused by stress. This reduction in inflammation can both lower stress levels and improve physical conditions caused by stress.
  2. Decreased Anxiety Levels
    • Since meditation can help lower stress levels, this results in reducing anxiety as well.
  3. Better Emotional Health
    • Meditation can lead to an improved outlook on life and improved self-image due to a decrease in negative thoughts.
  4. Enhanced Self-Awareness
    • Meditation teaches us to be present in our bodies and in our thoughts which can result in an enhanced understanding of ourselves. 
  5. Improved Attention Span
    • Since meditation is a focused practice, it can lead to an improved attention span. 
  6. May Reduce Age-Related Memory Loss
    • Studies have shown that meditation can actually improve performance on neuropsychological tests for those experiencing age-related memory loss.
  7. Increased Positivity & Kindness
    • Certain forms of meditation include a special focus on generating positive feelings both towards yourself and others. According to Healthline, “Through practice participants can better learn how to extend kindness and forgiveness eternally, first through friends, then acquaintances, and ultimately enemies.” 
  8. May Help Fight Addictions
    • When meditation is used as part of treatment for substance use disorders such as alcohol use disorders, it can help participants develop mental discipline which can help them fight dependencies and triggers. Meditation can also help control food cravings.  
  9. Improved Sleep
    • In one study on insomnia/sleep disorders, meditation was shown to help participants stay asleep longer and improved their insomnia severity. This is likely because meditation can help relax your body, release tension and help fight against racing thoughts by bringing you back to the present moment. 
  10. Reduced Physical Pain
    • Some research has shown that meditation can improve the feeling of physical pain, since perception of pain is connected to your state of mind. The stress reduction aspect of meditation can be particularly helpful in improving stress related disorders such as irritable bowel syndrome (IBS), post-traumatic stress disorder (PTSD) and fibromyalgia.
  11. Can Decrease Blood Pressure
    • Meditation can help control blood pressure by relaxing nerve signals which correlate with blood vessel tension, heart function and that can trigger the “flight or fight” response.
  12. Meditation is Accessible Anywhere!
    • Meditation is a super inclusive practice that requires no special equipment or space. Meditation can be practiced no matter what age you are, and there are virtually limited guided meditations that are available for little to no cost.

 

Different types of meditation

When it comes to meditation practices, it isn’t one-shoe-fits-all. Fortunately there are many different types of meditation out there to explore. 

5 Types of Meditation:

  1. Mindfulness Meditation
    • Mindfulness meditation is often incorporated into Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). The concept behind this type of meditation is rooted in mindfulness which is the practice of being fully present with yourself, your body, your thoughts and emotions in order to observe them without judgment. 
  2. Guided Meditation
    • In this form of meditation, a guide instructs you through relaxing certain muscles, controlling your breath, and visualizing mental images or concepts. This form of meditation can be especially helpful for those who are new to meditation.
  3. Loving-Kindness Meditation
    • Also known as metta meditation, in loving-kindness meditation you direct loving energy and wishes towards both yourself and others. This practice can help with self-acceptance, our connection with others, and help us let go of rage/anger and practice forgiveness. 
  4. Transcendental Meditation
    • Transcendental meditation involves silently repeating positive words or a personal mantra in order to ease the mind and relax. 
  5. Movement Meditation
    • During movement meditation, you will engage in a physical (but relaxing) activity involving repetition. Examples of movement meditation include yoga and tai chi.

If you’ve never meditated before, it may feel odd at first, which is why we encourage you to keep practicing to achieve full benefits. We also encourage you to try different types of meditation to find the type that fits best with you and your goals!

 

 

How can I practice meditation?

For self-guided meditation, free resources and guided meditations are available online, including on YouTube. Although Headspace, a guided meditation app, is a paid subscription service, free trials are available for new Headspace members. Headspace also has a Youtube channel with some free meditations. 

For those who would like additional support and guidance with meditation concepts, mindfulness, and other helpful practices, Valera Health offers multiple DBT Skills Groups for both adults and adolescents/teens. Many of our individual therapy providers also offer DBT and CBT therapy. 

Please note that our DBT Skills Groups are currently only available for those residing in the state of New York, but we will be expanding our therapy groups to other Valera Health states in the future—stay tuned!

If you’d like to schedule a free consultation with a Health Connector to join individual or group therapy through Valera Health, click here.

We Need to Talk About the Children’s Mental Health Crisis

Childhood is a time full of learning and reaching developmental milestones that shape who we will grow up to be. Oftentimes, childhood is seen by adults through rose colored glasses—marked by nostalgia and fond memories. But this isn’t always reality. 

Depending on many factors including one’s upbringing, social and educational experiences, genetics, health and more, childhood can be a tumultuous time full of change. 

We tend to think of things such as depression, anxiety and stress as adult-only issues, but these things can affect children’s mental health and development in a multitude of ways. 

That’s why we need to have candid discussions around children’s mental health and how we can support children who are struggling.

What Being Mentally Healthy Looks Like in Children

According to the Centers for Disease Control and Prevention (CDC), “Being mentally healthy during childhood means reaching developmental and emotional milestones and learning healthy social skills and how to cope when there are problems. Mentally healthy children have a positive quality of life and can function well at home, in school, and in their communities.”

Mental health plays a key role in the wellbeing of our children, and children who experience mental health issues and don’t get the help they need are more likely to experience additional difficulties down the road. 

“Mental disorders are chronic health conditions—conditions that last a long time and often don’t go away completely—that can continue through the lifespan,” says the CDC.

“Without early diagnosis and treatment, children with mental disorders can have problems at home, in school, and in forming friendships. Mental disorders can also interfere with a child’s healthy development, causing problems that can continue into adulthood.”

Even if a child doesn’t qualify for a diagnosable mental health disorder, that doesn’t necessarily mean they are doing okay when it comes to their mental health.

As explained by the CDC, “Children who don’t have a mental disorder might differ in how well they are doing, and children who have the same diagnosed mental disorder might differ in their strengths and weaknesses in how they are developing and coping, and in their quality of life. Mental health as a continuum and the identification of specific mental disorders are both ways to understand how well children are doing.”

Warning Signs of Mental Illness in Children

How can we know when our child is having mental health issues? While they might not yet have the vocabulary or understanding of mental health to be able to tell us they are struggling, there are many ways children show they are having a hard time through their behaviors.

Signs to look out for include:

  • Outbursts, tantrums or lashing out
  • Extreme anger, rage or irritability
  • Persistent sadness lasting two or more weeks
  • Hurting oneself or expressing a desire to hurt oneself
  • Fascination with death or suicide
  • Hitting or acting violently towards other children or adults
  • Drastic changes in mood or personality
  • Sleeping problems
  • Loss of weight or refusal to eat
  • Frequent stomach aches
  • Frequent headaches
  • Extreme shyness
  • Poor academic performance
  • Difficulty focusing
  • Avoiding or missing school 
  • Bullying others
  • Reporting being bullied
  • Being socially withdrawn or avoidant

Common Childhood Mental Health & Developmental Disorders Include:

  • Anxiety Disorders
  • Depression
  • Attention-Deficit/Hyperactivity Disorder (ADHD)
  • Autism Spectrum Disorder (ASD)
  • Eating Disorders
  • Post-traumatic Stress Disorder (PTSD)

The State of Children’s Mental Health By The Numbers

Oftentimes, anxiety and depression disorders are co-occurring, and various approaches to psychotherapy have been developed to treat them both. Among the most popular types of therapy for treating both anxiety disorders and depressive disorders are cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT), which are considered to be “gold standards” among psychologists. 

Mental health disorders and struggles have no minimum age requirement, and impact more children than you might think. It’s estimated that 20 million of youth in the U.S. could currently be diagnosed with a mental health disorder (American Psychological Association). 

According to 2023 numbers by Mental Health America (MHA), over 2.7 youth are currently experiencing severe major depression, with depression numbers found the highest in youth that are more than one race. In addition, 6.34% of youth were reported to have a substance use disorder, and 59.8% of youth with major depressive disorder (MDD) did not receive any mental health treatment this past year. 

The same report shows that states with higher access to mental healthcare for youth have the lowest prevalence of mental illness in children than those without. 

With mental health issues on the rise for America’s youth, providing proper resources and removing the stigma around children’s mental health plays a crucial role in combating the country’s mental health crisis.

How to Help if Your Child is Struggling

Many parents are hesitant to seek help for their children due to fear of being judged or labeled as “bad parents.” However, this couldn’t be further from the truth. Taking your child to a mental healthcare professional when they are struggling is no different from taking them to the doctor if they were sick with a bad fever or had a broken arm. Mental healthcare is the same as any other form of healthcare, and it shouldn’t be taboo. As parents and caregivers, it’s our responsibility to take care of our children when they are unwell

From psychiatry and medication management to therapy, Valera Health offers specialized mental healthcare services for youth ages 6+ through its Child and Adolescent Program (CAP). 

CAP is an inclusive, virtual mental health clinic rooted in evidence-based care for children and teens that also includes parental and familial support. 

As an expansion to our CAP program, we are happy to announce that we are now offering group therapy programs designed for teens that are based in cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT). Valera Health has also launched a Conscious Parenting Group to help parents and caregivers navigate with the challenges that come with raising children, while also providing them with a safe space to connect with other parents. 

Please note that currently these groups are only available to those who reside in the state of New York.

To learn more about individual therapy options for youth and parents, as well as our group therapy offerings, visit https://www.valerahealth.com/consult/ or click here.

Anxiety & Depression Are On The Rise—Here’s What You Need To Know

If you’ve been feeling anxious or depressed lately, you’re not alone. Depression and anxiety are on the rise in the U.S. According to the National Alliance on Mental Illness (NAMI), anxiety disorders and major depression are the most common mental health disorders in the country. Without treatment, outcomes for these disorders can only get worse.

 

Alarming Statistics

According to Mental Health America (MHA), over 50 million adult Americans, or 20.78%, were experiencing a mental illness in 2019-2020. Key findings of MHA’s 2023 The State of Mental Health in America report show that over 1 in 10 youth individuals experienced depression severe enough to significantly impair their ability to function at school, home, work or in their social life. Of those ages 12-17, 16.39% reported suffering from at least one major depression episode (MDE) in the past year, and over 2.7 million youth have experienced major depression.

Anxiety disorders are the most common disorders in the U.S., followed by major depressive disorder. According to statistics by the Anxiety & Depression Association of America (ADAA), 40 million adults, or 19.1% of the population, are affected by anxiety disorders every year. Anxiety disorders also affect 31.9% of adolescents ages 13-18. Research has shown that teenagers with untreated anxiety disorders are at a higher risk for performing poorly in school, missing out on important social experiences, or experiencing substance abuse, according to ADAA. Generalized anxiety disorder (GAD) is the most common anxiety disorder in the U.S. 

Unfortunately, an alarming number of people suffering with a mental illness do not receive mental healthcare treatment. Research conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA) shows that approximately 60% of adults with a mental illness didn’t receive mental health treatment in the year prior to the study. As much as half of youth ages 8-15 with mental health issues also went without treatment the year prior. Mental healthcare treatment was also inequitable—in the time frame the research was conducted—Black and Hispanic Americans received mental healthcare services at close to half the rate of white Americans and Asian Americans received mental healthcare services at about ⅓ of the same rate as white Americans. 

Fortunately, a rise in remote treatment options, such as Valera Health’s telemental health services, are helping to fill in the gaps care.

 

Popular Forms of Treatment For Depression & Anxiety

Oftentimes, anxiety and depression disorders are co-occurring, and various approaches to psychotherapy have been developed to treat them both. Among the most popular types of therapy for treating both anxiety disorders and depressive disorders are cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT), which are considered to be “gold standards” among psychologists. 

CBT has been shown to be an effective treatment for treating both anxiety and depression symptoms, with a success rate between 50-75%. In CBT, a patient works with a therapist in a structured setting. The main goal of CBT is to help individuals become aware of negative thought patterns and equip them with the tools to challenge and overcome these negative thought patterns, reframing them in a positive and helpful way.

Another bonus is that CBT is a short-term therapy, which can take as few as six sessions to complete. However, the suggested duration of treatment can vary on an individual basis. For more information about the benefits of CBT, check out this article by the Mayo Clinic. 

While DBT is rooted in CBT practices, there are a few key differences between the two. Both focus on equipping individuals with tools they need to improve outcomes of depressive disorders and anxiety disorders. One difference between DBT and CBT, however, is the philosophy behind each.

CBT is a more problem-focused approach to therapy, with the aim to change negative thought patterns and behaviors that contribute to mental health symptoms. DBT, on the other hand, takes the approach of emphasizing the importance of accepting and validating emotions and can improve stress tolerance, emotional regulation and more. DBT also incorporates mindfulness and grounding practices.

Unlike CBT, DBT requires a longer duration of treatment. Typically, patients undergoing DBT are recommended to spend six months to a year in this type of treatment. Like CBT, DBT has a high success rate in treating both depressive symptoms and anxiety symptoms. 

DBT has also been shown to be highly effective in treating Borderline Personality Disorder (BPD), with one study showing improved BPD outcomes so much that after a full cycle of DBT treatment, 77% of study participants no longer met the criteria for a BPD diagnosis. 

While CBT and DBT do not necessarily cure anxiety disorders and depressive disorders, they have a proven track record of improving anxiety symptoms and symptoms of depression, as well as improving outcomes for a wide variety of other mental health disorders. 

If you’re interested in learning more about warning signs of clinical depression, click here, and warning signs of anxiety, click here.

 

 

Valera Health Can Help

If you are interested in joining Valera Health’s Conscious Parenting Group, please fill out this quick form to schedule a free consultation with a designated Health Connector. Make sure to select “group therapy” under the “What brings you to therapy today?” section. Please note that at this current time, our virtual Conscious Parenting Group is only available to those in New York. Stay tuned for more group therapy offerings from Valera Health in the future.

 

 

 

 

 

Works Referenced:

Berge, J. M., Law, D. D., Johnson, J., & Wells, M. G. (2010). Effectiveness of a psychoeducational parenting group on child, parent, and family behavior: a pilot study in a family practice clinic with an underserved population. Families, Systems, & Health, 28(3), 224.

Friedrich, M. (2020, December 2). Census Bureau Releases New Estimates on America’s Families and Living Arrangements. census.gov. Retrieved April 18, 2023, from https://www.census.gov/newsroom/press-releases/2020/estimates-families-living-arrangements.html#:~:text=2%2C%202020%20%E2%80%94%20Newly%20released%20estimates,2010%20to%2063.1%20million%20in 

Izadi-Mazidi, M., Riahi, F., & Khajeddin, N. (2015). Effect of cognitive behavior group therapy on parenting stress in mothers of children with autism. Iranian journal of psychiatry and behavioral sciences, 9(3).

Minjarez, Mendy Boettcher, et al. “Impact of pivotal response training group therapy on stress and empowerment in parents of children with autism.” Journal of Positive Behavior Interventions 15.2 (2013): 71-78.

How Nature Can Improve Your Mental Health & Wellbeing

 

After a long, cold winter, spring has finally sprung! Now’s the time to seize the outdoors while the weather allows for it. Not only does nature offer fresh air and stunning scenery, but it also hosts a wide range of benefits for our physical, cognitive and mental health. Read on for ideas that will help you enjoy the great outdoors while reaping the benefits of what Mother Earth has to offer.

How are nature & mental health connected? 

According to the Mental Health Foundation, “Nature can generate many many positive emotions, such as calmness, joy, and creativity and can facilitate concentration. Nature connectedness is also associated with lower levels of poor mental health, particularly lower depression and anxiety.”

Numerous studies have shown this to be true. The reverse is also known to be true—not getting enough time outside can have a negative impact on mental health.

While not recognized as an official medical condition or psychological disorder in any medical manuals such as the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), there is a concept known as “Nature Deficit Disorder” (NDD). Nature Deficit Disorder was first introduced by author and co-founder of Children & Nature Network, Richard Louv, in his book Last Child in the Woods: Saving Our Children from Nature Deficit Disorder

“I coined the phrase to serve as a description of the human costs of alienation from nature and it is not meant to be a medical diagnosis (although perhaps it should be), but as a way to talk about an urgent problem that many of us knew was growing, but had no language to describe it,” the author explains in a blog post about NDD. 

He goes on to say, “Since 2005, the number of studies of the impact of nature experience on human development has grown from a handful to nearly one thousand. This expanding body of scientific evidence suggests that nature-deficit disorder contributes to a diminished use of the senses, attention difficulties, conditions of obesity, and higher rates of emotional and physical illnesses. Research also suggests that the nature-deficit weakens ecological literacy and stewardship of the natural world. These problems are linked more broadly to what health care experts call the ‘epidemic of inactivity’ and to a devaluing of independent play. Nonetheless, we believe that society’s nature-deficit disorder can be reversed.”

Mental health benefits of being in nature include:

  • Improved mood
  • Improved cognitive functioning
  • Increased feelings of well-being
  • Decreased anxiety

Final Thoughts

Even spending just half an hour per day outside can do wonders for our mental health. If you have limited exposure to outdoor spaces or vitamin D, vitamin D light therapy through a vitamin D can help. Vitamin D lamps can also help with seasonal affective disorder (SAD). 

For more mental health tips, check out this blog post by Valera Health. If you’re interested in Valera Health’s services—including individual therapy, group therapy, psychiatry and medication management—sign up using this quick form to get connected with a designated Health Connector for a free consultation.

What You Need to Know About Alcohol Use Disorder

By Grace Hickman, Laurie Engel and Taylor Transtrum

We often get mixed messages about alcohol. Advertisements, media depictions, and social practices normalize alcohol and make it look cool. Yet, despite the risks associated with alcohol use, alcohol is the most readily available substance out there, and the most socially acceptable substance to consume. Although alcohol consumption is so normalized, those with an alcohol use disorder are heavily stigmatized.

At Valera Health, we aim to take away the barriers that prevent people with an alcohol use disorder from getting help, while providing individualized care. Read on for signs you may have an alcohol use disorder, and ways Valera Health can help you.

For those who want to begin the healing process, group therapy is an excellent avenue on the road to recovery. Read on to learn more about what trauma group therapy is, its benefits, and how to join a trauma therapy group at Valera Health.

 
 

How Do I Know if I Have Issues Around Drinking?

Contradictory messages about alcohol use and alcohol use disorder can leave people unsure whether they have issues with alcohol use and if they should get help. While every person is different, if you identify with the bullet points below, we encourage you to consider seeking help.

Signs of Alcohol Use Disorder (AUD):

  • You drink more than you mean to
  • You want to stop drinking, but you can’t
  • You’ve tried to stop drinking, but weren’t able to stop
  • Drinking is taking over your life
  • When you’re not drinking, you’re thinking about drinking
  • Your drinking is getting in the way of your day-to-day activities
  • Drinking is getting in the way of your relationships
  • Drinking is getting in the way of work
  • You find yourself doing risky things while drinking that you wouldn’t otherwise do when sober
  • You know alcohol is bad for you, but you continue drinking anyway
  • You need to drink more than you used to 
  • You experience withdrawal symptoms when you stop drinking

 

How Alcohol Can Affect Mental Health

Not only can alcohol use disorder cause physical issues, but it can put you at risk for severe mental health issues as well.

Excessive drinking has been shown to cause the following mental health issues:

  • Depression: Alcohol can cause depression due to the chemical changes that occur in the brain when alcohol is consumed. Long-term alcohol abuse can lead to changing chemicals in the brain, which can cause feelings of sadness, hopelessness, and worthlessness.
  • Anxiety: Alcohol can cause anxiety due to withdrawal symptoms that occur when an individual stops drinking. Individuals who are dependent on alcohol may experience panic attacks, trembling, and sweating when they attempt to quit drinking.
  • Psychosis: While psychosis is often associated with other drugs, alcohol can cause psychosis as well. Psychosis, a mental health symptom characterized by losing touch with reality, can cause hallucinations, delusions and disordered thinking.
  • Suicide: Alcohol can cause depression, hopelessness, and despair, which can lead to suicidal thoughts and actions.

Mental health disorders can also result in alcohol use disorder as those suffering from these disorders tend to turn to alcohol as an unhealthy coping mechanism. Whether your alcohol use disorder is causing mental health issues, or preexisting mental health conditions are why you turn to alcohol, therapy can help you replace your alcohol use with healthy coping mechanisms.

 

 

Valera Health Can Help

At Valera Health, we have a specialized program to help patients who are dealing with co-occurring substance abuse disorders, such as alcohol use disorder, and other mental health disorders. 

Valera Health’s Co-Occurring Disorders Program offers a combination of individual and group therapy, using interventions including Cognitive-Behavioral Therapy (CBT), and Motivational Interviewing.  Motivational interviewing helps people overcome their fears or uncertainty, encouraging patients’ goal to get sober and begin their journey to recovery.

Please note, while our Co-Occurring Disorders Program tackles mental health and substance use disorders, it is not a substitute for detoxing off of alcohol or other substances.

 

Therapeutic Techniques Used to Treat Substance Abuse & Addiction

Group therapy has shown to be particularly effective in addressing problematic substance use. In a study on women with substance use disorders, researchers found that involvement not only improved outcomes immediately, but also six months after group therapy (Greenfield et al., 2014). 

In addition to group therapy, motivational interviewing techniques have also been shown to be effective when addressing alcohol use disorder. In a study of individuals at a substance abuse treatment program, those who engaged in motivational interviewing therapy had less drinks and more days abstinent from drinking (Bein et al., 1993). Valera Health is pleased to offer a Motivational Interviewing Group as part of our Co-occurring Disorders Program, exclusively for patients experiencing substance use issues. In this group, clients will develop hope, confidence, and strengthen commitment. 

Cognitive Behavioral Therapy (CBT), often referred to as the gold standard of therapy, has been shown to be effective in helping people with issues around substance use. CBT can help people struggling with alcohol addiction by teaching them to identify and monitor self-destructive thoughts and behaviors. Additionally, CBT can teach individuals to replace problematic thoughts and behaviors with more adaptive ways of thinking and skills for handling stress and difficulties. For example, in a study that examined the effectiveness of CBT among people experiencing substance abuse issues, 60% of participants remained sober for at least a year after the completion of therapy (Rawson et al., 2002).

 

 

How Do I Sign-Up for Therapy Through Valera Health?

At Valera Health we are invested in your recovery, and we have the resources to help you become the person you want to be. If you are interested in Valera Health’s services, please fill out this form to schedule a free consultation with a designated Health Connector. 

Please note that at this current time, our virtual Co-Occurring Disorder Group is only available for established Valera Health patients who are located in New York. Stay tuned for more group therapy offerings from Valera Health in the future.

 

 

 

 

Works Referenced:

Bein, T., Miller, W., & Boroughs, J. (1993). Motivational Interviewing with Alcohol Outpatients. Behavioural and Cognitive Psychotherapy, 21(4), 347-356. doi:10.1017/S135246580001167X

Greenfield, S. F., Sugarman, D. E., Freid, C. M., Bailey, G. L., Crisafulli, M. A., Kaufman, J. S., … & Fitzmaurice, G. M. (2014). Group therapy for women with substance use disorders: Results from the Women’s Recovery Group Study. Drug and Alcohol Dependence, 142, 245-253.

Rawson RA, Huber A, McCann M, et al. A comparison of contingency management and cognitive-behavioral approaches during methadone maintenance treatment for cocaine dependence. Arch Gen Psychiatry. 2002;59(9):817-824. doi:10.1001/archpsyc.59.9.817

10 telltale signs that your drug use has gotten out of Control. Northpoint Washington. (2017, September 24). Retrieved March 29, 2023, from https://www.northpointwashington.com/blog/10-telltale-signs-drug-use-gotten-control/ 

What is Alcohol Awareness Month? Alcohol.org. (2023, January 19). Retrieved March 29, 2023, from https://alcohol.org/awareness-month/

 

The Impact of Sleep on Mental Health

Getting a good night of quality sleep is essential for not only our physical well being, but our mental wellbeing as well. 

An article by Helpline shares that sleep deprivation can lead to a host of problems including memory issues; trouble with thinking, focus and concentration; an increased risk for accidents; negative mood changes; a weakened immune system; high blood pressure; low-sex drive; weight gain; increased risk of heart disease; poor balance/coordination; and an increased risk for developing diabetes. Yikes. 

Fortunately, there are many ways to prevent these issues and get better sleep. Read on to learn more about the brain and body connection between sleep and mental health—and how to improve both.

 

 

The Link Between Sleep & Pre-Existing Mental Health Disorders

According to the Sleep Foundation, research shows that there is a close connection between sleep and mental health. 

The article goes on to say, “Each stage [of sleep] plays a role in brain health, allowing activity in different parts of the brain to ramp up or down and enabling better thinking, learning, and memory. Research has also uncovered that brain activity during sleep has profound effects on emotional and mental health.”

Those with pre-existing mental health disorders are more likely to be impacted by poor sleep quality and not getting enough sleep in the first place, than those who are neurotypical (a.k.a. people who don’t have behavioral or mental health conditions, or those with developmental disabilities). A strong link has been shown between sleep and different mental health disorders and developmental disorders including depression, seasonal affective disorder (SAD), anxiety disorder, PTSD, bipolar disorder(s), schizophrenia, autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD). Around 75% of people with a depressive disorder (such as major depression), for example, show symptoms of insomnia.

While poor sleep can worsen symptoms of these mental health disorders, the opposite is also true—these mental illnesses themselves can also cause poor sleep. 

“There is evidence of a bidirectional relationship between sleep and ADHD,” according to the Sleep Foundation. “In addition to being a consequence of ADHD, sleep problems may aggravate symptoms like reduced attention span or behavior problems.”

 

 

Benefits of Getting Good Sleep

Just as poor sleep can worsen mental health, good sleep can improve overall mental health. The benefits for our mental health of getting quality sleep are numerous. A good sleep routine will help lead to high-quality sleep, resulting in reduced stress levels, improved mood, more energy, less anxiety, improved focus and memory.

So what is good sleep? Well, “good sleep” isn’t just the amount of sleep you’re getting, but the quality of your sleep as well. Optimal sleep entails getting enough of both REM and non-REM sleep cycles. 

What is REM? This acronym stands for rapid eye movement sleep. During this stage of sleep, eyes move around rapidly in a range of directions without sending visual cues to the brain. REM sleep usually kicks in about 90 minutes after you’ve fallen asleep, with multiple periods of REM sleep occurring throughout the night, each one longer than the last. REM sleep is crucial for dreaming, deep sleep, and brain activity during the sleep cycle.

Non-REM sleep, on the other hand, is needed for REM sleep to take place. In the final stage of non-REM sleep, your body regrows and repairs tissues, builds bones and muscles and strengthens the immune systems.

Think of REM sleep and non-REM sleep as two halves of a whole: They go hand in hand to help your brain and your body function properly. 

It’s a balancing act getting just enough of both REM and non-REM sleep. Hence why getting enough sleep—but not too much sleep—is the goal. Because of this, doctors generally recommend getting 7-9 hours of sleep per night. 

For more information about what happens during these different sleep cycles, check out this article by WebMD. 

 

 

Tips for Better Sleep

Good news—there are plenty of scientifically backed ways to improve your quality of sleep.

Here are Our Tips for Improving Your Sleep:

  1. Go to bed and wake up at the same time each day and night—even on the weekends. It may take some time, but this will help your body set its own internalized clock, resulting in more restful sleep and more energy in the morning.
  2. Avoid screens at least an hour before bedtime. This is because the blue light emitted by screens can interfere with the body’s natural circadian rhythm making it harder to fall asleep.
  3. Be mindful about the media you consume before bedtime—negative content (such as watching a distressing movie or the news) before bedtime can result in bad dreams and interrupted sleep.
  4. Create a relaxing bedtime routine that you do every night. Over time, this will create a signal for your brain and body that it’s time to sleep. Reading a book, drinking a cup of non-caffeinated tea, taking a bath, or practicing mindfulness meditation are great places to start.
  5. Create a comfortable sleeping environment by getting a comfy bed and pillow set-up, and sleeping in a quiet, cool and dark environment. A sleeping mask, ear plugs or a white noise machine can also be used to achieve an ideal bedtime state.
  6. Exercise regularly. Exercise helps improve sleep quality and promotes restfulness. However, avoid working out close to bedtime as it can trigger your brain and body to be active.
  7. Limit caffeine and alcohol consumption, especially in the couple of hours before going to bed.

 

If you need more help with your mental health, therapy is a great place to start. To learn more about Valera Health’s virtual therapy services and more, request a free consultation with a designated Health Connector or visit valerahealth.com.

 

This Valentine’s Day, Write a Love Letter to Yourself

Valentine’s Day is best known for being a romantic holiday—but you don’t need a romantic partner to celebrate, because love comes in all forms! That’s why this Valentine’s Day, we’re putting the focus on self-love. What is self-love? It’s much more than a buzzword—in fact, self-love can lead to a better life and more fulfilling mental state. 

A blog post by PsychCentral puts it this way, “Self-love means that you accept yourself fully, treat yourself with kindness and respect, and nurture your growth and wellbeing.Self-love encompasses not only how you treat yourself but also your thoughts and feelings about yourself.”

One facet of self-love is saying positive things about yourself. Regardless of your relationship status, this Valentine’s Day we challenge you to exercise this important practice of self-love by expressing your gratitude for yourself by writing a love letter to yourself.

 

How to Write a Love Letter to Yourself

Start with the following prompt:

“Dear [insert your name here],

I’m wishing you a very happy Valentine’s Day! I’m a wonderful person, worth being grateful for. 

Here are 10 things I love about myself:

  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…

Love,

[insert your name here]”

Be sure to write 10 or more things you love about yourself. Take time to really think these through—especially if you’ve had a hard time feeling confident lately. These can be either things about your personality and strengths, or physical attributes, but we’ve personally found including a combination of the two helps for a holistic self-love fest. 

Sometimes we are much more judgemental about ourselves than we would ever be about a stranger or a friend. Think about writing this letter to yourself as if you were your best friend or your secret admirer. 

To make your love letter extra special, buy a pretty Valentine’s Day card to write it on or bust out a fancy piece of stationery paper. Although you can type up your letter if you prefer, we recommend handwriting it with your favorite pen to make it extra special. Don’t forget to seal it in an envelope and write your name on it! Then on Valentine’s Day, open up the envelope and soak up the self-love.

 

Other Ways to Practice Self-Love This Valentine’s Day

In addition to writing a love letter for yourself, there are plenty of other ways to celebrate you this Valentine’s Day.

Here are a few ideas:

  • Buy yourself a fresh bouquet of red roses or your favorite flowers
  • Munch on some Valentine’s Day candy—there’s something special about those heart shaped boxes of chocolate!
  • Take yourself out on a date—head to your favorite restaurant, cook yourself a nice meal, or head to the movie theater to watch that new film you’ve been wanting to see! 
  • Take a long bath with scented bath bombs and candles
  • Get a massage
  • Buy yourself a Valentine’s Day gift
  • Do whatever your favorite thing is—today is your day!

Check out our blog post all about the long-term benefits of self-care for more ideas. 

 

How Therapy Can Help You Practice Self-Love

Still struggling with self-love? Therapy can help us to better understand and appreciate ourselves. Cognitive Behavioral Therapy (CBT), for example, has been shown to be one of the most effective forms of therapy for improving low self-esteem. At Valera Health, our therapists are highly experienced in CBT as well as many other forms of therapy. To learn more, request a free consultation with a designated health connector or visit valerahealth.com.

 

How Grief Group Therapy Can Help You Heal

No matter what it is you’re going through, if you’re in need of support and guidance, group therapy can be a wonderful option in conjunction with individual therapy, or on its own. This is why the clinical team at Valera Health is excited to announce and expand our group therapy options, starting with a virtual Grief Support Group* in New York. If you’re interested in learning more or signing-up, fill out this form to get started. 

Read on to learn more about how group therapy works, its benefits and some warning signs you may be experiencing complicated grief.

What is Group Therapy?

Group therapy is a form of psychotherapy (a.k.a. “talk therapy”) in which multiple patients are treated at once by one or more mental healthcare providers. While it can be an effective treatment for a wide array of things, group therapy is most commonly used to treat conditions such as trauma/PTSD, anxiety, depression and substance use disorders. 

As opposed to more traditional psychotherapy with one provider seeing one patient at a time, group therapy can create a sense of community for patients. Other benefits of group therapy can include—but are not limited to—growing your support system, improving your self-expression skills (such as learning how to talk openly about your emotions), finding others going through similar issues to relate to, learning from others, and learning you are not alone in whatever you are going through.  

Grief Support Group

Valera Health is excited to now offer a Grief Support Group. By joining a group of peers who have also lost a significant person in their lives, you can receive and give support during the healing processes. 

Some of the several benefits of joining a grief support group include:

  • Hope

In a group setting, the experience of loss is shared. Meeting with and talking to others who have experienced a similar loss shows that it is possible to feel a sense of joy again. For those who are further along in their healing process, sharing reassurance and encouragement can provide affirmation to themselves and further convey group as a helpful resource.

  • Support

Experiencing grief can feel extremely isolating, especially when those around you seem to be ‘getting on with their lives.’ Hearing the affirming statements of ‘We’ve been there’ or ‘We understand you’ is extremely powerful.

  • Learning from Different Perspectives

Every single person grieves differently. By listening to others you may come to various different perspectives and different levels of understanding of your own healing process. 

  • Finding Your Sense of Purpose

Giving back to others can help people feel a sense of purpose and meaning. At times, it may be difficult to fully realize how far along you are in your grief journey until you are able to guide and support someone else.

  • Acceptance

As humans we have an innate need to belong. Research has shown that a sense of belonging can contribute to our overall happiness. With loss, we can sometimes feel alone or left out, and different from others. Finding a group that understands and accepts you can be critical to your healing process.

Signs & Symptoms of Complicated Grief

During the first few months after a loss, many signs and symptoms of normal grief can look the same as those of complicated grief. Complicated grief is defined by a prolonged heightened state of mourning that can keep you from healing. With time, normal grief symptoms start to fade while symptoms of complicated grief linger and can get worse. But with grief support group therapy, symptoms of complicated grief can improve significantly. 

Here are some warning signs of complicated grief:

  • Intense sorrow and rumination
  • Problems accepting the death
  • Bitterness about your loss
  • Lack of trust in others
  • Inability to enjoy life or think back on positive experiences with your loved one
  • Numbness or detachment
  • Having trouble carrying out normal routines
  • Isolation from others
  • Self-blame or guilt

To learn more about complicated grief, click here

(source: Generations Senior Living)

How To Sign-Up For Valera Health’s Grief Support Group

If you’re interested in signing up for Valera Health’s virtual Grief Support Group, or would like to learn more, please fill out this quick form to schedule a consultation with a designated Health Connector. Make sure to select “group therapy” under the “What brings you to therapy today?” section. Please note that at this current time, our virtual Grief Support Group* is only available to those in New York. Stay tuned for more group therapy offerings from Valera Health in the future. 

*VH’s Grief Support Group is only offered in New York at this time.

*HealthFirst patients are ineligible for insurance coverage at this time.

The Difference Between Therapy & Psychiatry

As mental health professionals, therapists and psychiatrists have the same goal—to treat and manage their patients mental health symptoms and struggles so they can live a happy, healthy and fulfilling life. However, they play different roles to treat mental health disorders and symptoms.

What is a Therapist?

Therapists are licensed mental health professionals who use talk therapy to treat their patients symptoms and help them develop useful skills such as healthy coping strategies, communications skills and more. Therapists specialize in treating mental, emotional and behavioral disorders. They also help those without a diagnosable mental illness with interpersonal conflict, internal conflict and more. 

Not all therapists use the same approach, since several forms of talk therapy have been developed to treat a wide array of mental health disorders and symptoms. Therapists can even offer specialized care depending on their training and experience—for example, some therapists are experienced in LGBTQIA+/gender affirmative therapy, while others may specialize in eye movement desensitization and reprocessing (EMDR), which is used to treat post traumatic stress disorder (PTSD). In addition to using talk therapy to help their patients manage symptoms, licensed therapists are also able to diagnose different mental health disorders. However, unlike psychiatrists, therapists are not able to prescribe medication. 

Examples of Different Types of Talk Therapy:

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Psychodynamic Therapy
  • Humanistic Therapy
  • Eye Movement Desensitization & Reprocessing (EMDR)
  • Interpersonal Therapy (IBT)
  • Group Therapy
  • Couples Counseling
  • Family Therapy

 

 

What is a Psychiatrist?

Psychiatrists are mental health professionals who go to medical school to learn the field of psychiatry. As part of their professional training, they study how to treat mental health disorders as defined by the DSM-5. DSM-5 stands for The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, which is the most up-to-date version of Diagnostic and Statistical Manual of Mental Disorders—a standard tool in psychology, psychotherapy and psychiatry used to diagnose and treat mental health disorders. 

Rather than treating mental health disorders through talk therapy, psychiatrists use medication to treat and manage their patients mental health conditions. While some psychiatrists also have the credentials to conduct psychotherapy (a.k.a “talk therapy”), therapist and psychiatrist are not interchangeable terms.

Services that Psychiatrists Provide:

  • Diagnosing mental, emotional and behavioral disorders
  • Prescribing medication to treat mental, emotional and behavioral disorders
  • Monitoring patient’s symptoms, success of prescribed medications, and monitoring side effects
  • Provide medication management such as medication changes or dosage adjustments through follow-up visits

 

Aside from using medication to treat mental health disorders, some psychiatrists are able to recommend and even provide alternative therapies for certain conditions when appropriate. 

This can include the following:

  • Electroconvulsive therapy (ECT)
  • Transcranial magnetic stimulation (TMS)
  • Light therapy for Seasonal Affective Disorder (SAD)
  • Ketamine infusions for treatment resistant psychological conditions, such as treatment resistant depression (depression that is unable to be managed through the use of antidepressants)
  • Vagus nerve stimulation (VNS)
  • Deep brain stimulation (DBS)

 

 

Getting Help

No matter what you are going through, seeing a therapist or a psychiatrist can help. 

In fact, studies have shown that seeing both a psychiatrist and therapist at the same time can result in a higher success rate when it comes to treating mental illness and mental illness symptoms. If you’re interested in therapy, psychiatry, or both, Valera Health can help. We offer virtual therapy, psychiatry and medication management services for our patients. To learn more about our services and to schedule a free consultation, visit www.valerahealth.com or click here.

How to Prepare for Your First Virtual Therapy Appointment

At Valera Health, we understand that getting started with virtual therapy can feel scary—especially if you’ve never done therapy before. But our therapists and dedicated telemental healthcare team are here to help you each step of the way. 

Making the most out of each therapy session plays a key role in your healing process, which is why we’ve put together this guide all about what you need to know and do to have a successful online therapy journey. Read on to learn more.

 

What To Do Before Your First Session

Before you meet with your therapist for your first scheduled session, there’s a few things you’ll want to take care of. First, you’ll want to submit all required paperwork, which will likely include consent forms and submitting your insurance information. 

To make the most of your first session, we also recommend providing information to your therapist about your medical history. This may include sharing any previous mental health diagnoses, as well as any psychiatric medications you are currently taking. 

To prevent technical difficulties during your first session, make sure you have reliable internet as well as test your camera and microphone in advance. Whether you’ll be meeting with your therapist on your phone, computer or tablet, make sure to sit down and fire up your device at least five to ten minutes before your session. 

Being in a comfortable, quiet environment for your therapy appointment will help you have a successful and rewarding session with your therapist. This means meeting with your therapist at home, not in public. Have a notepad and pen within arms reach during the session so you can jot down notes or questions for your therapist. 

To avoid interruptions, let your roommates/household members know what time and day you have your appointment in advance. If you have thin walls, consider investing in a white noise sound machine so others can’t overhear you during your session.

 

Questions to Ask Your Therapist

If this is your first time in therapy, you might be unsure what to expect. That’s why it’s a great idea to come up with a list of questions for your therapist before your first appointment. This will not only help you get to know your therapist better, but also help you understand the therapeutic process better.

Here are some ideas of questions to ask to get you started:

  1. How would you describe your approach as a therapist?
  2. What is your experience with treating my condition?
  3. What type of therapy do you recommend for my condition? Can you tell me more about how this type of therapy works?
  4. How long will therapy last?
  5. Will you take a more directive, or less directive role in our sessions?
  6. What is your availability like if I need to talk to you or ask questions outside of scheduled therapy sessions?
  7. How do you prefer to be communicated with outside of therapy sessions?
  8. How do you handle emergencies? What’s the best way for me to reach out to you if I have an emergency?

 

Treatment Goals

Your first therapy session will be centered around the intake process, which is the foundation to developing a treatment plan with your therapist. However, it may take you a couple of sessions to develop a full treatment plan with your therapist.

While your therapist will work with you to come up with a solid treatment plan, it can be helpful to think about your treatment goals before your first session. Ask yourself “What is driving me to therapy in the first place?” Reflect on any distressing thoughts or feelings, or other symptoms you’ve been experiencing lately, such as feelings of sadness, increased anxiety, trouble sleeping, trouble concentrating, etc. Think about what areas of your life you want to improve.  Write down the answers in a journal so you can have notes ready to discuss with your provider. Be as thorough as possible when discussing this with your therapist. From there, they will help you come up with actionable steps you can take inside and outside of therapy to achieve your goals. 

 

Additional Tips

  • Relax before therapy and take time for self-care
    • While the thought of starting therapy can be nerve racking, your therapist is there to help you. Carve out time to unwind and tend to your needs before and after each therapy session.
  • Ask clarifying questions if you’re confused about anything your therapist says.
    • Therapy is a learning process and your therapist is here to help you learn.
  • Therapy is an ongoing process, inside and outside of each session. 
    • It’s important for your growth and healing to practice what you learn in therapy outside of your regular therapy sessions. 
    • To make the most of your experience, do any recommended exercises your therapist gives you in between sessions.
    • Take note of how you’re feeling each day by journaling.
      • Write down stressors and things that come up between each session to discuss with your therapist. 

Ready to get started? Our diverse team of compassionate therapists are highly trained in providing virtual therapy services to treat a wide-array of symptoms and mental illnesses, including depression, anxiety and Serious Mental Illnesses (SMI) such as bipolar I & II, personality disorders, schizophrenia and more. 

To learn more, request a free consultation with a designated health connector or visit valerahealth.com.