-
“Waking Up” After 20 Years of Depression
The Feeling of Losing Hope For two decades, daily life made me feel like I was moving through deep sand. Getting out of bed felt impossible, and even walking to the kitchen to do simple tasks like refilling my water bottle felt like a marathon. I dreaded waking up each morning, knowing I would...
-
Beyond the Offence: Trauma, Borderline Personality Traits, and Female Offending
Women involved in the criminal justice system often present with complex and overlapping psychological, social, and developmental needs. Histories of childhood adversity and victimization are common in justice-involved populations, and research has linked cumulative adverse childhood experiences...
-
When Decline Looks Like Competence: Recognizing Distress in High-Functioning Clients
The clients our field is least equipped to detect are not the ones whose lives are visibly coming apart. They are the ones whose lives are not. A director who has never missed a deadline, a physician whose charts are immaculate, an attorney whose win rate has not moved in a decade. By the time any...
-
When Tomorrow Cannot Compete: Why Immediate Relief Can Eclipse a Future That Still Matters
Someone can understand the consequences of substance use, love the people their substance use is hurting, and still reach for immediate relief. From the outside, the choice can look like proof that the person does not care enough. From inside the moment, what matters in that later life may no...
-
The Treatment Handoff Is Part of Care
A person can complete withdrawal management successfully and still lose the next step of care. A residential client can make meaningful progress and then leave without a confirmed outpatient appointment. A receiving program may know that a referral is coming but lack the medication list, risk...
-
Medication-Assisted Treatment on the Ground: How Federal Policy Shifts Are Reshaping Outreach in Brooklyn
Opioid use remains a significant public health threat in the United States, with nearly 80,000 opioid‑involved overdoses reported in 2023—accounting for 76% of all overdoses that year (Centers for Disease Control and Prevention, 2025). As Substance Use Disorder (SUD) continues to affect more...
-
How New CMS Remote Therapeutic Monitoring Policy Is Expanding Access and What It Means for Your Practice
Therapy clients don't live their lives in sessions; they live them in the hours and days in between. The most beneficial work can happen during this in-between time: responding to triggers, practicing coping skills, completing valuable homework and exercises. But it is also when clients are most...
-
Advocacy Through Awareness: Why Patients Need to Know TMS Exists
There is a moment many mental health patients know all too well. It's the moment after another medication change. Another follow-up appointment. Another hopeful start that doesn't provide the relief they need to survive. By the time some patients reach that point, they are exhausted by their...
-
The Adusu Advocacy Framework: A Strategic Model for Advancing Policy Reform in Developmental Disability Services
Across many countries, systems supporting individuals with intellectual and developmental disabilities (IDD) are experiencing significant pressure. Workforce shortages, increasing service demand, and funding constraints have created fragile service environments that test providers, policymakers,...
-
Your Electronic Health Record Should Help You Deliver Suicide Care
Many frontline behavioral health teams are expected to deliver suicide-safer care inside systems that were not built to support it. Staff are asked to screen for suicide risk, complete additional assessment when needed, create or update safety plans, coordinate handoffs, complete follow-up, and...
