How COVID-19 Is Affecting Teens’ Mental Health

This post is contributed by CHOICES counselor Joanna Robertson, M.MFT, LMFT, LPC

Like most of us, adolescents had their world turned upside down back in March by the Coronavirus pandemic. As teens prepare to return to school, I want to share a few of the ways COVID-19 has affected teens’ mental health, how this impacts them long-term, and how you can help.

The adolescent brain is still growing and developing. The prefrontal cortex, the section of the brain responsible for critical thinking and impulse control, is not fully developed until about 25 years old. Thus, adolescents may need additional support when it comes to regulation, which includes sleeping patterns, use of time and technology usage. Because of the pandemic, students lost the structure of school time, and when coupled with a lack of parental support, this left students to navigate on their own. This led to odd sleeping patterns and overall dysregulation, which can impact coursework, family relationships, and mental health.

Teens mental health

What are the challenges teens face in the pandemic?

Students lost consistent access to friends and adult supports. One study found that 80% of adolescent girls feel “more lonely and isolated than before” (The Rox Institute). While teachers, counselors, and mentors are doing their best to remain connected, it proves a challenging situation. Many teens are experiencing an increase in their sense of isolation, depression, and loneliness.

In addition to navigating schoolwork at home, many students have taken on new responsibilities, including childcare, housework, and part-time jobs. This puts additional pressure on teens to use their time and energy in a balanced way, which is already a challenge for the adolescent brain. It also makes it challenging for these students to keep up with schoolwork and can cause many to fall even further behind.

These are only a few of the factors impacting teens as a result of COVID-19. If teens were already using alcohol and/or drugs, they likely continue to do so throughout the pandemic. As their stress increases and their access to healthy coping support decreases, they are more at risk for developing substance use disorders. Further, previous crises show that teenagers may develop substance use problems after the crisis has passed. It is important that caring adults stay actively engaged in supporting the adolescents in their life.

How you can help teens.

Adolescents are creative, resilient, and resourceful, especially when they have supportive adults in their life. If you are wondering how you can help, start with the teens in your life. Talk to them about how they are experiencing things and ask what support they might need. Help them create structure. It’s something they may not want in the moment, but it’s something they need, and need help creating. Connect them with mental health resources either through their school or in the community. Finally, be aware of your own coping methods and responses. Set an example by finding healthy coping skills, such as meditation, peer support, counseling, and exercise.

If you need support, The Council is the place to start. Call us today at 713.914.0556 and ask about our virtual services.

How Employers Can Support the Mental Health of their Employees During a Pandemic

The Coronavirus pandemic, economic collapse and historic unemployment are threatening the collective mental health of the United States workforce. Barriers to mental health treatment such as stigma in the workplace will only intensify this mental health crisis for American workers.

According to a poll by the American Psychological Association, only half of workers in the United States say they are comfortable talking about their mental health in the workplace. More than a third of participants cite concern about job consequences if they seek mental healthcare through their employer. These troublesome statistics indicate that, now more than ever, we need to work together to destigmatize the conversation around mental health, so that employees feel safe to seek treatment.

What can employers do?

Company policies and communications that emphasize mental health is a priority can reduce or eliminate a major barrier to seeking substance abuse and mental health treatment. Adopting and promoting an employee assistance program that employees can use anonymously, to eliminate any fear of judgment or repercussions, is a great start. Other ways to look after employees’ mental health includes regularly checking in with them, fostering a positive and transparent work environment, encouraging open conversations around mental health, and increasing access to mental health resources.

Employee mental health

These efforts benefit everyone in the long run, especially when they can result in employees seeking treatment for substance use disorder. In a normal year, drug abuse costs employers upwards of $81 billion due to high turnover rates, reduced productivity and quality of work, higher absenteeism and sick time, increased number of on-the-job accidents and injuries, increased costs of workers’ compensation and disability, and increased healthcare costs.

We need your help.

As the Coronavirus pandemic continues, substance abuse and overdoses are increasing nationwide. Recent Census Bureau data shows that, during the pandemic one-third of adults are experiencing severe anxiety, and nearly one-quarter are showing signs of depression. With no end to the pandemic in sight, efforts to reduce barriers to mental health treatment rest in the hands of employers. Together, we can combat these rising rates and reduce the impact of the pandemic on employees’ mental health.

If you know someone at work who is struggling with substance use or mental health, The Council is the place to start. For questions or to get started, contact us here or at 713.914.0556. Virtual treatment is available.

Generous Grant From Bob Woodruff Foundation Brings Treatment Services to Veterans Impacted by Hurricane Harvey and COVID-19

The Council is excited to announce that we have received a generous contribution from the Bob Woodruff Foundation to provide recovery coaching, intensive case management, and clinical therapy to veterans and their families who are impacted by substance use and co-occurring mental health conditions. The grant is made possible by a partnership between the Bob Woodruff Foundation and the Qatar Harvey Fund to support veterans affected by Hurricane Harvey.

Veterans

Through this grant, The Council will support at least 50 veterans and their families who were originally impacted by Hurricane Harvey and currently struggling with substance use and co-occurring mental health conditions in relation to the COVID-19 pandemic. Veterans and their families are disproportionately impacted by substance use and mental health disorders, and the current trauma only magnifies these problems and far exceeds many people’s ability to cope.

The Council is well-positioned to respond to these individuals, having hosted the 2019 Veterans Mental Health Summit, and participating on the City of Houston’s Mayor’s Challenge Committee to reduce suicide among veterans in our community. As always, this project will include treatment not only for veterans, but also their families.

For more information or to send a referral, please contact our Outreach Coordinator and Veteran Liaison at dsunday@councilonrecovery.org or at 281-200-9242.

Maintaining Community During COVID-19

By Lori Fiester, Clinical Director of the Center for Recovering Families

As the last week wound down and settled, my staff and I made it through the trials and tribulations of integrating telehealth into our services. The reward – we are able to connect with our clients, see their faces, continue the work prior to this pandemic and offer assistance with this struggle. Most clients’ response was similar, “This got real!” Along with this response, most were grateful to get back to their recovery groups and have a safe place to talk. Reality appears to have shifted throughout everyone’s life. We all have been significantly impacted one way or another, and maintaining community seems harder than ever.

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Change and the unknown can bring fear and anxiety. Some feel resistance to the change, which can increase such feelings. Another feeling common among our clients is grief. Not only from seeing the daily news and how this pandemic has killed thousands, but how the disruption of our daily routine magnifies all the little things we ordinarily do without a thought. Clients have expressed grief about their connections being disrupted or lost, friend/family becoming sick, employment threats or lay-offs, and how isolation compounds their feelings.

Isolation is one of the worst possible positions someone who is struggling with sobriety can be in, yet here we are.

Mandated to shelter in place. Isolation in any addiction or compulsive behavior is that ‘ism’s’  best friend. It causes us to think negatively, erroneously, and mostly disengage from the connection we most want and need. It can cause us to turn on ourselves, only to fill with self-loathing. As clinicians, our efforts are aimed at assisting our clients to navigate these changes by maintaining community in the chaos.

The technology that has often led to disconnection is now assisting us in the recovery community to connect with telehealth, online meetings, and online activities like yoga or meditation. While many are working from home, there are many others that are not working at all, and thus have even less connection to the world and more time on their hands. We are encouraging all our clients to reach out and connect, so the isolation can be lessened. Isolation, often the most troublesome of characteristics in this disease, now feels like it’s quadrupled. 

And while there are a lot of unknowns, what is known is that we need each other.

We cannot do this alone. As human beings, we aren’t wired that way, which is very similar to those in the recovery community trying to stay sober…. we all need the help of another. Today we need connection even more, even if it’s six feet apart and no more than 10 people at a time. Maintaining community in recovery is key. Another known is that the feelings of fear, anxiety, grief or any other feeling will become more manageable if we allow them in. If we can feel the feelings and allow them to move through, they will leave. Often we resist because the feelings overwhelm us, which causes suffering and more times than not, the feelings will come out sideways in unwanted behaviors. Another known is that we are in this together. If this is happening to you, help is just a phone call away. 

So, together we need to support one another to stay home and stay safe. We must continue our lives in recovery by maintaining community through attending online meetings, virtual classes, calling or video chatting with our sponsor, and if any of that hasn’t been attempted, it’s time now more than ever. 

Please visit The Council on Recovery’s remote resource page, as well as participate in our daily meditation offerings. If not now, when?

If you or your loved one needs assistance, please do not hesitated to contact the Council. We are here, ready and able to help in any way we can.

The Link Between Childhood Trauma and Addiction

For decades, the professional approach to addiction has been shifting away from shaming and blaming, and toward the belief that addiction is a normal and common biological response to adversity experienced in childhood. The popularization of this game-changing perspective is credited to Dr. Daniel Sumrok, director of the Center for Addiction Sciences at the University of Tennessee Health Science Center’s College of Medicine, who began his crusade to change the narrative around addiction after treating Vietnam veterans with PTSD in the early 1980s.

Adverse Childhood Experiences (ACEs) affect long-term health, and can include physical, emotional, and sexual abuse; physical and emotional neglect; living with a family member who’s addicted to substances; depression and other mental illnesses; parental divorce or separation; incarceration or deportation of a family member; racism; involvement in the foster care system, and more. Clinicians like Dr. Sumrok administer an ACE assessment upon meeting a patient for the first time, and for good reason.

childhood trauma and addiction

According to ACE studies, about 64% of people have at least one ACE, which can double to quadruple the likelihood of using drugs or alcohol, particularly at an early age. Having an ACE score of 4 nearly doubles the risk of heart disease and lung cancer and increases the likelihood of becoming an alcoholic by 700%. People with a score of 5 or higher are seven to 10 times more likely to use illegal drugs and become addicted. Furthermore, these studies show that it doesn’t matter what type of trauma the patient experienced. Different combinations of ACEs produce the same statistical health consequences.

Considering potential childhood trauma is necessary for addressing one’s addiction.

This requisite has fortunately also normalized the concept of addiction as “ritualized compulsive comfort-seeking” – it’s something one adopts as a coping behavior because they weren’t provided with a healthy alternative when they were young. This approach is not only supported by psychological research, it’s also the compassionate route to treating clients with substance abuse problems. Rather than labeling someone as an addict and punishing them for their behavior, clinicians like those at The Council find it’s kinder and more productive to address ACEs with their clients, and to help them seek comfort in other behaviors. Since its inception, the staff at the Center for Recovering Families is dedicated to helping their clients by looking at their trauma when appropriate and providing the necessary skills to deal with their feelings.

For more information about ACEs, read here. To calculate your ACE score, click here.

For questions about The Council’s assessment and treatment options, or if you or a loved one needs help, call (713) 914-0556 or contact us here.

Why is The Council Addressing Vaping?

This post is a contribution by Mel Taylor, President and CEO of The Council on Recovery.

If you follow The Council’s work, you’ve probably seen us discuss vaping quite a bit lately. But aside from the alarming news headlines, you may be wondering, “Why does The Council care about vaping?” Vaping is legal in Texas, after all, for people over the age of 21. And advocates of e-cigarettes argue that in comparison to traditional cigarettes, vaping is the better option. But as alcohol has proven, when used to excess, many things can be harmful even if they are legal. Vaping is no different. The Council believes unequivocally that vaping is dangerous and deserves our community’s attention.

Unfortunately, a lack of reliable information on the matter combined with sensational nightly news stories can tempt us into dismissing this phenomenon as just another overhyped story. Here at The Council, our goal is not to scare you – rather, we want to empower you with information you can trust to make your own choice.

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So, why does The Council care about vaping?

The nicotine and other chemicals in vape liquid produce a pleasure response that changes the brain and can lead to addiction.

Nicotine produces a dopamine response in the brain, which then primes the brain’s sensitivity to rewarding stimuli. Anytime a substance alters the way the brain functions, there is potential for abuse and addiction. This is particularly true for young people whose brains are not yet fully developed, and are highly susceptible to changes in the way their brains respond to pleasure. Research consistently demonstrates that adolescents who vape are 3 times more likely to subsequently smoke traditional cigarettes.

But vaping isn’t safe for adults, either.

Many adults have seen first-hand the destruction wreaked by a lifetime of smoking cigarettes, so vaping may seem safe in comparison. Indeed, the e-cigarette industry originally marketed their products as a quit-aid, which has helped to perpetuate this myth. Vaping does not burn tobacco – the source of carcinogenic tar in traditional cigarette smoke – however, it does expose the respiratory system to nicotine and a cocktail of other harmful chemicals, and there is mounting evidence that it causes similar long-term lung damage as traditional cigarettes. What’s more, the Food and Drug Administration has not approved e-cigarettes as a smoking cessation device. So, what does it all mean?

The long-term impact of vaping remains to be fully seen, but we know enough to say vaping is an urgent problem and immediate action is needed. As this problem develops, our learning will continue to grow. Just last week the Centers for Disease Control announced a breakthrough finding, naming vitamin E acetate as the potential culprit behind recent vaping related lung injuries and deaths, and helping to advance our understanding of this challenge. For now, The Council is busy doing what we have done for the last 75 years: supporting our community. The Council has weathered many such epidemics in our lifetime – from crack cocaine, to methamphetamine, to opioids, and now vaping. As ever, we remain committed to serving families who are impacted by addiction with information they can trust and best-in-class treatment.

Click here for more information on how The Council is tackling the vaping epidemic, and save the date for our Vaping Summit on February 21, 2020.