A New View Spring/Summer 2016

Family Therapy: Walking on sacred ground, but never alone

how to rock college

recreational drug use

hoarding disorder

the power of thought

ANewViewa publication of prairie view, inc.

spring/summer 2016

Anchored in HopeUncertainty abounds and significant change is ongoing. These are the constants in the healthcare equation. For Prairie View, our anchor is our values. Strengthened by our heritage and sustaining our very identify, we move forward with a commitment to Renewing Spirit, Discovering Strengths and Pursuing Excellence.

Given the multitude of external factors that shape our challenges and goals, we must remain focused on the priorities that will guide our planning and decision making. Just as our predecessors did more than six decades ago, we are steadfastly pursuing the mission of providing high quality services in the most caring manner possible, to those who need them most.

These challenging times could become discouraging. For our patients, staff, constituents, leadership and donors, the perpetuation of hope is critical to our success. In Hebrews 6, we read that encouragement comes from “taking hold of the hope offered to us…” and describes hope as “a firm and secure anchor for the soul.” Those powerful words apply to our philosophy of treatment which is strength-based and focused on hope for the future. They apply to our approach in managing the organization, which recognizes the reality of our circumstances while developing innovative approaches to remain successful in an increasingly complex environment.

Prairie View is developing creative responses to the opportunities that lie ahead and we remain dedicated to the communities we exist to serve.

Jessie KayePresident and CEO, Prairie View, Inc.

OUR MISSION

OUR VISION

OUR VALUES

To foster healing and growth in individuals and communities by providing behavioral and mental health services with compassion, competence and stewardship in the spirit of Christ

Renewing spiritDiscovering strengthsPursuing excellence

Continuing our heritage as a Christian, caring community, Prairie View honors these values that guide our decision-making:

• Advocacy for those whose voices are not strongly or widely heard

• Quality and competence leading toward excellence

• Respectforthebeliefs of individuals and communities of faith

• Communication with integrity, dignity and sensitivity

• Actions based upon justice, grace, acceptance and forgiveness

• The sustainability of the organization

A New View is a publication of the Prairie View Advancement Office. Prairie View, Inc. is a non-profit 501(c)3. For information on how you can help us transform the lives of so many individuals and families affected by mental illness, contact:

Misty Serene Director of [email protected] | 316-284-6385

800-992-6292800-362-0180 24-hour crisiswww.prairieview.org

Editor: Sara Lyon

in this issue

Jessie KayePresident and CEO

2

4

6

Anchored in HopeIn challenging times, Prairie View's philosophy of treatment continues to be strength-based and focused on hope for the future.

HeadlinesWhat message do you send to children when so much time is spent on cell phones? Plus, workplace diversity and mass traumatic events.

Walking on Sacred Ground, But Not AloneFamily therapy is effective, and we tell you why.

9 Neuropsychological Testing: What Is That?Many people are referred to testing, but what is it?

12 3 Ways to Rock CollegeYou've graduated high school and you're off to college! Read three tips for easing your transition.

14 Recreational Drug UseToday's society doesn't always abuse drugs, but they do use them, which makes us ask: Is recreational drug use really safe?

20 Fear of TreatmentThe decision to seek treatment is often one filled with fear. Learn what you can expect during treatment at the Addictions Treatment Center.

22 The Power of ThoughtYour brain releases chemicals every time you have a thought. It's not always easy to think positively, but it is possible to change the way you think.

26 Feed the BrainWritten for mental health professionals, this article explores how they can help clients make changes in their lives.

24 Medication Do's and Don'tsEvery medication comes with unique side effects. To increase your chance of a positive experience, talk openly with your provider.

28 Older Adults & DepressionDo you ever imagine what your retirement might look like? Unfortunately, for some, it's not quite as picture-perfect as they had imagined.

31 Growing Grateful HeartsEveryone has the power to transform a life – even you!

32 Honoring Hoarding DisorderWhile hoarding can make a house uninhabitable and one's health and safety compromised, it's far more complex.

32 Clutter Cleaners ClubIndividuals who struggle with hoarding themselves offer practical advice to those seeking to begin the process of decluttering.

DiD you know it was 30 years ago in 1986 when funds were raised for the "new hospital" on Prairie View's main campus? In 2016, we are seeking $1 million to implement capital upgrades to our facility. Join us and give online at www.prairieview.org/donate.

PrairieView.org | 5

headlines

It’s no secret that the more diverse a company’s workforce happens to be, the greater the potential for new ideas and creativity that can flow from any given workgroup. The unique mix of cultures, thought processes, learning styles, points of view, personal preferences, mental health, education level, communication ability and every other aspect of human experience will influence, to a varying degree, the productivity and output of your department. At times, however, these differences can create minor misunderstandings resulting in major conflict. So what can be done to help embrace a more diverse and inclusive workplace?

The answer lies with leadership, and not just with those who hold an official title of “Manager” or “Supervisor.” All of us, in one way or another, are leaders; everything we do is observed and noted by others whether we realize it or not. Below are a few tips/ideas to help you ensure your personal influence is put to good use as you work to embrace a more inclusive workforce:

• Ensure all employees are held accountable to the same standards

• Be open to offering supports for those who are struggling to help them do their job

• Educate staff as to the how differences directly benefit the overall workgroup

• Celebrate differences while emphasizing just how much more we are all alike

• Visit the US Dept. of Labor website for a wide range of great ideas: www.dol.gov.

Parents, Put the Cell Phone Down

It seems that as the digital world around us is revolving rapidly. It is easy to become engulfed in our cell phones and digital devices and the continuous information feed we consume. However, as parents we need to put the devices down and invest in our children’s lives.

Kylie Moore, LMFT at Prairie View explains, “When children are not interacting face to face, they are not increasing creativity, practicing

communication or motor skills, and their emotional needs are not being met by parents. When this occurs children often act out in order to get the attention of the parent or feel the need to find emotional connection elsewhere, causing damage to the attachment bonds.”

Children develop social competence, emotional regulation, and much more through face-to-face interaction and parental attention is very important. Read the full blog post at www.prairieview.org.

– Chris Zuercher, Director of Vocational Services

A More inclusive Workplace

Whose responsibility is it to encourage diversity at work?

4 | ANewView Spring/Summer 2016

– Amy Hammer, LSCSW, CST

Children need to feel special, valued and cared for. If these values are reinforced at an early age, it will translate into secure attachments, confidence and self-esteem as they get older.

If you want to make a change and become a more engaged parent, here are a few tips.

• Create digital free zones. • If you need to use your phone, try

to do it after your kids go to bed, before they wake up, or while they are at school

• If you must use your phone when around your kids, give your child a “Thirty Second Burst of Attention.” Dr. Garry Landreth, play therapist who promoted child centered play therapy describes this as a thirty second break from whatever you are working on (or while you are on the phone) to listen to your child and pay attention to their needs for thirty seconds. Get down on their level and show them that you are listening. This will build connection and show the child that they are important.

Parenting in a digital world is no easy task. The decision to put down the cell phone is the right one. Your children are worth the time, energy, and effort.

When a mass traumatic event occurs, our responses may vary and may take us by surprise. Often a sense of horror or helplessness affects victims and other people impacted.

It is unfortunate when we ignore what our brain and body tells us – which is that healing takes time! Sometimes we need to allow our body to go through various shock phases before we can actually “shake it off.” Without this natural healing process, we risk allowing the stress to remain within our bodies and our brains. If it festers, it will infect our lives and surroundings.

Natural responses include grief, fear, depression, or just feeling numb. Various physiological responses like nausea, tingling sensations, dizziness, tension, crying, distractibility, and other stressed body functions may also occur. Keep in mind, these responses are generally normal reactions of the body in a shock/recovery phase.

Healthy steps that you can do to improve or prevent long standing symptoms include:

• Make time for exercise and relaxation.• Stay busy with at least some of

your daily routine or structure.

• Trust your body’s way of telling you when you are doing too much.

• Realize that others around you may also feel stress from the same traumatic event also.

• Spend time with others.• Eat healthy. • Drink water and avoid excessive

caffeine and energy drinks.• Don’t label yourself “crazy” or “not

strong enough.” It’s normal and necessary to have reactions.

• Try not to make major life changes or decisions during this time. But, do make the smaller daily decisions that you generally must. This will give you a sense of normalcy and provide a way to feel back in control of your daily life. This is critical in healing from a traumatic event.

• Lastly, sometimes we are unable to control everything and it is okay to ask for help. It takes a courageous person to do this.

If you have tried all of the above and continue to have symptoms outside of your norm, the healthy steps may not have been enough. Sometimes, the traumatic event can be too much for our body and brain. It’s okay to seek professional help to aid in the recovery.

When A MAss trAuMAtiC event oCCurs

Read the full blog post at

www.prairieview.org


Since itS inception in the 1950s, Family Therapy has proven to be an effective and valuable tool for many families and mental health practitioners. This type of therapy is based on the principles that families are made up

of individuals struggling to balance feelings, beliefs and desires within the family unit and that each unit creates a shared set of ideas, unique to the family. Family is where we learn to identify and deal with emotions, and we carry these beliefs with us, often for our lifetimes. Family therapy is the act of a family joining together in a therapeutic environment, often in addition to individual and marital therapy, as well as a primary form of therapy. When individuals come to therapy, they may often discuss interactions with various family members, as well as how their actions impact the family and vice versa. It is often necessary to include family members in one’s individual treatment, in an effort to make the most impact possible. You may have heard the quotation “No man is an island.” (John Donne, 1624) Oftentimes individual therapy fails to take into account the powerful interdependence between family members.1 We’ve all heard the saying “When Mama’s not happy, nobody’s happy.” There is some real truth to this. We humans have brains that are wired to read each other’s physical, verbal and

Anecea Stambaugh, LCMFT, LCAC

on sacred ground,alkingW

but not alone

PrairieView.org | 7

“If a family is involved and engaged in the treatment process, especially family therapy, there is a marked increase in the success of the person being treated being able to maintain a healthy sobriety and the family’s overall investment in change,” according to Prairie View’s Substance Abuse Services Coordinator, Jami Lawless, LCPC, LCAC.

Evidence has shown again and again that engaging the whole family in treatment is highly effective.

Prairie View is blessed to have several marriage and family therapists working for us, as well as other therapists who engage in this type of therapy. Our clinicians at Prairie View are trained to offer acceptance and hope to the individuals and families with whom we work.

Family therapy can be hard work, but changing family patterns to be more positive and fulfilling can create lifelong rewards.

For information about family therapy at Prairie View and how it may help you, call 1-800-992-6292.

amily is where we learn to identify and deal with emotions and we carry these beliefs with us, often for our lifetimes. F

Ideally family therapy should be an opportunity for each member of the family to reflect on their own role in the issues at hand and make progress towards positive changes.

Anecea Stambaugh is a licensed clinical marriage and family therapist and licencsed clinical addiction counselor. She sees patients at Prairie View's McPherson office.

My Doctor Wants Me to Have Neuropsychological Testing ...

Kathy Pearce, PhD, LP

if you’re confuSed about what neuropsychological testing is and how it is different from regular psychological testing, you’re not alone. This is confusing to many people, including professionals. The short answer is that regular

psychological testing focuses on emotional and personality functioning, while neuropsychological testing focuses on brain functioning. But it’s really not that black-or-white.

non-verbal cues when we interact. We are all part of larger systems.

Let’s consider the story of the Smith family. When Mom, Sue, has had a particularly demanding day at her teaching job, in the evening she finds herself lacking patience when interacting with her toddler son, Sammy. Sue feels grumpy and is short with little Sammy, who just wants Mom’s attention. It is evident that their moods affect everyone in the house. As soon as Dad comes home and sees Sue’s irritability and Sammy’s acting out, Dad makes his way to the basement to escape and watch television, thus avoiding the situation and frustrating Sue even more. Sammy starts acting out in negative ways, by throwing his toys or dumping his milk, in an effort to get any attention he can, feeding off the negativity around him. This child’s behavior elevates everyone’s stress, thus continuing the cycle of tension. This scenario provides more evidence that families are often dependent on each other to manage their individual emotions and can often get stuck in negative cycles.

Family therapy has proven to be effective. This is due in part because it provides family members with a safe environment for them to be able to share their thoughts and feelings and because a neutral person is present to bounce ideas off of and to help the members identify goals for individuals and the family as a whole. Family therapy can be used as a means to resolve a specific issue, prepare the family for a major life change such as divorce or marriage and address the role that family plays in an individual’s life. Family therapy can be utilized throughout the lifespan as a means to assist families. With younger children the therapy often includes play therapy. Family therapy can provide valuable individual and familial growth.

Family therapy can be used as an opportunity to educate family members about the particular struggles and diagnosis that an affected family member is dealing with. Family therapy can also offer a safe environment for family members to come together

and voice their worries and concerns, as well as reflect on the progress that the individual and family has made. Ideally family therapy should be an opportunity for each member of the family to reflect on their own role in the issues at hand and make progress towards positive changes. Often family members assume that when the family member goes to therapy, works on what is learned and takes medication, then everything will be fine and the family can live

harmoniously; however, it is typically a much more complicated process than that.

When substance abuse is present, family therapy is particularly helpful. This therapy has proven to be very effective in helping individuals understand their family dynamics, as well as family members understand the disease of addiction. When an individual learns skills in therapy, such as how to set boundaries, coping skills and relaxation techniques and if they return home to the same family that they left the hour before, they find it difficult to work on their new behaviors. It can be particularly difficult to work on the skills they have learned when the family unit continues the same types of behaviors from before. When there is substance abuse in a family, often each member of the family learns to function around the addict. Therapy can often be valuable for the family members, so that they can learn how to set and keep healthy boundaries with their loved one, in an effort to assist the person on the path to recovery.


WHAT IS THAT?

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PrairieView.org | 1110 | ANewView Spring/Summer 2016

Neuropsychological testing is usually recommended when there are symptoms or complaints involving memory, thinking, or other brain processes. When someone is having problems in these areas, it may be due to numerous different causes. Some of these causes may be organic (due to some type of brain or nervous system damage), while some causes may be more related to emotional disorders. And sometimes both. More confused?

Neuropsychological testing assesses many areas of brain functioning, including intellectual functioning, visual-spatial skills, perceptual organization, language and verbal abilities, attention, mental processing speed, memory and learning, and executive functioning such as problem-solving, reasoning, planning, and judgment. In addition, the psychologist may want to assess for achievement levels in reading, writing, and math, motor coordination, muscle strength, sensory processing (hearing, seeing, touch, etc), and adaptive functioning (ability to safely perform activities of daily living such as hygiene, cooking, driving, and managing health and finances).

Since problems in memory and thinking may be caused by or exacerbated by emotional factors, most neuropsychological testing batteries will also include tests of emotional functioning, personality, behavior, and social functioning. And it’s important to remember

that not only do emotional disorders sometimes cause problems in brain functioning, organic brain disorders will often affect emotional health as well. It’s not possible to separate psychological and physical functioning – it’s all tied together. As previously mentioned, it’s not at all black-or-white, there are many shades of grey. Neuropsychological testing is often requested to help sort out all this grey.

People are referred for neuropsychological testing for many reasons. The common reason is to assess the areas of brain functioning previously described, and to help in determining what might be underlying any problems. Children may be referred who have experienced prenatal problems, have been exposed to alcohol or drugs in utero, have struggled to meet developmental milestones, or have academic difficulties. Adults may be referred who have had traumatic brain injuries, concussions, strokes, toxic exposures, or a history of heavy alcohol or drug use. Individuals with neurological disorders are often referred for testing, including Parkinson’s Disease and Multiple Sclerosis. People who are experiencing severe memory impairment are referred to help clarify whether the memory loss is being caused by Alzheimer’s Disease, Vascular Dementia, Frontal Lobe Disorder, Lewy-Body Dementia, or another cause, which significantly affects the treatment the individual receives. Many physical problems can cause memory problems, including diabetes, metabolic disorders, and infections.

Neuropsychological testing is often a complement to a neurological exam, including brain scans such as CT-Scans, MRI’s, and PET-Scans. While a brain scan may show the presence of brain damage, it’s not possible to determine how that damage impacts the individual’s day-to-day functioning unless testing is done. And often brain damage does not show up on a brain scan.

A thorough neuropsychological testing battery requires several hours to complete. Usually the individual first meets with the psychologist for a clinical interview, so that the psychologist can get a better idea of the problems and determine what specific tests would be appropriate. The actual testing usually takes place over a one or two day period. Then the psychologist will schedule an appointment to review the test results and provide recommendations. The test results will

identify areas of strengths and weaknesses, and help determine if there are any impairments in brain functioning, what might be causing those impairments, and most importantly, what can be done to help.

Hopefully this helps to clear things up and decrease the confusion a bit. But just to stir things up a bit, it’s important to remember that there are many normal, age-related changes in brain functioning. Our memory actually starts to decline around age 20! This sometimes causes people concern – what we call the “worried well.” So it’s always possible that testing may not indicate the presence of any problems – that always seems to be very clear feedback.

While a brain scan may show the

presence of brain damage, it's not

possible to determine how that

damage impacts the individual's

day-to-day functioning unless

testing is done.Dr. Kathy Pearce is a licensed psychologist and director of psychology at Prairie View. She currently sees outpatient clients from age 12 to 100+ at Prairie View's Newton office.

Allyson Krehbiel is a licensed specialist clinical social worker at Prairie View's Hillsboro office.

your vieweducation • eMPoWeRMent • conFidence • SeLF-eSteeM • LiFe SKiLLS

New school, new friends–transitioninto college with ease!

3 ways to...RocK coLLeGe!

1All colleges offer a variety of resources to help students achieve success from student tutoring services to counseling services to career services. Getting help shows strength and intelligence not weakness or inferiority. It is also

completely normal to use these services. Remember, the college pays (and so do your tuition dollars!) these people to help you, so use them!

congratulations! You did it. You completed

four years of high school and are finally

ready to move onto the next step in life. For

many recent high school graduates this

means going off to college.

For some, the transition to college may be

tougher than for others. this is normal. it is

easy to compare ourselves to others who on

the outside seem to have “it all together,” but

mostly likely they are experiencing the same

struggles. it is important to know that you are

not alone.

Here are some tips to help ease the

transition process.

resources, resources, resources!

2There are times during every semester where stress levels are elevated. Using campus gym facilities to exercise is a great way to manage stress. Opt for a salad or a turkey sandwich instead of a greasy burger and fries. Monitor

alcohol consumption. Get some rest before big tests, big projects, or making any critical life choices. Finally give your mom or dad a call or talk to a good friend. Making personal connections can provide encouragement and lower stress levels.

take care of yourself

3 Some people become life long friends with their roommates, but it is also completely normal to not be best friends with your roommate. View it as an opportunity to teach you how to live respectfully with another person.

In unfortunate roommate situations, remember that it only has to last one year and then you can move on. Making friends in college can also take time. Also realize that friends and friend groups change over the course of the college years.

roommate roulette

PRaiRievieW.oRG For more tips from allyson and Julie, check out their blog post.

By Allyson Krehbiel, LSCSW

and Julie Lehman, LMSW,

campus counselor at Hesston college

Awesome

RecReational dRug use

Is there such a thing and is it ever really safe?

by cody beaton, lMsW, t-lac

in the AlcoholicS AnonymouS (AA) Big Book, AA founders described alcoholism as an “allergy to alcohol.” William D. Silksworth, M.D., a well-known doctor and chief physician at a nationally prominent drug and alcohol hospital in the 1930s, wrote:

“We believe, and so suggested a few years ago, that the action of alcohol on these chronic alcoholics is a manifestation of an allergy; that the phenomenon of craving is limited to this class and never occurs in the average temperate drinker. These allergic types can never safely use alcohol in any

form at all; and once having formed the habit and found they cannot break it, once having lost their self-confidence, their reliance upon things human, their problems pile up on them and become astonishingly difficult to solve.”1

Though this passage was composed in 1939 and strictly concerned alcohol, many believe that it still rings true, and that it rings true with all drugs, not just alcohol. Yes, alcohol is technically a drug and is considered so by most experts in the field. The best explanation for this is the psychoactive effect that alcohol has on the brain as a stimulant in smaller doses, and


A simple question often asked in the world of addiction is How can one person stop using while another cannot? But the answer isn’t so simple.

Aas a depressant in larger doses. Similar to other drugs, reasoning and functioning are significantly impaired by alcohol.

According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), in 2013, as many as 87 percent of adults reported drinking alcohol in their lifetime, and nearly 25 percent reported binge drinking in the last month (5 or more alcoholic drinks in one setting). In the same 2013 study, 16.6 million adults ages 18 and older (7.0 percent of this age group) had an Alcohol Use Disorder (AUD).2

PrairieView.org | 19

Not everyone who drinks becomes addicted. The same is true for other drugs. So for those who use and do not become addicted, is recreational drug use a safe choice? In this case, recreational drug use can be defined as “a drug (such as cocaine, marijuana, or methamphetamine) used without medical justification for its psychoactive effects often in the belief that occasional use of such a substance is not habit forming or addictive.”3

This sort of recreational drug use has become quite common in today’s society. The Center for Disease Control and Prevention (CDC) estimated that in 2013, 9.4 percent of persons 12 years of age and over reported illicit drug use in the past month. An additional 2.5 percent reported non-medical use of a

psychotherapeutic drug or prescription medication.4 Take this into account with the nearly 25 percent of adults who reported binge drinking in the past month and the prevalence of recreational drug use is clear. Today’s society doesn’t always abuse drugs, but they do use them, which brings us back the original question. Is recreational drug use really safe?

The truth is this: there is always risk involved when psychoactive substances are taken into the body. All psychoactive drugs — from alcohol to cocaine to methamphetamines — affect the brain. The ultimate result, regardless of the type of drug, is impaired reasoning. Humans have evolved to possess the innate ability to reason — that is, to think, understand and

focus; lung damage (when smoked)

CoCaine: headaches; dizziness; interior nose damage (when snorted); increased heart rate; increased blood pressure; heart attack and lung failure; seizures; depression, anxiety and/or panic disorders; HIV (IV use); addiction; brain hemorrhaging; suicidality; overdose

Heroin: extremely addictive; blood vessel damage (IV use); HIV (IV use); heart and respiratory problems; overdose

Methamphetamines: agitation and aggressiveness; increased anxiety, paranoia, depression and other mental illnesses; psychosis; increased heart rate and blood pressure; reduced inhibitions; suicidality; extremely addictive; overdose

Even when used recreationally, these drugs can be very dangerous. Though one may not be addicted at a certain point in time, there is always the possibility of addiction once a tolerance to the drug is developed and more is needed

for the desired effect. It is also important to take into account that drugs purchased “on the street” may not be pure and can contain any number of harmful substances. Additionally, using different types of drugs, including alcohol, simultaneously can have very adverse effects. As mentioned in several of the above descriptions, certain drugs or drug combinations can lead to overdose and death,

even on the very first use. Also previously mentioned, drug use can also have legal, relational and employment ramifications. Beyond all of these risk factors, drug use (even recreational use) can also become quite expensive.

So, is recreational drug is really safe? It is certainly not without risk. There are ways to reduce these risks with legal drugs like alcohol (and in some areas of the nation, marijuana), such as practicing moderation, using designated drivers, and taking other safety precautions. However, the legal, health, relational and employment consequences will always be looming.

PeRcentage oF aMeRicans WHo RePoRted binge dRinKing in tHe last MontH:

25

"Certain drugs or drug combinations can lead to overdose and death, even on the very first use."

form judgments by a process of logic. When reasoning is impaired, decision-making is subsequently compromised. The prefrontal cortex of the brain, in charge of the logical decision-making process, is significantly affected by drug use. To compound this, it is believed that the prefrontal cortex does not fully develop until the age of 25. So for those using/abusing substances before the age of 25 with underdeveloped decision-making skills, outcomes are not likely to be positive. This could result in impaired driving, sexual promiscuity, legal trouble, employment/school and relationship issues, along with many other risks.

Besides the risk of impaired reasoning, recreational drug use can negatively affect the body and mind, even when the drug is not used on a regular basis. Below are some commonly used recreational drugs and their potential mental and physical health effects:5

alCoHol: reduced inhibitions; anemia; increased risk of various cancers; cardiovascular disease; cirrhosis of the liver; dementia; depression; seizures; high blood pressure; pancreatitis; alcoholic neuropathy

Marijuana: increased anxiety and paranoia; higher likelihood of developing schizophrenia or other mental illnesses; decreased fertility; decreased concentration/

Illicit drugs will always carry inherent risks and are best to be avoided. Abstinence is clearly the safest decision, but as the statistics show, today’s society is not trending towards abstinence. Therefore, the key is to be safe and to be knowledgeable when it comes to alcohol and other drugs.

need help but you're afraid to ask?

you're not alone. turn the page to face your fear of treatment.

1Alcoholics Anonymous: The Story of How Many Thousands Men and Women Have Recovered from Alcoholism. Fourth edition. (2001). New York City: Alcoholics Anonymous World Services.2National Institute on Alcohol Abuse and Alcoholism. (March 2015). “Alcohol Facts and Statistics.” Retrieved Jan. 27, 2016, from http://www.niaaa.nih.gov/alcohol-health/overview- alcohol-consumption/alcohol-facts-and-statistics.3Merriam-Webster Online Dictionary. (2015). “Recreational Drug.” Retrieved Jan. 27, 2016, from http://www.merriam-webster.com/dictionary/ recreational drug.4Centers for Disease Control and Prevention. (2015). “Illegal Drug Use.” Retrieved January 27, 2016, from http://www.cdc.gov/nchs/fastats/drug-use-illegal.htm. 5Mary Harding, M.D. (Nov. 3, 2014). Recreational Drugs. “What are recreational drugs?” Advice | Patient. Retrieved Jan. 27, 2016, from http:// patient.info/health/recreational-drugs.

Cody Beaton is director of the Addictions Treatment Center at Prairie View.

feAr of the unknown is scary for everyone, so here are some things you can expect during treatment.

DetoxThe word itself sends shivers through any addict. How will I make it through? How bad is it going to be?

Medication-assisted detox can help you get through the physical and emotional symptoms of withdrawal. At the Addictions Treatment Center at Prairie View, registered nurses perform assessments throughout the day, closely monitoring your symptoms so that treatment medications can be individualized and best meet your needs.

Daily ScheDuleThe schedule varies from day-to-day, but as part of your treatment you can expect group, individual and family therapy at a frequency that meets your needs. You can also expect to participate in expressive therapy (art and writing), mindfulness, emotional regulation, fitness groups, yoga, and education groups to help you learn more about addiction and strategies for maintaining sobriety. There is also free time for you to relax, unwind and reflect on the things you’re learning.

We have staff available 24 hours a day to assist in meeting your specific needs in recovery.

confiDentialityYour privacy is as important to us as it is to you. It is our primary motivation for keeping our treatment center small and exclusive. Your presence in treatment is never disclosed to anyone without your permission.

Mona Clark is director of nursing at Prairie View, Inc.


fearof treatment

What you can expect from treatment at the addictions treatment center at prairie VieW

Mona clark, Rn There are many misperceptions about addiction and we understand your concerns about the potential professional and personal consequences of your decision. We can help you develop a plan for talking with key relationships about your addiction and recovery.

We recognize the decision to seek treatment is a personal and difficult one. Confidentiality is a priority to us.

aSSeSSMentSYour treatment plan is unique to you. We don’t have a “one size fits all” model. Our medical team includes psychiatrists, therapists, registered nurses and addictions specialists. After meeting you, a treatment plan is created that meets your individual needs.

Treatment at the Addictions Treatment Center allows you access to our therapists who are masters prepared, meaning you now have a clinician, not only with expertise in addiction treatment but who can diagnose and treat underlying issues of addiction such a depression, anxiety and PTSD. You also have your medications managed by a psychiatrist. When these co-occurring disorders are treated properly, you have greater success in your recovery.

Fear is a powerful emotion and not easily overcome. The comment we hear most from our clients shortly after their arrival is, “This isn’t as bad as I thought it would be.” We are here to walk with you on your journey and offer you the treatment that will allow you the best chance of success. To learn more, contact us at 800-992-6292.

he decision to enter treatment for a drug or alcohol problem can scare anyone.

In fact, it is a common reason for not seeking treatment at all. The decision to enter treatment is the scariest part. The truth is the decision to find treatment is the first courageous step on the journey. Your hope for a new life should be applauded.

T

thoughtS cAn meAn the difference between having a good day or a bad one. Every time you have a negative, angry or sad thought, your brain releases chemicals that activate your limbic system1 and make your mind and body feel bad. And every time you have a happy, positive thought, your brain releases chemicals that make your mind and body feel good. Our thoughts affect both our physical and our mental health, as well as our attitudes, behaviors, happiness, relationships and success.

It has been said that an optimist sees a glass as half full while a pessimist sees a glass as half empty. An optimist focuses on positives, possibilities, and hopeful aspects of a situation; whereas, a pessimist has difficulty seeing possibilities, having hope, and may feel helpless. We tend to act in ways that support our thoughts, so if you think you can do something, you will probably try. If you don’t think you can do something, you will be more likely to give up and may not even try. This is referred to as the self-fulfilling prophecy, in other words—causing something to happen by believing it will come true.

Research has shown that positive thinking and optimism have many health benefits. These include increased life span, decreased risk for cardiovascular disease, lower rates of depression, greater resistance to the common cold, and better coping skills during times of stress.

It is not always easy to think positive thoughts. Depression can affect how we think. In addition, some of us grew up surrounded by negative people, criticism, and learned to be critical of ourselves and/or others. The good news is—it is possible to change the way you think!

Here are some tips for positive thinking:

Surround yourself with positive people. Remember positivity is contagious, just as negativity is! Keep a gratitude journal. Each day write down things you are thankful for. Focus on what is good in your life. Studies have shown that people who focus on the things they are grateful for are happier and healthier than those who don’t.

22 | ANewView Fall 2015/Winter 2016

Jennifer Hecht, LCPC, LCAC

The Powerofthought

Our thoughts are powerful! Did you know that every time you have a thought, your brain releases chemicals?

Listentoupliftingmusic.Listening to upbeat music has been found to improve mood and boost happiness levels.

Readpositivemessages. Reading books or daily readings that offer you positive messages can help boost your mood and help you to think positively in times of stress.

Laugh. Use humor and learn to laugh at yourself. Do you remember the last time you had a good belly laugh? What about the last time you heard a child laugh? Research has shown that laughing and smiling can increase our levels of serotonin, a feel good hormone, and also increase our endorphin production, creating a natural high. Exercise. Exercise can raise serotonin levels, increase energy, and distract you from negative thoughts that may loop around in your mind. Practicemindfulnessmeditation.Mindfulness meditation is the practice of intentionally focusing on the present moment without judgment. With mindfulness meditation, we learn to increase our awareness, focus our attention, slow racing thoughts and be fully present in the moment and in our lives.

Play.Have fun. Even adults can play. Schedule time for fun.

Replacenegativethoughts.Learn to recognize negative thoughts and practice replacing them with positive thoughts. Notice when your thoughts are negative and talk to them. When you are able to challenge and change your automatic negative thoughts, you take away their power.

Remember that changing the way you think is a process. It will not happen overnight. So don’t get discouraged or beat yourself up if you notice yourself thinking negative thoughts. Instead, be accepting of yourself and where you are at in the process. View

negative thoughts as an opportunity to learn new skills. And remember, like making any change or forming any habit, improving your power of thought will take practice.

1The limbic system is the part of the brain concerned especially with emotionand motivation.

Jennifer Hecht is a licensed clinical professional counselor and licensed clinical addiction counselor at Prairie View's West Wichita office.


MedicationDo's & Don'ts

Most researchers agree the symptoms of mental illness are caused from chemical imbalances in the brain. A psychotropic medication may address these imbalances to reduce or relieve symptoms.

Every medication comes with unique side effects and not every person responds to medications in the same way. Talking openly with your medication provider and reviewing the literature associated with any medication will help you have a positive experience with any new medication.

Here are some things to consider: • Medications treat symptoms and are not cures. • When medications effectively treat symptoms,

the symptoms may return if the medications are not taken properly.

• Every medicine has benefits, risks and side effects. Deciding to take a medication is about weighing the potential benefits against the possible side effects. It is often difficult to know how you will respond to a medication until you try it.

• Some symptoms of mental illness may be made worse by stress; the underlying cause of the stress may be something that a medication cannot treat.

• Medications help the most when they’re part of an overall treatment program.

• Medications differ widely in how quickly they may take effect and if dosage adjustments are needed.

• It can take time to feel the effects. Sometimes a medication’s side effects may start before its benefits. You also may have to try more than one medication before finding the best one for you.

How to Get the Most Out of Your Medication• Communicate honestly with your medication

provider about your symptoms, medical history and medication side effects.

• Tell the provider about any drugs, alcohol, over-the-counter medicines, prescription medicines and herbal supplements you’ve been taking.

• Keep a chart of your medications. That way you can make sure you’re taking your medicines at the right times. Chart how you’re feeling so you monitor your progress.

• Talk to your therapist or medication provider before you stop taking medications because abruptly stopping some medications can affect your health.

Medication Can Have Side Effects Some side effects of medications can be easy to treat but others are quite serious. If you’re having trouble with a medication or experiencing unpleasant side effects, call your medication provider; don’t keep it to yourself. Your medication provider will determine if a side effect is serious or easy to treat.

Some easy to treat side effects can be addressed rather quickly:• Dry mouth: Chew sugarless gum. • Constipation: Drink plenty of water, exercise,

and increase high-fiber fruits and vegetables in your diet.

• Nausea: Take your medication with a meal.• Fatigue: Ask about changing the time you take

the medication.

Staying Safe When Taking Medications• Avoid using street drugs or drinking alcohol

while taking psychiatric medication. The combination can make your symptoms worse and be dangerous and even deadly.

• Be careful while driving or using machinery, especially if your medicine makes you sleepy.

• Women who are pregnant or are breast-feeding should talk with their doctor about special concerns related to the medications.

• Stopping certain medications abruptly may cause you to feel ill and possibly cause a seizure. Medications should be stopped according to your medication provider’s instructions.

• Some medications can be abused; take the medications only as they are prescribed. To avoid theft, always keep these medications in a safe and secure place.

• Make sure your medication prescriber is aware of all medical problems that you have and if any additional medications are prescribed.

For more information, visit the National Institute of Mental Health website: www.nimh.nih.gov.

Talking openly with your medication provider and reviewing the literature associated with any

medication will help you have a positive experience with medication.

to help your clientS make changes in their lives, they can be heartened to learn that their brain are not hardwired to fail but are soft wired. You can begin by describing how their brain can be rewired to make the adjustment. Explaining the phenomena of neuroplasticity and the concept that "cells that fire together wire together" will help them learn how good and bad habits are formed. Their brains are every developing new connections between neurons while killing off connections that are not used every time they develop a new habit and break a bad habit.

To help them remember the steps to develop new habits to support their adjustment, use the acronym FEED, as in feeding their brain. They can be invited to use the mnemonic FEED for feeding the brain. FEED stands for Focus, Effort, Effortlessness and Determination.

By using this guiding theorem they can FEED their brains to can make the rewiring changes to make their adjustment successful. Let's examine each step in detail.

FocusThey need to pay attention to the situation, and the new behavior, that they want to repeat or remember. Attention activates their frontal lobes (the brain's brain), which ensures that other parts of the brain are also engaged. They may think of this step as the alert function. They can't rewire their brain without opening the gate or initiating the chnage. Focus gets the ball rolling.

Attention and the frontal lobes play important roles in neuroplasticity because they help to direct the resources in other parts of the brain to what is important. You can explain how this works by noting that when they are on automatic pilot, such as when they are driving on a highway and talking to their friend in the passenger seat, their attention is directed to the conversation. The conversation is what they will remember, not the trees and the houses along the road or even how fast they were driving. If, however, they talk about how fast the car is moving, their attention has shifted before a highway patrolman pulls them over.

But, simply focusing attention doesn't ensure that their brain has been rewired. They focus on a hundred thousand experiences a day, and their brain can't possibly remember all the things they experienced. Focus allows them to pay attention to what's happening here and now, and this starts the process of neuroplasticity. John B. Arden, PhD, who wrote this article, is the author or co-author of

14 books, including Brain-Based Therapy with Adults and Brain-Based Therapy with Children and Adolescents, Rewire Your Brain, The Brain Bible, and his most recent, Brain2Brain. He was keynote speaker for the Prairie View Education Symposium 2015.


for mental healthcare professionals

FEED Your BrainEFFortThe next step of FEED is Effort. Effort shifts their attention from perception to action. Making a focused effort activates their brain to establish new synaptic connections. When they began to make an effort, their brain uses a lot of glucose to learn something new. By observing PET scans, neuroscientists have amassed considerable information in the last two decades on what parts of the brain light up in the scan because of glucose metabolism when someone is thinking or feeling something new. When they're making an initial effort to do something, the area of their brain associated with that task shows up in the scan as being in use.

EFFortlEssnEssAfter a new behavior, thought or feeling has been established, it takes less energy to keep it going. It's like learning how to react calmly instead of anger when smoeone is rude. In the beginning, it takes focus, effort and more energy in their brain, but after they make the think strategically enough times, it becomes effortless. It is important to stress to them that to rewire their brain they'll have to stay with the new behavior long enough to make it eventually become fairly automatic. In time, practice will make it effortless. Their brain won't have to work as hard once they reach this level.

The body and the brain follow natural laws, and the natural law that applies to the concept of effortlessness is called the Law of the Conservation of Energy. This means that the things that happen are usually things that happen easily. For example, all water flows downhill. the same is true for the brain: the more they use certain brain cells together, the more they will use them together in the future.

As brain scans illustrate, when a person becomes more proficient in a particular skill, the brain region associated with that skill labors less. This illustrates the fundamental principle of efficiency: what comes easily will be repeated because it's easy.

Once they have developed a pattern – doing things to feel pleasure without drugs –it will become easier to do the next time they try. What if they stop doing the new behavior? If they haven't shown up for working on time each day, they won't fidn it easier next time they make the attempt. If they visit old drug buddies when they haven't stayed with newly developed ways of deriving pleasure, the more likely they will relapse. If they practice doing these things, their brain will remain wired to perform them effortlessly.

DEtErminationThe final step in feeding their brain is being determined to stay in practice. Being determined in this way need not be tiring and painful. If they practice the other three steps in feeding their brain, by the time they get to this one, it should come easily. That's because effortlessness precedes it. Thus, determination simply means that they stay in practice. By being determined, they'll complete the feeding process to rewire their brain.

For more information on the FEED mnemonic and how to rewire the brain, see the book: Rewire Your Brain, John Wiley and Sons, publisher. For more on how to talk to clients about their brain, see: Brain2Brain, John Wiley and Sons, publisher.

chAngeS in plAnS, financial stressors, loss of friends and loved ones, and unforeseen medical events can throw an older adult into unknown territory – even depression.

The role of depression in physical healTh problems Depression can exacerbate pre-existing health problems and make it difficult for health care professionals to diagnose. Additionally, depression can have its own physical symptoms which may include:


• Aches and pains• Stomach or digestive problems• Memory and concentration problems• Changes in appetite leading to weight loss or

gain • Changes in sleeping patterns • Fatigue or loss of energy • Observable restlessness or decreased physical

activity • Unexplained physical illnesses or increased

physical complaints

Other common symptoms of depression that usually last up to two weeks at a time include:

• Depressed mood nearly every day • Lost interest or pleasure in all or almost all activities • Feelings of worthlessness, hopelessness, or

inappropriate guilt • Recurrent thoughts of death or suicidal ideation • Irritability such as agitation or verbal aggressiveness • Increased isolation

An older adult may have the impression that feeling depressed is common as one grows older and therefore may not want to burden others with his/her problems. There may be the fear of being hospitalized in a psychiatric institution or being labeled as weak or “crazy.” They may feel a conflict with their religious beliefs and may use denial as a way to deal with depression. Additionally, many older adults are not familiar with mental health issues and may tend to focus more on the physical symptoms and seek medical attention only.

The significanT risk facTors for noT geTTing TreaTmenT Studies have shown that untreated depression can be as disabling as other major medical disorders such as heart disease, diabetes or arthritis. Additionally, studies have concluded that major depression is the leading cause of disability in adults throughout the world and for older adults, depression has been associated with problems performing daily living skills.

However, the most tragic risk factor for older adults with untreated depression is the increased risk for completed suicide attempts. Studies have indicated that the ratio of attempts to actual completion of suicide in adults is 30:1 and older adults is 4:1 with Caucasian, older adult men as having the highest suicide completion rate compared to adults of all ages. Studies indicate that older adults tend to use more lethal means such as firearms or overdosing. These same studies indicate that most older adults who have completed suicide had seen a physician the month prior in which the majority of physicians

Older Adults & depressiOnamy ibbetson, lmlp

How often people wish for retirement when they can travel, determine their own schedules, and spend time with loved ones. Often their plans include activities that were pushed aside while careers and family-raising took precedence. But, as people age, it may not be as picture-perfect as they had imagined.

studies have shown that untreated depression can be as disabling as other major medical disorders such as heart disease, diabetes or arthritis.


did not observe depressed mood or suicidal ideation.

WhaT To do if you feel you are dealing WiTh depression or you suspecT ThaT someone you love is currenTly dealing WiTh depression1. Check in with your doctor. There are several

medical problems that share similar symptoms with depression or increase the risk of depression, such as stroke, cancer, Parkinson’s disease, heart disease, lung disease, diabetes, Alzheimer’s disease, arthritis and endocrine disorders. Health problems should be addressed first when looking into depression. What to tell your doctor: Review the common symptoms of depression that include the physical symptoms and if any apply to you, tell your doctor. Make sure you have a current list of your medications that include over-the-counter medications. Inform your doctor if you have been using alcohol and/or other drugs. Report to your doctor all medical conditions you may have and any stressors that may have occurred within the last 12 months.

2. Following a physical examination, your doctor may refer you for a mental health evaluation at your local mental health center. You do not need a referral from your doctor to receive a mental health evaluation and may also choose to do this on your own.

What to expect from a mental health evaluation: An individual seeking a mental health evaluation will usually meet with a licensed mental health provider who will review the individual’s medical history, list of medications, and family history as well as their emotional functioning. You should come prepared for a mental health evaluation as you would for visiting with your doctor and have your medications and medical health problems ready for review. Following the mental health evaluation, diagnosis and recommendations will be given.


Recommendations may include a medication evaluation for the purpose of prescribing medication that is appropriate based on the individual’s current health status and list of medications. Recommendations may also include testing of mood, personality, or memory to further clarify diagnosis. Individual or group psychotherapy may also be recommended. Studies have shown that a combination of psychotherapy and medication have been the most helpful in treating depression and preventing relapse. Group therapy has also been found to be helpful for those in various stages of grief and loss.

Studies suggest that six million people are affected by late life depression, however only 10% ever receive treatment. The older adult population is significantly underdiagnosed and undertreated when it comes to mental health concerns. This may be due to multiple factors such as difficulty with diagnosis and fear of stigmatization. However, studies show that the appropriate treatment of depression may greatly improve quality of life even during times of loss and physical health decline.

Amy Ibbetson is a licensed master level psychologist. She leads the Life Transitions Program at Prairie View, Inc., a unique program that allows individuals with similar experiences in the second half of life to discuss personal challenges and offers education from various community resources that may enhance one's coping style.

Hinrichsen, G. A., & Clougherty, K. F. (2006). Interpersonal psychotherapy for depressed older adults. Washington, DC: American Psychological Association.

The National Council On The Aging & Pfizer. (1998). New views of depression for older adults: How to recognize depression, get help, and be well again. United States: Pfizer Inc.

everyone hAS the power to transform a life…

• Maybe you have watched a loved one destroy his/her life with an addiction.

• Maybe you’ve experienced healing and grace at Prairie View.

• Maybe your family has been made whole again because of treatment and support.

• Maybe you see the homeless in our community and feel there must be something you can do.

• Maybe you have felt the pain of surviving suicide.

Over sixty years ago, a small group of ordinary people decided they had the power to transform lives. They came together to build Prairie View. Treating mental illness and addictions wasn’t easy, but they believed they had the power to transform lives.

It’s now your time to join the Prairie View mission.

The Grateful Hearts program at Prairie View is an opportunity for every gift to transform a life. When you donate to Prairie View’s Grateful Hearts program, we combine your gift with other small recurring

NO ACTof kindness

iS everwasted.

no matter how small

gifts from many donors to create major impact.When your monthly gift is combined with others:

• $5 per month can provide case management for a person to help remove barriers that often lead to incarceration or homelessness.

• $10 per month can provide housing and voca-tional services for a person determined to make a better life.

• $15 per month can help someone find peace from his/her battle with depression.

• $20 per month can provide therapy and parent-ing education for a family struggling to stay together.

• $25 per month can help someone face addiction issues.

• $50 per month can provide a safe place for someone who is suicidal.

Donating is easy. Use the envelope that came with this magazine, or begin a recurring monthly gift online at www.prairieview.org. Your gift will will transform someone’s life.


Please set up your monthly recurring gift to Prairie View today at www.prairieview.org. Your gift will help transform lives.

Growing Grateful Hearts

Honoring

Hoarding Disorder

it wASn’t A fire, ActuAlly. The newspapers, stacked tightly, had been shoved against a floor furnace. They didn’t burn; they smoldered. Cause of death: smoke inhalation.

This shouldn’t have happened. Friends and family had loved the dear woman who suffered. Many knew of her hoarding but didn’t know what to say or how to help. This event was the beginning of my journey to learn about hoarding disorder so that I could assist those who struggle and those who want to help.

The above story focuses on the stuff that can collect and take over a house, making rooms uninhabitable and health and safety compromised. However, recognize that hoarding is far more

complex than this. Although pack rats have been recognized for decades, understanding the process of hoarding has been studied and researched only since the early 1990s. This led to Hoarding Disorder being added as a new diagnosis in the DSM 5, the most current manual of mental health disorders.

Hoarding Disorder defines the struggle that a person has relative to possessions. The need to save and the inability to discard results in extreme clutter which inhibits use of space and impairs functioning. Although much of the stuff seems useless to others, to the person who owns the possessions, each piece has importance. Many of us save items to which we are sentimentally attached or which we see as valuable or available to be reused or repurposed. Those who

hoard can take these values to the extreme. Prioritizing the importance of each piece is difficult and overwhelming.

Organization and decision-making are a struggle. One person may be concerned about how to categorize objects so will dither about the decisions. Others may have a need to have items in sight instead of stored so that they are aware of what they have. Many have no room to store because the spaces are filled with items that they cannot access. These obstacles interfere with the process of organization and elimination.

Those who hoard may or may not have insight. Even with insight, the ability to limit acquisition of items and to initiate and manage the decluttering can be overwhelming.

Many people who hoard also struggle with comorbid health and/or mental health disorders. Depression and anxiety are the most common co-occurring mental health conditions. Those who have the comorbid health and mental health problems are more apt to lack motivation for change and resist assistance or intervention. It is critical to address these issues, as well as cognition and behavior, in order to declutter and organize.

Those who hoard and clutter have vulnerabilities that influence cognition and behavior. Brain functioning and life experiences intensify the problems with object-person fusion. Research has identified genetic markers and neurobiological structures that predispose someone to hoard. Some people who hoard have great difficulty with attention and

problem solving. Others may have learned from family about saving and repurposing. Still others may have suffered trauma and/or multiple losses with “stuff ” providing comfort and protection. Although there are patterns of cognition and behavior among those who hoard, each person’s story is unique.

research has identified genetic markers and neurobiological structures

that predispose someone to hoard.

Decision-making Questions When you're about to begin organizing a large amount of stuff, ask yourself or your loved one these questions in order to make the decision process easier.

• What is the worst that could happen to me without this item?

• What are other sources for this information or item?

• What do others do with similar items?

• Do i have time to actually use, review or read this?

• Do i have a specific plan to use this item within a reasonable time frame?

• Does this seem important just because i am looking at it now?

• Do i have enough space for this?

• Will not having this help me solve my hoarding problem?

Nancy Trout, LSCSW


The person who has decided to address his/her own excess clutter will work on a plan focused on decision-making and discarding. I encourage each person to avoid guilt-related verbs when choosing their tasks. Examples of those are when we will say, “I need to, want to, should, or have to” do something. I encourage people to say, “What can I do? What will I do?” It is important to stay within those parameters. It is also helpful to have a list of tips to say to yourself when facing the stuff.

It can be very helpful to have an assistant or “coach” partner with you as you process the stuff. This person must be supportive, non-judgmental and respectful. The person who has the possessions is in charge of the decluttering process. The coach assists with focus, cheers and hauling. The coach must remember the following:

• This is an emotional journey for the person who hoards.

• Allow expression of feelings without judgment or criticism.

• Do not take over decisions or move items with-out permission.

• Allow disagreement.• Avoid argument.• Celebrate successes.

When major safety or health concerns exist, a major cleanout may have to occur. This is known as Harm Reduction. There are two acronyms which can be helpful to remember in this instance. The first is LEAP — Listen, Empathize, Agree and Partner — which addresses the emotional struggle of the clean out. The other is LEARN — Listen, Empathize, Affirm, Redirect and Negotiate — which can be used to stay on target with the clean out.

Those who hoard and clutter and who are open to support and assistance respond well to a variety of interventions. Cognitive Behavioral Therapy with an emphasis on hoarding is helpful. Psychotherapy for co-existing mental health disorders is imperative. Community education, support groups, individual peer support and psychoeducational groups increase awareness and reduce stigma.

There is much hope for those who hoard and clutter. Encouragement and support are available. Prairie View, Inc. is actively involved with Wichita/Sedgwick County Hoarding Coalition. We provide psychotherapy, education and support in collaboration with a number of agencies and organizations within our community. For information, please contact me at the Legacy Park office of Prairie View, Inc.

CLuTTer

CLeANerS CLub

Nancy Trout is a licensed specialist clinical social worker at Prairie View's Legacy Park office in east Wichita. She is a hoarding specialist and regularly speaks at various educational events and conferences in the south central Kansas area.

TipS for DiSCarDiNg1. Make three labeled piles: Discard. Donate. Keep.

2. Limit your time. Focus on 15-minute manageable tasks/blocks of time. increase time as you are able.

3. Start with an area that is not too emotional.

4. Just because something is useful does not mean that you should keep it.

5. Avoid new acquisitions.

6. Be patient and forgiving of yourself.

7. Ask for help as needed from those you trust.

Once a month, individuals who struggle with hoarding and cluttering come together for support. Here, they give you and your loved ones tips to reduce stress.

1. Do not judge the person with clutter. No sighing or rolling of eyes.

2. Be respectful. Cheer on. Celebrate successes.3. Start where the person chooses. Never assume.4. Start small but “keep an eye on the prize.”5. The person with the clutter decides when, what

and how things leave the house. 6. Take breaks. Both the person with the clutter

and the assistant should take time out.7. Come back from a break ready to work.8. Accept and allow a range of emotions — sadness,

anger, frustration, relief.9. Reframe and redirect negativity.10. Recognize that decluttering will take time.

The Clutter Cleaners Club is a support group for those who struggle with hoarding and cluttering. The group is sponsored by the Wichita/Sedgwick County Hoarding Coalition and is led by Nancy Trout, LSCSW. There is no charge for the group. Donations are accepted. The Clutter Cleaners Club meets the third Wednesday of each month from 2:30 to 4 p.m. at The Bistro in West river Plaza, 2622 W. Central Ave. (Central and McLean), Wichita.


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June 2, 2016Prairie View Recreation Center | Newton, Kansas

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