Virtual Reality Unlocks New Tools for Facing Your Worst Fears
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He grew up in San Francisco's Mission District and has previously worked with Univision, 48 Hills and REFORMA in Mexico City.","avatar":"https://secure.gravatar.com/avatar/e95ff80bb2eaf18a8f2af4dcf7ffb54b?s=600&d=blank&r=g","twitter":"@LomeliCabrera","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["editor"]},{"site":"news","roles":["editor"]},{"site":"about","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"perspectives","roles":["editor"]},{"site":"elections","roles":["editor"]}],"headData":{"title":"Carlos Cabrera-Lomelí | KQED","description":"Community Reporter","ogImgSrc":"https://secure.gravatar.com/avatar/e95ff80bb2eaf18a8f2af4dcf7ffb54b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/e95ff80bb2eaf18a8f2af4dcf7ffb54b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/ccabreralomeli"},"jlara":{"type":"authors","id":"11761","meta":{"index":"authors_1591205172","id":"11761","found":true},"name":"Juan Carlos Lara","firstName":"Juan Carlos","lastName":"Lara","slug":"jlara","email":"jlara@kqed.org","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":null,"avatar":"https://secure.gravatar.com/avatar/19e2052b9b05657c5ff2af2121846e9c?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["editor"]},{"site":"news","roles":["editor"]},{"site":"forum","roles":["editor"]},{"site":"liveblog","roles":["contributor"]}],"headData":{"title":"Juan Carlos Lara | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/19e2052b9b05657c5ff2af2121846e9c?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/19e2052b9b05657c5ff2af2121846e9c?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/jlara"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11974814":{"type":"posts","id":"news_11974814","meta":{"index":"posts_1591205157","site":"news","id":"11974814","score":null,"sort":[1707249617000]},"guestAuthors":[],"slug":"california-considers-legalizing-psychedelic-therapy-to-treat-mental-illnesses","title":"California Considers Legalizing Psychedelic Therapy to Treat Mental Illnesses","publishDate":1707249617,"format":"standard","headTitle":"California Considers Legalizing Psychedelic Therapy to Treat Mental Illnesses | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>Gov. Gavin Newsom last fall signaled he was ready to bring psychedelic drugs into the mainstream of California’s mental health system, and a pair of lawmakers today submitted a bill to hold him to his word.\u003c/p>\n\u003cp>Sen. Scott Wiener, a San Francisco Democrat, and Assemblymember Marie Waldron, a San Diego Republican, are carrying a bill that would legalize psychedelic therapy. It would allow adults 21 and older to use the hallucinogenic drugs psilocybin mushrooms, MDMA, DMT and mescaline in a controlled setting and under the supervision of a licensed and trained facilitator.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Assemblymember Marie Waldron\"]‘Our current approach to mental health has been criminalization and lack of access; we can do better.’[/pullquote]\u003cbr>\nThe new proposal follows \u003ca href=\"https://calmatters.org/explainers/new-california-laws/#d44822d0-3dec-4307-84fb-ec649848fe26\">Newsom’s veto of a broader bill\u003c/a> in October that would have decriminalized the \u003ca href=\"https://calmatters.org/health/2023/08/california-decriminalize-psychedelic-mushrooms/\">possession of psychedelic drugs\u003c/a>. At the time, he indicated he would support a measure focused on therapies.\u003c/p>\n\u003cp>“California should immediately begin work to set up regulated treatment guidelines — replete with dosing information, therapeutic guidelines, rules to prevent against exploitation during guided treatments, and medical clearance of no underlying psychose,” Newsom said in his veto message.\u003c/p>\n\u003cp>The new measure, Senate Bill 1012, would require the state to establish a licensing board to develop training and oversight rules for therapy facilitators. Facilitators would have to screen individuals before they can participate. The bill also asks for the creation of a public-private fund to support grants for public health education related to psychedelics.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I want California to be on the leading edge of psychedelic access for people seeking therapy. I also want California to be on the leading edge of public education and safety around psychedelics, and this bill will point us in that direction,” Wiener said in a briefing with reporters.\u003c/p>\n\u003ch2>New research into psychedelic therapies\u003c/h2>\n\u003cp>[aside postID=\"news_11959628,science_1982857\" label=\"Related Stories\"]Growing research characterizes psychedelic drugs as promising in helping people address various mental illnesses, including depression and post-traumatic stress disorder. The U.S. Food and Drug Administration has not approved psychedelic-assisted therapies, although some may be close. In December, the nonprofit research group Multidisciplinary Association for Psychedelic Studies applied for FDA review of its \u003ca href=\"https://maps.org/2023/12/13/maps-celebrates-submission-of-new-drug-application-to-fda-for-mdma-assisted-therapy-for-ptsd/\">MDMA-assisted therapy for PTSD\u003c/a>. That review could come later this year.\u003c/p>\n\u003cp>Meanwhile, the Department of Veterans Affairs last month announced its intent to study \u003ca href=\"https://news.va.gov/press-room/to-improve-care-for-veterans-va-to-fund-studies-on-new-therapies-for-treating-mental-health-conditions/\">psychedelics for the treatment of PTSD\u003c/a> and depression. According to the department, this is the first time since the 1960s that it is funding such research.\u003c/p>\n\u003cp>Wiener said California can move forward on psychedelic therapies even though their status is uncertain with the federal government. “We are not waiting for the federal government to bless us,” he said. “We are addressing California’s legal obstacles to this therapy.”\u003c/p>\n\u003cp>Last year, Oregon became the first state to open \u003ca href=\"https://www.oregonlive.com/health/2023/12/over-700-people-have-used-psychedelic-mushrooms-under-oregons-program-in-2023.html\">centers that offer regulated psilocybin therapies\u003c/a>. More than 700 people used these services in the second half of 2023, said Dr. Brian Anderson, a psychiatrist at UC San Francisco.\u003c/p>\n\u003cp>“And they had waitlists of thousands of people at the different centers,” Anderson said. “In Oregon, you see people coming from out of state, so we’d have to anticipate how many Californians would access this versus other people possibly wanting to access it, but there seems to be quite a demand.”\u003c/p>\n\u003ch2>Bipartisan support for mental health measures\u003c/h2>\n\u003cp>Several Republicans voted for last year’s decriminalization bill. Waldron said lawmakers from both parties support the therapies because they see a new need for new mental health solutions. She shared she’s heard from veterans and first responders who shared that psychedelics have helped them overcome severe traumas and suicidal thoughts.\u003c/p>\n\u003cp>“Our current approach to mental health has been criminalization and lack of access; we can do better,” said Waldron, who is also the author of a second bill that establishes a state workgroup to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB941\">study psychedelic-assisted therapies\u003c/a>.\u003c/p>\n\u003cp>A \u003ca href=\"https://psychedelics.berkeley.edu/bcsp-first-study-results/\">UC Berkeley poll\u003c/a> last year showed that 60% of those surveyed supported psychedelics for therapeutic use, and 78% supported making it easier for researchers to study psychedelics further. Meanwhile, 49% said they supported removing criminal penalties for personal use.\u003c/p>\n\u003cp>A number of law enforcement unions, cities and the state lobbying group for district attorneys opposed last year’s decriminalization bill. Parents and several researchers also spoke at hearings on the bill, with some requesting additional safety and education components.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Outside of the Legislature, a group of doctors and advocates are gathering signatures to place a measure on the November ballot that would approve $5 billion in state general obligation bonds to create a \u003ca href=\"https://www.treatcalifornia.org/team\">state agency for psychedelic therapy research\u003c/a>. The group has until March 20 to submit signatures.\u003c/p>\n\n","blocks":[],"excerpt":"California could follow Oregon in authorizing the use of psychedelics in therapeutic settings. Growing research characterizes certain hallucinogens as helpful in treating mental illnesses such as depression and PTSD.","status":"publish","parent":0,"modified":1707246790,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":800},"headData":{"title":"California Considers Legalizing Psychedelic Therapy to Treat Mental Illnesses | KQED","description":"California could follow Oregon in authorizing the use of psychedelics in therapeutic settings. Growing research characterizes certain hallucinogens as helpful in treating mental illnesses such as depression and PTSD.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Considers Legalizing Psychedelic Therapy to Treat Mental Illnesses","datePublished":"2024-02-06T20:00:17.000Z","dateModified":"2024-02-06T19:13:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Ana B. Ibarra","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11974814/california-considers-legalizing-psychedelic-therapy-to-treat-mental-illnesses","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom last fall signaled he was ready to bring psychedelic drugs into the mainstream of California’s mental health system, and a pair of lawmakers today submitted a bill to hold him to his word.\u003c/p>\n\u003cp>Sen. Scott Wiener, a San Francisco Democrat, and Assemblymember Marie Waldron, a San Diego Republican, are carrying a bill that would legalize psychedelic therapy. It would allow adults 21 and older to use the hallucinogenic drugs psilocybin mushrooms, MDMA, DMT and mescaline in a controlled setting and under the supervision of a licensed and trained facilitator.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Our current approach to mental health has been criminalization and lack of access; we can do better.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Assemblymember Marie Waldron","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nThe new proposal follows \u003ca href=\"https://calmatters.org/explainers/new-california-laws/#d44822d0-3dec-4307-84fb-ec649848fe26\">Newsom’s veto of a broader bill\u003c/a> in October that would have decriminalized the \u003ca href=\"https://calmatters.org/health/2023/08/california-decriminalize-psychedelic-mushrooms/\">possession of psychedelic drugs\u003c/a>. At the time, he indicated he would support a measure focused on therapies.\u003c/p>\n\u003cp>“California should immediately begin work to set up regulated treatment guidelines — replete with dosing information, therapeutic guidelines, rules to prevent against exploitation during guided treatments, and medical clearance of no underlying psychose,” Newsom said in his veto message.\u003c/p>\n\u003cp>The new measure, Senate Bill 1012, would require the state to establish a licensing board to develop training and oversight rules for therapy facilitators. Facilitators would have to screen individuals before they can participate. The bill also asks for the creation of a public-private fund to support grants for public health education related to psychedelics.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I want California to be on the leading edge of psychedelic access for people seeking therapy. I also want California to be on the leading edge of public education and safety around psychedelics, and this bill will point us in that direction,” Wiener said in a briefing with reporters.\u003c/p>\n\u003ch2>New research into psychedelic therapies\u003c/h2>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11959628,science_1982857","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Growing research characterizes psychedelic drugs as promising in helping people address various mental illnesses, including depression and post-traumatic stress disorder. The U.S. Food and Drug Administration has not approved psychedelic-assisted therapies, although some may be close. In December, the nonprofit research group Multidisciplinary Association for Psychedelic Studies applied for FDA review of its \u003ca href=\"https://maps.org/2023/12/13/maps-celebrates-submission-of-new-drug-application-to-fda-for-mdma-assisted-therapy-for-ptsd/\">MDMA-assisted therapy for PTSD\u003c/a>. That review could come later this year.\u003c/p>\n\u003cp>Meanwhile, the Department of Veterans Affairs last month announced its intent to study \u003ca href=\"https://news.va.gov/press-room/to-improve-care-for-veterans-va-to-fund-studies-on-new-therapies-for-treating-mental-health-conditions/\">psychedelics for the treatment of PTSD\u003c/a> and depression. According to the department, this is the first time since the 1960s that it is funding such research.\u003c/p>\n\u003cp>Wiener said California can move forward on psychedelic therapies even though their status is uncertain with the federal government. “We are not waiting for the federal government to bless us,” he said. “We are addressing California’s legal obstacles to this therapy.”\u003c/p>\n\u003cp>Last year, Oregon became the first state to open \u003ca href=\"https://www.oregonlive.com/health/2023/12/over-700-people-have-used-psychedelic-mushrooms-under-oregons-program-in-2023.html\">centers that offer regulated psilocybin therapies\u003c/a>. More than 700 people used these services in the second half of 2023, said Dr. Brian Anderson, a psychiatrist at UC San Francisco.\u003c/p>\n\u003cp>“And they had waitlists of thousands of people at the different centers,” Anderson said. “In Oregon, you see people coming from out of state, so we’d have to anticipate how many Californians would access this versus other people possibly wanting to access it, but there seems to be quite a demand.”\u003c/p>\n\u003ch2>Bipartisan support for mental health measures\u003c/h2>\n\u003cp>Several Republicans voted for last year’s decriminalization bill. Waldron said lawmakers from both parties support the therapies because they see a new need for new mental health solutions. She shared she’s heard from veterans and first responders who shared that psychedelics have helped them overcome severe traumas and suicidal thoughts.\u003c/p>\n\u003cp>“Our current approach to mental health has been criminalization and lack of access; we can do better,” said Waldron, who is also the author of a second bill that establishes a state workgroup to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB941\">study psychedelic-assisted therapies\u003c/a>.\u003c/p>\n\u003cp>A \u003ca href=\"https://psychedelics.berkeley.edu/bcsp-first-study-results/\">UC Berkeley poll\u003c/a> last year showed that 60% of those surveyed supported psychedelics for therapeutic use, and 78% supported making it easier for researchers to study psychedelics further. Meanwhile, 49% said they supported removing criminal penalties for personal use.\u003c/p>\n\u003cp>A number of law enforcement unions, cities and the state lobbying group for district attorneys opposed last year’s decriminalization bill. Parents and several researchers also spoke at hearings on the bill, with some requesting additional safety and education components.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Outside of the Legislature, a group of doctors and advocates are gathering signatures to place a measure on the November ballot that would approve $5 billion in state general obligation bonds to create a \u003ca href=\"https://www.treatcalifornia.org/team\">state agency for psychedelic therapy research\u003c/a>. The group has until March 20 to submit signatures.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11974814/california-considers-legalizing-psychedelic-therapy-to-treat-mental-illnesses","authors":["byline_news_11974814"],"categories":["news_8"],"tags":["news_27626","news_33111","news_29536","news_20782"],"affiliates":["news_18481"],"featImg":"news_11974817","label":"news_18481"},"news_11949674":{"type":"posts","id":"news_11949674","meta":{"index":"posts_1591205157","site":"news","id":"11949674","score":null,"sort":[1705511122000]},"guestAuthors":[],"slug":"layoffs-mental-health-lost-job-self-care","title":"Layoffs: How to Prioritize Your Mental Health After Losing Your Job, From Telling Family to Self-Care","publishDate":1705511122,"format":"standard","headTitle":"Layoffs: How to Prioritize Your Mental Health After Losing Your Job, From Telling Family to Self-Care | KQED","labelTerm":{"site":"news"},"content":"\u003cp>\u003cem>This guide is part of the KQED News series \u003cstrong>\u003ca href=\"https://www.kqed.org/news/tag/what-to-do-after-a-layoff\">What to Do After a Layoff.\u003c/a>\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>Getting laid off can have many immediate consequences — losing your source of income, having to \u003ca href=\"https://www.kqed.org/news/11948895/layoffs-how-to-save-more-money-after-losing-your-job\">cut back on spending and dipping into your savings\u003c/a> — but it can also have emotional repercussions.\u003c/p>\n\u003cp>A job can represent security and stability, and when that is taken away, our mental health also takes a hit. So, looking after our mental health is equally critical as figuring out how to keep paying the bills. If we don’t respond to our mental health needs after losing a job, that can hamper our ability to problem-solve, says Redondo Beach-based Kelli McLean, a marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients all over California.\u003c/p>\n\u003cp>“Once one crisis happens, it’s more likely for additional crises to happen,” she said. “Mental health is like a snowball.”\u003c/p>\n\u003cp>Since the start of the pandemic, researchers have been learning more about the relationship between layoffs and mental health. A \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904880/\">2021 study by Irish and American researchers\u003c/a> sampled 2,301 adults in the United States who had a job before the start of COVID-19. Those who were laid off reported higher symptoms of depression, anxiety and stress than those who kept their jobs.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellpeopleafterlayoff\">How can I tell my family I’ve been laid off?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#selfcarelayoff\">How can I truly make time for self-care after a job loss?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mentalhealthinsurance\">How can I access mental health care after losing my employer-based health insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“You lose your job, and then what happens is stress,” said McClean, who noted that once stressors increase, that “snowball” effect can lead to possible outcomes like tension with a partner, a breakup or overreliance on substances like alcohol. Because “these things tend to happen, one after another,” McLean said, “it’s really important for us to be proactive when we’re in a crisis, as opposed to pulling the covers over our head.”\u003c/p>\n\u003cp>KQED spoke to several mental health professionals across California, including McLean, to hear their thoughts on how you can deal with the emotional fallout of losing a job, the best ways to reassure and support those who depend on you and how to protect your mental health as you prepare for your next move.\u003c/p>\n\u003cp>Every situation is different, but here are some bigger insights that could be of use during difficult times.\u003c/p>\n\u003ch2>When you first get the bad news\u003c/h2>\n\u003cp>Why do many of us feel so \u003cem>bad\u003c/em> when we lose our jobs? Of course, part of it comes from the very real challenge of losing our source of income and not knowing how we will pay our bills.\u003c/p>\n\u003cp>But over time, our jobs can become part of our identity. When we lose our jobs, that part of who we are is taken away. “Your work persona, your work identity — it comes to you over time, but it doesn’t define you,” said Ioanna Angelakis, a marriage and family therapist based in San Francisco. She helps patients navigate career decisions and the anxieties that may be tied to them.\u003c/p>\n\u003cp>“I come from a perspective that we all have infinite capacities and we have so many strengths that are left untapped,” Angelakis said. “Look at your dreams and define who you want to become, and who you always dreamed you would become.”\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Read more layoff advice in our \u003ca href=\"https://www.kqed.org/news/tag/what-to-do-after-a-layoff\">What to Do After a Layoff \u003c/a>series\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Then, Angelakis recommends, “take the time to contrast that with your recent role. See if there is a mismatch — and whether you can pick up where you left off.”\u003c/p>\n\u003cp>It’s also important to remember that you are not alone in this experience, adds McLean. “This happens to most people at some point in their career. Most of the time it’s not your fault.”\u003c/p>\n\u003cp>“It’s simply random,” she went on. “It’s simply because of budget cuts or because the company is downsizing.” \u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">Read more about how to make a layoff feel less personal.\u003c/a>\u003c/p>\n\u003cp>Both McLean and Angelakis stress to be kind to yourself after you get the bad news. This is just the first step in a longer journey, and granting yourself patience will help you face the coming challenges.\u003c/p>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11835622 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"An Asian woman with long dark hair and medium toned skin wearing a black tee shirt looks to the side, as if worried.\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Therapists stress that it’s important to treat yourself with kindness after a layoff. \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tellpeopleafterlayoff\">\u003c/a>How do you tell loved ones you’ve been laid off?\u003c/h2>\n\u003cp>Figuring out how we want to share the bad news with those we care about can be another source of anxiety. These people can include our friends, partners or spouses, children and parents.\u003c/p>\n\u003cp>“We begin to feel like we failed — that we failed \u003cem>them,\u003c/em> or that we were not able to fulfill our goals,” said Angelakis. But you should let yourself release those thoughts, she advises, and remind yourself that a layoff does not define your potential — as a professional, or as a person overall.\u003c/p>\n\u003cp>When you raise the news with your spouse or partner, share what you’re feeling and be clear about what type of help you need from them, Angelakis said: “You can remind them … to be your ally.”\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>And if you have both a partner and children, make a plan with your partner first on how you want to tell your kids — depending on how old they are and what you know of their emotional capacity for topics like this. But most importantly, she stressed, “Be age-appropriate.”\u003c/p>\n\u003cp>“If you’re talking to your 6-year-old child, you don’t want to say, ‘Mom got fired,’ or ‘Mom got canned.’ You might want to say something like, ‘Mom’s not going to the office for a little while,’” she said.\u003c/p>\n\u003cp>“I think a lot of people go into this talking to their kids like they’re little adults,” McLean said. Although that might be your impulse, it “can be really scary for a child if they’re being talked to like they’re a little adult,” she said. “Kids tend to worry about this kind of thing if it’s not handled age-appropriately.”\u003c/p>\n\u003cp>For younger kids more capable of handling upsetting news, as a parent or caregiver you might consider keeping it simple — that you don’t have that job anymore and are looking for an even better one, perhaps — and assure them there’s nothing to worry about.\u003c/p>\n\u003cp>You can also be honest with kids about how \u003cem>you\u003c/em> feel, McLean says — but make sure to be clear about whether some things at home will change moving forward, even temporarily. “If you’re cutting down on some extracurricular activities, make sure that you’re still doing things with the kids where they’re getting quality time with you, maybe if it’s just going to the library, or going to the park,” she said.\u003c/p>\n\u003cp>And make sure to keep checking in with your kids consistently while you’re looking for your next job. Children “tend to have tummy aches, or they tend to say, ‘I’m not feeling good’” when they’re worried about something, McLean said. “If you’re comfortable with their teachers, maybe let their teachers know, and keep to your family structure as much as possible.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003ca id=\"selfcarelayoff\">\u003c/a>Making time for self-care\u003c/h2>\n\u003cp>If your former employer did not provide you with a severance package and you are under financial pressure, self-care may not immediately strike you as ranking high on your list of priorities. But setting aside time to catch your breath and do something that benefits you is actually critical to making sure you can be at your best when looking for a job.\u003c/p>\n\u003cp>San José-based marriage and family therapist Mariya Katrina Punay points out that a layoff is a type of separation, like a breakup or divorce. In some cases, workers have spent years working alongside people who may have become like family.\u003c/p>\n\u003cp>If we don’t take care of ourselves through this experience, like you would during another kind of separation, Punay says, it could put you at risk of longer-term consequences.\u003c/p>\n\u003cp>If the reality of the situation is “not addressed in a healthy way during the separation process,” she said, “it can be very stressful. And in the very rare case, it could be retraumatizing for those people that have not healed their job or workplace separation trauma from a previous employer … [who] jumped from one job to another without having to take time to look at how that kind of interaction has affected them.”\u003c/p>\n\u003cp>So what \u003cem>does\u003c/em> self-care look like after a job loss? If you have the option to take some time off before looking for a new role, Angelakis encourages you to fill up this time with things you always wanted to do but were prevented from doing by work. “Think about all the things that have been put on hold that are fun, inventive and creative,” she said — and seek them out.\u003c/p>\n\u003cp>Angelakis also stresses the importance of having a “gratitude practice.” This, she says, “is the time when you can fill up your time helping others,” but also an opportunity for you to make “a ritual out of being grateful for all of the things you have.”\u003c/p>\n\u003cp>“Focus on the things that you \u003cem>do\u003c/em> have in place,” Angelakis says. “The less we have, sometimes, the more grateful we become.”\u003c/p>\n\u003cp>And even if you have to go straight into the job search or you already have another job, Angelakis recommends setting aside some time each day, even for a few minutes, for your gratitude practice. “Brief with peers who also were laid off, go outside, maybe treat yourself and get your feelings out and to process what’s going on there,” she said. \u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">Read more about finding community among other folks who’ve been laid off.\u003c/a>\u003c/p>\n\u003cp>Keeping a day-to-day structure is also part of self-care, says McLean, especially during a job search.\u003c/p>\n\u003cp>Not hearing back after multiple job applications can start to make some folks feel “depressed and hopeless,” said McLean. To combat this while you’re not working, she recommends having “some kind of structure to your day. You’ll get up at the same time. And do your résumé for two, three hours,” and then exercise.\u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\"> Read more about how to balance job applications with healthy activities.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11867225\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11867225 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/pexels-cottonbro-5054213-scaled-e1617913983516.jpg\" alt=\"Two hands type on a laptop in front of a window.\" width=\"1920\" height=\"1280\">\u003cfigcaption class=\"wp-caption-text\">How can you balance actively searching for work with taking care of your emotional needs? \u003ccite>(Cottonbro/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>When should you seek additional mental health support?\u003c/h2>\n\u003cp>McLean emphasizes just how vulnerable we are when we lose our jobs unexpectedly. “One of the biggest stressors is being let go of a job,” she said. “It’s going to make it more likely for people to start engaging in their substance use. It’s going to put you at higher risk for depression, anxiety.”\u003c/p>\n\u003cp>McLean notes that people who have “a predisposition towards depression, anxiety, any type of mental health issue or substance use issue” should be especially aware that they might need additional support after a layoff through mental health counseling — “because they’re at higher risk for a relapse in either a mental health issue or a substance use issue, because it’s such a big stressor to lose a job.”\u003c/p>\n\u003cp>But even if this is not your personal situation, talking to a mental health professional about everything that is on your plate can go a long way if you’re also juggling family responsibilities.\u003c/p>\n\u003cp>When times are tough, many parents and caregivers tend to prioritize the needs of their children and other family members, and can sometimes overlook their own emotional and physical needs, says Angelakis. “As a mother, I know how hard it is to put yourself first,” she explained. “But if you don’t put yourself first … you’re going to start to burn out.”\u003c/p>\n\u003cp>She acknowledges that for some parents, it doesn’t come easy to set time aside to talk about their feelings. But, she says, it’s in those difficult moments that you need to take care of yourself, so you can take care of those who depend on you.\u003c/p>\n\u003cp>Last year, Angelakis herself lost her job at a children’s mental health nonprofit, around the same time her son was in a serious accident. From personal experience, she says, she knows “it is so challenging to step away and take care of myself first, because my child is my first priority.”\u003c/p>\n\u003cp>“In these circumstances, you feel like you just have to be these robotic individuals who just keep going, like the Energizer Bunny. And we’re not built that way,” said Angelakis.\u003c/p>\n\u003cp>“We’re human. We have feelings. We have needs. And those basic needs left unmet are going to manifest.”\u003c/p>\n\u003ch2>\u003ca id=\"mentalhealthinsurance\">\u003c/a>How can I access mental health care if I no longer have insurance?\u003c/h2>\n\u003cp>If you received health care insurance through your employer, that coverage will stop soon after the layoff. This can make it harder to find mental health support and can potentially create a difficult situation if you are already seeing a therapist or have a prescription for a mental health issue your insurance helps cover.\u003c/p>\n\u003cp>But there are several things you can do, says Punay from San José. After you’re told about the layoff, your employer will contact you to go over some paperwork that finalizes your employment. That’s when you want to ask how long your insurance benefits will last after your last day at work and about \u003ca href=\"https://www.dmhc.ca.gov/healthcareincalifornia/typesofplans/keepyourhealthcoverage(cobra).aspx\">COBRA, a federal and state law that allows workers to continue receiving their health coverage\u003c/a> for a certain period after losing their job.\u003c/p>\n\u003cp>Also, if your employer offers you a severance agreement, this can be the time to negotiate better terms for you and your family before agreeing to sign.\u003c/p>\n\u003cp>While going through insurance paperwork may not feel like the most exciting or engaging thing to do after losing your job, Punay acknowledges, it is still important because it can help you get the tools you need to look after yourself.\u003c/p>\n\u003cp>“For some people, it’s so easy to not bother with this stuff because they’re busy looking for work,” she said. “However, it’s also important that you advocate for yourself — because advocating for yourself, especially after a job loss, can be looking at the paperwork that you don’t want to look at.”\u003c/p>\n\u003cp>It’s important to remember that COBRA coverage is not free and premiums can in fact be quite high. Individuals may be charged hundreds of dollars, and family plans can go for thousands of dollars.\u003c/p>\n\u003cp>“While someone’s employed, their employer typically pays part of the premium. So that means it’s low cost,” said Tyler Sadwith, deputy director for behavioral health at the state Department for Health Care Services. “But after someone loses their job, while they have the ability to stay enrolled with that same health plan, they actually then become typically responsible for the full premium.”\u003c/p>\n\u003cp>“At that point, they could see what other options might be available,” he explained. “If they’re married, that could include enrolling in the health plan of their spouse or their partner. And that could also mean applying for Medi-Cal or other options under Covered California.”\u003c/p>\n\u003cp>You can review discounted health care plans — and see whether you qualify for Medi-Cal — by visiting \u003ca href=\"https://www.coveredca.com/\">Covered California’s website\u003c/a>. Once you’re covered, you’ll have access to services including mental health evaluations, individual and family therapy, and support for prescriptions as well. And remember: Medi-Cal covers all children in California, regardless of immigration status, whose families meet certain income requirements.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11949192/layoffs-unemployment-benefits-health-insurance-calfresh\">\u003cstrong>Read more about your health insurance options after a layoff\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Another option California offers, Sadwith says, is \u003ca href=\"https://www.calhope.org/\">CalHOPE, a peer-based, free, counseling service\u003c/a> available through text, phone and video chat, available 24/7. When you call (833) 318-HOPE or (833) 318-4673, you’ll be connected to a member of the CalHOPE network — someone you can talk to about what you’re going through.\u003c/p>\n\u003cp>“CalHOPE is really designed to provide support … have someone share the burden that [you’re] feeling that day and get some light-touch support,” Sadwith said, clarifying that “CalHOPE is really not intended to be professionally delivered clinical mental health care, and it’s not extensive treatment or ongoing.”\u003c/p>\n\u003cp>What if you’re already seeing a therapist when you get laid off? Make sure to quickly let them know your situation, says McLean. “Some health care professionals will see clients pro bono or will see them on a sliding scale,” she said.\u003c/p>\n\u003cp>And there are several nonprofit organizations that work to provide low-cost and sliding scale counseling and therapy services. \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">See more resources on how to find affordable therapy in the Bay Area here.\u003c/a>\u003c/p>\n\u003cp>Make sure to read the rest of our KQED guides about other steps you can take after a layoff to better support yourself and those who depend on you:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">The Best Ways to Find a New Job, According to an Expert\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11949192/layoffs-unemployment-benefits-health-insurance-calfresh\">From Unemployment Benefits to Health Insurance, the Steps to Take ASAP\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11948895/layoffs-how-to-save-more-money-after-losing-your-job\">How to Save More Money After Losing Your Job\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This story was originally published on May 19, 2023.\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2024. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Experts weigh in on how you can deal with the emotional fallout of losing a job, the best ways to reassure and support those who depend on you and how to protect your mental health as you prepare for your next move.","status":"publish","parent":0,"modified":1705544361,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":true,"hasPolis":false,"paragraphCount":63,"wordCount":3199},"headData":{"title":"Layoffs: How to Prioritize Your Mental Health After Losing Your Job, From Telling Family to Self-Care | KQED","description":"Experts weigh in on how you can deal with the emotional fallout of losing a job, the best ways to reassure and support those who depend on you and how to protect your mental health as you prepare for your next move.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Layoffs: How to Prioritize Your Mental Health After Losing Your Job, From Telling Family to Self-Care","datePublished":"2024-01-17T17:05:22.000Z","dateModified":"2024-01-18T02:19:21.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11949674/layoffs-mental-health-lost-job-self-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This guide is part of the KQED News series \u003cstrong>\u003ca href=\"https://www.kqed.org/news/tag/what-to-do-after-a-layoff\">What to Do After a Layoff.\u003c/a>\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>Getting laid off can have many immediate consequences — losing your source of income, having to \u003ca href=\"https://www.kqed.org/news/11948895/layoffs-how-to-save-more-money-after-losing-your-job\">cut back on spending and dipping into your savings\u003c/a> — but it can also have emotional repercussions.\u003c/p>\n\u003cp>A job can represent security and stability, and when that is taken away, our mental health also takes a hit. So, looking after our mental health is equally critical as figuring out how to keep paying the bills. If we don’t respond to our mental health needs after losing a job, that can hamper our ability to problem-solve, says Redondo Beach-based Kelli McLean, a marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients all over California.\u003c/p>\n\u003cp>“Once one crisis happens, it’s more likely for additional crises to happen,” she said. “Mental health is like a snowball.”\u003c/p>\n\u003cp>Since the start of the pandemic, researchers have been learning more about the relationship between layoffs and mental health. A \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904880/\">2021 study by Irish and American researchers\u003c/a> sampled 2,301 adults in the United States who had a job before the start of COVID-19. Those who were laid off reported higher symptoms of depression, anxiety and stress than those who kept their jobs.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellpeopleafterlayoff\">How can I tell my family I’ve been laid off?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#selfcarelayoff\">How can I truly make time for self-care after a job loss?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mentalhealthinsurance\">How can I access mental health care after losing my employer-based health insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“You lose your job, and then what happens is stress,” said McClean, who noted that once stressors increase, that “snowball” effect can lead to possible outcomes like tension with a partner, a breakup or overreliance on substances like alcohol. Because “these things tend to happen, one after another,” McLean said, “it’s really important for us to be proactive when we’re in a crisis, as opposed to pulling the covers over our head.”\u003c/p>\n\u003cp>KQED spoke to several mental health professionals across California, including McLean, to hear their thoughts on how you can deal with the emotional fallout of losing a job, the best ways to reassure and support those who depend on you and how to protect your mental health as you prepare for your next move.\u003c/p>\n\u003cp>Every situation is different, but here are some bigger insights that could be of use during difficult times.\u003c/p>\n\u003ch2>When you first get the bad news\u003c/h2>\n\u003cp>Why do many of us feel so \u003cem>bad\u003c/em> when we lose our jobs? Of course, part of it comes from the very real challenge of losing our source of income and not knowing how we will pay our bills.\u003c/p>\n\u003cp>But over time, our jobs can become part of our identity. When we lose our jobs, that part of who we are is taken away. “Your work persona, your work identity — it comes to you over time, but it doesn’t define you,” said Ioanna Angelakis, a marriage and family therapist based in San Francisco. She helps patients navigate career decisions and the anxieties that may be tied to them.\u003c/p>\n\u003cp>“I come from a perspective that we all have infinite capacities and we have so many strengths that are left untapped,” Angelakis said. “Look at your dreams and define who you want to become, and who you always dreamed you would become.”\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Read more layoff advice in our \u003ca href=\"https://www.kqed.org/news/tag/what-to-do-after-a-layoff\">What to Do After a Layoff \u003c/a>series\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Then, Angelakis recommends, “take the time to contrast that with your recent role. See if there is a mismatch — and whether you can pick up where you left off.”\u003c/p>\n\u003cp>It’s also important to remember that you are not alone in this experience, adds McLean. “This happens to most people at some point in their career. Most of the time it’s not your fault.”\u003c/p>\n\u003cp>“It’s simply random,” she went on. “It’s simply because of budget cuts or because the company is downsizing.” \u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">Read more about how to make a layoff feel less personal.\u003c/a>\u003c/p>\n\u003cp>Both McLean and Angelakis stress to be kind to yourself after you get the bad news. This is just the first step in a longer journey, and granting yourself patience will help you face the coming challenges.\u003c/p>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11835622 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"An Asian woman with long dark hair and medium toned skin wearing a black tee shirt looks to the side, as if worried.\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Therapists stress that it’s important to treat yourself with kindness after a layoff. \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tellpeopleafterlayoff\">\u003c/a>How do you tell loved ones you’ve been laid off?\u003c/h2>\n\u003cp>Figuring out how we want to share the bad news with those we care about can be another source of anxiety. These people can include our friends, partners or spouses, children and parents.\u003c/p>\n\u003cp>“We begin to feel like we failed — that we failed \u003cem>them,\u003c/em> or that we were not able to fulfill our goals,” said Angelakis. But you should let yourself release those thoughts, she advises, and remind yourself that a layoff does not define your potential — as a professional, or as a person overall.\u003c/p>\n\u003cp>When you raise the news with your spouse or partner, share what you’re feeling and be clear about what type of help you need from them, Angelakis said: “You can remind them … to be your ally.”\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>And if you have both a partner and children, make a plan with your partner first on how you want to tell your kids — depending on how old they are and what you know of their emotional capacity for topics like this. But most importantly, she stressed, “Be age-appropriate.”\u003c/p>\n\u003cp>“If you’re talking to your 6-year-old child, you don’t want to say, ‘Mom got fired,’ or ‘Mom got canned.’ You might want to say something like, ‘Mom’s not going to the office for a little while,’” she said.\u003c/p>\n\u003cp>“I think a lot of people go into this talking to their kids like they’re little adults,” McLean said. Although that might be your impulse, it “can be really scary for a child if they’re being talked to like they’re a little adult,” she said. “Kids tend to worry about this kind of thing if it’s not handled age-appropriately.”\u003c/p>\n\u003cp>For younger kids more capable of handling upsetting news, as a parent or caregiver you might consider keeping it simple — that you don’t have that job anymore and are looking for an even better one, perhaps — and assure them there’s nothing to worry about.\u003c/p>\n\u003cp>You can also be honest with kids about how \u003cem>you\u003c/em> feel, McLean says — but make sure to be clear about whether some things at home will change moving forward, even temporarily. “If you’re cutting down on some extracurricular activities, make sure that you’re still doing things with the kids where they’re getting quality time with you, maybe if it’s just going to the library, or going to the park,” she said.\u003c/p>\n\u003cp>And make sure to keep checking in with your kids consistently while you’re looking for your next job. Children “tend to have tummy aches, or they tend to say, ‘I’m not feeling good’” when they’re worried about something, McLean said. “If you’re comfortable with their teachers, maybe let their teachers know, and keep to your family structure as much as possible.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003ca id=\"selfcarelayoff\">\u003c/a>Making time for self-care\u003c/h2>\n\u003cp>If your former employer did not provide you with a severance package and you are under financial pressure, self-care may not immediately strike you as ranking high on your list of priorities. But setting aside time to catch your breath and do something that benefits you is actually critical to making sure you can be at your best when looking for a job.\u003c/p>\n\u003cp>San José-based marriage and family therapist Mariya Katrina Punay points out that a layoff is a type of separation, like a breakup or divorce. In some cases, workers have spent years working alongside people who may have become like family.\u003c/p>\n\u003cp>If we don’t take care of ourselves through this experience, like you would during another kind of separation, Punay says, it could put you at risk of longer-term consequences.\u003c/p>\n\u003cp>If the reality of the situation is “not addressed in a healthy way during the separation process,” she said, “it can be very stressful. And in the very rare case, it could be retraumatizing for those people that have not healed their job or workplace separation trauma from a previous employer … [who] jumped from one job to another without having to take time to look at how that kind of interaction has affected them.”\u003c/p>\n\u003cp>So what \u003cem>does\u003c/em> self-care look like after a job loss? If you have the option to take some time off before looking for a new role, Angelakis encourages you to fill up this time with things you always wanted to do but were prevented from doing by work. “Think about all the things that have been put on hold that are fun, inventive and creative,” she said — and seek them out.\u003c/p>\n\u003cp>Angelakis also stresses the importance of having a “gratitude practice.” This, she says, “is the time when you can fill up your time helping others,” but also an opportunity for you to make “a ritual out of being grateful for all of the things you have.”\u003c/p>\n\u003cp>“Focus on the things that you \u003cem>do\u003c/em> have in place,” Angelakis says. “The less we have, sometimes, the more grateful we become.”\u003c/p>\n\u003cp>And even if you have to go straight into the job search or you already have another job, Angelakis recommends setting aside some time each day, even for a few minutes, for your gratitude practice. “Brief with peers who also were laid off, go outside, maybe treat yourself and get your feelings out and to process what’s going on there,” she said. \u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">Read more about finding community among other folks who’ve been laid off.\u003c/a>\u003c/p>\n\u003cp>Keeping a day-to-day structure is also part of self-care, says McLean, especially during a job search.\u003c/p>\n\u003cp>Not hearing back after multiple job applications can start to make some folks feel “depressed and hopeless,” said McLean. To combat this while you’re not working, she recommends having “some kind of structure to your day. You’ll get up at the same time. And do your résumé for two, three hours,” and then exercise.\u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\"> Read more about how to balance job applications with healthy activities.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11867225\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11867225 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/pexels-cottonbro-5054213-scaled-e1617913983516.jpg\" alt=\"Two hands type on a laptop in front of a window.\" width=\"1920\" height=\"1280\">\u003cfigcaption class=\"wp-caption-text\">How can you balance actively searching for work with taking care of your emotional needs? \u003ccite>(Cottonbro/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>When should you seek additional mental health support?\u003c/h2>\n\u003cp>McLean emphasizes just how vulnerable we are when we lose our jobs unexpectedly. “One of the biggest stressors is being let go of a job,” she said. “It’s going to make it more likely for people to start engaging in their substance use. It’s going to put you at higher risk for depression, anxiety.”\u003c/p>\n\u003cp>McLean notes that people who have “a predisposition towards depression, anxiety, any type of mental health issue or substance use issue” should be especially aware that they might need additional support after a layoff through mental health counseling — “because they’re at higher risk for a relapse in either a mental health issue or a substance use issue, because it’s such a big stressor to lose a job.”\u003c/p>\n\u003cp>But even if this is not your personal situation, talking to a mental health professional about everything that is on your plate can go a long way if you’re also juggling family responsibilities.\u003c/p>\n\u003cp>When times are tough, many parents and caregivers tend to prioritize the needs of their children and other family members, and can sometimes overlook their own emotional and physical needs, says Angelakis. “As a mother, I know how hard it is to put yourself first,” she explained. “But if you don’t put yourself first … you’re going to start to burn out.”\u003c/p>\n\u003cp>She acknowledges that for some parents, it doesn’t come easy to set time aside to talk about their feelings. But, she says, it’s in those difficult moments that you need to take care of yourself, so you can take care of those who depend on you.\u003c/p>\n\u003cp>Last year, Angelakis herself lost her job at a children’s mental health nonprofit, around the same time her son was in a serious accident. From personal experience, she says, she knows “it is so challenging to step away and take care of myself first, because my child is my first priority.”\u003c/p>\n\u003cp>“In these circumstances, you feel like you just have to be these robotic individuals who just keep going, like the Energizer Bunny. And we’re not built that way,” said Angelakis.\u003c/p>\n\u003cp>“We’re human. We have feelings. We have needs. And those basic needs left unmet are going to manifest.”\u003c/p>\n\u003ch2>\u003ca id=\"mentalhealthinsurance\">\u003c/a>How can I access mental health care if I no longer have insurance?\u003c/h2>\n\u003cp>If you received health care insurance through your employer, that coverage will stop soon after the layoff. This can make it harder to find mental health support and can potentially create a difficult situation if you are already seeing a therapist or have a prescription for a mental health issue your insurance helps cover.\u003c/p>\n\u003cp>But there are several things you can do, says Punay from San José. After you’re told about the layoff, your employer will contact you to go over some paperwork that finalizes your employment. That’s when you want to ask how long your insurance benefits will last after your last day at work and about \u003ca href=\"https://www.dmhc.ca.gov/healthcareincalifornia/typesofplans/keepyourhealthcoverage(cobra).aspx\">COBRA, a federal and state law that allows workers to continue receiving their health coverage\u003c/a> for a certain period after losing their job.\u003c/p>\n\u003cp>Also, if your employer offers you a severance agreement, this can be the time to negotiate better terms for you and your family before agreeing to sign.\u003c/p>\n\u003cp>While going through insurance paperwork may not feel like the most exciting or engaging thing to do after losing your job, Punay acknowledges, it is still important because it can help you get the tools you need to look after yourself.\u003c/p>\n\u003cp>“For some people, it’s so easy to not bother with this stuff because they’re busy looking for work,” she said. “However, it’s also important that you advocate for yourself — because advocating for yourself, especially after a job loss, can be looking at the paperwork that you don’t want to look at.”\u003c/p>\n\u003cp>It’s important to remember that COBRA coverage is not free and premiums can in fact be quite high. Individuals may be charged hundreds of dollars, and family plans can go for thousands of dollars.\u003c/p>\n\u003cp>“While someone’s employed, their employer typically pays part of the premium. So that means it’s low cost,” said Tyler Sadwith, deputy director for behavioral health at the state Department for Health Care Services. “But after someone loses their job, while they have the ability to stay enrolled with that same health plan, they actually then become typically responsible for the full premium.”\u003c/p>\n\u003cp>“At that point, they could see what other options might be available,” he explained. “If they’re married, that could include enrolling in the health plan of their spouse or their partner. And that could also mean applying for Medi-Cal or other options under Covered California.”\u003c/p>\n\u003cp>You can review discounted health care plans — and see whether you qualify for Medi-Cal — by visiting \u003ca href=\"https://www.coveredca.com/\">Covered California’s website\u003c/a>. Once you’re covered, you’ll have access to services including mental health evaluations, individual and family therapy, and support for prescriptions as well. And remember: Medi-Cal covers all children in California, regardless of immigration status, whose families meet certain income requirements.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11949192/layoffs-unemployment-benefits-health-insurance-calfresh\">\u003cstrong>Read more about your health insurance options after a layoff\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Another option California offers, Sadwith says, is \u003ca href=\"https://www.calhope.org/\">CalHOPE, a peer-based, free, counseling service\u003c/a> available through text, phone and video chat, available 24/7. When you call (833) 318-HOPE or (833) 318-4673, you’ll be connected to a member of the CalHOPE network — someone you can talk to about what you’re going through.\u003c/p>\n\u003cp>“CalHOPE is really designed to provide support … have someone share the burden that [you’re] feeling that day and get some light-touch support,” Sadwith said, clarifying that “CalHOPE is really not intended to be professionally delivered clinical mental health care, and it’s not extensive treatment or ongoing.”\u003c/p>\n\u003cp>What if you’re already seeing a therapist when you get laid off? Make sure to quickly let them know your situation, says McLean. “Some health care professionals will see clients pro bono or will see them on a sliding scale,” she said.\u003c/p>\n\u003cp>And there are several nonprofit organizations that work to provide low-cost and sliding scale counseling and therapy services. \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">See more resources on how to find affordable therapy in the Bay Area here.\u003c/a>\u003c/p>\n\u003cp>Make sure to read the rest of our KQED guides about other steps you can take after a layoff to better support yourself and those who depend on you:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">The Best Ways to Find a New Job, According to an Expert\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11949192/layoffs-unemployment-benefits-health-insurance-calfresh\">From Unemployment Benefits to Health Insurance, the Steps to Take ASAP\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11948895/layoffs-how-to-save-more-money-after-losing-your-job\">How to Save More Money After Losing Your Job\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This story was originally published on May 19, 2023.\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2024. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"hearken","attributes":{"named":{"id":"10483","src":"https://modules.wearehearken.com/kqed/embed/10483.js","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11949674/layoffs-mental-health-lost-job-self-care","authors":["11708"],"categories":["news_8"],"tags":["news_32707","news_352","news_2109","news_20782","news_631","news_32735"],"featImg":"news_11949736","label":"news"},"news_11925882":{"type":"posts","id":"news_11925882","meta":{"index":"posts_1591205157","site":"news","id":"11925882","score":null,"sort":[1663292795000]},"guestAuthors":[],"slug":"one-month-into-grinding-strike-negotiations-break-down-between-kaiser-permanente-and-mental-health-workers","title":"One Month Into Grinding Strike, Negotiations Break Down Between Kaiser Permanente and Mental Health Workers","publishDate":1663292795,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Negotiations between Kaiser Permanente and the union representing its mental health care workers collapsed Wednesday night, \u003ca href=\"https://www.kqed.org/news/11922524/kaiser-mental-health-workers-in-northern-california-begin-open-ended-strike-over-staffing-shortages\">one month into a strike\u003c/a> that still has no end in sight.\u003c/p>\n\u003cp>The National Union of Healthcare Workers, which represents some 2,000 Kaiser psychologists, therapists, social workers and chemical dependency counselors in Northern California, said in a statement that Kaiser refused to consider proposals to increase staffing and provide therapists with additional time to complete crucial administrative work. The union has also demanded the company cap caseloads if therapists are unable to see patients as quickly as state law requires.\u003c/p>\n\u003cp>Kaiser declined to schedule future bargaining sessions, leaving workers and their many thousands of patients in an ongoing state of limbo, union officials said.\u003c/p>\n\u003cp>“It’s so frustrating to be on the front lines of a mental health crisis only to have your employer be in complete denial about it,” Matt Hannon, a Kaiser psychologist in South San Francisco, and a member of the union’s bargaining committee, said in a statement. “Kaiser officials showed once again that they have no interest in providing timely mental health care that complies with state law or meets the needs of patients.”\u003c/p>\n\u003cp>Kaiser said in a statement that it has already made extensive compromises, including concessions on pay, and that the union is essentially pushing for its workers to spend less time with patients in need.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"kaiser-permanente\"]“Frustratingly, NUHW leadership continued to refuse to resolve any remaining issues or acknowledge how far Kaiser Permanente has already moved for the sake of reaching agreement,” a spokesperson for the Oakland-based company said.\u003c/p>\n\u003cp>But the union emphasizes that the ongoing fight is about staffing resources, not compensation, noting that it already agreed to Kaiser's wage-increase offer. It argues that Kaiser has failed to meaningfully address the severe mental health staffing shortages at its facilities that have resulted in massive turnover rates among workers and excessive wait times for patients.\u003c/p>\n\u003cp>The union has also accused the company of not providing its mental health patients timely access to services during the strike, in violation of state law, a claim currently under investigation.\u003c/p>\n\u003cp>The California Department of Managed Health Care said in a statement that it is “concerned about the potential for immediate harm to enrollees based on the very serious nature of allegations that the plan is not providing timely appointments to enrollees required by the law.”\u003c/p>\n\u003cp>As part of their investigation, state regulators are assessing whether Kaiser made sufficient arrangements to provide out-of-network services to patients in anticipation of the strike.\u003c/p>\n\u003cp>When the investigation was announced, the health care giant said it was in the process of reaching agreements with hundreds of community-based mental health care providers to partially fill the void left by striking workers.\u003c/p>\n\u003cp>Kaiser also said it is aggressively working to recruit and hire more therapists.\u003c/p>\n\u003cp>But Fred Seavey, a NUHW research director, told KQED last month that Kaiser has a history of failing to provide timely care, even though it has the resources to do so.\u003c/p>\n\u003cp>“Members are paying their premiums. They deserve to receive the care that they need and they paid for,” Seavey said. “If an HMO doesn’t have enough providers available, then it must arrange for members to get care from out-of-network providers at no additional cost to the member.”\u003c/p>\n\u003cp>Union members say they are determined to keep striking until Kaiser makes more concessions, but as the strike enters its second month, and workers remain unpaid, many are feeling the financial impact of not receiving their paychecks.\u003c/p>\n\u003cp>“It’s been a hard month, but going without a paycheck is nothing compared to what our patients have endured for years at Kaiser waiting months between therapy sessions,” Kimberly Hollingsworth-Hornor, a Kaiser therapist in Fresno and bargaining committee member, said in a statement. “We are going to keep striking until Kaiser stops gambling with patient lives and works with therapists to create a system that provides patients the care they need to get better.”\u003c/p>\n\u003cp>\u003ci>KQED's Sara Hossaini contributed reporting to this story.\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The union representing some 2,000 Northern California mental health workers said the heath care giant refused to consider its demands for increased staffing and shorter waiting times for patients. No future talks have been scheduled.","status":"publish","parent":0,"modified":1663348095,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":708},"headData":{"title":"One Month Into Grinding Strike, Negotiations Break Down Between Kaiser Permanente and Mental Health Workers | KQED","description":"The union representing some 2,000 Northern California mental health workers said the heath care giant refused to consider its demands for increased staffing and shorter waiting times for patients. No future talks have been scheduled.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"One Month Into Grinding Strike, Negotiations Break Down Between Kaiser Permanente and Mental Health Workers","datePublished":"2022-09-16T01:46:35.000Z","dateModified":"2022-09-16T17:08:15.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11925882 https://ww2.kqed.org/news/?p=11925882","disqusUrl":"https://ww2.kqed.org/news/2022/09/15/one-month-into-grinding-strike-negotiations-break-down-between-kaiser-permanente-and-mental-health-workers/","disqusTitle":"One Month Into Grinding Strike, Negotiations Break Down Between Kaiser Permanente and Mental Health Workers","excludeFromSiteSearch":"Include","path":"/news/11925882/one-month-into-grinding-strike-negotiations-break-down-between-kaiser-permanente-and-mental-health-workers","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Negotiations between Kaiser Permanente and the union representing its mental health care workers collapsed Wednesday night, \u003ca href=\"https://www.kqed.org/news/11922524/kaiser-mental-health-workers-in-northern-california-begin-open-ended-strike-over-staffing-shortages\">one month into a strike\u003c/a> that still has no end in sight.\u003c/p>\n\u003cp>The National Union of Healthcare Workers, which represents some 2,000 Kaiser psychologists, therapists, social workers and chemical dependency counselors in Northern California, said in a statement that Kaiser refused to consider proposals to increase staffing and provide therapists with additional time to complete crucial administrative work. The union has also demanded the company cap caseloads if therapists are unable to see patients as quickly as state law requires.\u003c/p>\n\u003cp>Kaiser declined to schedule future bargaining sessions, leaving workers and their many thousands of patients in an ongoing state of limbo, union officials said.\u003c/p>\n\u003cp>“It’s so frustrating to be on the front lines of a mental health crisis only to have your employer be in complete denial about it,” Matt Hannon, a Kaiser psychologist in South San Francisco, and a member of the union’s bargaining committee, said in a statement. “Kaiser officials showed once again that they have no interest in providing timely mental health care that complies with state law or meets the needs of patients.”\u003c/p>\n\u003cp>Kaiser said in a statement that it has already made extensive compromises, including concessions on pay, and that the union is essentially pushing for its workers to spend less time with patients in need.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"kaiser-permanente"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“Frustratingly, NUHW leadership continued to refuse to resolve any remaining issues or acknowledge how far Kaiser Permanente has already moved for the sake of reaching agreement,” a spokesperson for the Oakland-based company said.\u003c/p>\n\u003cp>But the union emphasizes that the ongoing fight is about staffing resources, not compensation, noting that it already agreed to Kaiser's wage-increase offer. It argues that Kaiser has failed to meaningfully address the severe mental health staffing shortages at its facilities that have resulted in massive turnover rates among workers and excessive wait times for patients.\u003c/p>\n\u003cp>The union has also accused the company of not providing its mental health patients timely access to services during the strike, in violation of state law, a claim currently under investigation.\u003c/p>\n\u003cp>The California Department of Managed Health Care said in a statement that it is “concerned about the potential for immediate harm to enrollees based on the very serious nature of allegations that the plan is not providing timely appointments to enrollees required by the law.”\u003c/p>\n\u003cp>As part of their investigation, state regulators are assessing whether Kaiser made sufficient arrangements to provide out-of-network services to patients in anticipation of the strike.\u003c/p>\n\u003cp>When the investigation was announced, the health care giant said it was in the process of reaching agreements with hundreds of community-based mental health care providers to partially fill the void left by striking workers.\u003c/p>\n\u003cp>Kaiser also said it is aggressively working to recruit and hire more therapists.\u003c/p>\n\u003cp>But Fred Seavey, a NUHW research director, told KQED last month that Kaiser has a history of failing to provide timely care, even though it has the resources to do so.\u003c/p>\n\u003cp>“Members are paying their premiums. They deserve to receive the care that they need and they paid for,” Seavey said. “If an HMO doesn’t have enough providers available, then it must arrange for members to get care from out-of-network providers at no additional cost to the member.”\u003c/p>\n\u003cp>Union members say they are determined to keep striking until Kaiser makes more concessions, but as the strike enters its second month, and workers remain unpaid, many are feeling the financial impact of not receiving their paychecks.\u003c/p>\n\u003cp>“It’s been a hard month, but going without a paycheck is nothing compared to what our patients have endured for years at Kaiser waiting months between therapy sessions,” Kimberly Hollingsworth-Hornor, a Kaiser therapist in Fresno and bargaining committee member, said in a statement. “We are going to keep striking until Kaiser stops gambling with patient lives and works with therapists to create a system that provides patients the care they need to get better.”\u003c/p>\n\u003cp>\u003ci>KQED's Sara Hossaini contributed reporting to this story.\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11925882/one-month-into-grinding-strike-negotiations-break-down-between-kaiser-permanente-and-mental-health-workers","authors":["11761"],"categories":["news_457","news_8"],"tags":["news_18543","news_421","news_6637","news_31651","news_20782"],"featImg":"news_11925904","label":"news"},"news_11837358":{"type":"posts","id":"news_11837358","meta":{"index":"posts_1591205157","site":"news","id":"11837358","score":null,"sort":[1599857201000]},"guestAuthors":[],"slug":"it-was-already-hard-then-it-got-worse-resources-for-coping-right-now","title":"It Was Already Hard, Then it Got Worse: Resources for Coping Right Now","publishDate":1599857201,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>\u003ca href=\"https://www.kqed.org/news/11838360/recursos-para-cuidar-su-salud-mental-durante-la-situacion-actual\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>It's been a week. A month. A year.\u003c/p>\n\u003cp>Even before wildfires devastated large parts of our home state, we were all dealing with a lot.\u003c/p>\n\u003cp>Most notably, a pandemic that continues to kill and sicken so many nationwide, and that's turned our lives upside down. And much more besides.\u003c/p>\n\u003cp>If you're feeling the strain right now, you're in no way alone. So we compiled a list of KQED's most useful, expert-verified resources and advice posts, for you to use and potentially share with your community.\u003c/p>\n\u003cp>Don't find what you're looking for? \u003ca href=\"#tellus\">Tell us what we can do to support you right now.\u003c/a>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">Where to Find Affordable, Culturally Competent Therapy in Bay Area and Beyond\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">We have resources on finding culturally competent therapy that's affordable \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As KQED's Nastia Voynovskaya writes in \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">this guide\u003c/a>, \"As if being human in a world rife with systemic racism, patriarchy, homophobia, transphobia, ableism, environmental destruction and labor exploitation wasn’t already hard enough, the global pandemic and attendant economic crisis are making things that much more difficult for everyone, especially the most vulnerable among us.\"\u003c/p>\n\u003cp>If you're seeking professional support, or need extra assistance right now, consult the \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">list\u003c/a> of affordable and culturally competent therapy services and directories, as well as crisis hotlines. This guide focuses on low-cost and sliding scale practices, and how to find a therapist of color.\u003c/p>\n\u003cp>\u003cem>For further reading/listening: \"\u003ca href=\"https://www.kqed.org/podcasts/461/youre-ok-im-not-black-men-and-therapy\">You’re OK, I’m Not: Black Men and Therapy\u003c/a>\" from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">Specific Advice for Managing Anxiety in the Age of... Well, Everything\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11835622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Amid so many stressors, how can you safeguard your mental health? \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We consulted experts on anxiety and stress management for these \u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">concrete tips\u003c/a> on how to cope when it feels like you can't take any more of what 2020 has to throw at you. Everyone's situation and personal stressors are different, of course. But hopefully these ideas can provide at least some ways of working with your experiences and emotions, including:\u003c/p>\n\u003cul>\n\u003cli>Why it's actively harmful to \"put on a brave face\"\u003c/li>\n\u003cli>Why you should learn to talk to yourself in the same voice you talk to friends with\u003c/li>\n\u003cli>How to channel positivity in a way that doesn't feel fake\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading/listening: \"\u003ca href=\"https://www.kqed.org/podcasts/521/holding-on-to-joy\">Holding on to Joy\u003c/a>\" from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>Be Sure to Protect Your Body From Wildfire Smoke\u003c/h3>\n\u003cfigure id=\"attachment_11834613\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11834613\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg\" alt=\"3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cdiv>As if working to reduce your personal risk of transmitting or contracting COVID-19 wasn't enough to preoccupy you, you've now got another very real threat to your lungs to consider: Wildfire smoke. The danger that unhealthy air quality poses to everyone affects everyone, so take the necessary steps protect your body's health while you're taking care of your mental wellbeing:\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cul>\n\u003cli>Check the air quality near you with \u003ca href=\"https://www.kqed.org/science/1930023/map-heres-your-daily-air-quality-report-for-the-bay-area\">our map\u003c/a>\u003c/li>\n\u003cli>See how to \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">protect your home's interior\u003c/a> from wildfire smoke\u003c/li>\n\u003cli>Check which \u003ca href=\"https://www.kqed.org/news/11834305/masks-for-smoke-and-covid-19-what-kind-is-best\">masks are best for smoke\u003c/a> and which are most effective at reducing the risk of transmitting COVID-19\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading: \u003ca href=\"https://www.kqed.org/news/11837317/not-everyone-can-escape-the-smoke-inside-heres-how-to-support-them\">How you can directly support \u003c/a>vulnerable groups that can't escape the smoke outside right now, including unhoused people.\u003c/em>\u003c/p>\n\u003ch3>Find Resources (and Comfort) for Parents and Caregivers\u003c/h3>\n\u003cfigure id=\"attachment_11837561\" class=\"wp-caption alignnone\" style=\"max-width: 797px\">\u003cimg class=\"size-full wp-image-11837561\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png\" alt=\"\" width=\"797\" height=\"550\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png 797w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab-160x110.png 160w\" sizes=\"(max-width: 797px) 100vw, 797px\">\u003cfigcaption class=\"wp-caption-text\">Find a wealth of educational support from Mindshift, including ASL resources for Deaf students \u003ccite>(Motion Light Lab/YouTube)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the start of the school year and the demands of supporting kids through remote, parents and caregivers are stretched beyond belief right now. And that's not even \u003cem>including\u003c/em> how to explain to a child why the sky being smoky and dark doesn't mean the world is ending. If that's you, you might find the following helpful:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/podcasts/564/under-one-roof-doing-the-best-we-can\">Hear or read this episode\u003c/a> on \"Doing the Best We Can\" when you're living, working and schooling under one roof during a pandemic, from our podcast Truth Be Told (and while you're at it, take a look at the wisdom in their \u003ca href=\"https://www.kqed.org/podcasts/truthbetold\">archives\u003c/a>)\u003c/li>\n\u003cli>Check out \u003ca href=\"https://www.kqed.org/mindshift\">this wealth\u003c/a> of educational resources from our \u003ca href=\"https://www.kqed.org/mindshift\">Mindshift\u003c/a> team, from \u003ca href=\"https://www.kqed.org/mindshift/56220/why-deaf-students-need-access-to-asl-stories-during-distance-learning\">ASL resources\u003c/a> for Deaf students to \u003ca href=\"https://www.kqed.org/mindshift/56580/how-fan-fiction-inspires-kids-to-read-and-write-and-write-and-write\">how to use fan fiction\u003c/a> to encourage kids to write. (Mindshift also has a \u003ca href=\"https://www.kqed.org/podcasts/mindshift\">podcast\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"tellus\">\u003c/a>Tell Us: How Can We Further Support You?\u003c/h3>\n\u003cp>[hearken id=\"5870\" src=\"https://modules.wearehearken.com/kqed/embed/5870.js\"]\u003c/p>\n\u003cp>\u003cem>This post has been updated.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Wildfires and choking smoke outside, during a pandemic. If you're feeling the strain right now, you're not alone. Here are some of our most useful resources.","status":"publish","parent":0,"modified":1600800149,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":true,"hasPolis":false,"paragraphCount":17,"wordCount":756},"headData":{"title":"It Was Already Hard, Then it Got Worse: Resources for Coping Right Now | KQED","description":"Wildfires and choking smoke outside, during a pandemic: If you're feeling the strain right now, you're not alone. Here are our expert-verified resources.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"It Was Already Hard, Then it Got Worse: Resources for Coping Right Now","datePublished":"2020-09-11T20:46:41.000Z","dateModified":"2020-09-22T18:42:29.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11837358 https://ww2.kqed.org/news/?p=11837358","disqusUrl":"https://ww2.kqed.org/news/2020/09/11/it-was-already-hard-then-it-got-worse-resources-for-coping-right-now/","disqusTitle":"It Was Already Hard, Then it Got Worse: Resources for Coping Right Now","path":"/news/11837358/it-was-already-hard-then-it-got-worse-resources-for-coping-right-now","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11838360/recursos-para-cuidar-su-salud-mental-durante-la-situacion-actual\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>It's been a week. A month. A year.\u003c/p>\n\u003cp>Even before wildfires devastated large parts of our home state, we were all dealing with a lot.\u003c/p>\n\u003cp>Most notably, a pandemic that continues to kill and sicken so many nationwide, and that's turned our lives upside down. And much more besides.\u003c/p>\n\u003cp>If you're feeling the strain right now, you're in no way alone. So we compiled a list of KQED's most useful, expert-verified resources and advice posts, for you to use and potentially share with your community.\u003c/p>\n\u003cp>Don't find what you're looking for? \u003ca href=\"#tellus\">Tell us what we can do to support you right now.\u003c/a>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">Where to Find Affordable, Culturally Competent Therapy in Bay Area and Beyond\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">We have resources on finding culturally competent therapy that's affordable \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As KQED's Nastia Voynovskaya writes in \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">this guide\u003c/a>, \"As if being human in a world rife with systemic racism, patriarchy, homophobia, transphobia, ableism, environmental destruction and labor exploitation wasn’t already hard enough, the global pandemic and attendant economic crisis are making things that much more difficult for everyone, especially the most vulnerable among us.\"\u003c/p>\n\u003cp>If you're seeking professional support, or need extra assistance right now, consult the \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">list\u003c/a> of affordable and culturally competent therapy services and directories, as well as crisis hotlines. This guide focuses on low-cost and sliding scale practices, and how to find a therapist of color.\u003c/p>\n\u003cp>\u003cem>For further reading/listening: \"\u003ca href=\"https://www.kqed.org/podcasts/461/youre-ok-im-not-black-men-and-therapy\">You’re OK, I’m Not: Black Men and Therapy\u003c/a>\" from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">Specific Advice for Managing Anxiety in the Age of... Well, Everything\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11835622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Amid so many stressors, how can you safeguard your mental health? \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We consulted experts on anxiety and stress management for these \u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">concrete tips\u003c/a> on how to cope when it feels like you can't take any more of what 2020 has to throw at you. Everyone's situation and personal stressors are different, of course. But hopefully these ideas can provide at least some ways of working with your experiences and emotions, including:\u003c/p>\n\u003cul>\n\u003cli>Why it's actively harmful to \"put on a brave face\"\u003c/li>\n\u003cli>Why you should learn to talk to yourself in the same voice you talk to friends with\u003c/li>\n\u003cli>How to channel positivity in a way that doesn't feel fake\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading/listening: \"\u003ca href=\"https://www.kqed.org/podcasts/521/holding-on-to-joy\">Holding on to Joy\u003c/a>\" from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>Be Sure to Protect Your Body From Wildfire Smoke\u003c/h3>\n\u003cfigure id=\"attachment_11834613\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11834613\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg\" alt=\"3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cdiv>As if working to reduce your personal risk of transmitting or contracting COVID-19 wasn't enough to preoccupy you, you've now got another very real threat to your lungs to consider: Wildfire smoke. The danger that unhealthy air quality poses to everyone affects everyone, so take the necessary steps protect your body's health while you're taking care of your mental wellbeing:\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cul>\n\u003cli>Check the air quality near you with \u003ca href=\"https://www.kqed.org/science/1930023/map-heres-your-daily-air-quality-report-for-the-bay-area\">our map\u003c/a>\u003c/li>\n\u003cli>See how to \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">protect your home's interior\u003c/a> from wildfire smoke\u003c/li>\n\u003cli>Check which \u003ca href=\"https://www.kqed.org/news/11834305/masks-for-smoke-and-covid-19-what-kind-is-best\">masks are best for smoke\u003c/a> and which are most effective at reducing the risk of transmitting COVID-19\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading: \u003ca href=\"https://www.kqed.org/news/11837317/not-everyone-can-escape-the-smoke-inside-heres-how-to-support-them\">How you can directly support \u003c/a>vulnerable groups that can't escape the smoke outside right now, including unhoused people.\u003c/em>\u003c/p>\n\u003ch3>Find Resources (and Comfort) for Parents and Caregivers\u003c/h3>\n\u003cfigure id=\"attachment_11837561\" class=\"wp-caption alignnone\" style=\"max-width: 797px\">\u003cimg class=\"size-full wp-image-11837561\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png\" alt=\"\" width=\"797\" height=\"550\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png 797w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab-160x110.png 160w\" sizes=\"(max-width: 797px) 100vw, 797px\">\u003cfigcaption class=\"wp-caption-text\">Find a wealth of educational support from Mindshift, including ASL resources for Deaf students \u003ccite>(Motion Light Lab/YouTube)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the start of the school year and the demands of supporting kids through remote, parents and caregivers are stretched beyond belief right now. And that's not even \u003cem>including\u003c/em> how to explain to a child why the sky being smoky and dark doesn't mean the world is ending. If that's you, you might find the following helpful:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/podcasts/564/under-one-roof-doing-the-best-we-can\">Hear or read this episode\u003c/a> on \"Doing the Best We Can\" when you're living, working and schooling under one roof during a pandemic, from our podcast Truth Be Told (and while you're at it, take a look at the wisdom in their \u003ca href=\"https://www.kqed.org/podcasts/truthbetold\">archives\u003c/a>)\u003c/li>\n\u003cli>Check out \u003ca href=\"https://www.kqed.org/mindshift\">this wealth\u003c/a> of educational resources from our \u003ca href=\"https://www.kqed.org/mindshift\">Mindshift\u003c/a> team, from \u003ca href=\"https://www.kqed.org/mindshift/56220/why-deaf-students-need-access-to-asl-stories-during-distance-learning\">ASL resources\u003c/a> for Deaf students to \u003ca href=\"https://www.kqed.org/mindshift/56580/how-fan-fiction-inspires-kids-to-read-and-write-and-write-and-write\">how to use fan fiction\u003c/a> to encourage kids to write. (Mindshift also has a \u003ca href=\"https://www.kqed.org/podcasts/mindshift\">podcast\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"tellus\">\u003c/a>Tell Us: How Can We Further Support You?\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"hearken","attributes":{"named":{"id":"5870","src":"https://modules.wearehearken.com/kqed/embed/5870.js","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11837358/it-was-already-hard-then-it-got-worse-resources-for-coping-right-now","authors":["3243"],"categories":["news_19906","news_457","news_8"],"tags":["news_2928","news_27504","news_18543","news_2109","news_27660","news_689","news_28211","news_28515","news_20782","news_4463"],"featImg":"news_11837599","label":"news"},"news_11807981":{"type":"posts","id":"news_11807981","meta":{"index":"posts_1591205157","site":"news","id":"11807981","score":null,"sort":[1584760833000]},"guestAuthors":[],"slug":"dealing-with-depression-and-anxiety-while-sheltering-in-place","title":"Dealing with Depression and Anxiety While Sheltering in Place","publishDate":1584760833,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>The global pandemic and the restrictions that have come with it have led to added stress for everyone, especially those dealing with depression and anxiety. On March 16, six Bay Area counties issued \u003ca href=\"https://www.sfdph.org/dph/alerts/files/HealthOrderC19-07-%20Shelter-in-Place.pdf\">shelter-in-place\u003c/a> orders, prohibiting people from leaving their homes except to receive or provide “essential services.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.psychologytoday.com/us/therapists/liliya-george-san-jose-ca/351095\" target=\"_blank\" rel=\"noopener noreferrer\">Liliya George\u003c/a> is a marriage and family therapist based in San Jose, but she’s recently shifted her focus to those dealing with depression and anxiety because of coronavirus-related restrictions.\u003c/p>\n\u003cp>“People who are already struggling with mental health are going to be in a difficult situation right now because this is definitely exacerbating their symptoms,” George said. “And people who were fine, are now struggling with anxiety and worry about what’s going to happen.”\u003c/p>\n\u003ch3>Where to go for Therapy When you Can’t Leave the House\u003c/h3>\n\u003cp>Enter online therapy. George has been offering online therapy in her practice for a few years, but now she says it has become particularly helpful.\u003c/p>\n\u003cp>She offers therapy through Zoom, FaceTime and over the phone. “A lot of people are hesitant, but once they try it, they really like it.”\u003c/p>\n\u003ch3>Where to Find Affordable Therapy\u003c/h3>\n\u003cp>The \u003ca href=\"https://www.ciis.edu/counseling-and-acupuncture-clinics/center-for-somatic-psychotherapy\" target=\"_blank\" rel=\"noopener noreferrer\">Center for Somatic Psychotherapy\u003c/a> and the \u003ca href=\"https://openpathcollective.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Open Path Collective\u003c/a> offer options for sliding scale therapy in the Bay Area. George and Irene Yaymadjian, a therapist based in \u003ca href=\"https://www.hillsidewellnesscenter.org/\">Hillside Wellness Clinic\u003c/a> southern California, both offer services through the Open Path Collective.\u003c/p>\n\u003cp>“Another option [to find affordable therapy] is to search for ‘affordable therapy in my area’,” Yaymadjian said. “Zoom and Facetime have really allowed us to connect with our patients. As long as you can find a safe space to talk, that’s all you really need.”\u003c/p>\n\u003cp>[aside postID=\"arts_13876619\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Yaymadjian and her colleagues are providing \u003ca href=\"https://www.instagram.com/p/B9-IEW1HbVF/\">free therapy\u003c/a> for those in need while COVID-19 restrictions are in place. George is working on her own solution: a website with affordable mental health resources.\u003c/p>\n\u003cp>“What we’re working on right now is providing a resource for people who need therapy and can’t afford the full fees. The website will list all the licensed mental health providers who are willing to provide pro-bono or reduced fee sessions right now — to clients in need,” George said.\u003c/p>\n\u003cp>The site, telementalhealthsupport.com, is set to launch next week, though George is still working out the details. In the meantime, George and Yaymadjian urge people who are feeling anxious to take a breather.\u003c/p>\n\u003cp>“Don’t have the news playing in the background. Make sure you’re eating, making sure you’re drinking water,” Yaymadjian said. “Take a breath and remind yourself that this is temporary and that you’re doing the best you can.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"For those feeling anxious, take a breather. Here are some suggestions on where to go for therapy when you can't leave the house, and where to find affordable resources. ","status":"publish","parent":0,"modified":1587494903,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":481},"headData":{"title":"Dealing with Depression and Anxiety While Sheltering in Place | KQED","description":"For those feeling anxious, take a breather. Here are some suggestions on where to go for therapy when you can't leave the house, and where to find affordable resources. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Dealing with Depression and Anxiety While Sheltering in Place","datePublished":"2020-03-21T03:20:33.000Z","dateModified":"2020-04-21T18:48:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11807981 https://ww2.kqed.org/news/?p=11807981","disqusUrl":"https://ww2.kqed.org/news/2020/03/20/dealing-with-depression-and-anxiety-while-sheltering-in-place/","disqusTitle":"Dealing with Depression and Anxiety While Sheltering in Place","path":"/news/11807981/dealing-with-depression-and-anxiety-while-sheltering-in-place","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The global pandemic and the restrictions that have come with it have led to added stress for everyone, especially those dealing with depression and anxiety. On March 16, six Bay Area counties issued \u003ca href=\"https://www.sfdph.org/dph/alerts/files/HealthOrderC19-07-%20Shelter-in-Place.pdf\">shelter-in-place\u003c/a> orders, prohibiting people from leaving their homes except to receive or provide “essential services.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.psychologytoday.com/us/therapists/liliya-george-san-jose-ca/351095\" target=\"_blank\" rel=\"noopener noreferrer\">Liliya George\u003c/a> is a marriage and family therapist based in San Jose, but she’s recently shifted her focus to those dealing with depression and anxiety because of coronavirus-related restrictions.\u003c/p>\n\u003cp>“People who are already struggling with mental health are going to be in a difficult situation right now because this is definitely exacerbating their symptoms,” George said. “And people who were fine, are now struggling with anxiety and worry about what’s going to happen.”\u003c/p>\n\u003ch3>Where to go for Therapy When you Can’t Leave the House\u003c/h3>\n\u003cp>Enter online therapy. George has been offering online therapy in her practice for a few years, but now she says it has become particularly helpful.\u003c/p>\n\u003cp>She offers therapy through Zoom, FaceTime and over the phone. “A lot of people are hesitant, but once they try it, they really like it.”\u003c/p>\n\u003ch3>Where to Find Affordable Therapy\u003c/h3>\n\u003cp>The \u003ca href=\"https://www.ciis.edu/counseling-and-acupuncture-clinics/center-for-somatic-psychotherapy\" target=\"_blank\" rel=\"noopener noreferrer\">Center for Somatic Psychotherapy\u003c/a> and the \u003ca href=\"https://openpathcollective.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Open Path Collective\u003c/a> offer options for sliding scale therapy in the Bay Area. George and Irene Yaymadjian, a therapist based in \u003ca href=\"https://www.hillsidewellnesscenter.org/\">Hillside Wellness Clinic\u003c/a> southern California, both offer services through the Open Path Collective.\u003c/p>\n\u003cp>“Another option [to find affordable therapy] is to search for ‘affordable therapy in my area’,” Yaymadjian said. “Zoom and Facetime have really allowed us to connect with our patients. As long as you can find a safe space to talk, that’s all you really need.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"arts_13876619","label":"More Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Yaymadjian and her colleagues are providing \u003ca href=\"https://www.instagram.com/p/B9-IEW1HbVF/\">free therapy\u003c/a> for those in need while COVID-19 restrictions are in place. George is working on her own solution: a website with affordable mental health resources.\u003c/p>\n\u003cp>“What we’re working on right now is providing a resource for people who need therapy and can’t afford the full fees. The website will list all the licensed mental health providers who are willing to provide pro-bono or reduced fee sessions right now — to clients in need,” George said.\u003c/p>\n\u003cp>The site, telementalhealthsupport.com, is set to launch next week, though George is still working out the details. In the meantime, George and Yaymadjian urge people who are feeling anxious to take a breather.\u003c/p>\n\u003cp>“Don’t have the news playing in the background. Make sure you’re eating, making sure you’re drinking water,” Yaymadjian said. “Take a breath and remind yourself that this is temporary and that you’re doing the best you can.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11807981/dealing-with-depression-and-anxiety-while-sheltering-in-place","authors":["11672"],"categories":["news_457","news_8"],"tags":["news_25806","news_1386","news_27350","news_18543","news_27808","news_26159","news_20782"],"featImg":"news_11808017","label":"news"},"news_11793101":{"type":"posts","id":"news_11793101","meta":{"index":"posts_1591205157","site":"news","id":"11793101","score":null,"sort":[1577477570000]},"guestAuthors":[],"slug":"california-court-restores-case-by-therapists-on-child-porn-privacy","title":"California Court Restores Case by Therapists on Child Porn Privacy","publishDate":1577477570,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>The California Supreme Court revived a long-running debate Thursday when it reinstated a lawsuit over whether psychotherapists must tell authorities when patients report they are attracted to child pornography.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"sex-offenders\"] Lower courts had tossed out the lawsuit by three therapists who argued that California's mandatory reporting law violates patient confidentiality and dissuades patients from revealing that they downloaded or electronically viewed child pornography.\u003c/p>\n\u003cp>The high court split 4-3 in favor of reinstating the case and sending it back to state Superior Court, where the burden will fall to the offices of the state attorney general and Los Angeles County district attorney to show whether the mandatory reporting protects children.\u003c/p>\n\u003cp>The dissenting justices said the therapists were unlikely to win the lawsuit.\u003c/p>\n\u003cp>The majority was careful to note that the therapists had argued that the patients in the case do not present a serious risk of sexual contact with children. Those justices also concluded that patient privacy rights only apply to disclosures during voluntary psychotherapy sessions, not to actually possessing or viewing child porn, which remains illegal and reportable.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nor do the rights apply if the therapist “believes the patient has committed hands-on sexual abuse or poses a threat of doing so,” the justices said.\u003c/p>\n\u003cp>“What's key in the majority's decision is not that they're saying that they agree with the psychotherapists,\" said Loyola Law School professor Laurie Levenson. \"They're not saying that necessarily they will win down the road. All they're saying is that the next step is to have a trial.\"\u003c/p>\n\u003cp>At issue is a 2014 law that modernized California's 40-year-old mandatory reporting requirement by including downloading, streaming and electronically accessing child porn.\u003c/p>\n\u003cp>Six other states have laws requiring mandatory reporting of psychotherapy patients who knowingly possess or view child pornography. Another 10 states allow exceptions to psychotherapist-patient privacy for child abuse or neglect.\u003c/p>\n\u003cp>The majority on the state's high court noted, however, that no other states had interpreted their laws to include simple possession or viewing of child porn.\u003c/p>\n\u003cp>All three of the therapists involved in the lawsuit are experienced at treating sex addiction. One founded what the lawsuit calls the nation's largest outpatient treatment center for sexual compulsion or addiction.\u003c/p>\n\u003cp>Allowing patients to admit their problems “is an essential prerequisite for patients to seek and succeed in treatment,” the suit argues.\u003c/p>\n\u003cp>Yet patients who fear being reported to police will either stop therapy because they face criminal prosecution and public outrage, or stop being candid with their therapists, the lawsuit states.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The attorney general and district attorney argued that patients' privacy rights under the state constitution are outweighed by the law's requirement that therapists report dangerous patients.\u003c/p>\n\n","blocks":[],"excerpt":"The lawsuit was brought by three therapists who argued California's mandatory reporting law violates patient confidentiality and dissuades patients from revealing their attraction to child pornography.","status":"publish","parent":0,"modified":1577477755,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":469},"headData":{"title":"California Court Restores Case by Therapists on Child Porn Privacy | KQED","description":"The lawsuit was brought by three therapists who argued California's mandatory reporting law violates patient confidentiality and dissuades patients from revealing their attraction to child pornography.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Court Restores Case by Therapists on Child Porn Privacy","datePublished":"2019-12-27T20:12:50.000Z","dateModified":"2019-12-27T20:15:55.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11793101 https://ww2.kqed.org/news/?p=11793101","disqusUrl":"https://ww2.kqed.org/news/2019/12/27/california-court-restores-case-by-therapists-on-child-porn-privacy/","disqusTitle":"California Court Restores Case by Therapists on Child Porn Privacy","nprByline":"Don Thompson\u003cbr>Associated Press","path":"/news/11793101/california-court-restores-case-by-therapists-on-child-porn-privacy","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The California Supreme Court revived a long-running debate Thursday when it reinstated a lawsuit over whether psychotherapists must tell authorities when patients report they are attracted to child pornography.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"sex-offenders"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp> Lower courts had tossed out the lawsuit by three therapists who argued that California's mandatory reporting law violates patient confidentiality and dissuades patients from revealing that they downloaded or electronically viewed child pornography.\u003c/p>\n\u003cp>The high court split 4-3 in favor of reinstating the case and sending it back to state Superior Court, where the burden will fall to the offices of the state attorney general and Los Angeles County district attorney to show whether the mandatory reporting protects children.\u003c/p>\n\u003cp>The dissenting justices said the therapists were unlikely to win the lawsuit.\u003c/p>\n\u003cp>The majority was careful to note that the therapists had argued that the patients in the case do not present a serious risk of sexual contact with children. Those justices also concluded that patient privacy rights only apply to disclosures during voluntary psychotherapy sessions, not to actually possessing or viewing child porn, which remains illegal and reportable.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nor do the rights apply if the therapist “believes the patient has committed hands-on sexual abuse or poses a threat of doing so,” the justices said.\u003c/p>\n\u003cp>“What's key in the majority's decision is not that they're saying that they agree with the psychotherapists,\" said Loyola Law School professor Laurie Levenson. \"They're not saying that necessarily they will win down the road. All they're saying is that the next step is to have a trial.\"\u003c/p>\n\u003cp>At issue is a 2014 law that modernized California's 40-year-old mandatory reporting requirement by including downloading, streaming and electronically accessing child porn.\u003c/p>\n\u003cp>Six other states have laws requiring mandatory reporting of psychotherapy patients who knowingly possess or view child pornography. Another 10 states allow exceptions to psychotherapist-patient privacy for child abuse or neglect.\u003c/p>\n\u003cp>The majority on the state's high court noted, however, that no other states had interpreted their laws to include simple possession or viewing of child porn.\u003c/p>\n\u003cp>All three of the therapists involved in the lawsuit are experienced at treating sex addiction. One founded what the lawsuit calls the nation's largest outpatient treatment center for sexual compulsion or addiction.\u003c/p>\n\u003cp>Allowing patients to admit their problems “is an essential prerequisite for patients to seek and succeed in treatment,” the suit argues.\u003c/p>\n\u003cp>Yet patients who fear being reported to police will either stop therapy because they face criminal prosecution and public outrage, or stop being candid with their therapists, the lawsuit states.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The attorney general and district attorney argued that patients' privacy rights under the state constitution are outweighed by the law's requirement that therapists report dangerous patients.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11793101/california-court-restores-case-by-therapists-on-child-porn-privacy","authors":["byline_news_11793101"],"categories":["news_6188","news_8"],"tags":["news_548","news_2125","news_17772","news_20782"],"featImg":"news_11727062","label":"news"},"news_11698335":{"type":"posts","id":"news_11698335","meta":{"index":"posts_1591205157","site":"news","id":"11698335","score":null,"sort":[1539387661000]},"guestAuthors":[],"slug":"a-little-broken-first-responders-grapple-with-unseen-scars-of-the-2017-fire-siege","title":"'A Little Broken' - First Responders Grapple With Unseen Scars of the 2017 Fire Siege","publishDate":1539387661,"format":"image","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>[dropcap]S[/dropcap]hortly after Lucas Boek joined his local fire department, he saw a veteran firefighter walk into firehouse and drop all his gear. “’That’s it, I’m done,’” Boek remembers the man saying. “’I can’t do this anymore.’ And he left.”\u003c/p>\n\u003cp>Over the years, the incident stuck with him.\u003c/p>\n\u003cp>Now, Boek is sitting and talking with two other men in a Ukiah high school classroom. Between the three — medic Corey Bender, 44, and firefighters Lucas Boek, 40, and Brendan Turner, 46 — they have nearly 60 years of experience in emergency response. Sixty years of running toward car accidents, gunshots and flames.\u003c/p>\n\u003cp>But it’s not the physical danger of the work that these guys are talking about today. \u003c/p>\n\u003cp>It’s something else, something that until recently has been pretty difficult to discuss openly: their mental health. A \u003ca href=\"http://rudermanfoundation.org/white_papers/police-officers-and-firefighters-are-more-likely-to-die-by-suicide-than-in-line-of-duty/\" target=\"_blank\" rel=\"noopener\">2017 study\u003c/a> found that police officers and firefighters are more likely to die by suicide than in the line of duty. Another \u003ca href=\"https://www.phoenix.edu/about_us/media-center/news/uopx-releases-first-responder-mental-health-survey-results.html\" target=\"_blank\" rel=\"noopener\">survey\u003c/a> done last year by the University of Phoenix found that 85 percent of first responders have symptoms related to mental health issues.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“To a certain extent I agree with what my therapist said, which is that she's never met a first responder that's been working in the field full-time for more than 20 years that isn't a little bit messed up,” Turner says.\u003c/p>\n\u003cfigure id=\"attachment_11698397\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/IMG_2982-800x533.jpg\" alt=\"Brendan Turner stands by his fire truck behind the Redwood Valley Fire Department in Mendocino.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-11698397\">\u003cfigcaption class=\"wp-caption-text\">Brendan Turner stands by his fire truck behind the Redwood Valley Fire Department in Mendocino. \u003ccite>(Marisa Lagos/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As they talk, these guys keep going back to the metaphor of “the bucket” to explain the effect of cumulative stress on their psyches. \u003c/p>\n\u003cp>Each call they respond to adds another rock to that bucket, and when that bucket overflows, the effects can be disastrous.\u003c/p>\n\u003cp>Bender says he’s personally known veteran paramedics and firefighters who have quit on a dime, have been alienated from their families or have committed suicide after years of service.\u003c/p>\n\u003cp>“And the number one killer in the fire and EMS services is heart attack,” Bender says.\u003c/p>\n\u003cp>The conversation these three guys are having was pretty unthinkable even just a few years ago. But for many of those who responded to the October fire siege, this conversation is not only urgent now — but finally possible.\u003c/p>\n\u003cp>“You know every single call was a drop in that bucket, and that bucket for some of us was pretty darn close to full before that happened,” Turner says. “It got kicked over in October for many of us.”\u003c/p>\n\u003ch2>Last October\u003c/h2>\n\u003cp>On Oct. 8, 2017, Turner was acting fire chief in Redwood Valley, when he got a call around 11:30 p.m. about a fire in the neighboring town of Potter Valley. An hour later, an ember pushed by incredibly high winds ignited another fire that was sweeping down into Redwood Valley.\u003c/p>\n\u003cp>Firefighters consider a fire moving at 3 mph to be extremely dangerous, Turner says. This fire was moving 18-20 mph.\u003c/p>\n\u003cfigure id=\"attachment_11698403\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/IMG_3013-e1539362096335-800x1200.jpg\" alt=\"Redwood Valley relies on a largely volunteer firefighting department like many rural towns.\" width=\"800\" height=\"1200\" class=\"size-medium wp-image-11698403\">\u003cfigcaption class=\"wp-caption-text\">Redwood Valley relies on a largely volunteer firefighting department like many rural towns. \u003ccite>(Marisa Lagos/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“You can't outrun that on foot,” Turner says.\u003c/p>\n\u003cp>Turner remembers that night like a series of movie trailers in his head — disjointed and in no particular order. It is a blur of trying to rescue people trapped by flames and making split-second life-or-death decisions.\u003c/p>\n\u003cp>“I don't know that I'm ever going to have that full movie in my head,” he says.\u003c/p>\n\u003cp>It was like nothing Turner had seen before, and it devastated their tiny community of fewer than 2,000 people, burning down more than 500 homes. \u003c/p>\n\u003cp>Turner’s in-laws lost their home. Another volunteer firefighter drove past his own home on fire, to evacuate people from harm’s way. He wasn’t able to confirm until the following morning that his wife made it out alive. Nine people, including two teenagers, died.\u003c/p>\n\u003cp>For Turner and Boek, this fire was incredibly personal. They had spent time inside the homes that were burning and knew the burn patients they were bandaging and sending to the hospital.\u003c/p>\n\u003cp>“For me it just really wrecked me, like it really hurt a lot,” Boek said.\u003c/p>\n\u003ch2>An Injury, Not a Disorder\u003c/h2>\n\u003cp>Turner says in the months after the fire he became a hermit. He stopped going out in public or shopping at the local supermarket.\u003c/p>\n\u003cp>“My perception was that, you know, people were looking at me different,” he said.\u003c/p>\n\u003cp>But isolation also didn’t help. He would wake up in the night in full fight-or-flight mode, replaying the worst calls of his career. When the wind picked up, his whole body would go taut and his chest would tighten.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch2>Mental Health Resources for First Responders\u003c/h2>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.managingtheghosts.org/resources/\">‘Managing the Ghosts,’ a Meeting Directory for First Responders\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/managingtheghosts/?ref=br_rs\">A First Responders Facebook Group\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.helpguide.org/articles/ptsd-trauma/helping-someone-with-ptsd.htm\">Resources for the Loved Ones of First Responders\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://ptsdusa.org/get-help/first-responders/ptsd-assessment-form/\">A PTSD Assessment Form for First Responders\u003c/a>\u003c/li>\n\u003c/ul>\u003c/aside>\n\u003cp>Then on Christmas Eve, a friend who’d also been an emergency responder came up to him at a party.\u003c/p>\n\u003cp>\"That person approached me and said, ‘I think you need to talk to somebody,'\" Turner remembers. “Without blinking. I said, ‘Yes I think that's a good idea.'\"\u003c/p>\n\u003cp>In therapy Turner was finally able to talk about not just the October firestorm, but his 23 years of being a witness to some of the most extreme and traumatic events human beings experience. It all came tumbling out of him.\u003c/p>\n\u003cp>Not surprisingly, Turner was diagnosed with PTSD. But he doesn’t think of it as a disorder, which implies a pre-existing condition. He calls it an injury.\u003c/p>\n\u003cp>“I look at it the same way as if I were to break my ankle on a call,” he says. “I would go to an orthopedic surgeon, right, and get that fixed? I view this the same way.”\u003c/p>\n\u003cp>Turner says now he is learning how to treat this injury, through breathing techniques, meditation and by reaching out to other first responders.\u003c/p>\n\u003ch2>Not the Only One\u003c/h2>\n\u003cp>Earlier this year, Turner reached out to Corey Bender, his old friend from paramedic school, with the idea of putting together a peer group.\u003c/p>\n\u003cp>“I’m like, ‘I think that’s an amazing idea,'\" Bender says.\u003c/p>\n\u003cfigure id=\"attachment_11698401\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/IMG_3363-800x600.jpg\" alt=\"Corey Bender has been a medic for 18 years. He now lives in Redwood Valley.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11698401\">\u003cfigcaption class=\"wp-caption-text\">Corey Bender has been a medic for 18 years. He now lives in Redwood Valley. \u003ccite>(Sukey Lewis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Completely independently, Bender found he was being approached by more and more people — military veterans, police officers, medics and sheriff’s deputies — all of them speaking about the same thing: PTSD and cumulative stress.\u003c/p>\n\u003cp>The peer group now gets together every few weeks or so, and they just talk.\u003c/p>\n\u003cp>Turner remembers a meeting in which he was describing the symptoms he has of chest discomfort — a kind of numbing sensation that travels down his arm.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I don’t want my kids to think that I’m hurt or broken, even though maybe I am a little hurt and broken.'\u003ccite>Firefighter Lucas Boek\u003c/cite>\u003c/aside>\n\u003cp>“One of the members of that group said, ‘Oh no it starts right here.’” Turner says the man pointed to an area on his chest.\u003c/p>\n\u003cp>“‘And it feels like crawling under your skin,'” Tuner says. “And I apologized. I said, ‘I'm sorry did I already tell you this?’ He goes, ‘No, I'm telling you what I experience.’ It was almost identical.”\u003c/p>\n\u003cp>The group is made up primarily of people who have been doing this work for decades. They share bad calls, but also talk about their fears, their feelings and their families.\u003c/p>\n\u003cp>Firefighter Boek says he called up Turner one day because he felt like he was letting down his kids. He was used to being able to handle anything — he kind of felt like Superman. Now he found himself crying in the kitchen for no apparent reason.\u003c/p>\n\u003cp>“I don’t want my kids to think that I’m hurt or broken, even though maybe I am a little hurt and broken,” Boek says.\u003c/p>\n\u003cfigure id=\"attachment_11698400\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/IMG_3366-800x600.jpg\" alt=\"Firefighter Lucas Boek says the Redwood Valley Fire hit himself and his community really hard.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11698400\">\u003cfigcaption class=\"wp-caption-text\">Firefighter Lucas Boek says the Redwood Valley Fire hit himself and his community really hard. \u003ccite>(Sukey Lewis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Turner says he has come to see that they’ve been actually letting down their families for years — by pretending that they’re not affected by this work. They can actually help their own kids, he says, and other young people who are just starting out as emergency responders by modeling emotional openness.\u003c/p>\n\u003cp>“If there's one positive that I can see from that horrible incident, it's that the shell that was starting to crack — the attitude and really the lack of honesty about emotions in emergency services — it went from having some cracks in it to shattering for a lot of us,” Turner says.\u003c/p>\n\u003ch2>A New Kind of Emergency Responder\u003c/h2>\n\u003cp>A few months ago, Turned stepped down as assistant fire chief in Redwood Valley. He still volunteers, but he has a new job now teaching health occupations to high school kids.\u003c/p>\n\u003cp>Along with homework assignments and reading, the words “evacuations” and “disaster response” are written on whiteboard in his classroom.\u003c/p>\n\u003cp>Many of his students are considering a career in emergency response. He wants them to go into this work with their eyes wide open.\u003c/p>\n\u003cp>Recently, Turner’s class did a review of Hurricane Katrina. They spent three days watching footage of the disaster and discussing the health care crisis that occurred in the hurricane’s aftermath.\u003c/p>\n\u003cp>“That’s pretty heavy for some high school kids to watch that,” Turner says.\u003c/p>\n\u003cp>So, a counselor for the school came into the classroom and did a presentation on techniques to deal with stress and emotions. Turner said when things would get intense, they would take a break and all practice breathing exercises.\u003c/p>\n\u003cfigure id=\"attachment_11698407\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/RanchFire_AW_105-800x533.jpg\" alt=\"A firefighter holds a hand tool ready to build containment around the Ranch Fire. \" width=\"800\" height=\"533\" class=\"size-medium wp-image-11698407\">\u003cfigcaption class=\"wp-caption-text\">A firefighter holds a hand tool ready to build containment around the Ranch Fire. \u003ccite>(Anne Wernikoff/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Turner hopes by sharing his own experiences and teaching these young people the tools to cope with those experiences, he can better equip them to manage their own buckets of rocks, now and in the future.\u003c/p>\n\u003cp>“It doesn't have to end with the firefighter walking in and dropping their gear on the floor and saying you know, ‘Bleep this, I'm done,'\" he says. \"And I think that's really what we want to prevent.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>KQED reporter Marisa Lagos contributed to this report. \u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"First responders say there’s a silver lining to the trauma: they’re having new conversations about PTSD and mental health following last year's devastating fires.","status":"publish","parent":0,"modified":1539391503,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":53,"wordCount":1815},"headData":{"title":"'A Little Broken' - First Responders Grapple With Unseen Scars of the 2017 Fire Siege | KQED","description":"First responders say there’s a silver lining to the trauma: they’re having new conversations about PTSD and mental health following last year's devastating fires.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'A Little Broken' - First Responders Grapple With Unseen Scars of the 2017 Fire Siege","datePublished":"2018-10-12T23:41:01.000Z","dateModified":"2018-10-13T00:45:03.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11698335 https://ww2.kqed.org/news/?p=11698335","disqusUrl":"https://ww2.kqed.org/news/2018/10/12/a-little-broken-first-responders-grapple-with-unseen-scars-of-the-2017-fire-siege/","disqusTitle":"'A Little Broken' - First Responders Grapple With Unseen Scars of the 2017 Fire Siege","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcrmag/2018/10/LewisFirstResponders.mp3","audioTrackLength":485,"path":"/news/11698335/a-little-broken-first-responders-grapple-with-unseen-scars-of-the-2017-fire-siege","audioDuration":502000,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">S\u003c/span>\u003c/p>\u003cp>hortly after Lucas Boek joined his local fire department, he saw a veteran firefighter walk into firehouse and drop all his gear. “’That’s it, I’m done,’” Boek remembers the man saying. “’I can’t do this anymore.’ And he left.”\u003c/p>\n\u003cp>Over the years, the incident stuck with him.\u003c/p>\n\u003cp>Now, Boek is sitting and talking with two other men in a Ukiah high school classroom. Between the three — medic Corey Bender, 44, and firefighters Lucas Boek, 40, and Brendan Turner, 46 — they have nearly 60 years of experience in emergency response. Sixty years of running toward car accidents, gunshots and flames.\u003c/p>\n\u003cp>But it’s not the physical danger of the work that these guys are talking about today. \u003c/p>\n\u003cp>It’s something else, something that until recently has been pretty difficult to discuss openly: their mental health. A \u003ca href=\"http://rudermanfoundation.org/white_papers/police-officers-and-firefighters-are-more-likely-to-die-by-suicide-than-in-line-of-duty/\" target=\"_blank\" rel=\"noopener\">2017 study\u003c/a> found that police officers and firefighters are more likely to die by suicide than in the line of duty. Another \u003ca href=\"https://www.phoenix.edu/about_us/media-center/news/uopx-releases-first-responder-mental-health-survey-results.html\" target=\"_blank\" rel=\"noopener\">survey\u003c/a> done last year by the University of Phoenix found that 85 percent of first responders have symptoms related to mental health issues.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“To a certain extent I agree with what my therapist said, which is that she's never met a first responder that's been working in the field full-time for more than 20 years that isn't a little bit messed up,” Turner says.\u003c/p>\n\u003cfigure id=\"attachment_11698397\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/IMG_2982-800x533.jpg\" alt=\"Brendan Turner stands by his fire truck behind the Redwood Valley Fire Department in Mendocino.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-11698397\">\u003cfigcaption class=\"wp-caption-text\">Brendan Turner stands by his fire truck behind the Redwood Valley Fire Department in Mendocino. \u003ccite>(Marisa Lagos/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As they talk, these guys keep going back to the metaphor of “the bucket” to explain the effect of cumulative stress on their psyches. \u003c/p>\n\u003cp>Each call they respond to adds another rock to that bucket, and when that bucket overflows, the effects can be disastrous.\u003c/p>\n\u003cp>Bender says he’s personally known veteran paramedics and firefighters who have quit on a dime, have been alienated from their families or have committed suicide after years of service.\u003c/p>\n\u003cp>“And the number one killer in the fire and EMS services is heart attack,” Bender says.\u003c/p>\n\u003cp>The conversation these three guys are having was pretty unthinkable even just a few years ago. But for many of those who responded to the October fire siege, this conversation is not only urgent now — but finally possible.\u003c/p>\n\u003cp>“You know every single call was a drop in that bucket, and that bucket for some of us was pretty darn close to full before that happened,” Turner says. “It got kicked over in October for many of us.”\u003c/p>\n\u003ch2>Last October\u003c/h2>\n\u003cp>On Oct. 8, 2017, Turner was acting fire chief in Redwood Valley, when he got a call around 11:30 p.m. about a fire in the neighboring town of Potter Valley. An hour later, an ember pushed by incredibly high winds ignited another fire that was sweeping down into Redwood Valley.\u003c/p>\n\u003cp>Firefighters consider a fire moving at 3 mph to be extremely dangerous, Turner says. This fire was moving 18-20 mph.\u003c/p>\n\u003cfigure id=\"attachment_11698403\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/IMG_3013-e1539362096335-800x1200.jpg\" alt=\"Redwood Valley relies on a largely volunteer firefighting department like many rural towns.\" width=\"800\" height=\"1200\" class=\"size-medium wp-image-11698403\">\u003cfigcaption class=\"wp-caption-text\">Redwood Valley relies on a largely volunteer firefighting department like many rural towns. \u003ccite>(Marisa Lagos/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“You can't outrun that on foot,” Turner says.\u003c/p>\n\u003cp>Turner remembers that night like a series of movie trailers in his head — disjointed and in no particular order. It is a blur of trying to rescue people trapped by flames and making split-second life-or-death decisions.\u003c/p>\n\u003cp>“I don't know that I'm ever going to have that full movie in my head,” he says.\u003c/p>\n\u003cp>It was like nothing Turner had seen before, and it devastated their tiny community of fewer than 2,000 people, burning down more than 500 homes. \u003c/p>\n\u003cp>Turner’s in-laws lost their home. Another volunteer firefighter drove past his own home on fire, to evacuate people from harm’s way. He wasn’t able to confirm until the following morning that his wife made it out alive. Nine people, including two teenagers, died.\u003c/p>\n\u003cp>For Turner and Boek, this fire was incredibly personal. They had spent time inside the homes that were burning and knew the burn patients they were bandaging and sending to the hospital.\u003c/p>\n\u003cp>“For me it just really wrecked me, like it really hurt a lot,” Boek said.\u003c/p>\n\u003ch2>An Injury, Not a Disorder\u003c/h2>\n\u003cp>Turner says in the months after the fire he became a hermit. He stopped going out in public or shopping at the local supermarket.\u003c/p>\n\u003cp>“My perception was that, you know, people were looking at me different,” he said.\u003c/p>\n\u003cp>But isolation also didn’t help. He would wake up in the night in full fight-or-flight mode, replaying the worst calls of his career. When the wind picked up, his whole body would go taut and his chest would tighten.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch2>Mental Health Resources for First Responders\u003c/h2>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.managingtheghosts.org/resources/\">‘Managing the Ghosts,’ a Meeting Directory for First Responders\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/managingtheghosts/?ref=br_rs\">A First Responders Facebook Group\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.helpguide.org/articles/ptsd-trauma/helping-someone-with-ptsd.htm\">Resources for the Loved Ones of First Responders\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://ptsdusa.org/get-help/first-responders/ptsd-assessment-form/\">A PTSD Assessment Form for First Responders\u003c/a>\u003c/li>\n\u003c/ul>\u003c/aside>\n\u003cp>Then on Christmas Eve, a friend who’d also been an emergency responder came up to him at a party.\u003c/p>\n\u003cp>\"That person approached me and said, ‘I think you need to talk to somebody,'\" Turner remembers. “Without blinking. I said, ‘Yes I think that's a good idea.'\"\u003c/p>\n\u003cp>In therapy Turner was finally able to talk about not just the October firestorm, but his 23 years of being a witness to some of the most extreme and traumatic events human beings experience. It all came tumbling out of him.\u003c/p>\n\u003cp>Not surprisingly, Turner was diagnosed with PTSD. But he doesn’t think of it as a disorder, which implies a pre-existing condition. He calls it an injury.\u003c/p>\n\u003cp>“I look at it the same way as if I were to break my ankle on a call,” he says. “I would go to an orthopedic surgeon, right, and get that fixed? I view this the same way.”\u003c/p>\n\u003cp>Turner says now he is learning how to treat this injury, through breathing techniques, meditation and by reaching out to other first responders.\u003c/p>\n\u003ch2>Not the Only One\u003c/h2>\n\u003cp>Earlier this year, Turner reached out to Corey Bender, his old friend from paramedic school, with the idea of putting together a peer group.\u003c/p>\n\u003cp>“I’m like, ‘I think that’s an amazing idea,'\" Bender says.\u003c/p>\n\u003cfigure id=\"attachment_11698401\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/IMG_3363-800x600.jpg\" alt=\"Corey Bender has been a medic for 18 years. He now lives in Redwood Valley.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11698401\">\u003cfigcaption class=\"wp-caption-text\">Corey Bender has been a medic for 18 years. He now lives in Redwood Valley. \u003ccite>(Sukey Lewis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Completely independently, Bender found he was being approached by more and more people — military veterans, police officers, medics and sheriff’s deputies — all of them speaking about the same thing: PTSD and cumulative stress.\u003c/p>\n\u003cp>The peer group now gets together every few weeks or so, and they just talk.\u003c/p>\n\u003cp>Turner remembers a meeting in which he was describing the symptoms he has of chest discomfort — a kind of numbing sensation that travels down his arm.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I don’t want my kids to think that I’m hurt or broken, even though maybe I am a little hurt and broken.'\u003ccite>Firefighter Lucas Boek\u003c/cite>\u003c/aside>\n\u003cp>“One of the members of that group said, ‘Oh no it starts right here.’” Turner says the man pointed to an area on his chest.\u003c/p>\n\u003cp>“‘And it feels like crawling under your skin,'” Tuner says. “And I apologized. I said, ‘I'm sorry did I already tell you this?’ He goes, ‘No, I'm telling you what I experience.’ It was almost identical.”\u003c/p>\n\u003cp>The group is made up primarily of people who have been doing this work for decades. They share bad calls, but also talk about their fears, their feelings and their families.\u003c/p>\n\u003cp>Firefighter Boek says he called up Turner one day because he felt like he was letting down his kids. He was used to being able to handle anything — he kind of felt like Superman. Now he found himself crying in the kitchen for no apparent reason.\u003c/p>\n\u003cp>“I don’t want my kids to think that I’m hurt or broken, even though maybe I am a little hurt and broken,” Boek says.\u003c/p>\n\u003cfigure id=\"attachment_11698400\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/IMG_3366-800x600.jpg\" alt=\"Firefighter Lucas Boek says the Redwood Valley Fire hit himself and his community really hard.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11698400\">\u003cfigcaption class=\"wp-caption-text\">Firefighter Lucas Boek says the Redwood Valley Fire hit himself and his community really hard. \u003ccite>(Sukey Lewis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Turner says he has come to see that they’ve been actually letting down their families for years — by pretending that they’re not affected by this work. They can actually help their own kids, he says, and other young people who are just starting out as emergency responders by modeling emotional openness.\u003c/p>\n\u003cp>“If there's one positive that I can see from that horrible incident, it's that the shell that was starting to crack — the attitude and really the lack of honesty about emotions in emergency services — it went from having some cracks in it to shattering for a lot of us,” Turner says.\u003c/p>\n\u003ch2>A New Kind of Emergency Responder\u003c/h2>\n\u003cp>A few months ago, Turned stepped down as assistant fire chief in Redwood Valley. He still volunteers, but he has a new job now teaching health occupations to high school kids.\u003c/p>\n\u003cp>Along with homework assignments and reading, the words “evacuations” and “disaster response” are written on whiteboard in his classroom.\u003c/p>\n\u003cp>Many of his students are considering a career in emergency response. He wants them to go into this work with their eyes wide open.\u003c/p>\n\u003cp>Recently, Turner’s class did a review of Hurricane Katrina. They spent three days watching footage of the disaster and discussing the health care crisis that occurred in the hurricane’s aftermath.\u003c/p>\n\u003cp>“That’s pretty heavy for some high school kids to watch that,” Turner says.\u003c/p>\n\u003cp>So, a counselor for the school came into the classroom and did a presentation on techniques to deal with stress and emotions. Turner said when things would get intense, they would take a break and all practice breathing exercises.\u003c/p>\n\u003cfigure id=\"attachment_11698407\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/RanchFire_AW_105-800x533.jpg\" alt=\"A firefighter holds a hand tool ready to build containment around the Ranch Fire. \" width=\"800\" height=\"533\" class=\"size-medium wp-image-11698407\">\u003cfigcaption class=\"wp-caption-text\">A firefighter holds a hand tool ready to build containment around the Ranch Fire. \u003ccite>(Anne Wernikoff/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Turner hopes by sharing his own experiences and teaching these young people the tools to cope with those experiences, he can better equip them to manage their own buckets of rocks, now and in the future.\u003c/p>\n\u003cp>“It doesn't have to end with the firefighter walking in and dropping their gear on the floor and saying you know, ‘Bleep this, I'm done,'\" he says. \"And I think that's really what we want to prevent.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED reporter Marisa Lagos contributed to this report. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11698335/a-little-broken-first-responders-grapple-with-unseen-scars-of-the-2017-fire-siege","authors":["8676"],"programs":["news_72"],"categories":["news_19906","news_457","news_8"],"tags":["news_6383","news_19542","news_18512","news_2109","news_21773","news_2139","news_21939","news_17041","news_20782","news_2138","news_4463"],"featImg":"news_11698526","label":"news_72"},"news_11625122":{"type":"posts","id":"news_11625122","meta":{"index":"posts_1591205157","site":"news","id":"11625122","score":null,"sort":[1508743856000]},"guestAuthors":[],"slug":"counselors-canines-helping-firefighters-battle-emotional-stress","title":"Counselors, Canines Helping Firefighters Battle Emotional Stress","publishDate":1508743856,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Containment efforts are winding down for the wildfires that have ravaged Northern California this month, but not all the dangers have passed. A handout is circulating among firefighters that details the warning signs of extreme physical and emotional stress.\u003c/p>\n\u003cp>\"There can be chills, thirst, fatigue nausea, nightmares, uncertainty, fear, guilt,\" explained Bob Ellis, a former Eureka fire battalion chief who now oversees a counseling program for \u003ca href=\"http://calfireslo.org/ICISMT/ESS%20Presentation%20updated%209-10-13.pdf\" target=\"_blank\" rel=\"noopener\">Cal Fire’s Employee Support Services.\u003c/a> He's helping coordinate a relatively new peer counseling program deployed in the field during a destructive wildfire.\u003c/p>\n\u003cp>[contextly_sidebar id=\"uaWVgD8CtOFM0t4gJS62X9u4pr9vBC2c\"]\u003c/p>\n\u003cp>Inside a long trailer at the Sonoma County Fairgrounds, base camp for the wildfires burning in the North Bay, firefighters can speak to a counselor individually or a fellow firefighter about whatever they may want to get off their chest.\u003c/p>\n\u003cp>\"People who have the same training, the same experiences, they can come together and they can talk,\" Ellis said. \"The thing that we want people to recognize is they are not alone in this.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There's been a lot of anguish and frustration surrounding these fires. Ellis said he's heard firefighters talk about leaving the profession, along with feelings of sadness and guilt in the peer counseling trailer.\u003c/p>\n\u003cp>\"I think the biggest thing that's come out is just this feeling of helplessness,\" Ellis said. Firefighters are saying, \"I felt like I couldn't do anything.\"\u003c/p>\n\u003cp>There’s also another form of field therapy being offered with less talking and more petting.\u003c/p>\n\u003cfigure id=\"attachment_11625139\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11625139\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Cal Fire's Bob Ellis visits with Canine Companions for Independence handler Michelle Williams and therapy dog Foley. \u003ccite>(Steven Cuevas / KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"I am a fourth-generation Santa Rosan, and after being sad and grieving and being angry for a while we just decided, 'Hey, we got to help,' \" said Michelle Williams of \u003ca href=\"http://www.cci.org/\" target=\"_blank\" rel=\"noopener\">Canine Companions for Independence.\u003c/a>\u003c/p>\n\u003cp>The Santa Rosa-based national organization approached Cal Fire about getting some dogs to circulate among the firefighters at base camp, even though they’re typically trained as assistance dogs for people with physical disabilities.\u003c/p>\n\u003cp>\"Some of the firefighters that come up, they say, 'Oh my gosh I haven't seen my dog. Can I pet your dog?' \" said Williams as \"puppy-in-training\" Foley sits obediently at her feet. \"They're so happy to just pet a dog.”\u003c/p>\n\u003cp>Occasionally, it’s the therapy dog who seeks out the person.\u003c/p>\n\u003cp>“Of course if you've ever had a pet or a therapy dog, you know that dogs sense feelings, and that sometimes when someone is having a tough time the dog will go towards them. They can definitely sense it,\" Williams said.\u003c/p>\n\u003cp>Sometimes the dog may sense it even before the individual can.\u003c/p>\n\u003cp>\"It may be months, it may be years later before somebody realizes, 'You know, I haven't slept well since that incident back there,' \" explained Ellis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Such feelings may not even be triggered until the next big fire, which is why Ellis and other counselors want to increase therapy for firefighters -- even after the flames of these fires have been fully extinguished.\u003c/p>\n\n","blocks":[],"excerpt":"Even after the flames of these fires have been fully extinguished, there can be lingering stress for firefighters. One program is working through those issues with less talk and more pets.","status":"publish","parent":0,"modified":1508793548,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":516},"headData":{"title":"Counselors, Canines Helping Firefighters Battle Emotional Stress | KQED","description":"Even after the flames of these fires have been fully extinguished, there can be lingering stress for firefighters. One program is working through those issues with less talk and more pets.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Counselors, Canines Helping Firefighters Battle Emotional Stress","datePublished":"2017-10-23T07:30:56.000Z","dateModified":"2017-10-23T21:19:08.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11625122 https://ww2.kqed.org/news/?p=11625122","disqusUrl":"https://ww2.kqed.org/news/2017/10/23/counselors-canines-helping-firefighters-battle-emotional-stress/","disqusTitle":"Counselors, Canines Helping Firefighters Battle Emotional Stress","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2017/10/1stResponderMentalHealthCuevas171023.mp3","path":"/news/11625122/counselors-canines-helping-firefighters-battle-emotional-stress","audioDuration":167000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Containment efforts are winding down for the wildfires that have ravaged Northern California this month, but not all the dangers have passed. A handout is circulating among firefighters that details the warning signs of extreme physical and emotional stress.\u003c/p>\n\u003cp>\"There can be chills, thirst, fatigue nausea, nightmares, uncertainty, fear, guilt,\" explained Bob Ellis, a former Eureka fire battalion chief who now oversees a counseling program for \u003ca href=\"http://calfireslo.org/ICISMT/ESS%20Presentation%20updated%209-10-13.pdf\" target=\"_blank\" rel=\"noopener\">Cal Fire’s Employee Support Services.\u003c/a> He's helping coordinate a relatively new peer counseling program deployed in the field during a destructive wildfire.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Inside a long trailer at the Sonoma County Fairgrounds, base camp for the wildfires burning in the North Bay, firefighters can speak to a counselor individually or a fellow firefighter about whatever they may want to get off their chest.\u003c/p>\n\u003cp>\"People who have the same training, the same experiences, they can come together and they can talk,\" Ellis said. \"The thing that we want people to recognize is they are not alone in this.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There's been a lot of anguish and frustration surrounding these fires. Ellis said he's heard firefighters talk about leaving the profession, along with feelings of sadness and guilt in the peer counseling trailer.\u003c/p>\n\u003cp>\"I think the biggest thing that's come out is just this feeling of helplessness,\" Ellis said. Firefighters are saying, \"I felt like I couldn't do anything.\"\u003c/p>\n\u003cp>There’s also another form of field therapy being offered with less talking and more petting.\u003c/p>\n\u003cfigure id=\"attachment_11625139\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11625139\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/fire-d-bob-dig-ablove-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Cal Fire's Bob Ellis visits with Canine Companions for Independence handler Michelle Williams and therapy dog Foley. \u003ccite>(Steven Cuevas / KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"I am a fourth-generation Santa Rosan, and after being sad and grieving and being angry for a while we just decided, 'Hey, we got to help,' \" said Michelle Williams of \u003ca href=\"http://www.cci.org/\" target=\"_blank\" rel=\"noopener\">Canine Companions for Independence.\u003c/a>\u003c/p>\n\u003cp>The Santa Rosa-based national organization approached Cal Fire about getting some dogs to circulate among the firefighters at base camp, even though they’re typically trained as assistance dogs for people with physical disabilities.\u003c/p>\n\u003cp>\"Some of the firefighters that come up, they say, 'Oh my gosh I haven't seen my dog. Can I pet your dog?' \" said Williams as \"puppy-in-training\" Foley sits obediently at her feet. \"They're so happy to just pet a dog.”\u003c/p>\n\u003cp>Occasionally, it’s the therapy dog who seeks out the person.\u003c/p>\n\u003cp>“Of course if you've ever had a pet or a therapy dog, you know that dogs sense feelings, and that sometimes when someone is having a tough time the dog will go towards them. They can definitely sense it,\" Williams said.\u003c/p>\n\u003cp>Sometimes the dog may sense it even before the individual can.\u003c/p>\n\u003cp>\"It may be months, it may be years later before somebody realizes, 'You know, I haven't slept well since that incident back there,' \" explained Ellis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Such feelings may not even be triggered until the next big fire, which is why Ellis and other counselors want to increase therapy for firefighters -- even after the flames of these fires have been fully extinguished.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11625122/counselors-canines-helping-firefighters-battle-emotional-stress","authors":["2600"],"programs":["news_6944","news_72"],"categories":["news_457","news_8","news_248"],"tags":["news_18132","news_21773","news_17286","news_20782","news_4463"],"featImg":"news_11625146","label":"news_72"},"news_11611079":{"type":"posts","id":"news_11611079","meta":{"index":"posts_1591205157","site":"news","id":"11611079","score":null,"sort":[1502955045000]},"guestAuthors":[],"slug":"virtual-reality-unlocks-new-tools-for-facing-your-worst-fears","title":"Virtual Reality Unlocks New Tools for Facing Your Worst Fears","publishDate":1502955045,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Imagine you’re terrified of dogs. The anxiety has gotten so bad you can’t even enter your best friend’s apartment for fear of his pet chihuahua.\u003c/p>\n\u003cp>Now imagine being stranded alone in a forest with a pack of wild canines charging you from all directions. You're paralyzed by fear -- only it's not real. It just feels that way, because of a virtual reality headset.\u003c/p>\n\u003cp>A therapist walks you through the scenario. After some counseling, the idea of facing your friend’s lapdog may begin to seem more manageable.\u003c/p>\n\u003cp>New software and the rise of low-cost portable headsets have enabled therapists to start treating phobias and other anxiety-based disorders using virtual reality exposure therapy.\u003c/p>\n\u003cp>“We are here at the doorstep of a virtual reality revolution in health care,” said Sean Sullivan, a San Francisco-based psychologist. \"Therapists are leading the way.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sullivan \u003ca href=\"https://blog.limbix.com/vr-is-enriching-my-therapy-practice-e907bdb57d03\">uses VR in his private practice\u003c/a>, and helped develop the software for \u003ca href=\"https://www.limbix.com/vr\">Limbix\u003c/a>, a Silicon Valley startup, where he is the director of psychology.\u003c/p>\n\u003cp>By stepping patients through a series of immersive experiences that gradually exposes them to their phobias -- be it snakes or public speaking -- they can learn to overcome their fears.\u003c/p>\n\u003cfigure id=\"attachment_11612529\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/08/SeanSullivan-800x491.jpg\" alt=\"Psychologist Sean Sullivan uses VR in his private practice and helped develop the software for Limbix.\" width=\"800\" height=\"491\" class=\"size-medium wp-image-11612529\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-800x491.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-160x98.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-1020x626.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-1180x724.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-960x589.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-240x147.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-375x230.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-520x319.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Psychologist Sean Sullivan uses VR in his private practice and helped develop the software for Limbix. \u003ccite>(Peter Arcuni/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the case of dogs, Sullivan says the first step could be walking into a house where a dog lives, but is locked up outside. For many patients, just spending enough time in the virtual environment causes the physiological signs of stress to dissipate. Once they get comfortable in one scenario, they move on to the next challenge.\u003c/p>\n\u003cp>This type of guided exposure also allows therapists to help patients work through the root cause of their fear or anxiety, which is often the memory of a traumatic experience that has spread to everyday situations that pose little objective threat. Over time, exposure therapy can change both the emotional and psychological responses to anxiety-inducing triggers.\u003c/p>\n\u003cp>While the principles of exposure therapy have been around for decades, virtual reality offers unprecedented accessibility. Before VR, a therapist might have to go with a patient on a plane, for example, to help them face a fear of flying.\u003c/p>\n\u003cp>\"To me as a therapist, it’s incredible that now with a four-inch headset that’s comfortable, you can deliver incredible treatments,\" Sullivan said.\u003c/p>\n\u003cp>[contextly_sidebar id=\"y2701HqhGJOSEPhIcGeKM7bihSW94NpV\"]\u003c/p>\n\u003cp>A May 2017 article in the \u003ca href=\"https://www.e-mence.org/sites/default/files/domain-39/Maples-Keller%20Use%20VR%20in%20disorders%202017.pdf\">Harvard Review of Psychiatry\u003c/a> shows 20 years of research supporting the use of exposure-based VR interventions for anxiety disorders. A meta-analysis of existing studies showed that results were long-lasting and translated to real world situations.\u003c/p>\n\u003cp>The application of VR-based therapy extends beyond the treatment of phobias to interventions for generalized anxiety, substance abuse and acute pain.\u003c/p>\n\u003cp>According to Sullivan, the power of Limbix’s tools is how present patients feel in the environments, which the company films with 360-degree video cameras. It can also pull any 360-degree video from \u003ca href=\"https://www.youtube.com/channel/UCzuqhhs6NWbgTzMuM09WKDQ\">YouTube\u003c/a> or tap into Google Maps’ street view feature to transport patients to any number of places, including a busy intersection or childhood home.\u003c/p>\n\u003cp>The first scene, an intersection, could be used to help a patient process a car wreck. And the latter scenario, Sullivan says, could allow therapists to help patients work through early-life trauma. \u003c/p>\n\u003cp>One of the unexpected benefits Sullivan has seen from the \u003ca href=\"https://www.nytimes.com/2017/07/30/technology/virtual-reality-limbix-mental-health.html?_r=1\">increasing public awareness\u003c/a> about VR-based therapies, is that more people are reaching out for help.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“A lot of people think it’s only about depression or anxiety,” Sullivan said. “But there’s really a whole range of challenges that people face in great numbers, and they’re struggling with it alone, not knowing that there’s help out there.”\u003c/p>\n\n","blocks":[],"excerpt":"New software and the rise of low-cost headsets have enabled therapists to start treating phobias and other anxiety-based disorders with VR.","status":"publish","parent":0,"modified":1502934017,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":650},"headData":{"title":"Virtual Reality Unlocks New Tools for Facing Your Worst Fears | KQED","description":"New software and the rise of low-cost headsets have enabled therapists to start treating phobias and other anxiety-based disorders with VR.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Virtual Reality Unlocks New Tools for Facing Your Worst Fears","datePublished":"2017-08-17T07:30:45.000Z","dateModified":"2017-08-17T01:40:17.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11611079 https://ww2.kqed.org/news/?p=11611079","disqusUrl":"https://ww2.kqed.org/news/2017/08/17/virtual-reality-unlocks-new-tools-for-facing-your-worst-fears/","disqusTitle":"Virtual Reality Unlocks New Tools for Facing Your Worst Fears","audioUrl":"http://www.kqed.org/.stream/anon/radio/tcr/2017/08/170809ftcr.mp3","guestFields":"0","path":"/news/11611079/virtual-reality-unlocks-new-tools-for-facing-your-worst-fears","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Imagine you’re terrified of dogs. The anxiety has gotten so bad you can’t even enter your best friend’s apartment for fear of his pet chihuahua.\u003c/p>\n\u003cp>Now imagine being stranded alone in a forest with a pack of wild canines charging you from all directions. You're paralyzed by fear -- only it's not real. It just feels that way, because of a virtual reality headset.\u003c/p>\n\u003cp>A therapist walks you through the scenario. After some counseling, the idea of facing your friend’s lapdog may begin to seem more manageable.\u003c/p>\n\u003cp>New software and the rise of low-cost portable headsets have enabled therapists to start treating phobias and other anxiety-based disorders using virtual reality exposure therapy.\u003c/p>\n\u003cp>“We are here at the doorstep of a virtual reality revolution in health care,” said Sean Sullivan, a San Francisco-based psychologist. \"Therapists are leading the way.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sullivan \u003ca href=\"https://blog.limbix.com/vr-is-enriching-my-therapy-practice-e907bdb57d03\">uses VR in his private practice\u003c/a>, and helped develop the software for \u003ca href=\"https://www.limbix.com/vr\">Limbix\u003c/a>, a Silicon Valley startup, where he is the director of psychology.\u003c/p>\n\u003cp>By stepping patients through a series of immersive experiences that gradually exposes them to their phobias -- be it snakes or public speaking -- they can learn to overcome their fears.\u003c/p>\n\u003cfigure id=\"attachment_11612529\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/08/SeanSullivan-800x491.jpg\" alt=\"Psychologist Sean Sullivan uses VR in his private practice and helped develop the software for Limbix.\" width=\"800\" height=\"491\" class=\"size-medium wp-image-11612529\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-800x491.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-160x98.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-1020x626.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-1180x724.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-960x589.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-240x147.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-375x230.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/08/SeanSullivan-520x319.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Psychologist Sean Sullivan uses VR in his private practice and helped develop the software for Limbix. \u003ccite>(Peter Arcuni/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the case of dogs, Sullivan says the first step could be walking into a house where a dog lives, but is locked up outside. For many patients, just spending enough time in the virtual environment causes the physiological signs of stress to dissipate. Once they get comfortable in one scenario, they move on to the next challenge.\u003c/p>\n\u003cp>This type of guided exposure also allows therapists to help patients work through the root cause of their fear or anxiety, which is often the memory of a traumatic experience that has spread to everyday situations that pose little objective threat. Over time, exposure therapy can change both the emotional and psychological responses to anxiety-inducing triggers.\u003c/p>\n\u003cp>While the principles of exposure therapy have been around for decades, virtual reality offers unprecedented accessibility. Before VR, a therapist might have to go with a patient on a plane, for example, to help them face a fear of flying.\u003c/p>\n\u003cp>\"To me as a therapist, it’s incredible that now with a four-inch headset that’s comfortable, you can deliver incredible treatments,\" Sullivan said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>A May 2017 article in the \u003ca href=\"https://www.e-mence.org/sites/default/files/domain-39/Maples-Keller%20Use%20VR%20in%20disorders%202017.pdf\">Harvard Review of Psychiatry\u003c/a> shows 20 years of research supporting the use of exposure-based VR interventions for anxiety disorders. A meta-analysis of existing studies showed that results were long-lasting and translated to real world situations.\u003c/p>\n\u003cp>The application of VR-based therapy extends beyond the treatment of phobias to interventions for generalized anxiety, substance abuse and acute pain.\u003c/p>\n\u003cp>According to Sullivan, the power of Limbix’s tools is how present patients feel in the environments, which the company films with 360-degree video cameras. It can also pull any 360-degree video from \u003ca href=\"https://www.youtube.com/channel/UCzuqhhs6NWbgTzMuM09WKDQ\">YouTube\u003c/a> or tap into Google Maps’ street view feature to transport patients to any number of places, including a busy intersection or childhood home.\u003c/p>\n\u003cp>The first scene, an intersection, could be used to help a patient process a car wreck. And the latter scenario, Sullivan says, could allow therapists to help patients work through early-life trauma. \u003c/p>\n\u003cp>One of the unexpected benefits Sullivan has seen from the \u003ca href=\"https://www.nytimes.com/2017/07/30/technology/virtual-reality-limbix-mental-health.html?_r=1\">increasing public awareness\u003c/a> about VR-based therapies, is that more people are reaching out for help.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“A lot of people think it’s only about depression or anxiety,” Sullivan said. “But there’s really a whole range of challenges that people face in great numbers, and they’re struggling with it alone, not knowing that there’s help out there.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11611079/virtual-reality-unlocks-new-tools-for-facing-your-worst-fears","authors":["11368"],"programs":["news_6944","news_72"],"categories":["news_457","news_8","news_356","news_248"],"tags":["news_2109","news_21423","news_17286","news_20782","news_6813"],"featImg":"news_11612525","label":"news_72"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. 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