Understanding Addiction: Addiction is a chronic disease. It alters both brain function and structure. The release of Dopamine interacts with Glutamate in the brain and hijacks its process of reward-related learning. This key system is responsible for sustaining life, as it links activities needed for human survival with reward and pleasure. Translation? Addiction can build pathways in the brain that link the addictive behaviour to a need for survival. Addiction is not only substance related. Addiction can also be linked to pleasurable activities such as gambling, sex and shopping for example.   Ways in which you can support a loved one struggling with addiction: Obtain your own support. Al-Anon and Nar-Anon are just two of several support groups available. This is especially important in terms of freeing yourself of blame and not taking it personally. There are several treatment options that can effectively treat addiction. Encourage your loved one to speak with their family doctor to access support. Do not criticize or threaten. You cannot force them to quit, but you can be a source of strength and positive encouragement. Expect setbacks. The road to recovery is not straight and flat. There will be difficulties and detours. As much as possible, establish trust and communicate effectively. https://www.verywellmind.com/how-to-talk-to-an-addict-22012 Educate yourself on addiction and if applicable what to expect with treatment. Know when to take a step back and let a crisis happen. Don’t enable their behaviour and do not tolerate unacceptable behaviour   Canada’s Opioid Crisis: In 2017, approx. 11 lives were lost per day due to opioid overdoses. 94% of these deaths happened by accident Naloxone is a fast-acting drug medicine that can restore breathing within 2-5 minutes and reverse the effect of an opioid overdose. You cannot use it incorrectly, as it only works if you have opioids in your system. It is safe for all ages and has no negative impact if given to a person who has not had an opioid overdose. You can get a Naloxone kit free of charge at most local pharmacies! See more information @ https://www.canada.ca/en/health-canada/services/opioids/naloxone.html   How can I get help? A simple solution would be to consult your family doctor. In addition, Connex Ontario is an online resource for mental health and addiction services all across Ontario. It is a helpful hub for supportive system navigation. https://www.connexontario.ca/all-mental-health-addiction-service-types  

Many parents struggle with how to approach a conversation with their kids about mental health. It is not uncommon, as many of us as adults also struggle with how to talk about our mental health. The summer presents a perfect opportunity, when the rush of work, school and extra-curricular activities have slowed down, to spend quality time and check in with your kids. Tips for having these conversations: For little kids, making a connection to something familiar, for example, Winnie the Pooh, may help kids to develop an understanding. The character of Eeyore may be a great way for kids to relate to some of the symptoms of mental illness. Create a connection in the conversation to physical health. Kids understand the concept of not feeling well physically. Speaking about how mental illness affects the brain can help kids to make a physical connection they can better understand. Be sure to avoid pressuring them into a conversation. Letting them know that you are there for them and there to talk if they want to may help them to feel comfortable opening up when they are ready. Be sure to communicate to them that this is not their fault. Normalize the conversation. Using tough words like “depression” and “suicide”, (as age appropriate), shows comfort in talking about the subject.  It creates a safe space for your child to   Open up about their mental health. Be sure to make your child feel heard by validating their feelings, listening and paying careful attention to non-verbal cues like body language. Don’t hesitate to share your own personal experience (if applicable). This normalizes the conversation and communicates to your child that they are not alone. Things that are helpful to say: “Do you want to talk about it?”, “How can I help?”, “I’m here if you need me”, “I’m sorry that you are going through this”, “Are you looking for advice or would you rather I just listen?” Common misconceptions/mistakes to avoid: Don’t make assumptions because they “seem to be ok” or aren’t showing any signs or symptoms of struggling with their mental health. Kids, just like adults, can be very good at masking. Don’t overreact if your child opens up about feelings of suicide or self-injurious behaviour. Reassure them that you are glad that they felt safe sharing this with you and that you will find them help and be there for them along the way. Don’t take it personally. Sometimes depression can come out as anger or other emotions. Try to understand where emotional outbursts may be coming from. Be careful not to tell them more about mental illness than they are ready to hear. Things NOT to say: “it’s all in your head”, “snap out of it”, “things could be worse”, “get over it”, etc. This invalidates how they are feeling! Getting help: Access support services made for kids and teens that allow them to communicate by text, email, phone or in person, depending on their comfort level. https://kidshelpphone.ca/ Safety Planning [...]

Mental health in the workplace has been a topic that, unfortunately until the second half of the 2000’s, was ‘swept under the rug’ as a non-issue or at least one that ‘could not’ and ‘should not’ be talked about. The majority in the workforce were of course comfortable telling a superior at work about medical and/or personal needs such as medical and dental appointments, physical injuries, physical health issues and time needed for bereavement, but any mental health struggles could not be revealed or made evident, sadly, for numerous reasons. These reasons, with some continuing today, include the stigma attached to mental health (I.e., being ‘mentally ill’ or ‘unstable’), being viewed as ‘weak,’ and/or being viewed as incapable of managing stress or the demands of one’s job. The good news is that many of those who were once in positions of leadership at companies and organizations, who were of what most consider an ‘old school mentality,’ are now entering retirement and those who have been raised in a world where increased education in, and understanding and acceptance of, mental health has taken place are now in positions of leadership. While Canadians become slowly and steadily more understanding and accepting of mental health in the workplace, below I explore the challenges many still encounter at the workplace and how you can help yourself and your co-workers manage their mental health at work too. 1) Communication with Co-Workers and Leadership As we go about our daily lives in today’s fast paced world and the demands it brings, we have become less skilled at what therapists and counsellors call ‘active listening.’  Active listening is a skill in which we listen fully and intentionally without thinking about what we are going to say next/going to respond with while the other person is talking. It is also paying attention to one’s body language, tone of voice and what the other person is trying to convey is key to understanding and providing support to a co-worker in need. This may sound easy enough, but it is actually a skill counsellors and therapists themselves are trained in and must learn to practice intentionally! Paraphrasing or ‘parroting’ what a struggling co-worker is saying to us is also a great skill to practice as, when we occasionally repeat back to someone a main point/concern they have expressed to us, it signals to that person that they are not only being heard, but truly cared for, supported, and understood. This is a key component in trust being built in the workplace and employees obtaining the help they may need regarding their mental health struggle(s) (E.g., stress, anxiety, workplace conflict, depression, etc.). Expressing empathy towards a co-worker who has opened up about their mental health is also a valuable tool in building trust and contributing to a workplace that is more open, supportive and accepting. Expressing empathy is perhaps the simplest, yet severely underestimated, act we can take to support co-workers who may be struggling. Showing true empathy is not showing [...]

What is EMDR? EMDR is a powerful therapeutic approach originally developed by Dr. Francine Shapiro. It is an evidenced-based approach that has been highly researched over the course of many years. The acronym EMDR stands for ‘Eye Movement Desensitization and Reprocessing’.   What sounds like a complicated approach is actually a very gentle and ‘organic’ approach to reprocessing trauma, and other difficult situations that emerge in life such as depression and anxiety.   EMDR is considered the ‘gold standard’ of treatment for PTSD (Post Traumatic Stress Disorder) as well as for traumatic situations in general including ongoing traumatic situations that are complex, as well as for developmental traumas. It is also used to address various other issues ranging from anxiety to depression to issues emerging from ADHD. A great deal of research has been done which offers evidence for the efficacy of this treatment approach.   When speaking with clients, I often characterize it as a ‘gentle’ process because fundamentally, I am asking clients to simply relax and notice their own responses as we go through the process. We focus on helping them to become aware of their own body sensations (ie chest tightening, lump in throat, body tension etc), emotions and thoughts in the moment, as we process the targeted memory or situation.   The process relies on something called ‘bilateral stimulation’ to encourage the client’s brain to begin to adaptively process the situation/memory/emotion.   How can this possibly work when some therapists are only offering EMDR online? For the past two years in particular, as we have all been faced with COVID-19, many therapists have offered EMDR through online video meetings. There are several ways that this can be done effectively. The two most common ways that I use are either to simply have clients track my fingers visually as I move them from side to side on the screen or alternatively to employ the ‘butterfly tapping’ method which has a client crossing their arms or hands in front of themselves and then tapping from side to side. These ways of facilitating the ‘Bilateral Stimulation’ element of EMDR have been very effective online.   What is supposed to happen in EMDR? There is really no right or wrong way to experience EMDR from a client perspective. Nor is there a particular outcome that a client is ‘supposed’ to achieve specifically. This is because EMDR is about your brain (as the client) adaptively processing your unique experience. Simply put, it is about me, as the therapist, facilitating your process of where your brain takes you. Having said that, some clients have noted that after an EMDR session they feel distance from the memory that we targeted in the first place, sometimes they report that it feels as if something has ‘shifted’ in the way they view the memory and in the way they view themselves as a result.   How does it work if I haven’t really experienced a trauma? Sometimes what we are processing is an emotion. For [...]

Autism and Speech Therapy Services As many of you may already know, challenges with communication are one of the criteria that must be met for to reach a diagnosis of autism. When we talk about communication challenges it can include the following: Difficulties with understanding, Difficulties using language to communicate with other people. However, there is a wide range as to what communication skills may look like in an individual with autism. Verbal and Non-verbal We often hear of children with ASD being referred to as verbal or non verbal, and whilst some children may be very verbal and participate in full conversations, other may communicate completely without words (for example, using pictures, or through gestures or behaviours). Some children with ASD will also use a combination of ways of communicating. No matter how a child communicates, there are many ways we can build on their strengths and interests in order to support and help further develop their communication skills. Speech Language Services and children with ASD Speech-Language Pathologists are often one of the first professionals to become involved with a young child showing possible signs of autism, as communication differences or delays are often one of the first signs noticed by parents/caregivers/educators.  It is important to know that Speech-language Pathologists cannot diagnose autism, but can assist in helping support communication skill development even before a diagnosis is received, and can also help direct families to find the appropriate resources if they are looking to determine a diagnosis. If you are concerned about your child’s communication skills and would like more information, call us at 519.302.2300 or email reception@brantmentalhealth.com to book a free consultation with our Speech Language Pathologist.

Autism, or Autism Spectrum Disorder (ASD) has become more talked about in recent years, and its prevalence seems to be growing, the chances are you know someone whose family has been impacted by a diagnosis of ASD. According to the Public Health Agency of Canada, 1 in 66 children and youth are diagnosed with ASD in this country. ASD occurs in all racial, ethnic and socioeconomic groups, but it is about 4 times more common among boys than girls. Studies are still being conducted to better understand where this disparity comes from. The learning, thinking and problem-solving abilities of people on the Autism spectrum can vary greatly, some people with ASD are extremely gifted, whilst some face severe challenges. We do know now, that signs of ASD begin during early childhood and that we should be watching for certain developmental milestones. Signs and Symptoms: The CDC has the following list outlining some of the signs and symptoms to be aware of. The child may not point at objects to show interest (for example, pointing at an airplane flying overhead.) They may not look at objects when another person points at them. They may have trouble relating to others, or not have an interest in people at all. They may avoid eye contact and want to be alone. They may have trouble understanding other people’s feelings, or talking about their own feelings. They may prefer not to be held or cuddled, or might cuddle only when they want to. They may appear to be unaware when people talk to them, but respond to other sounds. They may be very interested in people, but not know how to talk, play or relate to them. They may repeat or echo words or phrases said to them, or repeat words or phrases in place of normal language. They may have trouble expressing their needs using typical words or motions. They may not play “pretend games” for example, not pretending to “feed” a doll. They may repeat actions over and over again, They may have trouble adapting when a routine changes. They may have unusual reactions to the way things smell, taste, look, feel or smell. They may lose skills they once had, for example they might stop saying words they were previously using. Behaviour considerations People with ASD can have behaviours or interests that might seem unusual to others. The CDC has listed the following examples of these behaviours: Lining up toys or other objects and getting upset when the order is changes. Repeating words or phrases over and over (also called echolalia). Playing with toys the same way every time. Focussing on parts of objects (for example wheels). Getting upset by minor changes. Having obsessive interests. Needing to follow certain routines. Flapping hands, rocking body or spinning self in circles. Having unusual reactions to the way things sound, smell, taste, look or feel. Other characteristics you may notice: Delayed language skills Delayed movement skills Delayed cognitive or learning skills Hyperactive, impulsive and/or inattentive [...]

All About Concussions... From Diagnosis to Symptoms What is a Concussion? A concussion is a trauma to the brain as a result of direct (blow to the head) or indirect (whiplash) force to the brain.  The brain sits inside of our skull, surrounded by fluid that is designed to give it space to move ever so slightly.  When a force impacts the head or causes it to move in a certain direction rapidly, the brain can “slosh” inside the skull and bump into the hard bone.  This is the trauma that the brain can experience that causes a concussion.  Think of it like a bruise to the brain. In the immediate aftermath of a concussion, blood flow to the brain declines, preventing important energy molecules in the form of glucose from reaching your brain.  This creates an energy crisis in the brain which is why fatigue is a primary symptom people experience following an impact. If you, or your family are involved in sports, it is very likely that you know someone who has suffered from a concussion. Where else can a concussion occur? (Other than in sports) - Car Accidents - Slips/Falls - Work related injuries We all know that a concussion is not a good thing and we try to make sports and work as safe as possible to prevent, these or other types of injuries.  But sometimes it can still happen and is always best to know what to do if you or someone know has suffered a concussion. What to do if you think you have a concussion? If you or someone you know has a suspected concussion, it is important to give them immediate medical attention so that more severe consequences of brain injuries can be ruled out.  It also important to stop play or work until you can receive medical attention, as another impact to the brain immediately following the first, can be detrimental. In certain cases, bleeds can develop in the brain, leading to much more severe problems.  This can be ruled out by a trained professional, and may require a head scan at the hospital. Typically it is recommended that immediately after a concussion, the person should rest, stop all screen use and lie down in a dark room.  While these things can be important, some light cardio activity can actually help with recovery.  It is still important to stop any activity that could involve the risk of second impact, but light activity as tolerated is good to incorporate into a recovery program. It is important to see a qualified professional for specific advice, as each person and their experience with concussion will be unique.  Some are able to resume activities sooner, while others may need longer, depending on the severity of the impact. After seeing your family doctor, or a physician in an emergency room, a Chiropractor or Physiotherapist should be your next stop for proper diagnosis and advice.  However, not all Chiropractors and Physiotherapists are qualified to properly diagnose and [...]

As a counsellor and therapist with nearly 50% of my clients being between the ages 12 to 20 years old, I encounter many stories of struggle, despair and distress, but I also hear many stories of inspiring and unique goals, world views and interests. As adults, none of us are immune to the ‘back in my day’ type of thinking when it comes to relating to younger generations about things like music, pop culture, and politics, but more serious topics like politics, schooling, passions and career goals often, unfortunately, become a contentious topic between parents and their children. In my early days working as a counsellor at a child and family centre, I saw many parents who were concerned with whether or not they were actually ‘good parents’ or not. When I heard parents tell me that they were doubting if they were in fact ‘good parents,’ I learned a valuable lesson from some of my colleagues that, when it comes to ‘good’ versus ‘bad’ parenting (and I use the word ‘bad’ in the context of how parents used the word at this time), this can be concluded with one simple ‘rule’: ‘Good parents’ do worry about being good parents… ‘Bad parents’ never worry about or consider that they may not be ‘good parents.’ In other words, ‘bad parents’ are ignorant to the idea of their parenting styles, rules (or lack thereof), lack of guidance and care, etc. are even factors in their children’s growth, development and success in life. While I believe this ‘rule’ to be fact, one type of ignorance that many of us are not immune to as parents, whether ‘good’ or ‘bad’ (which I will now refer to as ‘developing’ parents), is imposing on our children our own world views, thoughts, goals, and dreams… usually for one overall reason…because ‘what we know is best’… The fact is, this is flawed and, at times, hurtful thinking when it comes to our children’s interests, dreams, world views, and strengths. We often think that the ‘I know best’ type of thinking is loving and intended to ‘protect’ our children from the dangers and pitfalls of the world (E.g., Dissuading from interests or studies that lead to a career that stereotypically ‘doesn’t make a good income’, but this is far from the truth as this behaviour can lead to many negative outcomes for children as explored below. What the ‘I know best’ Parental Attitude Can Result in… 1)Shame and Future Resentment Simply put, children and teens crave approval, acceptance, and, most importantly, validation in regards to not only how they view themselves and the world, but their interests, hobbies, imagination, hopes, and dreams. When we do not do this and, instead, sometimes unknowingly and not purposely, we place our own wants, needs, dreams (past or present) and desires ‘onto’ our children in order to gain a sense of expertise and personal fulfillment. When we do not validate, accept, and explore our children’s interests, goals and passions, we signal to them [...]

Equine Assisted Therapy and Learning at Brant Mental Health Solutions In 2021 we were really happy to be able to introduce equine assisted programs off-site at two farms in Brantford. Whilst in office, traditional counselling is something most people opt for, it was important for us to make sure we provide therapeutic experiences for those who don’t feel “traditional” therapy is the right fit for them. We get asked a lot of questions about these programs, so we felt it would be helpful to break down the different equine assisted options and explain a bit about the two therapists who offer them. Who does equine assisted therapy benefit? Whilst anyone who enjoys being outside and around animals and nature can benefit from these programs, we have seen great responses from the following types of people: 1. Children and adults with ADHD, Autism or other learning/developmental concerns, 2. Children and adults suffering from PTSD/CPTSD (including first responders and veterans), 3. People who find in office therapy overwhelming/intimidating, 4. People who have found it hard to connect to a therapist in a clinical setting. Registered Psychotherapist Robin Oldroyd: Robin is one of the therapists on our team who offers Equine Assisted Therapy with her barn partners Bernie and Brenda. The three of them sat down with a videographer last year to explain more about the program they run with Brant Mental Health Solutions, you can find the video here https://fb.watch/aZ11HYQkji/ Robin works with people of all ages and her many years of experience as a therapist, combined with her love of horses, makes this a unique experience for her clients. Registered Social Worker Lynne Cree: Lynne is another therapist on our team who offers Equine programs. Whilst Lynne has many years of experience working with school-aged children in a school board, she is able to help teenaged and adult clients as well. Lynne’s work in the special education department makes her a gentle, patient and goal-oriented therapist when working with her clients. Lynne has 4 miniature horses that she works with, and the farm she runs her programs from has pigs, goats, rabbits and other animals for her clients to interact with. Lynne also runs “family fun on the farm programs” to help families reconnect in nature and find common ground. Is equine assisted therapy covered by my benefits? If you have coverage for a Registered Psychotherapist, sessions with Robin would be covered. If you have coverage for a Registered Social Worker, sessions with Lynne would be covered. Be sure to call your insurance company if you are wanting to use benefits so that you can make sure you know what you have available to you. If I have equine assisted sessions, can I also have in office sessions? If that is something you feel would work for you – yes! Some of our clients add in equine assisted sessions here and there to support the work they are doing in the office with their therapist. Others choose to stick with one [...]

Eating Disorders Awareness Week – February 1st – 7th 2022 In the last two years, we have seen a significant increase in the number of people reaching out to us for help with disordered eating. Disordered eating covers any unhealthy eating behaviours and worries about body image. This is becoming a common issue in our society and affects both men and women of all different ages. Whilst we often think of women when we talk about disordered eating, men actually make up approximately 25% of all disordered eating cases. Unfortunately for men experiencing this, they may experience delays in accessing treatment as doctors may overlook the possibility of an eating disorder and many of the programs created are tailored towards women. Common types of disordered eating: 1. Dieting and restrictive eating, 2. Self-induced vomiting, 3. Binge eating, 4. Laxative abuse. Symptoms of disordered eating: It is important to know the signs and symptoms so that you can help a friend or family member if you notice any of the following. The physical signs of disordered eating can include the following: * Chronic weight fluctuations * Stomach complaints and pain. * Changes in bowel habits. * Changes in menstrual regularity, including stopped or missed periods. * Feeling dizzy, weak and/or tired. * Fainting. * Changes in skin and hair (such as being dry and brittle). * Acid-related dental problems, including cavities and erosion of enamel (caused by bulimia). The emotional signs of disordered eating include the following: * Being preoccupied with weight, food, dieting, calories and carbohydrates to the point that eating and managing weight become a primary concern over other activities. * Being preoccupied with body image, body size/shape, a specific part of the body and/or the number on the scale. * Significantly limiting the repertoire of foods by restricting whole categories of food and only considering a very small number of foods safe to eat. * Performing specific food rituals. * Withdrawing from social eating activities. https://health.clevelandclinic.org/how-to-recognize-the-warnings-signs-of-disordered-eating-and-what-to-do/ We understand psychological and emotional issues contribute to disordered eating, which is why seeking the help of a trained mental health professional in addition to a nutrition expert is important. Many people who suffer with disordered eating report issues with low self-esteem, perfectionism and report having difficulties in their relationships. Please know that you are not alone in your struggles with eating and that there is help and support out there for you. If you know someone who you believe is struggling with an eating disorder, please approach them with compassion and understanding. Getting them help as soon as possible is important, but be someone safe for them to share with. Support them through any treatment and seek the help of trained professionals (family doctor, registered mental health professionals with experience in this area, registered nutritionists/naturopathic doctors etc.) The National Eating Disorder Information Centre (NEDIC) provides information, resources, referrals and support to Canadians affected by eating disorders through their toll-free helpline and instant chat.https://nedic.ca/