A Physician’s Burnout Journey: Dr. Sheetal Ajmani

Burnout is a harsh reality for many professionals across industries. My journey with burnout began long before it became a common topic of discussion. Though I often felt isolated, my experience with burnout as a pediatric physician taught me valuable lessons about recovery, resilience, and aligning with one’s true self. 

Suffering Through Residency

My first year of residency as a pediatric physician was intense and relentless.  For the first time in my career, my recommendations carried weight and directly influenced patient care. The demanding schedule of 80-hour workweeks, combined with the emotional toll of treating critically ill infants and children, was overwhelming to say the least.

In the midst of this grueling routine, I experienced my first bout of burnout and depression.  While I didn’t have the language to describe it at the time, I knew this:

  • My stomach was in knots every morning as I drove to the hospital at 5 a.m.
  • I felt a deep, persistent sadness.
  • Most days, I didn’t know how I would make it through.

I tried yoga, spent time in nature, and confided in colleagues, but these only brought me transient moments of relief from the weight of daily life.  When I felt my mental health declining and nothing seemed to provide consistent solace, I decided to transfer to a program closer to my family in hopes that the proximity of loved ones would ease the strain. While the workload remained intense, the support of my family made a meaningful difference in my overall well-being.

As I continued to struggle through the next two years, I began taking mental notes about what truly mattered to me. I realized that 80-hour workweeks, overnight shifts, and the emotional weight of inpatient care weren’t sustainable for me. I valued quality time with loved ones, creative pursuits, and a sense of balance. These insights became a compass for my future decisions, prioritizing roles that allowed for the sense of balance and alignment that I valued. 

A Pivotal Moment of Choosing Differently

Years later, despite my best efforts of keeping repeat episodes of burnout at bay, I was faced with another crossroads. I was working in pediatric urgent care through the height of the COVID-19 pandemic and found that the collective trauma of the pandemic, coupled with rising hostility and violence in healthcare settings, left me burnt out and physically manifesting symptoms of trauma.

This looked like bubbling anxiety at the thought of going into work each day.  Heart racing at the slightest sign of an escalating patient interaction.  Fighting back tears while walking into a shift.  And, experiencing sharp pains through my neck and shoulder that limited my movement.  

The self-care practices that had sustained me for two decades (daily meditation, breathing exercises, affirmations, prayer, journaling, and physical activity) were no longer effective at calming my body’s heightened stress response. I knew I couldn’t simply switch jobs and hope for a different outcome. This time, I needed to choose an entirely new path.  I left clinical medicine, without plans to return.

The uncertainty of this transition felt scary.  I grieved leaving a career that I had devoted so much of my life to.  I initially sought stability through seeking a non-clinical job, but when nothing materialized, I surrendered my tight grasp to expectations of what my next step would look like and opened myself up to other possibilities. While navigating the complex tapestry of emotions that this time held, I continued to pour myself into the coaching business that I had started as a side project years prior.  In doing so, glimmers of joy started to resurface and I decided to take a leap of faith and trust that feeling of joy to guide me to my next steps.  

This journey has been anything but smooth. Initially, I struggled with expectations of what my new career “should” look like. A turning point came when I found myself crying in the bathroom of my co-working office – it was then that I realized my attachment to these external expectations was causing unnecessary suffering.  Once again, I had to let go of the “shoulds” that were no longer serving me.

I began listening to my intuition and prioritizing joy as my guide. I saw it as an experiment to follow my inner voice’s guidance, and in doing so, I have found an incredible sense of freedom that has opened doors to new relationships, opportunities, and experiences.

Burnout Defined

Literature1 describes burnout as a prolonged response to chronic exposure to stress. While it’s often linked to job-related stress, it can also occur within relationships and caregiving.

Regardless of the inciting stressor, burnout has three defining dimensions:

Overwhelming Exhaustion

Physical, mental, or emotional fatigue that can lead to irritability and difficulty making decisions.

Feelings of Cynicism and Detachment  

Loss of interest in work and feeling detached from its quality and results.

A Sense of Ineffectiveness and Lack of Accomplishment  

Feeling less effective, confident, and self-assured, despite maintaining a consistent quality of work.

Lessons Learned & Practical TakeAways

Two years later, I don’t have it all figured out, but I’m living in greater alignment than ever before. Here are a few insights from my journey:

Listen to Your Body’s Signals

Your body often knows what you need before you do. The stomach knots I experienced during residency and the shoulder pain when I was working in urgent care – these were physical manifestations of the emotional distress I was experiencing.  Before I could even name what I was going through, my body already knew.  

What messages has your body been sending you lately?

Seek Support

Recovery is not a solo journey. Therapists, coaches, friends, family, and spiritual communities have been lifelines for me. Remember that reaching out for help is a sign of strength, not weakness.  

Who’s one person you can reach out to today?

Let Go of “Shoulds”

Clinging to expectations of how life “should” be can lead to unnecessary suffering. This has been a recurring theme in my own journey, and each instance of intense emotional suffering reminds me that there’s something else I need to let go of.  

What are the “shoulds” that you are clinging onto, and can you approach these with self-compassion as you begin to release what’s no longer serving you? 

Burnout rarely follows a prescribed path, and recovery is just as unique.  But, you have the capacity to make it through.  By listening to your body, seeking support, and releasing rigid expectations, you can begin to take meaningful steps toward a more joyful and authentic way of living.

Personal Story of Recovery: Megan Cornish

I’m Megan Cornish, a licensed clinical social worker who helps people with their mental health every day. 

Fifteen years ago, fresh out of college, I was working a job that involved assessing patients for depression and anxiety. I would walk into a room, make some small talk, and then screen for mental health concerns.

Do you have little interest or pleasure in doing things?
Are you sleeping too much or too little?
What about feeling down, depressed, or hopeless? 

These were the questions I asked every day, multiple times a day. I knew what the answers meant. I could recognize depression and anxiety in others from a mile away. But somehow, I didn’t see the same symptoms in myself. 

Today, I’m in a much better place—not perfect, but stronger. My experiences have taught me that recovery is an ongoing process and that we’re all more than one story.

Recognizing the Signs

Back then, I was 21 years old and just starting out as a social worker. I had just finished my bachelor’s degree and was eager to prove myself.

I didn’t notice it at first, but slowly, a sense of unease started to creep into everything I did. I chalked it up to stress- totally normal for new graduates, right?

After a while, though, I woke up every morning with this heavy feeling in my chest, like a literal weight was sitting on me. Driving to work, I’d focus on my breathing, checking constantly to see if that black hole of pressure below my sternum had gone away. It never did.

Sometimes at work, I would step into my office, shut the door, and slide to the floor. I would press my hands tightly against my chest to steady my breathing, just enough to make it through the next few hours. I burned through all of my sick days and then borrowed against days I didn’t have because getting out of bed felt impossible—until it wasn’t an option. When the only alternative was losing my job, I dragged myself to work, even though it felt like I was barely holding myself together.

I stopped crying, listening to music, or really doing anything that made me feel any emotions. I couldn’t afford to go there because I knew that life doesn’t pause for a breakdown; it just keeps going, and I was barely keeping up. But I did start sleeping more and more, taking long naps after work and counting down the hours until bedtime. I pulled away from my friends and barely noticed how much of myself I was losing. But even then, I didn’t think I had a problem. I thought I just needed to manage it better.

The Breaking Point

Everything changed at a Christmas party at work. I was sitting by a window, watching cars drive by, and I had a thought:

I wish one of those cars would come through this wall and put me out of my misery. 

There was a lot of noise in my head those days, but somehow, that thought clanged through it all like a bell and stopped me in my tracks. It was the same kind of thought I’d described to clients countless times as a sign of depression.

I remembered something I told my patients regularly:

“Your brain’s number one job is to keep you alive. If it stops trying to do that, you can be sure that something needs to be fixed.”

I didn’t want to die—I just wanted a break from the constant struggle. I was exhausted. Anxiety is exhausting.

With the alarm bells finally ringing in my head, I left the party, sat in my car, and called my partner. We’d only been dating for six months, but I told him I thought I was depressed and I really needed help. He told me to stay where I was and came to get me. He and my best friend helped me pack a bag and brought me to my parents’ house. My mom, who I always count on, found a doctor who could see me the next day. She drove me there herself. 

That first call for help wasn’t easy, but it saved me.

The Work of Recovery

That first doctor I saw was a family practice doctor, not a psychiatrist. But he was able to put me on a low dose of medication, and, for a little while, just the hope that something might change was enough to make me feel lighter. But the medication itself didn’t help much, and it came with a side effect—a racing heartbeat—that only made things worse. He had also prescribed benzodiazepines to help in the short term, but I didn’t feel comfortable taking them. I knew the risks. He told me I should see a psychiatrist as soon as possible, but the waitlist was six months long.

Six months felt unbearable, but what choice did I have? When I eventually saw a psychiatrist, they adjusted my medication and recommended therapy. But my HMO had rules. Before I could do individual therapy, I had to go through group therapy first, which came with another long waitlist. I couldn’t take waiting anymore. So, I found an out-of-network psychiatrist and a private practice therapist and paid out of pocket. It wasn’t cheap, and it stretched my budget thin, but it was the only way I could keep moving forward.

It took five years of small, slow steps to get to a fully stable place. I tried four or five different medications before we found the right combination. Therapy helped me make sense of everything and kept me grounded. Medications didn’t solve everything, but they lifted enough of the weight for me to actually engage in therapy and do the work I needed to do.

The hardest part wasn’t the appointments or the waitlists or the side effects. It was realizing that the person I thought I was—the carefree, happy-go-lucky version of me I’d always identified with—was gone, and I needed time to grieve her. Recovery wasn’t about going back to who I used to be. It was about figuring out who I could be now. And while it’s not the story I would’ve chosen for myself, I’ve learned to be okay with it. In some ways, I think I’ve even grown to like this version of me more.

Progressing Up

Therapy taught me how to understand my story and accept myself. Medication helped stabilize me, but it wasn’t a magic fix. My parents gave me a safe place to land, and my partner showed me that I wasn’t alone in this. Every setback taught me something new about myself and what I needed to heal.

There were days when progress felt slow, but looking back, I can see how far I’ve come. Recovery isn’t about perfection; it’s about persistence. Each small step added up to a path forward.

Today, I’m not just a social worker. I’m a partner, a friend, and someone who lives with mental health challenges. Those challenges don’t define me, but they’ve shaped me in ways I’m proud of. I’ve learned that joy and pain can exist together, and that’s okay.

If you’re reading this and struggling, I hope my story helps you see that it’s okay to ask for help. Your mental health matters just as much as your physical health. Asking for help isn’t a weakness; it’s an act of bravery. Recovery is possible, and you don’t have to do it alone.

Kay’s Story: Embracing Life Beyond Addiction

For Chekesha “Kay” Ellis, recovery is more than a personal triumph—it’s a calling. 

As a motivational speaker, author, and founder of Chase No More, Kay dedicates her life to helping individuals reclaim their lives from substance use disorder. Her passion stems from a deep understanding that recovery is not a one-size-fits-all journey. Through her work, she bridges the gap for countless individuals, connecting them to resources and offering hope to those navigating the challenges of addiction.

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In her TEDxHagerstownWomen Talk, Addiction: The Enemy of Hope, Kay opens up about her decade-long struggle with opioid addiction. It began like it does for so many others: with a routine knee surgery in 2000. Prescribed pain medication became a slippery slope, leading her into a relentless cycle of dependency. For ten years, her life revolved around substances, as she grappled with the highs and lows of addiction.

Kay’s journey was marked by moments of clarity—what she calls her “Aha!” moments. These were warnings that she was veering into dangerous territory, yet the overwhelming grip of addiction drowned out their significance. The turning point came in 2010 when Kay woke up to the devastating reality of complete hearing loss, a direct consequence of years of opioid use.

For many, such a loss might have signaled the end. For Kay, it marked the beginning of a profound transformation.

Faith, Miracles, and Motherhood

Stripped of one of her senses, Kay turned inward and upward. In her darkest moment, she reached out for help, seeking guidance and redemption. What followed was a series of miracles that reshaped her life. One of these pivotal moments was becoming a mother—a role she treasures deeply.

Another life-changing event came when a compassionate doctor introduced her to cochlear implant surgery. The procedure restored her ability to hear and allowed her to experience the joy of hearing her young son’s voice for the very first time. This moment was a revelation for Kay—a tangible reminder of what recovery could offer and a driving force behind her commitment to building a purposeful life.

“Standing here in front of you is the gift that recovery gave me thirteen years ago,” she reflected during her TEDx Talk.

There IS Hope on the Horizon

Inspired by her own recovery, Kay founded Chase No More, an organization that symbolizes the end of chasing substances and the beginning of reclaiming life. Through her platform, Kay empowers individuals across the United States, connecting them with resources and fostering community.

One of Kay’s core beliefs is that recovery is deeply personal. She advocates for diverse pathways to wellness, recognizing that no two journeys are the same. Her mission is to help people find the path that works for them and to assure them that recovery is not only possible but also transformative.

“Recovery isn’t about fitting into a mold,” she explains. “It’s about finding what works for you and committing to it wholeheartedly.”

From Pain to Purpose

Kay’s story is one of resilience, courage, and unwavering hope. She believes that even in the face of unimaginable loss, it is possible to rebuild and thrive. Recovery, she emphasizes, is about more than just abstaining from substances—it’s about creating a life filled with meaning, purpose, and joy.’

Today, Kay celebrates her sobriety and the opportunities it has brought her. Through her advocacy, she continues to inspire others, showing that recovery is achievable for anyone willing to take the first step. She encourages individuals to envision a brighter future and to take actionable steps toward it, no matter how small.

“Today, we celebrate life, love, and recovery,” Kay says. “We can recover from anything.”

Kay’s journey demonstrates the transformative power of self-belief, faith, and community. Her resilience reminds us that no matter how far someone has fallen, there is always a path forward.

Words of Wisdom: What’s Your First Step?

To those still grappling with addiction, Kay offers these words of encouragement:

Embrace hope: Recovery starts with believing that change is possible.

Take it one step at a time: Every small step forward is progress.

Ask for help: Recovery is not a solo journey. Surround yourself with people who support and uplift you.

Never give up: Even in the darkest moments, there is always a way forward.

Kay’s message is one of empowerment and possibility. She believes that sharing stories of recovery not only reduces the stigma surrounding addiction but also inspires others to seek help.

“Your story has the power to change lives,” she says. “Never underestimate the impact of your journey.”

Can Your Story Inspire Others?

Kay’s beauty, boldness, and unshakable determination stand as a testament to the strength of the human spirit. Her story is a beacon of hope for anyone navigating the challenges of addiction, proving that recovery is not only achievable but also life-changing.

Want to inspire others with your recovery story? Pull up a chair. Share your story of recovery with Caroline at carolinebeidler@gmail.com.

*Caroline Beidler, MSW is an author, speaker, recovery advocate, and founder of the storytelling platform Circle of Chairs with Recovery.com. She is the author of Downstairs Church: Finding Hope in the Grit of Addiction and Trauma Recovery and You Are Not Your Trauma: Uproot Unhealthy Patterns, Heal the Family Tree. As an addiction recovery expert and trained mental health provider, she writes extensively about related topics and works with state governments, international partners, and recovery communities. Connect with her on Substack here.

Christy’s Story: I Quit a Toxic Relationship with Alcohol

By Christy Osborne, Senior Certified Sobriety Coach, Author of Love Life Sober, A 40 Day Alcohol Fast, Co-Host and Founder of “But Jesus Drank Wine, and Other Stories That Kept Us Stuck” – a podcast and community.

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To the outside world, it appeared I had it all—a loving husband, two children, a popular blog, and even a part-time role as a royal commentator on Sky News. As an American living in London, I often posted glossy photos of myself with a glass of rosé in hand. But behind the scenes, my reality was far from picture-perfect.

I was exhausted. Every evening, I drank wine—sometimes two glasses, sometimes more. I woke up most mornings nursing a hangover, yet no one told me I had a problem. Everywhere I looked, women my age were doing the same—drinking as a treat, to relax, to reward themselves, to have fun, and to connect with partners and friends. Alcohol everywhere was totally normalized.

One morning in March 2020, I woke up with a particularly awful hangover. As I scrolled through my Instagram feed, my life felt increasingly inauthentic. Outwardly, I appeared happy, but inwardly, joy only seemed accessible when alcohol was involved. My family life looked perfect, but my relationship with my husband was strained, and alcohol was becoming a priority over my children. I often chose the sofa and a glass of wine over reading them a bedtime story.

I knew something had to change. But the thought of giving up alcohol terrified me. I couldn’t imagine socializing, going on holiday, attending a party, or even unwinding without a drink. 

I decided to conduct an experiment—to remove alcohol from my life and see what happened. Then, the pandemic hit, and we were literally, locked inside.

Here’s what I learned from my first 40 days of sobriety:

Week 1: The Awakening

The first step was becoming aware that I needed a break. I didn’t declare that I’d never drink again. I simply wanted to see if life would feel better without alcohol.

The first week was tough. Intense cravings hit, but I managed them by playing the tape forward—a tactic I now use with my coaching clients. I asked myself, “What does the full picture look like if I have that glass?”

The tape always ended the same way: one glass would lead to two, then to finishing the bottle. I’d wake up at 3 AM with a pounding headache and spend the next day exhausted. By evening, I’d reach for another drink to undo the hangover, perpetuating a vicious cycle. Recognizing this loop helped me resist.

That first week, my sleep was erratic, but I held on to the hope that good-quality sleep would come.

Fun fact: After just one week without alcohol, your liver begins to heal, and you reduce your risk of cancer. I was shocked to learn that alcohol is a class 1 carcinogen linked to seven types of cancer, including breast cancer.

Week 2: Weathering the Storm

By the second week, I started getting proper sleep. I learned that while alcohol may knock us out, it disrupts the REM sleep our bodies need. Without it, I was finally sleeping through the night without waking up for water or bathroom breaks. I began waking up with more energy.

However, my body was still detoxing. I experienced headaches and felt achy, but I reminded myself that this was part of the healing process. I took extra care of myself—early nights, naps, and mocktails to curb cravings.

Fun fact: After two weeks, your glucose levels stabilize, your cholesterol can drop by 5%, and your cortisol and adrenaline levels begin to balance.

Week 3: Transitioning Towards Tranquility

One reason I drank was to manage stress and anxiety. Imagine my surprise when I learned that alcohol actually raises cortisol and adrenaline, making life more stressful. I realized I had been drinking to cope with the very problems alcohol was creating.

By week three, I felt calmer. Tasks like folding laundry or clearing my inbox no longer felt overwhelming. My energy increased, and my sleep became more consistent. Each day brought new clarity.

Fun fact: Three weeks without alcohol can significantly improve gut health and nutrient absorption. A healthier gut means better mood regulation, thanks to improved serotonin production.

Week 4: Reaping Physical and Mental Benefits

By the fourth week, the changes were undeniable. I was sleeping soundly every night, and my skin looked noticeably better. Alcohol dehydrates the skin and depletes vitamin A, which is essential for collagen production. Without it, my skin regained its glow.

More importantly, my sense of joy returned. Alcohol suppresses the brain’s ability to produce dopamine and serotonin naturally, which is why regular drinkers often need alcohol to feel happiness. Without it, my mood improved steadily.

Fun fact: After four weeks without alcohol, liver fat can decrease by 20%, hydration levels improve, and your resting heart rate lowers.

If you’re curious about trying a 40-day break from alcohol yourself, my book, Love Life Sober: A 40 Day Alcohol Fast to Rediscover Your Joy, Improve Your Health, and Renew Your Mind, offers daily guidance, practical tips, and faith-based encouragement to support your journey.

Weeks 5 & 6: Embracing the New Normal

By weeks five and six, I had found my stride. I didn’t declare that I’d never drink again; I simply told myself, “I’m not drinking today because I feel better without it.”

My cravings dissipated as I experienced the benefits of sobriety. I realized that the reasons I used to drink were myths. It didn’t help me sleep. It wasn’t a real treat, given how awful I felt afterward. And it wasn’t even that fun anymore when I considered the headaches and hangxiety.

Fun fact: By six weeks, you’ve saved thousands of calories and potentially hundreds of pounds. Your stomach lining begins to heal, and cholesterol levels continue to drop.

1,765 Days Later: A Life Transformed

The first 40 days were hard, but they were worth it. At the time of writing this, I haven’t had a drink in 1,800 days. I’ve saved £35,340 and countless hours of hangover-induced misery.

Today, I run a successful life coaching practice helping women take a supported break from alcohol. My approach isn’t about labels or declarations. You don’t have to call yourself an alcoholic or say you have a problem. You can simply see if life feels better without alcohol and decide from there.

If you want structured support, my book Love Life Sober is a great place to start. It’s available on Amazon and at major bookstores. You’ll find it packed with personal insights, neuroscience-backed facts, and encouragement to help you find freedom from alcohol.

If I can do it, you can too.

To learn more about 1:1 or group coaching with me, follow me on Instagram @LoveLifeSoberwithChristy or visit my website, lovelifesober.co.uk.

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Would you like to share your recovery story with Recovery.com? Contact Recovery.com Contributor, Caroline Beidler, today at carolinebeidler@gmail.com to learn more!

Yoga for Depression: Rena Shoshana Forester

My Background, Personal and Professional 

I’m Rena Shoshana Forester. A Teacher, Healer, & Mentor. My healing and recovery journey includes Depression, disordered eating, Poly Cystic Ovarian Syndrome (PCOS), divorce, and Post Traumatic Stress Disorder (PTSD). Today we’re going to focus on depression.

I watched my Grandma suffer from depression for my entire childhood and find no relief in the medication she regularly took. So when I understood that I was suffering from depression, I did not believe taking antidepressants would magically make me feel better, certainly not sustainably.

One of the reasons that I became a Yoga teacher is because I understood that Yoga is a scientific method that has the potential for profound healing, including relief from depression.

The Issue or Challenge at Hand: Learning to Turn Towards Discomfort

First and foremost, it’s important for me to validate any tools and resources that you, your clients, or your family members may use to cope with depression. My intent with this piece is just to make it clear that Yoga can be a part of one’s toolbox for coping with and healing from depression.

Far too many people turn away from discomfort when it arises. I used to do the same. I’ve learned that discomfort generally arises to teach us something, and leaves once we’ve learned the corresponding lesson. In order to go through this learning process, one must first develop the capacity for holding discomfort; in other words: one must learn to turn towards discomfort rather than turning away from it.

Oftentimes, depression arises as an indicator that certain needs are not being met. Turning towards depression invites an opportunity for listening to what the body is asking for and finding ways to sustainably meet the need.

My Experience Tackling Depression

Before I was a Yoga teacher, I was a school teacher. I saw students, colleagues, parents of students, and myself experience depression on a regular basis. In my personal life, I saw multiple family members—not only my Grandma who I previously mentioned—suffer from depression. I basically saw people do one of two things when depression surfaced: either take medication as a way to carry on with day-to-day living, or hopelessly accept that their depression as is.

Neither of those options appealed to me.

I initially sought out meditation, in 2015, as a way for coping with my own depression, inspired by my father. I believed this would be a sustainable approach, but was a bit disheartened by the fact that it might take a number of years before I’d see the results of my efforts. Nevertheless, I committed to regular meditation and am glad I stuck it out to reap the benefits.

Before I found Yoga, I was a competitive swimmer; I’ve always found pleasure and relief from regular physical activity. But in 2015 I took a break from swimming and found my way to a Yoga class.

Was it a coincidence or a strike of fate that I found meditation and Yoga in the same year? Who knows. What matters is that I intuitively understood that there was a connection between the two. I kept up with both practices for about a year and a half before being introduced to The Yoga Sutras of Patanjali.

When I first began reading this foundational book on Yogic philosophy, I was blown away that it had taken me over 25 years to access this information. I started to understand that Yogic postures and meditation were two parts of the same system intended to relieve humans from internal sufferings.

I was working as a classroom teacher at the time, yet felt a strong passion to teach the science of Yoga, as opposed to the science of plants, basic math, and other general education topics I was teaching.

Not a year later, I found myself at an Ashram in India deep diving into the science of Yoga, and committing to becoming a certified Yoga teacher.

Now, nearly 7.5 years later, I can confidently say that the entire scientific method of Yoga, which includes meditation, can reduce symptoms of depression, when practiced regularly, in earnest.

Yoga as a Tool for Depression Recovery 

There are a number of specific Yogic postures, exercises, and techniques that supported me in addressing depression, and they may just work for you, too!  

Before I get to that, the way that one relates both to one’s depression and to the practice of Yoga are no less important than the tools themselves. In other words, the “how” is just as important as the “what.” One must first and foremost cultivate acceptance and compassion for one’s experience of depression, and simultaneously have a sincere openness to the potential power of Yoga. This acceptance, compassion, and openness are fundamental, and no relief will come if this subtle yet significant component is skipped.

One more note before we dive into the postures: the postures and exercises that I’ve included in this post are intended to be restorative. While they may be uncomfortable, especially if they are new for you, there should be no pain. The following three warning signs are indicators that you ought to come out of the pose, and take a moment to rest in whatever position is most comfortable for you:

  1. Strained breathing
  2. Sharp pain
  3. Numb tingling

Aside from these three warning signs, all other sensations are welcome, and a part of the process of letting go, in order to make space for fresh and new energy to enter your body.

Now let’s get into some of the specific postures, exercises, and techniques, written in the order that is recommended for practicing.

Balasana – Child’s Pose

Setting up for the pose: Start in a table tip position with your hands on the ground under your shoulders and your knees on the ground under your hips. Then, bring your big toes to touch and open your knees out wide. Draw your pelvis back towards your feet. If you’re able to, let your pelvis rest on your feet. If you need some support, place pillows or folded blankets/towels in the creases of your knees, so that your pelvis can have something to rest on. Extend your arms out in front. Feel free to place pillows or folded blankets anywhere else where you need to bring the ground up to you like under your forehead or below your hands. You may not need support and that’s fine too. Once you’re in the posture, hold for a minimum of 30 seconds, or up to five minutes. When you’re ready to come out, gently walk your hands towards your body and straighten your spine back up towards the sky. Pause for a moment to feel the effects of the posture.

How it supports depression healing: Balasana (Child’s Pose) is a very nurturing posture. Simply by holding the pose, one can access feelings of safety, protection, and nourishment, this alone can relax the mind and offer relief for symptoms of depression. Additionally, nowadays there’s a lot of research proving the connection between our mind and our gut. Improving gut functioning can also reduce symptoms of depression. While people often speak about nutrition as a way to heal the gut, Balasana is another way to improve gut functioning because it compresses the abdominal muscles and offers a sort of massage to the internal organs.

Prassrita Sukhasana – Seated Twist

Setting up for the pose: Start seated in a comfortable posture, which could mean with your knees crossed, or kneeling, or even on a chair. Engage your core by pulling your belly in towards your spine and up towards your chin while simultaneously feeling both sides and the back of your torso elongate up. Check that your shoulders are relaxed, the front of your chest is broad, ears are over your shoulders, and chin is parallel to the ground. On an inhale, once again feel into the length of your torso and spine and then continue feeling into that length as you stretch your arms up to the sky, with the palms facing each other. As you exhale, turn your body towards the right, placing your right hand close to your spine behind you and your left hand on your right knee. Take another inhale and feel the right hand supporting your spine and straightening up just a bit more. On the exhale, twist from your lower belly first, then your middle belly, next your chest, and finally your neck twists last. Once you’re in the posture, hold for a minimum of 30 seconds, or up to five minutes. With every inhale, use the back hand to support the spine in stretching up. With every exhale, use the front hand to twist a little deeper, always starting the twist from the lower belly, working up into the chest, and twisting the neck last. When you feel complete, on an inhale, engage the muscles in your core and twist your body back through the center. As you exhale, twist your body to the left, now bringing the left hand close to the spine behind you and your right hand on your left knee. Continuing on this side just as you did the prior, holding for roughly the same amount of time. Remember to maintain a sense of curiosity for this second side is essentially a whole new posture for the body. When you feel complete, on an inhale, engage the muscles in your core and twist your body back through the center. Take a moment to pause and feel the effects of this posture.

How it supports depression healing: As already mentioned, mental health is deeply connected to gut health. If you think of your body like a house, the spine is the foundation and the inner organs are the respective houses. So by twisting the spine, it gently massages the inner organs from the inside out, sending vital fluids and energy there, and also assisting with detoxing any gunk that needs to be cleaned out. Energetically, I like to think about how when we twist our body, we’re able to twist our perspective. Oftentimes, a person suffering from depression is stubbornly attached to a certain story, so this shift in perspective, which starts in the physical body, can be a beneficial way to bypass the mind.

Supta Baddha Konasana – Reclined Bound Angel Pose

Setting up for the pose: Start lying on your back with the sole of your feet on the ground, knees bent up towards the sky. Take a moment just to feel your body lying down, being held down by gravity. Once your breathing is calm and regulated, let your knees fall out to each side and bring the soles of your feet to touch. You may choose to place supports such as blocks or pillows below your thighs or your knees. Keep your chin centered and tucking in towards your chest. Let your hands come wherever it’s comfortable: either on your thighs, on your torso, or on the ground. Once you’re in the posture, hold for a minimum of 30 seconds, or up to five minutes. When you feel complete, place your hands under your knees and on an inhale gently bring the knees back up towards the sky. As you take a moment to feel the effects of this posture, you may feel your body calling out to move in a certain way. Listen to these callings. For example, you may want to wrap your arms around your knees as you hug them into your chest and rock and roll, or you may want to keep the sole of the feet on the ground as you let your legs sway from side to side like wind-shield wipers.

How it supports depression healing: Supta Baddha Konasana (Reclined Bound Angel Pose) is a hip-opener. Many people tend to unconsciously store emotions in their hips. Interestingly enough, depression itself can sometimes be a “mask” for other emotions lying underneath. So allowing the hips to open in this restorative way invites the release of deep, often unprocessed emotions. Because Yoga is built on the inherent understanding between the mind, body, and emotions, these emotions are released simply by holding the physical posture.

Three-Part Yogic Breathing

Setting up for the practice: If you are already lying on your back after the previous pose, you can continue lying on your back. If you wish to practice this exercise on its own, it can be practiced seated or standing, with the spine erect. It can be helpful to start by bringing one hand to the belly and the other hand to the chest. Then take a cleansing breath: deeply in through the nose and fully out through the mouth. With the next inhale feel the lower belly expand first, then the middle belly expands, and finally the chest rises. Fully fill up the lungs and at the top of the breath exhale through the nose letting the chest fall first, then the middle belly come in, and finally the lower belly come all the way in, pressing towards the spine. One round may be enough for you, or you can repeat, recommended up to five rounds. However, if you feel that five rounds is not enough, feel free to carry on until you feel complete. Once you do feel complete, relax your hands to wherever it’s comfortable, and observe the effects of this exercise as your breath returns to its natural rhythm.

How it supports depression healing: First and foremost, in Yoga, it is understood that if one can gain control of the breath, then one can gain control of the mind. So by simply controlling the breath, one may alleviate symptoms of depression. On a deeper level, Three-Part Yogic Breathing puts extra emphasis on the exhale. This has two specific benefits. The first is that it allows one to let go of old energy that has been pent up in the body, thus creating space for new energy to come in. Second, by pulling the belly in towards the spine while exhaling, one engages the diaphragm. The diaphragm is a muscle located between your lungs and stomach. The diaphragm is connected to the vagus nerve, located in the brain. The vagus nerve is responsible for many things including activating the parasympathetic nervous system, AKA, relaxation. So, simply put, engaging the belly in deep breathing is a simple tool that can actually relax the body.

Closing Thoughts and Envisioning the Future

I’d like to conclude with a little story, hopefully it will provide you with some inspiration.

When I was in the thick of Depression, I found myself wanting to use these tools often: Yogic postures, breathing techniques, among other things. I found myself needing to rely on these tools while walking down the street, sitting on buses, eating, and in other public settings.  

At first, shame stopped me. I thought people might judge me, think I was crazy, or even call the cops for doing arguably strange things in public.

But I found myself shifting my perspective one day while walking down the street in Tel Aviv. On bench after bench, I saw person after person sitting and smoking a cigarette. Something clicked for me as I felt immense compassion for these smokers: they were just like me. These were not just smokers, they were wounded humans, just like myself, suffering from their own mind-stuff, and leaning on whatever tool they had access to in order to find some relief. Unfortunately for them, their most accessible tool was a cigarette.

I had other tools, and thanks to this article (and probably other Recovery.com articles, too!), so do you.

I asked myself, “Why would I feel shame for using my tools for coping and healing in public?” Walking a fine line to not throw shame onto the smokers, I gently acknowledged that if those smokers felt comfortable publicly harming themselves as a way to cope with dis-ease, then I surely could also lean into feeling comfortable publicly healing myself. So I began, and continue to this day, proudly using my Yogic tools in public. 

My intent is never to draw unwanted attention or disturb anyone else, but I have easily been able to find spaces in airports, parks, restaurants, and offices where I could practice my Yogic tools and find the relief I needed, without needing to hind behind the closed doors of a Yoga studio or the privacy of my own home.

This is the world I envision: where all people coping with depression not only have the tools that they need to heal, but the confidence to use those tools wherever and whenever needed.

In life and in support of you,

Rena Shoshana

How Poetry Saved Alexander Schotten’s Life

It was snowing the first time Alexander read a poem he had written aloud…

He was in treatment then, a center made up of two old Victorian-style homes, planted in the middle of downtown. Outside, drug dealers moved through the alleyways like ghosts—lost souls, as he described them—meandering through a world that felt so close yet so far away. Sirens pierced the night, echoing the chaos in his mind, while inside, the creaking of stairs filled the air. Alexander often felt profoundly alone, even surrounded by the murmur of others. He spent nights stepping into the cold, lighting cigarette after cigarette, inhaling poison to survive the suffocating darkness.

To get to the group therapy center, he had to cross the street. It was winter in northern Wisconsin, and the small building where they met was barely heated. The old furnace would take half the session just to make the room livable, but that day, Alexander never stopped shivering. Partly, it was the cold—but mostly, it was fear. 

Not the reckless fear of using dangerous drugs or committing crimes to survive. This was a different kind of fear. It was raw, vulnerable, heart-gripping fear.

But he walked through it. For the first time in his recovery, Alexander chose to face it. He doesn’t remember much about the poem now—just that it had something to do with a mirror and the reflection he couldn’t bear to see. At the time, he thought it was Shakespearean-level genius, though he laughs about it now. What mattered wasn’t the words but the act of writing them and sharing them. It was the first time he allowed himself to be intentionally vulnerable and connected with others through art.

In the short term, that moment didn’t change his life. Alexander left treatment, relapsed, overdosed multiple times, and nearly didn’t survive. He threw away every opportunity to recover, until finally, prison became his reality.

Prison is where Alexander rediscovered poetry. It was also where he learned to count cards and gamble, an odd juxtaposition that still amuses him. In the early hours of the morning, while the institution slept and his cellmates dreamed of freedom, Alexander filled notebooks with his trauma. 

It became his secret, a small rebellion of self-expression in an environment so stuffed with pain that he says, “A single storm could have broken the dam.” Others in the prison who used art to cope taught him how to sharpen his craft. Through this, he began to gather the artistic tools that, one day, would help him paint a new path for himself on a canvas he never expected to find.

But again, this change didn’t happen overnight. After his release, Alexander didn’t touch a pen for four years. This time, he didn’t relapse—but recovery brought its own set of challenges. He traded drugs for alcohol and convinced himself he was doing fine because he wasn’t hitting rock bottom anymore. But deep down, he was stuck.

Where Things Began to Shift

After four years, Alexander finally picked up a pen again.

It wasn’t for poetry, not at first. The words were jagged, scattered—his mind was in pieces. But each sentence brought a new sense of clarity, and with that, a spark of something he hadn’t felt in a long time: hope.

He started carrying a notebook everywhere. Work, the bar, his car—it didn’t matter.

“I had to face myself on paper,” he would later say. “It was the only way I could hear my own voice over the noise of my past.”

Writing wasn’t just cathartic—it was his rebellion. Against the numbness. Against the mistakes. Against the years of silence. It was his way of reassembling the broken parts of himself.

When he finally started performing his poems, it wasn’t about getting applause. It was about being real. And the audience felt it. The vulnerability in his words spoke to them, and they responded. Alexander wasn’t the only one healing.

At a poetry slam one night, someone asked, “How did you make it out?”

He smiled softly. “I didn’t find peace. I found a pen. And with it, I found my voice.”

At that moment, it clicked.

Healing wasn’t about forgetting the past—it was about learning to live with it. Through poetry, Alexander had found a way to make his past a part of his story, not a weight holding him back.

For the first time in his life, he wasn’t just surviving. He was living—fully, authentically, at peace with his past and the person he had grown to be.

Would you like to share your recovery story with Recovery.com? Contact Recovery.com Contributor, Caroline Beidler, today to learn more!

What Comes Next? Kristi’s Journey to Building a Purposeful Life

When Kristi Younkin first became sober, she faced a self-reflective question: “What comes next?”  

Recovery had given her a new beginning, but filling that blank area she had never known with purpose required focus, effort, and vision.

Kristi knew she had to start smaller. She started with a simple yet effective self-task: writing down her goals. One of her primary goals was to regain her physical health. As a member of the Air Force, she always struggled with the annual physical training test, often just barely making her way through it. Sobriety offered a chance to regain her strength

On a small notepad, Kristi began documenting her daily workouts. 

Every day, she journaled her progress: Push-ups, sit-ups, jumping rope without stopping, running. For Kristi, tracking her progress became a ritual and a way to stay accountable to herself.

“It felt so good to be motivated and to be working towards something positive, instead of against what was unhealthy for me.”

Over time Kristi saw the improvement, not only in her physical appearance, but in her mindset too.

“I lost 15 pounds during that process, and it made such a difference—not just physically, but mentally too,” she said “Seeing my progress on paper reminded me that I was capable of change and growth.”

Looking Into The Future

Sobriety was not just about letting go of the past; it was about looking into her future self. She encourages anyone in recovery to start visualizing their better self. 

What goals excite you?

What’s something you’ve always wanted to achieve?

Kristi realized early on that focusing on the possibilities ahead could help quiet the pull of old habits. “I stayed so busy pursuing my goals that I didn’t have time to think about using or drinking,” she explains. “Your future is this amazing opportunity—you just have to step into it.”

For some, those goals might be their relationships at home, or getting a degree. For others, it might mean finding a fulfilling career, traveling the world, or simply creating a life founded in stability theyve never had. Whatever the vision is, Kristi believes the key is to focus on realistic, and manageable goals. 

“Don’t waste your energy rehashing the past,” she advises. “Instead, pour everything you have into building something beautiful. Your future is yours to create.”

Navigating the Journey

Recovery is not an easy journey. Kristi is the first to acknowledge that the emotions of early sobriety can feel overwhelming and scary. But over time, she has learned to view feelings as temporary waves—intense but fleeting. 

“Feelings are just feelings,” she says. “They come and go, and that’s okay. Don’t let them derail you.”

For her, connecting with others in a recovery community is another ongoing and vital part of her journey. She finds strength and stability in the friendships she intentionally cultivates at her church, in recovery spaces, and in the greater community. By focusing on relationships and being an active participant in her community, she not only supports her own sobriety journey, she also finds joy and meaning in helping others on their path to wellness.

“Just because you’re starting your recovery journey doesn’t mean you can’t support someone else along the way,” she explains. “Sometimes, sharing your story or lending a hand is exactly what you need to stay grounded.”

A Life Transformed

Today, Kristi reflects on her journey full of gratitude. Sobriety not only helped her get back into shape but also gave her the tools to build an impactful life for herself and others. From setting goals to making new connections, she’s found purpose in the process she wouldn’t have otherwise.

“This time in your life is so exciting,” she says. “You’re building something incredible, one step at a time.”

Her advice to others is to start simple: Dream big, start small, and don’t be afraid to ask for help along the way

Kristi now travels the world in her retirement, a dream she once thought was out of reach. She hopes her recovery story will inspire others to embrace their own recovery journey with hope and determination.

Dr. Victoria Burns: Why I Do This Work

“Sometimes, all it takes to change someone’s life is letting them see what’s possible.”

Have you ever thought about how your story might impact someone else? Not in a crazy, world-changing way—but in a smaller, personal way that could inspire someone to imagine a better life. It’s an impactful idea, and Dr. Victoria Burns is living proof.

Years ago, addiction, trauma, and chronic illness weighed on her life. Recovery felt out of reach, almost like a dream. But one moment changed everything—a single conversation with a stranger that planted a seed of hope in her mind.

A Night That Changed Everything

Let’s go back to a Halloween party during Dr. Burns’ time as a doctoral student at McGill University. She met Ben, another student, who stood out with his kindness and easygoing nature. When he offered her a drink from the punch bowl but didn’t take one himself, she asked why.

His answer was simple: “I’ve been in recovery for 25 years.”

That’s it. No lectures, no judgment—just honesty. But those words stuck with her. He was the first person she’d ever met who talked openly about being in recovery, and it gave her a glimmer of something she hadn’t thought possible.

Months later, at her lowest, she remembered Ben’s words. That tiny, offhanded comment became a lifeline she could hold onto as she started her own journey to recovery.

How Stories Shape Us

Ben’s openness revealed a simple but impactful truth: stories shape the way we see the world—and ourselves. As Nigerian poet Ben Okri once said, “We live by stories; we also live in them. If we change the stories we live by, we change our lives.”

For Dr. Burns, Ben’s story gave her permission to rewrite her own. Inspired by his example, she embraced recovery and found a new sense of purpose. Today, she’s not just thriving—she’s helping others do the same. You can too. 

Creating a Community of Hope

Dr. Burns has dedicated her career to ensuring others feel that same spark of hope. She founded the UCalgary Recovery Community (UCRC) and Recovery on Campus (ROC) Alberta—programs that give people in recovery a place to connect, find support, and meet their own “Bens.”

Through her work, she’s showing people that recovery isn’t just achievable: it’s worth celebrating. She emphasizes that visibility matters, when others see what’s possible, it opens the door for them to create and imagine better future.

How You Can Be a Ben

You don’t need to start big to make a difference. Small actions can and do  have a big impact, just like Ben’s did. Here are a few ways you can support recovery in many ways and inspire hope to those who need it most:

Be Open: If you’re comfortable, share your story. You never know who might need to hear it.

Build Connection: Find or create spaces where recovery is supported and celebrated. Community makes all the difference.

Challenge Stigma: Speak out against harmful stereotypes about addiction. Education and empathy can break down barriers.

Offer Encouragement: A kind word or a simple gesture can mean more than you realize.

We All Have Struggles

Recovery may look different for everyone, but the underlying truth is the same: we all face challenges. And when we share our stories, we remind each other that no one has to go it alone.

Dr. Burns puts it best: “Ben’s decision to recover out loud changed my story. If we all strive to ‘Be a Ben,’ we can help others imagine a brighter future.”

My Personal Recovery Story: Matt Glowiak

I’m Matt Glowiak, a loving father, husband, and man who was very fortunate to escape the clutches of addiction, which has been a common struggle for many loved ones as far back as I can remember and carries forward to this day. This is the story of how I narrowly escaped the clutches of addiction and built a life around helping others who struggle with mental health and addiction disorders. 

Beginning My Story 

Some of my earliest memories involve the mental health struggles my maternal grandmother faced. While I couldn’t make sense of them as a child, my earliest memories are polarized: either she was the funniest person in the room or the one who could become quite scary if she was in a bad mood. Regardless, I always knew I was loved. What I didn’t know, however, was what to expect each time we went over to visit. Would she welcome us with open arms, or would she slam the door and start screaming at us?

As I continued to age and mature, I started to recognize how others around her would respond. My grandfather was avoidant unless pushed to the point of confrontation. My mother would dissociate as though nothing happened. My oldest uncle would oftentimes act out in anger, screaming at her in front of everyone. My middle uncle would often show up in the most jovial mood I’ve ever seen of everyone to crash several minutes later, passed out on the floor. And my youngest uncle was the intellect who would attempt explaining to me what was happening, though I never really got it at that point. My grandmother never struggled with addiction, but her challenges ultimately led to some of her kin using to cope, with ultimately one of them dying before his time. 

On my father’s side, get-togethers were more stable, though there were many riffs in the family—so much so that I would not meet many more family members until adulthood when I personally made the choice to reach out and connect with them. My earliest talk with my father about substance abuse was around Age 15 when he told me, “Matt, there’s a difference between a beer guy and a booze guy. Don’t be the booze guy.” I didn’t really know what that meant at the time, but as I gained more life experience in college, best believe I figured it out, and in reading between the lines as well as piecing stories together over the years, I learned that many members of my father’s family also struggled with significant mental health and substance use disorders.

Then came me … As an undergraduate student at what was heralded a top party school in the early 2000s, I began experimenting with alcohol and other substances. I had a close core group of friends who I cherished dearly; however, they continued pushing the boundaries we set with use, and one by one I saw many of them drop out of school, fail out, get arrested, enter rehab, and experience a plethora of otherwise undesirable consequences that I told myself I would never experience for myself. Easier said than done, however … 

The Turning Point

Though I did not give it much thought at first, what ultimately came to scare me with my substance use during undergraduate was how much I loved the party life. Many times we were of the mentality that we would achieve a more euphoric state than the one prior. We were immortal in our early 20s, right? Of course that was wrong. 

I remember the time when I first really thought about what I was experiencing with the withdrawal and cravings and how it was at a point of barely being within my control. I could outsmart addiction, right? Then, I recalled a time when I was 14 years old. I was a star student, athlete, and member of numerous extracurricular activities. I needed to have a procedure where the physician froze warts on my feet. Gross, right? 

Well, what was even worse, which never connected until many years later, was how without even realizing what I was doing, I began abusing the liquid hydrocodone I was prescribed. Given my high tolerance for pain at the time but loving the way I felt, I skipped the morning dose and doubled down in the evening. 

This reflection and connection I had in sophomore year of undergraduate led to me feeling even more depressed than I was, as I was also failing classes (a new experience for me) and grieving a break-up with my high school girlfriend who cheated on me. I thought it would help to distance myself from my primary group a bit, begin associating with those who abstained from use of any kind, and hoped a spiritual connection to Buddhism would be enough to save me. It helped a bit in that I did have some further distance from use and cleared my head a bit; however, I always knew where the fun was and returned to it every chance I could. 

Climbing Toward Clarity

Fortunately, I wound up dating my best friend—who I had known since I was 11 and is now my wife—who, along with my other best friend, intervened with me my senior year. Best believe I was resistant at first and even did all I could to convince them to go out partying with me the same night. They held firm, stressed their point, and after that night, I never experimented with anything again. From there, I loosened the grip from the more potent substances but still found pleasure in drinking and smoking but with limits such as not using until the end of the day, during hazardous situations, et cetera as to minimize the risk of legal implications, overdose, or physical harm to self or others. 

After a couple years out of undergrad and knowing that I wanted to do something with my psychology degree, I enrolled in a mental health counseling master’s program online. My intention was to ultimately open a private practice, which I one day did. Admittedly, though graduate school was a motivating factor, it was also stressful, especially atop a 10-hour a day job that I found soul wrenching. Throughout, I would convince myself that drinking and smoking minimized my stress while making me even more insightful. In a way, it worked. At the same time, it was the wrong type of enforcement for someone teetering on a diagnosable addiction disorder. Even here, I keep my concerns in the background, as in many ways, I was achieving all the success I desired.

As I tell my clients and students now, sometimes your life’s calling finds you instead of the other way around. My masters internship wound up being at a site where I counseling court-mandated clients who received DUIs and other drug violations. After, my first full-time job as a counselor was at a methadone clinic. THAT was my wake-up call. At both my internship and the methadone clinic, client after client would give me the same excuses I gave myself for at least the past decade. There, I realized for certain that I was nothing special. I was like anyone else struggling. Further, I had the genetic predisposition. Much of what led to my clients coming to see me, I possessed as well.

They say that while in recovery one should focus on themselves only for the first year. After a year of success, focus on a plant. The next year, focus on a pet. And if all else goes well, you are ready for healthy human relationships. For me, the accountability to others really kept me in check. Though still not perfect, my entire perception and behaviors when it came to substance use changed. I had to live a better example for others, which ultimately helped myself.  

My Equilibrium and Closing Thoughts

As a youngster, I was raised with this negative view of addiction. While some of it came from my family as well as the church we attended, a lot of it came from the anti-drug campaigns they ran on TV. It appeared that most everyone addicted to drugs and alcohol was someone who didn’t care about theirself or others, had no regard for the law, and had no desire to stop. As someone who was mostly a straight-A student, in many prosocial activities, fairly popular, and from what I considered a healthy family dynamic (despite what I shared earlier); there was no way I could fall prey to addiction. Best believe, the only one I was outsmarting was myself.

Though I now have over a decade of experience as a clinician, professor, presenter, writer, advocate, and otherwise; I now know for certain that I am at risk. I hold firm boundaries, am open to constructive criticism, and continually remind myself that I am no different than anyone else struggling. The big difference is that I am fortunate to not only have woken up when I did but also having the positive support around me and now a career that keeps me accountable. 

The key to recovery, whether you are one who has gone through treatment or not (like me), it must be on the forefront of your mind to make it work. That is the key to life—being resilience while learning from your mistakes. It is true that it is not so much of what we have done or have had happen to us in the past that defines us as it is what we choose to do or not do with it. In my case, I am choosing to continue pushing forward while building my life around loving and helping other people. That is unwavering. 

Introduction to My Work and Passion for Mental Health

My work in mental health is quite diverse, as I love everything the field has to offer. I am a professor who teaches graduate level mental health and addiction counselors, a clinician who works with mental health and addictive disorders, a writer, a presenter, and perhaps most importantly, an advocate for prosocial change. While the path was not always linear, it seems as though the universe always had a way of guiding me in this direction. This is especially true when it comes to working with addictions. From my master’s internship, to the clients I worked with as a doctoral student, to my first full-time position in the field being a substance abuse counselor at a methadone clinic; the path found me. 

Since graduating with my doctorate in counselor education and supervision as well as masters in mental health counseling, I have built my life around not only helping others but improving myself. I do believe this is my life’s calling, and my intention is to help everyone else I meet find and follow theirs. While I cannot say that doing what I love feels like I never work a day in my life, as you can best believe I work nonstop, I can say that I finish every day—even the tough ones—feeling fulfilled. If I can do it, I know others can, too. 

Understanding the Stigma Around Addiction

While it is true that many people are focused on their health, a lesser spoken topic is mental health. Even lesser spoken is addiction. While there is so much stigma and misunderstanding around mental health, this is even more true with addiction. People are quick to personalize external challenges (e.g. institutionalized discrimination) while seeing personal flaws in individual hardship, the truth is that all of us go through challenges at one point or another in life. 

Addiction is the disease that knows no boundaries. Any person from any demographic can fall prey to addiction at any point in life. I have seen this both personally and professionally. Doctors, lawyers, police officers, firefighters, civic leaders, moms, dads, uncles, aunts, friends, loved ones, trusted colleagues—literally anyone—can fall prey at any time. The misconceptions that surround addiction leave many viewing it as a moral deficit when it is well within one’s control, when the truth couldn’t be more opposite. 

In the spirit of “an ounce of prevention is worth a pound of cure,” there is so much more we need to be doing at a societal level to prevent addiction before it starts. A big part of the equation is speaking openly and honestly about the issue. Scare tactics and fabrications do the opposite, especially with our youth. When some uses and the only consequence is a good time, it immediately invalidates arguments aimed to discourage use. The truth is that, for many substances, they begin as an enjoyable experience for those who use, but for some who struggle to stop, the consequences become gravely catastrophic over time.  

Lessons Learned from Addressing Addiction in My Career

A lot of the work that needs to be done to combat addiction, going well beyond typical treatment protocol, is what happens beyond the couch, so-to-speak. For example, while working at the methadone clinic, where my clients were all diagnosed with opioid use disorder (many with co-occurring disorders), there was a common theme. Most every client who wound up using heroin began doing so because of prescription painkillers going wrong. Many began taking them as prescribed at first, but over time, tolerance built while withdrawal set in, and they found themselves using in increasing amounts to the point where prescribed medications were no longer enough. At this point, they were hooked.

Legislation at the time would immediately pin the fault on individuals they deemed were “doctor shopping.” While, yes, many individuals struggling with addiction do this to get their fix, it is part of the symptomology of addiction. On the other hand, prescribing physicians have access to a prescription monitoring program in which they can see every prescription, filled and unfilled, for anyone coming to see them. Where is the physician’s responsibility in this? As a medical professional who is obligated to do right by their patients, many were doing the wrong things. Accordingly, my clinic and I would attend legislative advocacy events as well as writing letters until the physicians were also held accountable.

Another issue we have is where police officers inappropriately manage mental health calls. We see this in the news all the time, and I have experienced it in my work, where individuals with significant mental health disturbances are treated like criminals instead of mentally ill individuals who need treatment. The consequences have been devastating to the point where people have been injured or even killed while being in the middle of a crisis. 

To combat this, having police social workers or counselors who can assist police officers with mental health calls can go a long way. In the community where I had my private practice, my partner and I joined local mental health coalitions where we would discuss ways to address the problem. Ultimately, the community ultimately received a $50,000 grant to pay a police social worker 1-year salary as a test-run. Fortunately, there was such a positive response that, moving forward, the position became a permanent one.

Sometimes the most seemingly complicated issues have the easiest solutions. You only know, though, by talking about it and seeing that talk into action. Many great things begin slowly but build over time. In many municipalities where physicians have become held accountable while police departments focus on mental health, we see neighboring communities ultimately follow suit. The only way to make it happen, though, is by acting. Counseling is much more than therapy but a philosophy that serves the human spirit. 

Advocating for Change: Solutions Rooted in Experience

A key part of advocacy is empowering the voices that otherwise go unheard. It is true that we live in an unjust society where many people’s needs go unmet. Even worse is how we blame them for their circumstances. Rather, we need to recognize the realities of genetic predisposition, institutionalized oppression, intergenerational trauma, environmental stressors, and otherwise. When we take a moment to hear people’s stories, we can empathize. 

Most often, we realize that those with the most undesirable of life circumstances are there because of the hand they were dealt. Even for those who, perhaps, continue making unhealthy decisions, there is a reason for it. Every person deserves a fair chance, and we have the opportunity and ability to give it to them.

Advocacy need not be a lofty thing in which all the world’s problems are resolved with the wave of a wand. Rather, it can begin with the simplest of actions. Having the conversation, writing a blog, educating yourself, asserting yourself to others, joining community activities, establishing your own organizations, volunteering time, and so much more are all steps in the right direction. Again, efforts continue to grow and build over time. 

Reflections and Call to Action: Building a Better Future

It is important to recognize how sometimes the greatest things come out of the most challenging of situations. Sometimes, it requires something horrible to happen for people to take action. While it would be more desirable for that not to be the case, unfortunately, it is. Given that there is a lot warranting our attention in the world right now, rather than become angry, depressed, or remain stuck; take the first step toward doing something.

Most everyone, whether they realize it or not, has been touched by addiction. It may be a friend, loved one, colleague, neighbor, or otherwise. These are people we love who are worth our efforts. Take a moment to think … If you were the one in a bad situation, would you not want others to act? I think the answer is a resounding “yes.” 

Currently, we are aware of what addiction is. It is a biopsychosocial disease. That is, it negatively impacts our physiology, thoughts and feelings, and interpersonal relationships. The disease is so invasive that simply stopping often feels as though one is struggling to fulfill their basic needs for survival. In some cases, it can be deadly. Rather than pass judgment, realize that no one ever wants to experience addiction. No matter how much I speak on the topic, I cannot stress this enough.

Creating a Safety Plan for Times of Suicidal Crisis: Gina Capobianco

I have lived with depression for decades. Suicidal thoughts have accompanied the depression most of my life. While facing a difficult time a couple years ago, the psychiatric nurse practitioner (PMHNP) I was seeing brought up the idea of a safety plan. I had never heard of this type of plan but was willing to try it.

Like many people with suicidal thoughts, when the depression is not bearing down on me, I don’t want to die. It is just when the thoughts get going and the depression turns everything dark that dying seems like my only escape. I needed a plan for dealing with the suicidal thoughts.

My PMHNP explained what a safety plan is and how it works. A safety plan is an intervention that helps a person survive a suicidal crisis by providing them with a set of steps, which they have helped create, to follow during the crisis that will decrease the chances they will engage in the suicidal behavior.  My PMHNP described the plan as my action steps for when I feel that the suicidal thoughts are becoming overwhelming. Together we laid out the plan. It has been necessary for me to use the safety plan a couple of times, and it has been effective each time.

Let’s go through the steps my PMHNP and I used when creating my safety plan.

Purpose of a Safety Plan

First, we identified the purpose of the safety plan. The main purpose of a safety plan is to prevent suicide. The plan provides a way to cope with the crisis of suicidal thoughts using a guide to get help in a way that is comfortable and not overwhelming. The plan allows an individual to reach out to family or friends, who will serve as a support person, as well as provides connections to mental health professionals. The plan lets the support person know how to help you in a crisis.  

It is helpful if the plan is written in the individual’s own words. This ensures the person understands the steps and can enact the plan in a crisis. The words should be simple and easy to follow. The person should keep it in a place that is easily accessible. The people involved in enacting the safety plan should also have a copy. 

Components of a Safety Plan

Identifies When It Will Be Used

The safety plan should spell out when it will be enacted. I discussed this with my PMHNP.  Discussing this with your mental health professional can ensure that you are aware of when to utilize it.  When the plan is used differs for each individual. So, the plan should include when to enact it in language that can be comprehended in a crisis. My plan is enacted when I recognize my thoughts becoming overwhelming and I start thinking about acting on my suicidal thoughts.

Provides Coping Strategies 

Coping strategies are going to vary from person to person. These may include breathing exercises, meditation practice, distractions, or anything that helps the person cope with suicidal thoughts. The plan should include how to know if the strategies are working. If the coping strategies are not working or the person recognizes they are beyond the use of coping strategies, it is time to reach out for support. My coping strategies include journaling and listening to music. When these are not working it means it is time to reach out for help.

Identifies Individual(s) Who Will Support You

When you are in a suicidal crisis, you need to be able to reach out to others for support. When developing your plan, identify a friend or family member who you can reach out to. The individuals on the safety plan need to be willingly involved and consent to being a part of the plan. It is not enough to just be willing to be part of the plan. The individuals need to be able to be an active part of the plan. You need to be able to reach them in a crisis. Share your plan with them and make sure they understand the plan. Your plan should also include who your mental health professionals are and their contact information. In addition, the 988 number, the Suicide and Crisis Lifeline, should be a part of your plan. 

Provides the Questions Your Support Person Will Ask You

Your support person refers to the safety plan when you contact them. My support person has the safety plan on her phone, so she does not have to look for it.  The first question the support person should ask is if you are safe. If you are not safe, they may need to call for emergency support. My plan is set up so that I am asked if I need comfort or support once it is established that I am safe. This gives the person an idea of how severe my suicidal thoughts are at that moment. 

If I respond that I need comfort, my support person will ask me if I need to be listened to or distracted? She then responds accordingly. If I respond that I need support, she will ask me if I need her to help connect me to my mental health professional or if I need her to do it for me.  If I respond that I need help, she reminds me of who to call and may need to provide the number. As I make the call, she stays in contact with me through texting. 

Provides Steps to Be Taken to Get Professional Help

If I need her to make the contact for me, she asks me for my location and what I am thinking. She will relay this information to my mental health professional when she contacts them. 

The 988 Hotline can be called if it seems like I need professional support, and it is at a time when my mental health professionals would not be able to be reached. Some people may not have mental health professionals that can be contacted. In this situation, if the person is not in imminent danger 988 can be contacted. The person can make the call themselves or the support person can call for them. 

If I say or indicate that I am not safe, my support person may need to call 911. While waiting for emergency help to arrive, my support person needs to stay in contact with me. It is important not to leave a person who is in crisis alone. The responders on the 988 hotline and at 911 have the ability to transfer a caller to the other line depending on the need and the level of safety concern.

Plan for Follow-Up

Once intervention has taken place the support person should follow-up with the individual. When my support person does this, it lets me know that I am not alone.  The support person should check in to see how the individual is doing and to ensure that the care provided was helpful. My support person calls me to just talk.

Conclusion

Having a safety plan has made a difference in how I cope with suicidal thoughts. It ensures that I am safe even in my darkest moments. Being a part of a safety plan requires a commitment on the part of the support person. I am grateful that I have a friend who is willing to fill this role. If you deal with suicidal thoughts, talk to your mental health professional about creating a safety plan. Your plan may look different than mine. That is okay. We each have our own needs and cope with our suicidal thoughts in our individual ways. Despite the differences, a safety plan can prevent a suicide attempt and save a life.