  As a parent who raised an amazing human with a diagnosed condition, I remember how exhausting it is to keep up with everything. From the day we receive that life-changing diagnosis, we are hit with raw emotion, new responsibilities, new fears, and a persistent lack of support. Even well-intentioned friends and family members sometimes aren’t as helpful as we’d like them to be. If you’re the parent of a child with a significant medical condition, it’s important to preserve your own physical and mental health, and one of the best resources for parents is a Prescribed Pediatric Extended Care (PPEC) center. A Prescribed Pediatric Extended Care (PPEC) center is “a specialized medical daycare designed for children with complex medical needs. It provides skilled nursing care, therapy services, and developmental support in a safe and stimulating environment. Unlike traditional daycare centers, PPECs are staffed with experienced nurses and therapists who manage each child’s individualized medical care, ensuring they receive the support they need while allowing their families to work, attend school, or take respite”, according to Marlene Torres, RN, Director of Nursing at The Mighty Academy PPEC in Clewiston, Florida. Children who attend PPEC centers typically need an order from their pediatrician. The Mighty Academy lists several examples of qualifying medical conditions on their website, but some common ones include a diagnosis that requires ongoing medical supervision, such as respiratory support, tube feedings, seizure management, blood glucose management or medication administration. Each child’s medical need is determined on a case-by-case basis, and parents can call for a consultation if they aren’t sure whether their child qualifies. With the skilled nursing care, PPECs provide each child:
Best of all, PPECs are often covered by Medicaid at 100%! Center staff will assist parents in determining their private insurance coverage. Florida has a well established PPEC system. As the newest PPEC, The Mighty Academy is serving one of the most rural areas in Florida - Hendry, Glades, and western parts of Palm Beach counties, all areas which are traditionally medically underserved. What makes them unique, however, is not just their rural location. In some cases, children can attend The Mighty Academy full time instead of traditional school. Founders Melissa Hevia, RN, (Administrator) and Marlene Torres, RN, MSN (Director of Nursing) have roughly two decades of combined experience in pediatric critical care, neonatal intensive care, cardiac intensive care, surgical nursing, and infusion therapy. In addition to providing high quality nursing care and enriching experiences for the children, Melissa and Marlene focus on empowering parents by helping them navigate and manage their child’s full medical needs. Marlene states, “We help connect our families with valuable community resources and a family-centered approach, keeping parents involved and informed every step of the way while providing some “normalcy” to their family life.” For those outside of Florida, please keep in mind that PPECs are not available in all states. PPEC services are primarily available in states that recognize and fund them through Medicaid programs. In other states, these programs may be called something different, such as Medical Daycare Programs or Pediatric Day Health Centers (PDHCs). However, in many states, families must rely on in-home nursing, private duty nursing, or school-based medical support instead of PPEC centers. If you’re looking for a PPEC or similar program in your state, check with:
As always, if you or someone you know is a caregiver experiencing burnout or feeling overwhelmed, please contact us at The Mangroves for more information on counseling/therapy services. Most insurances accepted, telehealth available. 
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 Workplace conflict has a huge impact on mental health. Sometimes the only thing worse than the stress at work is the stress of not having a job at all! With articles like this recent Newsweek one describing why Gen Z employees are getting fired quickly, and this Psychology Today article from 2021 describing why people over 50 aren’t getting hired, it’s clear that the generations share a problem in common: employability. The causes may be different, but the solutions are remarkably similar. Keep reading for 4 keys to employability (and maintaining a low stress workplace).
🔑 Expand your network Younger generations are very good at social networking, but how is your business networking? How to improve: attend events in person, dressed appropriately for the event, and introduce yourself to other attendees. Have a professional introduction of about 30 seconds ready to give, and make sure to shake hands, if appropriate for the venue. Are you of the older generation? Make sure you’re utilizing social media to expand your network, especially with younger colleagues. How to improve: Allow yourself to be a little less formal and join in on some of the social platforms, team-building activities or after-hours socializing opportunities that our younger coworkers enjoy. Yes, it can be tedious to repeat similar team-builders year after year, and we may be tired after work on a Friday night, but when we focus on genuinely getting to know the young team, the camaraderie carries over into the workplace. 🔑 Be teachable Young people, a college degree does not mean you know what you’re doing. Be open to receiving feedback and learning from those who have been doing your work for years. Constructive criticism is your friend, not your enemy. Older people, be open to hearing ideas from the new kid on the block. Sometimes their fresh perspective provides solutions for old challenges and expansion into new markets. 🔑 It’s not WHAT you say, it’s HOW you say it (and WHO you say it to) Those of us in the Baby Boomer and Gen X groups tend to be pragmatic and no-nonsense in the way we communicate, and that works for us. It conveys information efficiently and without unnecessary coddling… but our younger coworkers aren’t receiving the message because of our delivery. How to improve: Try softening your facial expression when talking with a younger generation. When offering feedback, make sure to tell them about the things they are doing well in addition to the areas for improvement. Younger Millenials and Gen Z: Remember that your older counterparts grew up tough, and don’t value emotional expression as much as you do. What they do value is direct communication and respect for their experience. How to improve: Make requests or statements brief and factual. Keep your emotions out of it and defer to your older colleagues’ greater experience. If you have a conflict or challenge with an older colleague, speak to them directly and privately to resolve it, and be willing to compromise. Extend some grace and ask for clarification if you feel that they are being hurtful in their communication style. Going behind their backs to “tattle” to Human Resources or their supervisor may get you what you want in the short term, but you will lose their respect and be thought of as weak. 🔑 Be Accountable For all generations, professional standards of behavior are expected. These include, but are not limited to:
These tips are intended to not only help old and young get and keep jobs, but also add to the harmony of working together by reducing misunderstandings and defining typical work expectations. Stick with it and let me know how long it took YOU to be successful. And remember, if you're in the middle of a career change and are looking for career or life change counseling, please contact us.  When therapy doesn’t work, (or when counseling doesn’t work), it can feel hopeless. We turn to professionals for help, but we’re not feeling any better. What can you do to fix it? With a little time and these tips, you can refocus with your current therapist, or pick a new counselor.
6 steps to make counseling work:
With these six steps, most of us can select and work with a Counselor who fits our personality and respects our values. The most important thing to remember, though, is to talk to your Counselor if something isn’t working. A good Counselor is open to feedback and adapting to meet your needs. As always, if you’re in Florida and would like to learn how to not just survive, but to thrive in a toxic environment, please contact us.  I love men. (There, I said it.) Since June is Men’s Health Month and we are hours away from Father’s Day, it seems fitting to celebrate some of the common traits shared by the many good men in the world.
The internet was recently on fire with the bear vs. man debate. The videos and memes were thought provoking - as good art should be - but also sad on a couple of levels. First, the thought that so many women agreed with a stereotype of men was disappointing, and the thought that many of them likely have unresolved pain from a relationship with a male in their lives was heartbreaking. I get it. I’ve been there. Got the tee shirt, got the trauma. Secondly, it was sad that many women have not had the experience of a positive relationship with a healthy, strong man - one who would have fought the bear and sacrificed himself to protect her. Men communicate differently than women do, and that can lead to frustration for some women. My brothers thought it was hilarious the first time they shared the It’s Not About the Nail video with me. The joke’s on them, though, as I have used it in sessions to demonstrate the differences between communication styles between men and women. While women speak to be heard and solve the problem through the discussion, men are short and to the point. They don’t need a lot of words to get the job done. Their nature is to fix the problem for us, and they can get just as frustrated when we don’t get it. This misunderstanding seems to be at the heart of conflicts surrounding mansplaining. Men appear confident by nature (even if they don’t feel that way on the inside). That, combined with their desire to be helpful, is where the solutions come in. And let’s be honest, don’t we all stereotype each other all the time? (Answer: Yes, we do. It’s how the brain operates efficiently, and is called heuristics.) Men identify as providers. They feel good about themselves when they work to support us, whether that provision is financial, child-rearing and home duties, or the typically manly fishing and hunting for food. That, of course, doesn’t mean that they want to do everything on their own. They, too, are looking for a partner in life to share the responsibilities. One of the most admirable and rarely mentioned attributes of men is their uncomplaining stoicism in the face of hardship. We women tend to want to talk things out immediately and thoroughly, but we can gain considerable harmony in our relationships if we can honor our partners’ natural inclination to mull things over to figure out their own solutions before jumping in with all the words. That’s how men support each other - by giving each other the respect and the space to figure things out on their own. They seem to know instinctively when it’s acceptable to offer a helping hand to other men and when it’s not. Perhaps most importantly, fathers are vital to the well being of children. They play a much different role than mothers do in raising children, but an equally valid one. Children raised with their fathers have better cognitive development, fewer behavioral problems, better physical health, greater empathy as adults, higher academic achievement, higher standards of living, and less depression (boys) than do those children raised without fathers (Wilson & Prior, 2011, p. 405). Some disagree with this, citing the Fragile Families and Child Well Being Study (FFCWS) and arguing that family stability is more important than the involvement of a father to child well-being. However, the study fails to account for the likelihood that the presence of a father significantly contributes to family stability. This includes a reduction in stress of the mothers. FFCWS further erroneously attributes poorer outcomes in parents-married families to abusive fathers, without similarly weighting the effects of abusive mothers. An additional flaw is the emphasis on nurturing, faulting fathers for being less nurturing than mothers, whereas in reality, fathers fulfill a different but equally important role with their unique parenting style. For example, imagine a child injures himself on the playground. While mothers’ consoling is important when a child receives a booboo on the playground, so are the fathers’ more verbal reassurance, which helps children develop self-soothing skills and a sense of self competence. These skills are some of the keys to building resilience and long term good mental health. Fathers’ involvement in their children’s lives is not only vital, but the more involved and the better quality of involvement they have, the better the outcomes for the children (Wilson & Prior, 2011, p. 405). Researchers found many positive outcomes, including but not limited to the aforementioned cognitive development, empathy, and behavioral outcomes, but also more prosocial behavior, greater social responsibility, higher self-esteem, social maturity, life skills, and higher occupational achievement in adulthood. So let’s celebrate men today, and all the ways they enrich our lives! This post is dedicated especially to my favorite alpha male, my beloved, Frank. He is the poet with the heart of a warrior who stepped in to raise daughters whom he did not father. He found me as a single Mom with a broken heart and selflessly packed up his life and moved to our state to be our shield. He never complains, but kills all the spiders, changes the oil in all the cars, rescues us when we have flat tires (without scolding us for not checking before we left) and fights off all the bears. I pick you, Frank. I pick you. Wilson, K. R., & Prior, M. R. (2011). Father involvement and child well‐being. Journal of Paediatrics and Child Health, 47(7), 405-407. doi:http://dx.doi.org.ezproxylocal.library.nova.edu/10.1111/j.1440-1754.2010.01770.x Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here.   Buckle up, friends. It’s going to be a bumpy ride. In what is likely to be a rematch between Donald Trump and Joe Biden in the upcoming Presidential election, many people have a sense of dread or anxiety regarding what will happen in the next several months. Here are some useful DOs and DON’Ts for surviving the pre-and post- election season with your sanity - and your relationships - intact. Along with the list above, remember that it’s not ultimately about the red or the blue. It’s about the red, white, AND blue. By managing our emotions, keeping an open mind and loving heart, and honestly seeking solutions, we can get through this as Americans always have - indivisible, with liberty and justice for all. Brief list of primary sources to review: Home | Donald J. Trump (donaldjtrump.com) Joe Biden for President: Official Campaign Website Congressional Record | Congress.gov | Library of Congress Republican National Committee | GOP We are the Democratic Party - Democrats Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here. 
 You’ve seen the memes. Gen X is arguably the last generation to be locked out of the house on a summer day because they “kept going in and out”. They were the last to play outside all day and only come home when it got dark or when hungry. They could play Cowboys and Indians with real cap guns and no fear of offending anyone. And they pioneered mainstreaming new technology. So what is it about Gen X that makes them the (mostly) uncomplaining “in-betweeners” of the Boomers and Millennials/Gen Z? Better yet, why are Gen Xers better able to understand younger generations than their Boomer parents, and better able to manage distress to maintain good mental health than their Millenial/Gen Z offspring? (Don’t worry, other generations: articles about your strengths are forthcoming.) The short answers are resiliency, internal locus of control, emotional regulation, and conflict resolution skills.
These four items are often included as foci in modern mental health counseling services. When clients learn these types of skills, they often have better relationships (not just romantic!), are more able to navigate the complicated social systems of the workplace, and experience an improvement in overall mood. This is likely due to the empowerment and confidence that knowing what to do, when to do it, and recalling past successes provide. So, Boomers, what can you learn from Gen X about mental health? You’ve watched them grow, so you likely already know that stifling the expression of emotions can lead to mental health and relationship issues. Try risking some vulnerability and talking about your fears to your children, grandchildren, and great grandchildren. If you feel that you need to give advice, do it in the form of asking questions, which is perceived as less annoying to the younger generations who might feel they need to be perfect to earn your approval. Involve them in your hobbies or join them in theirs to increase bonding and attachment without the pressure of trying to say the right thing. Millennials and Gen Z, what is your take away? Hopefully, you’ll be less judgemental of older generations and understand that they are loving you the best way they know how. Try something brave by taking the initiative to resolve a small issue you’re having without pointing blame or letting your emotions get the better of you. I’m looking at you, anxiety and depression. Yes, it’s hard, and people sometimes say hurtful things - but the more you succeed, the more your confidence will increase. Also, be okay with disagreement. The most important diversity we have is diversity of thought. Try explaining your points calmly with more facts and evidence, and less emotionality. Older generations will receive the messages better and may surprise you with a change of opinion. Ask them for advice about a problem you’re having. It makes them feel needed and respected by you, and as your generation knows well, we must first give respect if we want to have respect. With all generations, it’s important to ask for help when things become too much to handle on your own. Just because we have good skills and good support systems does not mean we can always survive a flood of trouble without professional help. Stay tuned for upcoming profiles of your generation’s mental health strengths! Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here.  Even mental health counselors need to manage our mental health, and one of my favorite ways to unwind after a long day is to snuggle my pets and watch some relaxing videos.
That being said, here are five of my favorite channels and what I love about them. I hope you like them, too! Midwest Magic Cleaning - YouTube What I love about this channel: The content creator has so much compassion for people with mental health issues, health conditions, or disabilities that have contributed to their homes becoming extremely messy, especially those homes where the occupants have been hoarding. He discloses in his videos that he’s been diagnosed with autism, and enjoys cleaning and organizing - for FREE for these people who need his services. Sometimes there are curse words, so this may not be suitable for children. Tasting History with Max Miller - YouTube What I love about this channel: Max Miller started his videos while laid off from his job during the pandemic. He combined his love of history with his love of cooking, and voila! He now has a huge following across several social media platforms. He does an excellent job on research and never delves into politics. He makes me want to cook more! (And yes, I bought his cookbook!) Nerdforge - YouTube What I love about this channel: These creators have amazing talent! The first video I ever watched was the one where they made the book cover for The Lord of the Rings, and I’ve been hooked since. They are not afraid to try anything, and show how they do it. Not all videos may be suitable for children. Mountain Rug Cleaning - YouTube What I love about this channel: There’s just something so satisfying about seeing those dirty carpets come so clean. I know, it sounds boring, right? For some of us, though, the white noise of the rhythmic machines and water spraying combined with the slow, repetitive motion of the cleaning is just so soothing. Ze Frank - YouTube What I love about this channel: When I just want to laugh at inappropriate jokes while learning something new, Ze Frank is the go-to guy. His True Facts and Creepy Dave videos get me giggling at the adolescent humor. DEFINITELY not for kids, as these videos are peppered with innuendo. If you have kids and want to share the educational content, though, he does have a playlist for younger audiences. Here’s hoping one or more of the above channels will help you relax, destress, and/or lower your anxiety, too. Please let me know in the comments what your favorite video channels are, and I may use them in an upcoming post. Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here.  Through Dialectical Behavioral Therapy (DBT), clients are taught “distress tolerance skills”, which are designed, with practice, to help a client lower their overall stress response to upsetting events or reminders. One small part of the distress tolerance puzzle is the category “Activities”. Activities for distress tolerance can be anything that requires the client to think about what they’re doing, or to focus on the task. These activities can be work- or school-oriented, like preparing a presentation or doing homework; chore-related, such as cleaning tasks in the house; or recreational.
In my work with teens and young adults, I’ve discovered that many seem to be missing one of the five basic human needs (according to Glasser): FUN. With that in mind, I’ve developed ways to incorporate fun activities not only into client sessions, but also into client “homework”. When the DBT skill of doing an activity is combined with meeting the Choice Theory/Reality Therapy’s basic need for fun, clients seem to be more actively engaged in sessions. They have something to look at and something to do with their hands, which can put them more at ease, especially in the first few meetings when we’re just getting to know each other. Of course, not every session can be fun. We are sometimes discussing serious and highly personal issues that must be handled appropriately, and in these sessions, I work carefully with clients to help them describe and process their experiences and emotions. We then work together, at the client’s pace, to learn and use the appropriate coping skills for their individual situation. The activities my clients and I do will vary based on the client’s interests, their treatment goals, and on whether we are meeting in person or by video. Below is a list of activities some of my clients have enjoyed both during and after sessions. Please let me know in the comments what you would add to this list, and as always, if you live in Florida and would like to make an appointment, please call or text 863-268-5802 for a free 15 minute consultation. Fun & Functional Activities:
Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here.  The last resolution I made is the only one I’ve kept - to stop making New Year’s Resolutions. While the new year is a great opportunity for a fresh start, making a resolution is not always the best idea for long term behavioral change success. The pressure of striving for perfection so as not to “break” our resolutions can be counterproductive, causing us to feel like failures when we make a mistake, but making mistakes is a very human thing to do! So, how do we take advantage of the motivation and inspiration the new year brings, while setting ourselves up for success? It’s as simple and as hard as changing our mindsets. In Cognitive Behavioral Therapy, we teach clients about the Cognitive Triangle. The Cognitive Triangle (or Cognitive Triad) is a way of picturing how we operate as humans. Each point of the triangle is labeled as either Thoughts, Feelings, or Actions, and arrows indicate the multidirectional influence each of these have on the other. This means that we can influence our own behavior by changing our thoughts and our feelings. We can influence our feelings by changing our thoughts and our behaviors, and we can influence our thoughts by changing our feelings and behaviors. Easier said than done, right? This is why it’s helpful to have a good mental heatlh counselor on your team to help you through the process. We can still make changes on our own as long as we plan ahead, set specific goals, and track our progress - not perfection!
Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here.   Ah, the holidays… the universal time of giving thanks, good cheer, peace, family… and pain. Nothing is ever the same after the death of someone we love, and that stark contrast between life “before” and life “after” is never so sharp as in the holiday season. Everyone seems to be happy, while we are stifling the urge to shout, “Stop! How can you go on as if nothing has happened, as if my world hasn’t just ended?”
The year my father died, it was right before Halloween. Although I knew it was coming, it felt like a sucker punch to the gut when it happened. I had a lot of regrets that first holiday season. I regretted not spending more time talking with him and visiting him. I regretted gently teasing him the previous year for the repeated “Happy Thanksgiving” phone calls when the Alzheimer’s caused him to forget that he had already called. I regretted taking it for granted that he’d still be around for a long time. I regretted that I hadn’t asked more questions about his early childhood memories and his grandparents who died before I was born. And that first Christmas without him? That was the first Christmas I didn’t have the heart to decorate. It’s been six years now, and I’ve lost a few more people - some to natural causes, some to suicide. The horror is fresh every time. I am still adjusting to a world without my Dad in it, but the passage of time has brought some healing, some insight, and some new skills with which to handle the grief. Here are some ways that can help you through the holidays:
If you’ve experienced a loss and need help through this time, please contact me to schedule an appointment. I’m here to help. Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here. |
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