Acute Mental Health Crisis on College Campuses: How University Counseling Centers Handle Emergencies

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It was 2:47 a.m. when Maya, a sophomore at the University of Michigan, finally typed the message into her residence hall group chat: “I don’t think I want to be here anymore.” Her roommate Ainsley, asleep until her phone buzzed, woke up, read the screen twice, and ran across the hallway barefoot. She had heard … Read more

Self-Pay Cash Discount for Mental Health Therapy: Negotiating Lower Rates Without Insurance

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Priya, a twenty-nine-year-old graphic designer in Austin, Texas, had spent three weeks calling therapists in her insurance network. The eight names that had openings were either booked into the following spring, no longer accepting her plan, or specialized in something that did not match her needs. When she finally found a therapist whose Instagram post … Read more

Aromatherapy and Mental Health: Essential Oils Evidence and Safety

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Marisol, a 38-year-old graphic designer in Albuquerque, started using lavender oil after her sister sent her a starter kit from a multi-level marketing company. Within weeks she was diffusing seven different blends, swallowing oregano capsules for “immune support,” and applying undiluted clove oil to a toothache that turned out to be an abscess. When she … Read more

Blind and Low-Vision Therapist Resources: Accessible Mental Health Care for Visual Impairment

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Desmond, a forty-one-year-old high school history teacher in Cleveland, Ohio, lost the central vision in both eyes to a rare retinal disease over the course of fourteen months. He kept teaching. He kept walking his daughter to the bus. What he could not keep doing was the thing he had done every Sunday for two … Read more

Addiction Specialty Pharmacies: Compounded Naltrexone, Pharmacy Counseling, Vivitrol Coverage

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Three weeks into recovery, Reggie was sitting in his sister’s kitchen in Cincinnati when the pharmacy called. His monthly Vivitrol injection was approved, but the local CVS could not stock it. The pharmacist explained that Vivitrol is a specialty medication that ships from a designated specialty pharmacy, refrigerated, with a 48-hour delivery window, and his … Read more

Pet Death Mental Health Crisis: When Bereavement Becomes a Medical Emergency

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Helen had lived alone in a one-bedroom apartment in Tucson, Arizona for eleven years after her husband died. Her companion through every one of those years was a small black poodle named Otto. When Otto was diagnosed with hemangiosarcoma at thirteen and declined rapidly, Helen stayed up with him for the last seventy-two hours, hand-feeding … Read more

Mentorship and Mental Health: Becoming Mentored, Mentoring Others, and Both

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Reggie was nineteen, freshly out of foster care, and one course away from failing out of a community college outside Charlotte when his English instructor introduced him to a retired electrical engineer named Walter from a local Big Brothers Big Sisters affiliate that ran a young-adult program. Walter was sixty-eight, recently widowed, and had told … Read more