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The Feeling of Losing Hope

For two decades, daily life made me feel like I was moving through deep sand. Getting out of bed felt impossible, and even walking to the kitchen to do simple tasks like refilling my water bottle felt like a marathon. I dreaded waking up each morning, knowing I would have to face another day.

Suzanne F.

My...


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Women involved in the criminal justice system often present with complex and overlapping psychological, social, and developmental needs. Histories of childhood adversity and victimization are common in justice-involved populations, and research has linked cumulative adverse childhood experiences with later serious and persistent offending (Dierkhising et al., 2013; Fox et al....


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The clients our field is least equipped to detect are not the ones whose lives are visibly coming apart. They are the ones whose lives are not. A director who has never missed a deadline, a physician whose charts are immaculate, an attorney whose win rate has not moved in a decade. By the time any of them reaches an assessment, the difficulty has usually been running for year...


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Behavioral health providers face a difficult balancing act: demand for services continues to grow, while practices must manage workforce shortages, reimbursement pressures, administrative costs, technology needs, and the expense of expanding care capacity. For many organizations, the challenge is not simply identifying opportunities to grow. It is determining how to make the ...


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As a psychiatrist, I hear “I’m fine” a lot.

At the start of each session, I ask some version of, “How are you?” or “How have you been feeling since our last visit?” Inevitably, many people reply, “I’m fine.” I hear it from patients, friends, and colleagues. I’ve even caught myself saying it when the real answer feels too complicated, too vulnerable, or simply too exhau...


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