Category: Blog

NAMI Contra Costa’s blog showcases written work by volunteers, interns, and community members. NAMI CC does not treat any of the articles written as official health or medical advice or information from either NAMI Contra Costa, NAMI California, or NAMI. All information written by the author, indicated as “written by,” are the author’s thoughts and opinions and is not representative of NAMI Contra Costa’s official stance on any topic. For official, health, or medical advice, please see your provider.

  • How to Treat and Handle Dual Diagnosis

    How to Treat and Handle Dual Diagnosis

    Written by Apurva Varakhedi, a NAMI CC 2025 Summer Intern.

    Dual Diagnosis is a combination of diagnoses and is one of the most challenging types of cases in behavioral health treatment. But there is hope. Apurva talks about how people with Dual Diagnosis can take charge of their recovery.

    Image generated by ChatGPT

    Table of Contents



    What is Dual Diagnosis and Integrated Treatment?

    Dual diagnosis is a combination of diagnoses: when an individual is experiencing both a mental health disorder and a substance abuse disorder at the same time. Co-occurring disorder, co-morbidity, and dual disorder are other names for dual diagnosis.

    Common examples of mental health disorders are anxiety, depression, post-traumatic stress disorder (PTSD), bipolar disorder, and more. Substance abuse can be defined as the excessive use of alcohol, drugs, or other addictive substances. The phenomenon of two conditions occurring together is fairly common, as researchers have found that about half of individuals experiencing substance abuse also have mental health disorders. And according to the 2022 National Survey on Drug Use and Health, about 21.5 million adults in the US have dual diagnosis.

    Integrated treatment is a specific treatment plan for those with dual diagnosis. It targets both mental health and addiction. Such an approach is important because it acknowledges the intricate relationship between substance abuse and mental health disorders. This treatment is personalized as it addresses each person’s unique needs and the underlying causes of their disorders. Integrated treatment ensures that an individual receives the necessary therapy, medication, and support for their struggles.

    Step 1: Recognize Symptoms

    The first step to take care of yourself is to recognize the symptoms of dual diagnosis and whether you’re experiencing them. Because dual diagnosis can involve a number of combinations, the symptoms will vary from individual to individual. Sometimes, the symptoms may overlap or mask one another, making recognition more difficult.

    Substance abuse, or drug addiction, is a disorder that affects a person’s brain. It prevents an individual from controlling the use of a drug or substance, leading to continuous use of it despite the harm it inflicts.

    Symptoms of substance abuse include:

    • Withdrawal from loved ones
    • Feeling helpless without the drug
    • Difficulty focusing
    • High tolerance for the substance
    • Withdrawal effects from the substance
    • Spending money on the drug whether or not you can afford it
    • Participating in risky behavior when on the drug

    Symptoms of mental health disorders include:

    • Feeling sad or down
    • Severe mood changes
    • Difficulty focusing and concentrating
    • Withdrawal from friends and hobbies
    • Severe changes in eating habits
    • Significant tiredness
    • Suicidal thoughts

    If you notice any of these symptoms, understand that you are not alone. Talking to someone else is a big step towards healing.

    Step 2: Ask for Help

    If you recognize any of the patterns or symptoms indicating dual diagnosis, the next step is to talk to someone. Acknowledging that you’re struggling is hard, and talking about it to others can be even harder.

    Many people delay treatment or brush it off from fear of being judged or isolated from others. But you can get past this barrier by opening up to a trusted person and making them aware of your situation. Reach out to a friend or family member and let them know that you need help. Whether it’s a close friend, relative, coach, teacher, or mentor, you should allow yourself to take the weight off your shoulders by approaching them. You don’t have to figure out everything on your own, so if you do have a reliable support system, open up to them.

    Step 3: Meet With a Mental Health Provider / Doctor

    Once you recognize the signs of possible dual diagnosis, the next step is to schedule an appointment with your primary care doctor, who can then lead you to the right mental health professionals. They’ll be able to assess your overall health, rule out separate causes, and refer you to the right path. From there, look for psychiatrists, licensed therapists, addiction specialists, and integrated treatment clinics. Here are specific types of providers that may help.

    Psychiatrists are physicians who specialize in mental health. They can identify and treat mental health disorders, and prescribe medicine. Many are also trained to treat substance use disorders.
    Licensed counselors or therapists are trained to identify mental health conditions and provide counseling for many conditions. This includes Licensed Marriage and Family Therapist (LMFTs), Licensed Clinical Social Workers (LCSWs), Licensed Professional Counselors (LPCs). They provide talk therapy and coping strategies for managing both substance use and mental health disorders.
    Addiction specialists are professionals who focus specifically on substance use disorders. Some are doctors, certified in addiction medicine, while others are licensed counselors that will provide help in recovery.

    Local and National Dual Diagnosis Resources:

    Step 4: Ask About an Integrated Care Plan

    Traditional care often separates mental health treatment and substance abuse treatment, which can lead to confusion and hindrance. This is why it’s important to ask for an integrated care plan, one that is designed to assess both disorders together.

    Because integrated treatment often involves a team of professionals (psychiatrists, therapists, addiction counselors), patients receive specialized care. They’ll receive medication management, behavioral therapy, counseling, long term treatment, and an improved quality of life. The ultimate goal is to treat you as a whole person, not just your disorders in isolation.

    Step 5: Find a Community That Will Support You

    It’s incredibly important to surround yourself with people who are accepting and uplifting of you. Support groups are very beneficial to provide the emotional and social support that you need. These communities include other individuals just like you who can provide their story and offer their help.

    Here are a few peer support groups:

    SMART Recovery: SMART recovery is an organization that focuses on overcoming addictive behaviors and leading a more balanced life. They offer free, peer support meetings where people attend to help themselves and one another.

    You can also look for any local community mental health peer programs. Everyone is different, so it’s important you find what suits you the best.

    References

    1. https://my.clevelandclinic.org/health/diseases/24426-dual-diagnosis
    2. https://www.samhsa.gov/substance-use/treatment/co-occurring-disorders#:~:text=Co%2Doccurring%20disorders%20may%20include,%2C%20and%20Klonopin%2C%20among%20others.&text=common%20mental%20disorders:-,The%20most%20common%20mental%20disorders:,Attention%20deficit%20hyperactivity%20disorder
    3. https://www.northstarbehavioralhealthmn.com/resources/what-is-dual-diagnosis-treatment#:~:text=Dual%20diagnosis%20treatment%2C%20also%20known%20as%20integrated,disorders%20often%20have%20underlying%20mental%20health%20conditions
    4. https://www.mayoclinic.org/diseases-conditions/drug-addiction/symptoms-causes/syc-20365112
    5. https://www.mayoclinic.org/diseases-conditions/mental-illness/symptoms-causes/syc-20374968
    6. https://www.mayoclinic.org/diseases-conditions/mental-illness/in-depth/mental-health-providers/art-20045530
    7. https://psyclarityhealth.com/the-importance-of-integrated-treatment-for-dual-diagnosis-and-addiction/
  • Mental Health and the Legal System: Alternatives to Incarceration

    Mental Health and the Legal System: Alternatives to Incarceration

    Written by Isabella Pacho, a NAMI CC 2025 Summer Intern. 

    What alternatives to incarceration exist for individuals who are impacted by mental illness, such as peers? This post explores options and pathways to support wellness outside of the prison system.

    Table of Contents

    Jails and prisons were never meant to act as mental health facilities, yet today they contain more people who have mental illnesses than psychiatric hospitals. Throughout the United States, individuals are placed into incarceration systems with behaviors that are symptoms of untreated mental illnesses but are mistaken for criminal intent. The incarceration system fails to acknowledge the burden this has on law enforcement, the punishment of an individual’s vulnerability, and the lack of promoting rehabilitation. With this flawed system comes advocacy and change. However, alternatives to incarceration are growing, prioritizing treatment over punishment. Examples include crisis response teams, peer-led programs, and mental health courts in this growing movement. In this post, I will discuss how mental health intersects with the criminal “injustice” system and alternatives to healing over handcuffs.

    Mental Health Intervention Services

    There are two alternatives to incarceration within Mental Health Intervention Services. One alternative is Crisis Response Teams, also known as CRTs. This is a specialized unit that offers a health over law enforcement approach to intervention and responding to mental health emergencies. Those involved include a team of Peer Support Specialists (PSS), Mental Health Specialists, EMTs, and more. This group of trained specialists handle de-escalation and trauma informed care as opposed to use of force and/or arrests.

    Another alternative to incarceration is Diversion Programs, also considered Pre-Arrest. Diversion Programs serve as an alternative to arrests, where law enforcement redirects individuals to support services. In fact, people who are having a mental health crisis do not have an intent to commit a crime but have unmet mental health needs. Supportive services include treatment of mental health symptoms, recovery programs (substance use), peer support, housing support, and case management.

    The goal of Mental Health Intervention Services is to not charge someone, and if charged, drop the charge should their selected program be completed. Though designed with good intent, these Mental Health Intervention Service programs are still a work in progress. Some areas where I think they could be improved include expanding services to 24/7 care, integrating cultural competence and language access, funding for training, linking between 911 and 988 lines to dispatchers, opening up access to more location services, and integrating consistent police discretion training.

    According to the San Francisco District Attorney’s Office, “Diversion was found to be particularly effective for people charged with felony drug sales and violent crimes. People charged with drug sales were 19.9% less likely to recidivate and people charged with violent crimes were 17.5% less likely to recidivate after two years…Young people who completed the program were 66% less likely to recidivate after 3 years.” [12] Mental Health Intervention Services are useful because these interventions result in less jail overcrowding, improvement of public health and safety, reduced incarceration for mental illness, trust between law enforcement and marginalized communities, decreased repeat offenses, and treatment is cheaper than incarceration.

    Rehabilitation Programs

    More jurisdictions are realizing that mental illness is a health issue and not a crime. Because of this, Mental Health Courts are on the rise. These are specialized problem solving courts focused on keeping individuals out of jail and into supervised treatment plans. They still address the root cause of criminal behavior and hold the individual accountable, which often supports an individual with an untreated mental health disorder or illness getting the help, support, or treatment they need.

    To be eligible to partake in mental health court, there are a few criteria needed. The first two criteria: one, an individual must be diagnosed with a serious mental illness, and two, they must be facing a non-violent misdemeanor or felony charge. On the other hand, the last two criteria are as follows: the individual must voluntarily agree to participate in the program, or there must be a clear connection between their mental health condition and the offense. During the court process, a team of mental health professionals, prosecutors, public defenders, a judge, case specialists, and sometimes Peer Support Specialists are present during trial. The individual is given a court-ordered treatment plan. If the individual completes and graduates from their plan, they could be granted a reduction or dismissal of charges, no incarceration, or even a sealed or expunged record.

    Some benefits to mental health courts include instead of punishment, individuals are offered treatment options, promoting recovery and stability. There is a reduction in recidivism, which is returning to jail or prison. Individuals save money in court and long-term costs of jail. Plus, individuals are seen as humans, not just an offender with a number. However, there are limitations to this service. First, there are a limited number of jurisdictions that offer mental health courts, and those that do have limited capacity. Individuals with prior offenses are excluded from these courts. Clinical expectations and court rules are difficult to navigate for many who are not familiar with the system. Additionally, race and socioeconomic background affects access to mental health courts. Studies from the Consulting Psychology Journal finds that “Black and Latinx defendants are less likely to be referred to or accepted into mental health courts compared to white defendants, even when controlling for diagnosis and offense type” (Finkelman & Lopez, 2012).

    Community Housing Services and Support Groups

    Community-Based Treatment is offering mental health services to individuals residing in non-clinical settings, such as drop in centers or outpatient clinics. Supportive Housing offers affordable housing with mental health services, such as peer support, psychiatric care and therapy, substance use counseling, support in education and employment, and training through life skills. These approaches break the vicious cycle of recidivism, offering a long term alternative to housing stability and mental health services within local communities. Such services stop the “revolving door” effect where individuals cycle through the pattern of arrest, incarceration, and homelessness.

    Factors that limit community-based treatment services from being offered include having limited access to housing and being placed on a waitlist. Funding is also an issue, as is the stigma and oppression around individuals with a criminal history.

    For the future, I would suggest a track system where individuals can be placed in community based treatment and supportive housing as a route from mental health courts or jails and prisons. Peer Support Specialists are making the field of mental health transformative. These are individuals who have lived experience within incarceration, substance use, and mental illness and are trained to support individuals who are struggling with similar challenges as them. The services they offer are non-clinical and are built on a relationship of mutual respect, empathy, and trust. These individuals are essential to connecting with those who need mental health support and guidance in a system that oppresses them and doesn’t make it easy for them to have access to services.

    Technology Based Interventions

    A technological way of receiving psychiatric and/or therapy services is through Telehealth and Virtual Therapy. These services are useful for incarcerated individuals who have been recently released from jails or prisons and are going through court proceedings. Accessing Telehealth reduces the stigma of receiving mental health treatment, reduces costs of transportation to a clinic, and beats the clinical wait time lines. Individuals can receive these services through video calls, phone calls, and secure messaging. For example, an incarcerated individual who has a mental illness is attending mental health court. That individual can join their therapy sessions online and wouldn’t have to miss any of their in-person appointments and deadlines.

    Another alternative to incarceration is Electronic Monitoring, such as ankle monitors. Incarcerated individuals are supervised through GPS tracking, while still being able to hold some freedoms within a radius.

    One more alternative I would like to highlight are Hot Lines and Warm Lines, which are great for diverting individuals’ needs away from law enforcement and toward mental health care. Crisis Hotlines offer immediate support to individuals 24/7 and are composed of crisis counselors and trained professionals. The 988 Suicide and Crisis Lifeline is a nationwide service used throughout the United States. Warmlines are non-emergency phone calls that offer support to individuals who speak to a trained Peer Support Specialist before a crisis happens. A trained PSS offers emotional support, active listening, and resources. An example of this is NAMI Contra Costa’s Warmline, which offers support and resources to the Contra Costa community. To access NAMI Contra Costa’s office, call (925) 942-0767.

    Conclusion/Takeaways

    The criminal legal system has become the largest mental health provider in the U.S., often punishing individuals for untreated symptoms rather than offering support. In response, communities are embracing alternatives that prioritize care over incarceration. Programs like crisis response teams, pre-arrest diversion, and mental health courts focus on treatment, accountability, and recovery instead of jail time. Community-based treatment, supportive housing, and peer-led services offer long-term stability and help break the cycle of recidivism. Technology-based tools like telehealth, electronic monitoring, and hotlines further expand access to timely and compassionate care. While challenges like limited funding, access, and stigma remain, these approaches reflect a growing shift toward a more humane, health-centered justice system. With continued investment and reform, we can create a future where people receive the help they need–not handcuffs. NAMI Contra Costa is involved in supporting mental health treatment over incarceration by showing support in the community; attending local court hearings and trials for individuals in the community when injustice is present. I advocate that people should join us to advocate for decriminalizing mental health care because no one should be punished for experiencing a mental illness; instead, they deserve compassion, support, and access to treatment.

    Sources

    1. https://namicontracosta.org/
    2. https://www.988california.org/
    3. https://www.cchealth.org/get-care/a3-crisis-response
    4. https://www.nami.org/criminal-justice-and-legal/people-need-help-not-handcuffs-mental-illness-and-the-criminal-justice-system/
    5. https://www.nami.org/advocate/how-the-justice-system-fails-those-with-mental-illness/
    6. https://www.nami.org/988/criminal-justice-reform-means-reforming-the-mental-health-system/
    7. https://www.nami.org/advocate/all-people-deserve-quality-care-including-those-who-are-incarcerated/
    8. https://telehealth.hhs.gov/
    9. https://www.csh.org/
    10. https://www.uscourts.gov/…/how-location-monitoring-works
    11. https://courts.ca.gov/…/mental-health-courts
    12. https://sfdistrictattorney.org/…/Diversion-Factsheet.pdf
    13. https://psycnet.apa.org/doiLanding?doi=10.1037%2Fa0031675
  • NAMI CC in Motion 2025 Recap

    NAMI CC in Motion 2025 Recap

    In recognition of May as Mental Health Awareness Month, NAMI Contra Costa thanks you for attending our 2025 NAMI CC In Motion Countywide Mental Health Awareness Resource Fair held on Saturday morning, May 17, at Todos Santos Plaza Park.

    Community partners joined us in sharing mental wellness resources, such as information about various county programs, and about how each organization supported those impacted by mental illness and behavioral health challenges. Their presence encouraged community members to explore various local resources.

    Chief Executive Officer Gigi Crowder, L.E. and NAMI Contra Costa Board President La Tanyua Brown-Thompson gave a warm welcome and introduced this year’s theme: Building Mental Health Friendly Communities for All. This mental health awareness and stigma reduction event was family-friendly and included a stroll for health. Incredibly, many family members and peers walked in a loving embrace, fighting against stigma and for change. The event also included a kid’s fun zone with activities for children of all ages. NAMI CC staff MC’d the event and got the crowd on their feet. Everyone danced to NAMI CC’s very own live band, the NAMI CC Sounds, and spent cherished memories with old and new friends all morning. Jesse Robbins (Concord) and Kenneth Robinson (Antioch), our Leave No One Behind (LNOB) program representatives, spoke about how their plans at NAMI CC addressed the needs of the unsheltered. The Peaceful Warriors Drumming Circle encouraged attendees to participate in rhythm with community medicine, led by Luis Marroquin.

    We honored and distributed several 2025 Change Agent Appreciation Awards on Saturday for Individuals/and other Entities Making an Extraordinary Difference in Improving Mental Health Outcomes for our residents in Contra Costa. Upon acceptance, they each took a moment to share what the honor meant to them. The award winners were also acknowledged on the Thursday before the event at our annual virtual Change Agent Appreciation Awards ceremony.

    Following the award distributions, doves were specially release for those who lost loved ones living with mental illness. This dove release was conducted in the loving memory of a peer, Joseph Martino. Joey not only had many hobbies but also a long-time struggle with mental illness. Yet even in the face of his challenges, Joey was well-loved by all who knew him.

    To conclude the event, we had a catered Italian warm lunch meal in Joey’s honor specifically for the unsheltered and attendees. NAMI CC supporters found happiness, inspiration, networked through friendship, and gained a sense of belonging through gathering for a common cause.

  • Remembering Former Supervisor Federal Glover

    Remembering Former Supervisor Federal Glover

    NAMI CC is saddened to hear of former Supervisor Federal Glover’s passing, on Sunday, May 18th, 2025. He was a long time supporter of NAMI CC and the winner of our 2024 Elected Official Change Agent Award.

    As the first African American elected Supervisor for Contra Costa County, Former Supervisor Federal Glover was instrumental in laying the groundwork, alongside our 40 Voices Campaign, to receive funding for the African American Holistic Wellness Hub. It is our hope that the hub can be named after Federal D. Glover, and we will continue advocating for that honor.

    During his 24 years on the Contra Costa Board of Supervisors, Former Supervisor Federal Glover championed efforts to address systemic inequities and promote racial and social justice. Our thoughts are with his family and loved ones as they mourn his loss.

  • About TD Awareness Week 2025

    About TD Awareness Week 2025

    Dear NAMI CC Supporter, Family Member and Friend,

    NAMI CC (NAMI Contra Costa) has received a $5,000 grant and is committed to reducing stigma so that those who live with Tardive Dyskinesia can move more freely, with others having a broader understanding of the medical condition. We will not be silent as we share education about how you can support those with TD. We will incorporate information about TD not just through the month of May but included in all of our education programs. 


    About TD Awareness Week The first full week of #MentalHealthAwarenessMonth is #TDAwarenessWeek. Tardive dyskinesia (TD) is an involuntary movement disorder associated with the use of antipsychotics. Early recognition and treatment can make a positive impact. Learn more: TalkAboutTD.com #Screen4TD

    May 4-10, 2025, marks the 8th annual TD Awareness Week, a week dedicated to elevating discussion on TD to reduce stigma and empower the at least 800,000 adults in the U.S. impacted by the condition. May is also Mental Health Awareness Month, and as we work to increase awareness and support for those impacted by mental health conditions, it’s important to remember that those living with a mental health condition who have taken necessary antipsychotic medication may develop or may already have TD.

    Tardive Dyskensia infographic about how 800,000 people in the USA are living with tardive dyskinesia.

    Tardive dyskinesia (TD) is an involuntary movement disorder that is characterized by uncontrollable movements of the face, torso, limbs and fingers or toes. The condition is associated with use of antipsychotic medication that may be necessary to treat individuals living with mental illnesses such as bipolar disorder, major depressive disorder, schizophrenia and schizoaffective disorder. TD is estimated to affect at least 800,000 adults in the United States. Of those living with TD, approximately 60% remain undiagnosed.

    Neurocrine Biosciences, Inc. is dedicated to providing education and eliminating stigma associated with TD during TD Awareness Week (May 4–10, 2025) and throughout the year. As part of this awareness week, we are committed to increasing routine screenings to improve earlier recognition and diagnosis of TD. While Neurocrine Biosciences focuses on ongoing efforts to educate about TD, we recognize the first full week in May as another opportunity to inspire others to eliminate stigma associated with TD and elevate the importance of routine screening for TD to improve earlier diagnosis. Follow and join the conversation online by sharing #TDAwarenessWeek and #Screen4TD. Thank you for your participation in efforts to raise awareness of Mental Health Awareness Month and TD Awareness Week.

    Mental health continues to be a significant challenge in the U.S., and it is important to include TD in the conversation because of the physical, social and emotional impacts this disorder can have on people trying to maintain mental health stability with antipsychotic medication. Earlier recognition and treatment of TD can make a positive impact for many
    people living with a mental illness, including in the lives of their loved ones and care partners.

    More information about TD is available at Neurocrine.com/TD-awareness, and resources can be accessed at TalkAboutTD.com.

  • Recognizing TD Awareness Week 2025

    Recognizing TD Awareness Week 2025

    Dear NAMI CC Supporter, Family Member and Friend,

    NAMI CC (NAMI Contra Costa) has received a $5,000 grant and is committed to reducing stigma so that those who live with Tardive Dyskinesia can move more freely, with others having a broader understanding of the medical condition. We will not be silent as we share education about how you can support those with TD. We will incorporate information about TD not just through the month of May but included in all of our education programs. 


    May 4-10, 2025, Is Tardive Dyskinesia (TD) Awareness Week

    We are proud to recognize May 4-10, 2025, as Tardive Dyskinesia (TD) Awareness Week to reduce stigma and empower those impacted by the condition.

    TD is an involuntary movement disorder that is characterized by uncontrollable movements of the face, torso, limbs and fingers or toes. 1-4 The condition is associated with use of antipsychotic medication that may be necessary to treat individuals living with mental illnesses such as bipolar disorder, major depressive disorder, schizophrenia and schizoaffective disorder. 3,5*

    TD is estimated to affect at least 800,000 adults in the United States. 2,6 Of those living with TD, approximately 60% remain undiagnosed. 6

    By declaring the first full week of May as TD Awareness Week, NAMI CC is helping to:

    • Provide education and decrease stigma surrounding TD.
    • Advocate for the need for routine screenings to help improve earlier recognition and diagnosis of TD.
    • Empower the mental health community to discuss the impact of TD.
    • Raise awareness of the availability of U.S. Food and Drug Administration-approved treatments for TD.

    May is also Mental Health Awareness Month, an important time to acknowledge the one in five U.S. adults living with a mental illness. 7

    The abnormal, involuntary and repetitive movements of TD can negatively impact people physically, socially and emotionally. 9 TD can affect one’s ability to work, drive, walk, button a shirt or eat and drink. 6 In a recent survey, 57% of diagnosed TD patients reported their social life was extremely negatively affected, 51% reported that their mental health had been extremely negatively affected and 45% stated that TD extremely negatively affected their ability to perform their job.†‡§ People living with TD may also feel judged and ashamed, adding to a sense of worry, isolation and stigma.1,9-12

    Thank you for your commitment to elevating the discussion on TD to reduce stigma and empower those impacted by the condition. We encourage everyone across Contra Costa County to acknowledge the first full week of May as TD Awareness Week. To learn more about mental illness and TD, visit TalkAboutTD.com.

    *Certain prescription medicines (metoclopramide and prochlorperazine) used to treat gastrointestinal disorders may also cause TD.13,14
    †Tardive Dyskinesia Patient ATU 2024 Wave 2. Target patients (diagnosed TD or suspected TD), n = 175.
    ‡Results based on a survey of 175 people with a confirmed TD diagnosis (n = 75) or with suspected TD (n = 100) who were asked to rate the effects of the condition on various aspects of life. Results shown include the number of responses among people with a confirmed TD diagnosis (n = 75) who rated a 6 or 7 on the scale to indicate that the aspect of life is “extremely negatively affected” by TD.
    §Responses based on survey question: “Since first experiencing [CONDITION], how have the following areas of your life been affected, if at all?” Please select your rating using a scale of 1 to 7 when 1 means “not at all affected” and 7 means “extremely negatively affected.” Results shown include the number of responses greater than or equal to 6 on the scale.

    REFERENCES
    1. Task Force on Tardive Dyskinesia. Tardive Dyskinesia: A Task Force Report of the American Psychiatric Association. Washington, DC: American Psychiatric Association; 1992.
    2. Cloud LJ, Zutshi D, Factor SA. Tardive dyskinesia: therapeutic options for an increasingly common disorder. Neurotherapeutics. 2014;11(1):166-176. doi:10.1007/s13311-013-0222-5
    3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association; 2023.
    4. Guy W. ECDEU Assessment Manual for Psychopharmacology. Rev. 1976. U.S. Dept. of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute of Mental Health, Psychopharmacology Research Branch, Division of Extramural Research Programs; 1976.
    5. Caroff SN, Hurford I, Lybrand J, Campbell EC. Movement disorders induced by antipsychotic drugs: implications of the CATIE schizophrenia trial. Neurol Clin. 2011;29(1):127-148. doi:10.1016/j.ncl.2010.10.002
    6. Data on file. Neurocrine Biosciences, Inc.
    7. Mental health by the numbers. National Alliance for Mental Illness. Updated April 2023. Accessed January 10, 2025. https://www.nami.org/learnmore/mental-health-by-the-numbers
    8. Reinert M, Fritze D, Nguyen T. The state of mental health in America: 2024 edition. Mental Health America. Accessed January 10, 2025. https://mhanational.org/sites/default/files/2024-State-of-Mental-Health-in-America-Report.pdf
    9. Ascher-Svanum H, Zhu B, Faries D, Peng X, Kinon BJ, Tohen M. Tardive dyskinesia and the 3-year course of schizophrenia: results from a large, prospective, naturalistic study. J Clin Psychiatry. 2008;69(10):1580-1588. doi:10.4088/jcp.v69n1008
    10. Boumans CE, de Mooij KJ, Koch PA, van’t Hof MA, Zitman FG. Is the social acceptability of psychiatric patients decreased by orofacial dyskinesia? Schizophr Bull. 1994;20(2):339-344.
      doi:10.1093/schbul/20.2.339
    11. Yassa R. Functional impairment in tardive dyskinesia: medical and psychosocial dimensions.
      Acta Psychiatr Scand. 1989;80(1):64-67. doi:10.1111/j.1600-0447.1989.tb01301.x
    12. Citrome L. Clinical management of tardive dyskinesia: five steps to success. J Neurol Sci. 2017;383:199-204. doi:10.1016/j.jns.2017.11.019
    13. Kenney C, Hunter C, Davidson A, Jankovic J. Metoclopramide, an increasingly recognized cause of tardive dyskinesia. J Clin Pharmacol. 2008;48(3):379-384. doi:10.1177/0091270007312258
    14. Sanger GJ, Andrews PLR. A history of drug discovery for treatment of nausea and vomiting and the implications for future research. Front Pharmacol. 2018;9:913. doi:10.3389/fphar.2018.00913

  • NAMI CC AAPI Team’s Articles on WeChat!

    NAMI CC AAPI Team’s Articles on WeChat!

    Follow our NAMI CC official WeChat account for articles on various mental health topics, all written in Chinese!

    NAMI CC 中文部想分享公众号文章。


    六月份的文章

    1. 我曾被三家医院放弃,但十年后成了新闻节目副制片人
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    1. 【月度讲座回顾】解码心灵——何若秀医生精神心理健康专题答疑
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    • 文章链接:https://mp.weixin.qq.com/s/zK5C7TkzMXHkX5t7D9kB_Q
    1. 确认无法痊愈之后:我与焦虑的17年共生实验
    1. 我们的孩子,为何越来越孤单?
    • 如今,作为一名持证的学校心理学家,我明显感觉到,孩子们的社交方式变了。他们的关系更多地存在于线上,而为数不多的自由时间,往往也被学业和家庭压力填满。
    • 文章链接:https://mp.weixin.qq.com/s/PqNbOyeLqfXpZyAh1Ln_Qw
    1. 他生病后曾被学校告知“别回来上学”,今天他穿上了学士服
    • 这不该是知识的殿堂应有的温度。 当偏见披着「关怀」的外衣,当制度性傲慢碾过年轻生命的可能性,那张被折叠的课桌,便成了整个教育系统最刺眼的注解。
    • 文章链接:https://mp.weixin.qq.com/s/zHC5zq9l3vz8jm2K2pKyZQ
    1. 照顾一个同时患癌和精神分裂的女儿十年是怎样的体验?
    • 长岛的海风咸涩,吹动我表妹婚礼上的蕾丝裙摆时,我的女儿凯瑟琳(化名)突然攥碎了手中的捧花。她——我的女儿,23岁,眼神空洞,突然朝着虚空尖叫。这一刻,我们与精神分裂的战争正式打响。
    • 文章链接:https://mp.weixin.qq.com/s/MjOS2JU18gFyuQqoeGWkvg
    1. 当暴力事件成为头条:父母如何与孩子谈论安全与恐惧
    1. 从精神病院到专栏作家:我的康复之路
    • 2019年,在精神病院度过了六周后,我背着一个活页夹离开了医院。里面装满了工作表、笔记和我必须完成的健康计划。我参加了关于情绪调节、健康应对技能等课程,为康复做好了准备。我以为自己已经准备好管理自己的生活,但现实远比计划复杂。
    • 文章链接:https://mp.weixin.qq.com/s/DiIQ3j8ZhDuLfvUHFREB8Q
    1. 「家族的诅咒」:我与双相情感障碍的漫长斗争
    1. 我的进食障碍之旅:从迷失到重生的12年
    • 从我记事起,我就觉得自己不属于这个世界,好像我就是不适应这个世界。我认为这些每天萦绕在我心头的感觉是导致我患上抑郁症的重要原因。我甚至很难指出这是什么时候开始的,但我觉得大约在我十三岁的时候。当时我并没有意识到自己有抑郁症,我只知道我的身体出了问题。
    • 文章链接:https://mp.weixin.qq.com/s/Nl3hJhj7GJ9Z-f9WrHDDBw
    1. 【月度讲座回顾】牟大明师母:信仰与心理健康
    • 此次讲座深入探讨了心理健康在不同人生阶段的表现与挑战,并结合信仰的力量,为参与者提供了实用的心理健康指导。牟大明师母从世界卫生组织对心理健康的定义出发,逐步剖析了儿童期、青少年期、成年期、中年期和老年期的心理发展特点,帮助听众更好地理解如何在信仰的支持下实现心理健康的平衡与成长。
    • 文章链接:https://mp.weixin.qq.com/s/0Ivqo5vg-AVRoqq7Nr_RSA
    1. 与精神疾病伴侣共处的30年:爱、抗争与希望
    • 与患有精神疾病的伴侣或所爱之人一起生活绝非易事。这需要付出巨大的努力,需要更强的同理心、谨慎和韧性。这意味着你要时刻关注患者的行为模式,留意关键词或危险情绪,并随时做好准备。
    • 文章链接:https://mp.weixin.qq.com/s/EULORipQaJFFAjvpLuutEg
    1. 抑郁症:当心灵被困在永无止境的寒冬里
  • Gigi is California Woman of the Year

    Gigi is California Woman of the Year

    Women’s History Month is a celebration of women’s contributions to history, culture and society and has been observed annually in the month of March in the United States since 1987. The 2025 theme, “Moving Forward Together,” celebrates “Women Educating and Inspiring Generations.” This theme celebrates the collective strength, equality, and influence of women who have dedicated their lives to education, mentorship, and leadership, shaping the minds and futures of all generations.

    Assemblywoman Anamarie Avila Farias nominated our CEO, Gigi R. Crowder, L.E., for “California Woman of the Year” for Assembly District 15 in early March. She also honored our CEO, Gigi R. Crowder, L.E. as a “California Woman of the Year” for Assemby District 15! On March 10, 2025, Gigi and Assemblywoman Anamarie Avila Farias reported to Assembly floor for Women’s History Month Resolution and ‘Woman of the Year’ floor ceremony in Sacramento. Congratulations, Gigi!

    About California Woman of the Year

    From California Legislative Women’s Caucus:

    The Woman of the Year event was founded in 1987 by Assemblywoman Bev Hansen (R) and Assemblywoman Sally Tanner (D), who noticed that the California Legislature had no events planned for the month of March, Women’s History Month. In celebration of the contributions to society made by remarkable women throughout California, Hansen and Tanner arranged to invite one woman from each Senate and Assembly district to come to the Capitol and be honored for their accomplishments. The women were to be recognized as Woman of the Year in a formal ceremony on the floors of the Senate and Assembly. This yearly event, sponsored and organized by the Women’s Caucus, is greatly anticipated by all Legislators today.

    Gigi’s Accomplishments

    Gigi Crowder has elevated the African American Uplift program over the last several years and helped establish the Contra Costa County’s African American Holistic Wellness and Resource Hub. In addition, she has led the African American outreach efforts at NAMI CC, helping people through culturally responsive peer specialist support through the criminal justice system and promoting growing and healing for men of color through workshops. Gigi has also spearheaded interfaith trainings aimed at providing faith congregations the tools needed to build Mental Health Friendly Communities. She is undoubtedly the most deserving of this award and is indeed a remarkable icon.

    Gigi has also been a champion in advocating for other marginalized communities’ needs, including Asian American Pacific Islander (AAPI) and Latino/Latinx, and we are grateful for her passion and leadership at NAMI Contra Costa.

  • Crochet Class in May!

    Crochet Class in May!

    Join us for a crochet class led by our very own volunteer, Nancy!

    Engaging in arts and crafts can significantly boost mental health by providing a sense of achievement and expression. So please join us for some craft therapy! All levels are welcome. Limited supplies are available but bring your own yarns and hooks, if possible.

    Date, Time & Location Details

    Date: May 7, 2025
    Time: 10:30 AM – 12:30 PM
    Where: NAMI CC Madison Family Training Room
    2151 Salvio St, ste v, Concord, CA

    Need More Information?

    For more information, contact nancyum@yahoo.com

  • NAMI CC CEO Nominated California Woman of the Year

    NAMI CC CEO Nominated California Woman of the Year

    Assemblywoman Anamarie Avila Farias nominated our CEO, Gigi R. Crowder, L.E., for “California Woman of the Year” for Assembly District 15. On March 10, 2025, Gigi along with other honorees will participate in a ceremony in Sacramento.

    About California Woman of the Year

    From California Legislative Women’s Caucus:

    The Woman of the Year event was founded in 1987 by Assemblywoman Bev Hansen (R) and Assemblywoman Sally Tanner (D), who noticed that the California Legislature had no events planned for the month of March, Women’s History Month. In celebration of the contributions to society made by remarkable women throughout California, Hansen and Tanner arranged to invite one woman from each Senate and Assembly district to come to the Capitol and be honored for their accomplishments. The women were to be recognized as Woman of the Year in a formal ceremony on the floors of the Senate and Assembly. This yearly event, sponsored and organized by the Women’s Caucus, is greatly anticipated by all Legislators today.

    Gigi’s Accomplishments

    Gigi Crowder has elevated the African American Uplift program over the last several years and helped establish the Contra Costa County’s African American Holistic Wellness and Resource Hub. In addition, she has led the African American outreach efforts at NAMI CC, helping people through culturally responsive peer specialist support through the criminal justice system and promoting growing and healing for men of color through workshops. Gigi has also spearheaded interfaith trainings aimed at providing faith congregations the tools needed to build Mental Health Friendly Communities. She is undoubtedly the most deserving of this award and is indeed a remarkable icon.

    Gigi has also been a champion in advocating for other marginalized communities’ needs, including Asian American Pacific Islander (AAPI) and Latino/Latinx, and we are grateful for her passion and leadership at NAMI Contra Costa.

  • Crab Feed 2025 Event Recap

    Crab Feed 2025 Event Recap

    watch the Highlights Reel

    To NAMI CC Members and Friends,

    Memories were made and prayers were answered at our 2025 Crab Feed fundraiser on March 2, 2025, where guests feasted on fresh crab and enjoyed a great night of cheer, dancing, fun, and reunion while funding the greatest need in the county this year, the “Leave No One Behind” (LNOB) program in an effort to help the unsheltered who live with mental illness and sleep beneath the stars.

    NAMI Contra Costa, a local affiliate of the National Alliance on Mental Illness, a nonprofit organization that provided education, support, outreach, and advocacy to individuals and their families living with or impacted by mental illness, delivered a night to remember with the biggest fundraiser of the year. The Crab Feed funded a place where individuals from all walks of life came into a shared safe space to come together, serving as a reminder of what was key: the healthcare of our loved ones who often found themselves unsheltered due to grappling with severe untreated behavioral health diagnoses. Proceeds from the Crab Feed fundraiser supported a range of programs, including education programs such as Family to Family and Basics, FaithNet, peer-run programs, and support groups.

    At the highly anticipated event, which nearly sold out again, attendees enjoyed an all-you-can-eat feast of fresh crab, shrimp, pasta, Caesar salad, and bread rolls with all the fixings from Olde Towne Catering and complimentary sparkling water. The night was packed with excitement, featuring energetic professional auctioneer, Dave Aahl. The live auction offered over 35 donated items with bids on the vacation package, date night package, spa package, golf package, winery package, Joshua’s gift hiking package, and a surprise auction item—the signed Kittle jersey. Aahl also led a riveting heads and tails game where participants guessed the outcome of a coin and won a package if they guessed correctly all the way to the end.

    The event was sponsored by a few larger companies, and hundreds of attendees sat comfortably at a table with all of their personal guests with an array of live entertainment throughout the evening, including host Dave Clark of KTVU-TV News, the Wayne Fettig Band, a drumming circle led by the Peaceful Warriors, and guest singing sensation January.

    A special thank you to our volunteers who made the success of this event possible, from set up, check-in, to clean up, along with Staff and the Board of Directors who were involved. We could not forget our thanks to our fearless leaders, President La Tanyua Brown-Thompson and our CEO Gigi Crowder, who made this event happen. We thank everyone for participating and hope those who are not yet members of our humble affiliate become one through our website, namicontracosta.org/become-a-member.

    Sponsors

    A special “thank you” to our Sponsors this year, John Muir, eLease Returns, AssetMark, Crestwood Behavioral Health, and Dr. Mark and Judy Cohen.

    All proceeds went towards NAMI CC programs and services.

  • NAMI CC CEO Gigi Crowder Honored As Black Joy Icon

    NAMI CC CEO Gigi Crowder Honored As Black Joy Icon

    NAMI CC CEO Gigi Crowder, L.E., was recently awarded Oakland Black Joy Parade’s “Icon Among Us” award, recognizing leaders dedicated to igniting change.

    About Black Joy Parade

    Black Joy Parade is a hyper-positive non-profit based in Oakland, CA that celebrates the Black experience and community’s contribution to history and culture with its signature annual parade and celebration, partnerships and events. The Black Joy Parade exists to provide the Black community and allies a live experience that celebrates our influence on cultures past, present and future. It unites a diverse community by creating a space to express each unique contribution to the Black experience, inviting the community to be creative, be open, be present, and be free.

    Black Joy Parade is teamed up with Comcast to recognize activists icons. NAMI CC CEO Gigi Crowder will be crowned at the celebration this year in late February honoring Black History Month. At selection, Icon Gigi Crowder received a $5,000 contribution to a nonprofit of their choice, which she chose to be NAMI CC, to recognize their commitment and contribution to creating more space for Black Joy to thrive.

    Gigi’s Accomplishments

    To be eligible, Gigi Crowder had to be primarily based in the 9 Bay Area counties, engaged in social equity work elevating the community for at least 7 years, and work was required be tied to an official organization (preferably a nonprofit but not mandatory) in good standing and primarily focus on benefitting the Black community.

    Gigi Crowder has elevated the African American Uplift program over the last several years and helped establish the Contra Costa County’s African American Holistic Wellness and Resource Hub. In addition, she has led the African American outreach efforts at NAMI CC, helping people through culturally responsive peer specialist support through the criminal justice system and promoting growing and healing for men of color through workshops. Gigi has also spearheaded interfaith trainings aimed at providing faith congregations the tools needed to build Mental Health Friendly Communities. She is undoubtedly the most deserving of this award, and she is indeed a remarkable icon. We enjoyed seeing Gigi waving on the float at the Black Joy Parade this year!

  • Annual Holiday Christmas Day Distribution Outreach 2024

    Annual Holiday Christmas Day Distribution Outreach 2024

    Join us for our Annual Holiday “Leave No One Behind” Christmas Day Outreach.

    We will be sharing hope for those who are impacted by Mental Illness, especially those that Sleep Under the Stars.* Our focus is on making a life saving connection.

    When & Where

    On Christmas morning, December 25th, 2024 at 9:30 AM in front of the NAMI CC Office.

    2151 Salvio Street Suite V
    Concord, CA 94520

    We will gather, say a prayer, and distribute our
    holiday care packages to the unsheltered.

    Contact Gigi Crowder at gigi@namicontracosta.org or (510) 990-2670.

  • Homeless Persons’ Memorial Service

    Homeless Persons’ Memorial Service

    (Walnut Creek, Calif.) – On Friday, December 20, 2024, Contra Costa Health Services, in partnership with the Contra Costa Crisis Center, NAMI Contra Costa, Safe Organized Spaces, Loaves & Fishes, and other local organizations, will hold a special observance in honor of Homeless Persons’ Memorial Day.

    The event will take place at the Walnut Creek Library’s Oakview Room (1644 North Broadway, Walnut Creek, CA 94596) and online, creating a shared space for the community to honor the lives of those who have tragically passed away while facing homelessness.

    Held annually around December 21st, this memorial aligns with the winter solstice, the longest night of the year. It’s a deeply meaningful day to remember the humanity in every life lost and to raise awareness about the lives lived with resilience amid difficult circumstances. From 11:00 AM to 1:00 PM, attendees will gather for a solemn reading of names from 11:30
    AM to 12:30 PM, followed by lunch, generously donated by Loaves and Fishes, from 12:30 PM to 1:00 PM.

    Sponsored by the National Consumer Advisory Board, the National Coalition for the Homeless, and the National Health Care for the Homeless Council, Homeless Persons’ Memorial Day aims to remind us all of the urgent need for compassion, care, and solutions to end homelessness.

    Community members are encouraged to attend in person or virtually. Those joining virtually can log on via Zoom using this link:

    https://homebaseccc.zoom.us/j/83945193528

    Event Details

    • Date: Friday, December 20, 2024
    • Time: 11:00 AM – 1:00 PM (Name reading from 11:30 AM – 12:30 PM, lunch served from 12:30 PM – 1:00 PM)
    • Location: Walnut Creek Library, Oakview Room, 1644 North Broadway, Walnut Creek, CA 94596
    • Virtual Access: Join via Zoom using the above button.

    Elaine Cortez Schroth from the Contra Costa Crisis Center reflects, “Homeless Persons’ Memorial Day is a time for us to gather as a compassionate community, to remember every life is invaluable, and this observance reminds us of the importance of empathy, support, and meaningful action to prevent further loss.”

    This event is open to all, and everyone in Contra Costa County is invited to attend.

    Registration Information

    For more information or to register, please visit bit.ly/3Ntfefe

    Contacts

    Contacts:
    Jaime Jenett, MPH | She/Her
    Community Engagement Specialist
    Jaime.jenett@cchealth.org
    925-608-6716

    Janny Castillo | Workforce Manager she/her
    510 367-1717
    Mail: 23 Maine Ave. #16, Richmond, CA 94804

    www.sos-richmond.org

    Sheri Nelson, PR Representative / 415-307-1359 /
    sheri@welcometotheshop.com

  • Nov 29: No Maintenance

    Nov 29: No Maintenance

    We are announcing that our website will skip its usual weekly maintenance from 5:30 AM – 8:30 AM PT.

    Skipped Maintenance Date

    Date: 11/29

    What to Expect

    The website will be accessible, and posts will be updated and published throughout the week instead of having a large volume published during the usual maintenance time.

    How to Report Issues

    If you have any questions or concerns about this skipped maintenance service, please contact webmaster@namicontracosta.org

    Thank you for your understanding and continued support.

  • Help Those who Sleep Underneath the Stars 2024

    Help Those who Sleep Underneath the Stars 2024

    Dear NAMI Contra Costa Supporter,

    NAMI CC greatly appreciates all the dedicated and committed supporters we’ve had over the last year. We’ve done a great job improving outcomes for older adults. Our Older Adult support group provided many with a space where they could find encouragement, companionship, and a sense of independence. We couldn’t have done it without you!

    This year, we have decided to focus our attention on the members of our community who sleep under the stars. You may be aware that each year Contra Costa County does a homelessness count. Sadly, the numbers have increased by 18% this year. We know that many of those individuals are only homeless because they were untreated for their mental health, which often leads to self medication and strained relationships that make it difficult for them to remain in their family home. According to the CASPEH (California Statewide Study of People Experiencing Homelessness) report by UCSF, 82% of Californians experiencing homelessness reported having a serious mental health condition, and 1 in 10 Californians meet the criteria for a substance use disorder.

    We have been given the opportunity through the city of Concord to lift up our “Leave No One Behind” program, and will be connecting those words to the recent implementation of Care Court. We hope to identify individuals who fit that criteria, and build the type of relationships with them that will allow them to finally get the supportive loving care they desire, and deserve. However, we need you. We’re not okay with having only two branches of our program, one in Concord and one unfunded in Antioch, knowing that unsheltered individuals who live with mental health challenges are across our entire county, desperately needing assistance.

    We’d like to hire two homeless outreach coordinators to position themselves to start addressing the needs of individuals across our county, and getting them, when appropriate, connected to Care Court. This is an effort that we do not want to fail at. We want to complement the work Contra Costa County Behavioral Health is doing. We recognize that many of our staff members have been where these individuals are, so we know that we carry the skill set, and more importantly, the empathy and compassion, to make a difference.

    We’re asking each of our community members to pitch in and help us with this. No dollar amount is too small; however, our ultimate goal is $100,000. Let’s get there together!

    Donations are tax-deductible and will allow NAMI CC to continue its mission:
    To provide support, outreach, education and advocacy to individuals living with and families impacted by mental illness.

    Sincerely,
    Gigi R. Crowder
    CEO

    La Tanyua Brown-Thompson
    President

  • The Mental Health Crisis Facing LGBTQ+ Women

    The Mental Health Crisis Facing LGBTQ+ Women

    Written by Gilian Foerster, NAMI CC 2024 Intern

    The struggles in mental health from members of the LGBTQ+ community, or anyone lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and more, specifically LGBTQ+ women, are highlighted in an article from National Public Radio. A new study from the Urvashi Vaid National LGBTQ+ Women’s Community Survey offers a reminder of how discrimination largely affects marginalized groups and communities. The study underlines not only the present high rates of mental illness within LGBTQ women, but also talks about systematic barriers that bar them from accessing care.

    The report comes from an analysis of Urvashi’s national survey of 5,000 LGBTQ+ respondents who previously or currently identify as a woman, conducted between June 2021 and June 2022. The survey revealed that 22% of LGBTQ+ women have attempted suicide, a statistic that exceeds the national average. It also found that over half of respondents live with anxiety or depression. The National Association on Mental Illness reports that the national averages for anxiety falls at about 19 percent and the Center for Disease Control and Prevention reports the national average of depression to be around 18 percent. The Urvashi Vaid survey found 44 percent of LGBTQ+ women survey respondents live with anxiety and 51 percent with depression, both of these statistics are more than double the national averages of 18 and 19 percent. These results fall in line with other research showing how race, gender, and sexual orientation expands mental and health disparities. For many LGBTQ+ people of color, experiences of systemic discrimination not only add to distress, but contribute to chronic health issues. 

    The survey shows that even though LGBTQ+ women face health challenges, many are unable to or unwilling to access care. While 77% of the US has a primary care physician, just over half LGBTQ+ women reported having a primary care physician. Women delay or avoid care because of cost and fear of discrimination. Savy Elahian, who led the data analysis for this report, within the NPR article states, “Historically, medical spaces have not been safe for us.” This reinforces the implications that women in the LGBTQ+ community have historically faced discomfort in medical environments and even brought into these environments to be experimented and tested on. These fears could play a role in the 14% of LGBTQ+ women who’ve never gotten a pap smear and the 1 in 3 that have never been screened for cervical cancer. LGBTQ+ women are missing out on important preventative measures and are nearly twice as likely to develop cervical cancer.

    Despite the hurdles the community faces, community led care has become a vital resource. Having these peer support networks, advocacy organizations, and community health initiatives are crucial in providing informed care and helping people navigate healthcare systems. Addressing the mental health crisis with LGBTQ+ women requires more than just improving access to care, it means creating healthcare spaces that are affirming and culturally competent. Medical institutions must invest in training providers to understand and serve LGBTQ+ patients with empathy and respect.

  • [Resolved] Website Issue

    [Resolved] Website Issue

    Dear visitors of NAMI Contra Costa,

    We have resolved the technical issues of connectivity and missing links, files, images, and media. Thank you for your patience!

  • Known Website Issue: Missing Information

    Known Website Issue: Missing Information

    Dear visitors of NAMI Contra Costa,

    We are experiencing some technical issues with our website that may cause some videos, images, and information to not display as intended or entirely. We thank you for your patience while we work through this issue on namicontracosta.org.

  • National MH Day of Prayer Recap

    National MH Day of Prayer Recap

    In observance of Mental Health Day of Prayer, NAMI Contra Costa’s FaithNet Program lead an effort to bring a diverse interfaith group together on October 8, 2024. Over 40 attendees gathered and lifted up compassionate prayers, songs and chants to spiritually support individuals impacted by mental health challenges. With unusually warm temperatures, we met on the steps of the County Administration Building, located on 1025 Escobar Street, Martinez, CA 94553 and offered beverages, fruit and pastries.

    Mental Health Awareness Week occurs each year on the first full week of October. Therefore, we at NAMI CC extended a heartfelt invitation to spiritual/faith leaders, city officials, mental health advocates, faith-based organizations, community members from all backgrounds, and cultures to unite in raising awareness, fostering healing, promoting peace, and encouraging unity throughout Contra Costa County. We held a safe space for ALL Faith and Spiritual communities to come together as their Leaders prayed for those living with mental illness who are unsheltered, incarcerated, struggling with substance abuse issues, those we have lost due to police violence, our youth and BIPOC and LGBTQ Community members and others who receive disparate services.

  • 4th Annual Know the Signs Event Recap

    4th Annual Know the Signs Event Recap

    On September 21, 2024, as part of Suicide Prevention Awareness Month, NAMI Contra Costa hosted the 4th Annual “Know the Signs: Remembering Those We’ve Lost” event at Contra Loma Regional Park in Antioch. The gathering aimed to foster awareness, healing, and community support in East County.

    The event began with interfaith prayers from Pastor Faye, Chaplain Priscilla, and Tiffany Wang, followed by a moment of silence for those lost to suicide. Reverend Bill Kruse offered words of hope, uplifting the crowd.

    Under bright, sunny skies by the lagoon, Stanford University student Alexi Lindeman shared a heartfelt tribute to her sister Andy, whose memory was honored through her story of lived experience. FaithNet coordinators Greg Beckner, Ashley Ciullo, and Gigi Crowder followed with a lineup of multigenerational diverse speakers, all sharing personal testimonies. Names of loved ones lost, particularly youth, were highlighted throughout the moving tributes, as the forum opened for community participation.

    Jesse Robbins, a NAMI Contra Costa TAY staff member who lost his brother, joined community members in courageously sharing their stories of loss, as the community engaged in remembrance and healing.

    The second half of the event spotlighted the ongoing work in suicide awareness and most importantly, prevention. NAMI CC’s Transitional Age Youth team outlined strategies from the “Ending the Silence” program, while student leaders like Megan Suh from Dougherty Valley H.S. and her team as well as Cherry Wang from Heritage shared their efforts from the NAMI On Campus Clubs. Savannah Crippen, representing Bright Life Kids from Brightline, introduced free youth resources, while community members including Dominique King who is running for a council seat in Antioch and a NAMI CC Student Ambassador, Representative, spoke about championing advocacy for suicide prevention in Antioch and beyond.

    Additional speakers also included Kristin Lobos and her Co-Worker, Faith from the A3-Miles Hall Community Crisis Hub, who delivered an emotional address, and Kaitlyn Coughran from the Contra Costa Crisis Center, who discussed crisis de-escalation techniques. NAMI CC further highlighted the importance of recognizing the signs of mental health crises and promoted the 988 Crisis Line.

    The event offered moments of comfort through grief counselors, origami paper cranes symbolizing hope, and creative activities like a rock-painting station. The day concluded with a symbolic dove release as members of our staff, volunteers, families and others honored loved ones lost too soon and embraced the themes of hope and healing.

  • My Experience Through the Eyes of Madness: Schizophrenia

    My Experience Through the Eyes of Madness: Schizophrenia

    Written by Gregory Beckner, NAMI CC Staff

    When parents and loved ones of a psychosis sufferer ponders what they are going through there is no way to know, not by a long shot. I have suffered through many relapses in believing I did not need medications. I had anosognosia, which is a disease of the mind that, for lack of better words, makes you believe you are not suffering from severe mental illness. In other words, my delusions and hallucinations were so elaborate and convincing that even with the help of regular heavy dosages of anti-psychotic medications, still could not take away the strong desire that I did not need medications. That is why I went off my medications so many times because I was still, experiencing some breakthrough symptoms and delusions, not to mention false pretenses derived from an assumption I was not sick.

    What was I experiencing? It would be nothing that someone could imagine. I was being talked to by some unknown voices that would talk to me through the television, radio, and neighbors I thought were yelling insults to me from their house windows. Elaborate schemes were being cast against me and it appeared according to evidence, based on my delusions and hallucinations that everybody was out to get me. I would plead my case about what I was experiencing to my parents and they did not know what to think, but knew I needed help. They confronted me on several occasions and even brought mental health professionals to help convince me to seek help. None of it worked despite my behavior as being erratic. It was obvious I had a psychosis except everyone knew it but me.

    The state of mind I was in was like I was in another world, and this was only my first episode. I
    have had several others and on almost every episode I had I believed I could manage without the medication, which would backfire on me every time. The side effects to the medications are one of the main reasons for going off the medications. The main side effects to the medications is weight gain and feeling tired all the time. I could not stop sleeping, and I gained a considerable amount of weight. So, the pressure to ponder what it would be like to be off the medications would weigh heavy on someone’s mind, as it did for me.

    After all was said and done through the more than fifteen years of battling this mysterious disease of the mind, I found, when it comes to serious mental illness that one cannot cope without their medications if you want to live somewhat of a normal life. In my case my family was as patient as they possibly could have been, but even then, that eventually ran out when I refused to get help because I kept going off my medications. Now I know better after many years of trial and error. Whether it be severe bipolar, schizophrenia, schizoaffective disorder, or major depression, simply put, there is no other way to live somewhat of a normal life unless with the help psych medications. I know from my own experience and if you listen to the stories of others, they will tell you the same thing concerning the necessity of taking your medications because severe mental illness is a chronic mental disorder that is
    beyond the control of the victim.

  • Mental Health Presentation by Jacob Parker Recap

    Mental Health Presentation by Jacob Parker Recap

    About the Event

    Watch the Recording of NAMI CC Mental Health Presentation from Jacob Parker, a Summer Student Intern at the Office of Assemblymember Rebecca Bauer-Kahan that took place onon Wednesday, September 18, 2024 at 3:30 pm. 

    Jacob Parker is a rising Sophomore at Stanford University and a summer student intern at the Office of Assemblymember Rebecca Bauer-Kahan. His primary research fields are media psychology, with a focus on social media and teens, and consumer privacy and protection, focusing on scams and preventative methods. Jacob has also worked on projects to raise awareness around the importance of voting, and he hopes to do further research on political polarization, social identity in politics, and law.

  • Fall Volunteer Appreciation Event Recap

    Fall Volunteer Appreciation Event Recap

    NAMI CC Volunteer Appreciation Celebration – Thank You for Joining Us as we Shared Good Hearted Fun on Friday, September 13, 2024 from 4:30 pm -6:00 pm at the Concord Office. Volunteers were warmly welcomed by our CEO – Gigi Crowder, President – La Tanyua Thompson, the Concord Mayor – Edi Birsan, and most of our Lead Staff Coordinators. Volunteers received their training certificates of completion and office badge as we listened to music and dined on light refreshments. It was a special evening as many exchanged thoughtful words, hugs, and encouragement to one another. Thank you to ALL of the new and existing volunteers for your dedication in giving back to the community and helping us achieve our mission to provide education, advocacy, support, and outreach to loved ones and family members impacted by mental illness. We appreciate you so much!

  • Ask Kathy: 120 Days Left

    Ask Kathy: 120 Days Left

    Written by Kathy Maibaum-Perryman, CFNC – A deep passion for mental health and well-being. Using nutrition and lifestyle interventions to support mental wellness and help individuals achieve holistic health.

    If you have a question or a nutrition subject you want Kathy to explore for you, send an email to ‘Ask Kathy’ at: BeYourBest344@gmail.com and she will share it to the NAMI Contra Costa Newsletter and Website.

    Kathy Shares…

    As the year quickly passes by, I find myself reflecting on how my January goals slipped away. With just three months left, I’m determined to make the most of this time and would like you to join me. I was reminded of the valuable insights shared in the last five articles I wrote in this newsletter.

    We discussed detoxing for mental clarity, the importance of releasing negative thoughts, reducing social media use, recharging, and practicing mindfulness. I highlighted the dangers of white and artificial sugars, and their link to autoimmune diseases, and provided tips on choosing better sweeteners and reading labels for healthier choices. I also shared tips on improving sleep quality, emphasizing its importance for mental health, and how to integrate overall wellness into daily life.

    With fewer than 120 days left this year, it’s a great time to revisit our January health goals. Let’s focus on one impactful mental and physical goal. Consider taking daily walks which can be enhanced by listening to an audiobook, talking to a friend, or enjoying music. Spend time in nature, practice deep breathing techniques, and explore mindfulness and meditation. Activating the vagus nerve through deep, calm breathing can soothe your nervous system.

    If anxiety is affecting your daily life, revisit your “tool kit” of strategies and try new ones. There are two short YouTube videos below to try. Reduce caffeine, drink more water, especially first thing in the morning. Minimize exposure to negative energy, and consume whole foods, avoiding artificial ingredients. Incorporate more fresh vegetables into your diet and try a vegetarian meal once a week. Don’t forget to stretch! If you can, add yoga or rebounding to your routine—even just 10-15 minutes throughout the day.

    Most importantly, be kind to yourself. Practice forgiveness, both for yourself and others. Let’s make these last three months count by focusing on holistic wellness, both mentally and physically.

  • NAMI CC Mental Health Presentation by Jacob Parker

    NAMI CC Mental Health Presentation by Jacob Parker

    You’re invited to a NAMI CC Mental Health Presentation, a Conversation led by Jacob Parker, Legislative Fellow at the Office of Assemblymember Rebecca Bauer-Kahan.

    About the Speaker

    Jacob Parker is a rising Sophomore at Stanford University currently working in the Office of Assemblymember Rebecca Bauer-Kahan. His primary research fields are media psychology, with a focus on social media and teens, and consumer privacy and protection, focusing on scams and preventative methods. Jacob has also worked on projects to raise awareness around the importance of voting, and he hopes to do further research on political polarization, social identity in politics, and law.

    Time

    September 18, 2024 from 3:30 PM to 4:30 PM

    Location

    Zoom Meeting ID: 828 2039 4338

    Need More Information?

    Contact Gigi Crowder at 510-990-2670

  • [9/10] is 988 Day of Action

    [9/10] is 988 Day of Action

    As we continue into September, we at NAMI Contra Costa continue to raise mental health awareness and suicide prevention. On Tuesday, September 10, NAMI is calling grassroots advocates to support the Local 988 Response Act, a major priority bill to improve the routing of people calling the 988 Lifeline for help during a crisis.

    Additionally, the White House planned a 988 Day of Action to follow 988 Day on Tuesday, September 10, which is World Suicide Prevention Day.

    What is the 988 Suicide & Crisis Lifeline?

    The 988 Suicide & Crisis Lifeline provides immediate, 24/7 access to trained crisis counselors who are equipped to offer support and guidance during moments of distress. Whether you or someone you know is struggling with a mental health crisis or needs help navigating substance use challenges, 988 is a resource available to everyone, everywhere, at any time. For more information on how 988 can assist you or someone you care about, visit the 988 Lifeline website.

    Why 988 Day of Action Matters

    988 is already making a significant impact in our communities and saving lives, but we still need to do more to ensure everyone can access the help they need during a crisis. Congress is currently considering new legislation aimed at enhancing the effectiveness of crisis response by routing calls to the nearest crisis call center based on the caller’s approximate location, rather than just their phone’s area code.

    How to Take Action

    The Local 988 Response Act (H.R. 4974 / S. 3444) seeks to improve both access to and precision of 988 services by:

    • Routing calls based on the general proximity of the caller to the call center, rather than relying solely on the area code. The bill ensures that specific address details of the caller are not automatically disclosed or visible to the call center.
    • Mandating that carriers must enable calls and texts to 988 even if the plan is inactive or if the carrier is experiencing service disruptions.
    • Extending Kari’s Law to 988, which will require multi-line systems, such as those in hotels and offices, to support direct dialing of 988 without needing to dial an additional number first.

    Encourage your members of Congress to support and prioritize this crucial legislation this year!

    Mark Your Calendar for This Event

    NAMI CC’s 4th Annual Suicide Prevention Awareness Month Event

    As part of our ongoing commitment to mental health advocacy and education, NAMI Contra Costa will host our fourth annual “Suicide Prevention Awareness Event” on September 21. This event will further our mission to educate the community about recognizing the signs of suicide and how to seek help. For more details, visit our event page: 4th Annual Suicide Prevention Awareness Month Event: Know the Signs.

    Get Involved

    Today, we encourage you to participate in 988 Day of Action by not only spreading the word about the 988 Lifeline but also calling on Congress to Improve Local 988 Response through passing the Local 988 Response Act (H.R. 4974 / S. 3444).

    Thank you for your continued support in making mental health a priority and working towards a future where everyone has access to the help they need.

    988 Fact Sheets

    988 Fact Sheets are available here in English and Spanish for your convenience.

  • How to Find A Therapist

    How to Find A Therapist

    Written by Sheila Alarcon, a NAMI CC 2024 Summer Intern

    Looking for a therapist might sound as easy as typing “therapy near me” in the search engine, but how do you really find a therapist for you or a loved one? There are a lot of factors that go into finding therapy, such as economic worries, the type of therapy you are searching for, and even understanding credentials. Additionally, there are resources and benefits that many folks are not aware of. Here, a little bit of everything will be explained to aid your search. 

    Table of Contents

    What is SSI and SSDI? 

    Programs under the Social Security Administration such as Supplemental Security Income (SSI) and Social Security Disability (SSDI), are programs beneficial to people from a low income background who can no longer support themselves through work due to a long-lasting medical condition. Applying to these programs can ease the financial stress that paying for medical bills can cause. To understand the difference between these two separate programs, let’s take a look at them individually. SSI is strictly need-based, which means that it is available to low-income folks who haven’t earned enough “work credits” to qualify for SSDI. To qualify, they must be older than 65 years of age, have been blind from any age, have a disability, or have limited income and resources. Those qualified for SSI are also most likely to be qualified for Medicaid and food stamps. SSDI, which is funded through payroll taxes, is available to those from ages 18 to 65 who have earned sufficient work credits and have a disability, as defined by Social Security. After 24 months of receiving SSDI, the receiver will be eligible for Medicare. The receiver’s spouse and dependents will be eligible to receive auxiliary benefits, known as partial dependent benefits. For more information and how to apply, the Social Security Administration website, ssa.org, is a good place to look. 

    Medicaid is a health care program for folks with limited income and resources, which pays for various medical services. In California, Medi-Cal, is the corresponding medicaid program. On the other hand, Medicare is an insurance program that is federally funded and is available for those who are 65 years of age or older. One thing to keep in mind is that Medicare does not cover 100% of all medical costs, but there are supplemental Medicare-related insurance products for purchase that could help reduce the cost. 

    Finding therapy with no insurance can be hard, as out of pocket pay can be very expensive, creating a barrier to access to health care. If you don’t have any insurance, you can apply for medicaid. To apply for medicaid, or if you’re in California, Medi-Cal, there are three options: applying by mail, in person, or online. There are certain therapy resources that take medicaid, easing this financial stress. Services offered that are covered by Medi-Cal include inpatient and outpatient mental health services, outpatient specialty mental health services, outpatient substance use disorder services, voluntary inpatient detoxification, and residential treatment services. In the county of Contra Costa, if you have Medi-Cal or Medicare, you can access behavioral health services through the East County Adult Mental Health Services, Central County Adult Mental Health Services, and the West County Adult Mental Health Services, depending on what area is more convenient for you. These three clinics provide psychiatric emergency services, mental health care, various forms of counseling, evaluations, medications, and even case management. This program provides these services at a low cost, and is available not only for adults with a mental illness, but also the caregivers. 

    Picture of NAMI staff signing up for Medi-Cal. 

    Understanding The Types of Therapy Offered 

    Upon hearing the word “therapy,” the first thing that most people think about is a person sitting across a dull office space with a pen and notepad in hand, ready to hear you talk. But actually, therapy is much more than that. It is a medical treatment tailored to your own needs, with the guidance of a professional. Before understanding the different types of therapy offered, it is vital to understand the different types of professionals who can help and their credentials. When searching for therapy, there are several titles for professionals who can help: a psychologist, a therapist, a counselor, and a psychiatrist. A psychologist has a doctoral degree in psychology who diagnoses disorders, makes referrals, comes up with treatment plans, and identifies both behavioral and emotional problems of their patient. A therapist has a master’s or doctoral degree in counseling and/or therapy, delivers evidence based therapy techniques, and holds weekly sessions with their patients. A counselor, similar to a therapist, is usually short term in comparison to a therapist and instead offers targeted support. Lastly, a psychiatrist holds a Doctor of Medicine (MD) or a Doctor of Osteopathic Medicine (DO) title, has clinical training, can prescribe medication, and holds sessions with their patients only on an as needed basis. When searching for therapy, it can also be helpful to schedule an informational interview, in order to get a feel for what interacting with the professional is like. 

    There are various forms of therapy that are offered according to one’s needs and/or diagnosis. A commonly used form is cognitive-behavioral therapy (CBT), which is used by a therapist, in order to work on unhealthful thoughts that cause self-destructive behaviors, and instead focus on building constructive thinking skills. Within CBT, there is exposure therapy, which is used to treat obsessive compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and phobias, by determining what it is that triggers anxiety. Similarly, therapists may also use dialectical behavioral therapy (DBT), as a way to develop skills that bridge uncomfortable thoughts with change and acceptance. Other forms of therapy include eye movement desensitization and reprocessing therapy (EMDR), which can be a bit more difficult to find and on the expensive side but has strong evidence for treating trauma or other challenging conditions successfully. Interpersonal therapy, mentalization-based therapy, psychodynamic therapy, animal-assisted therapy, emotion-focused therapy (EFT), family therapy, group therapy, mindfulness-based therapy, creative arts therapy, and play therapy, are all additional forms of therapy available depending on the patient’s diagnosis or needs. 

    Benefits of Therapy

    Each separate type of therapy has its own set of benefits, which is why it is tailored to specific needs. One of the most common types of therapy, psychotherapy, also known as talk therapy, has many benefits that will be further discussed. These benefits include: gaining confidence to improve communication skills, successfully resolving any conflict, treatment of mental illness, gaining self awareness to improve overall health, improving relationships with friends and family, gaining a skill set for coping mechanisms and setting boundaries, finding a positive support system, building and maintaining strong relationships, transforming negative emotions into positive ones, and increasing productivity at work and in your personal life. Just like every body responds to a medication in a different way, these benefits may or may not be acquired by everyone, and the time frame in which results can be seen will vary. It is important to note that therapy takes time and patience. I would personally advise to stick to one professional for a few sessions before switching to a new one, as progress is hard to decipher after a single session. 

    Resources 

    There are online resources available, such as psychologytoday.com, which make searching for a therapist easier. To narrow down the search once in the webpage, you can pick between searching for a therapist, psychiatrist, treatment center, or support group, as well as the city in which you are seeking help. There are also many filters that will further help you narrow down the search, such as gender, medical degrees and credentials and specialties of the professional, as well as in-person versus online treatment, your insurance type, type of therapy that you are looking for, your age, ethnicity, sexuality, language, faith, and even price range for individuals or for couples. 


    Screenshot of Medi-Cal Therapists in Contra Costa County, CA search on pyschologytoday.com. 

    My Therapy Search Experience  

    In my experience, I didn’t realize that I needed therapy until I began to talk about it with a friend who had been through the process themselves. Knowing where to start was difficult, as it was all new to me, but fortunately I was able to find assistance through my university’s Counseling and Psychological Services (CAPS). I was given the option of in-person therapy or virtual therapy; and I opted for the latter. I was terrified of the thought of having to sit in front of a stranger, which made online therapy very appealing to me. Navigating the website was like browsing for a potential date. Each therapist available had a small autobiography that I was able to read and determine if their values and approaches aligned with what I believed would be the best fit for me at that time. The process of selecting a therapist was not as intimidating as I thought it would be. I was given the choice of picking someone who I believed would be a good match, without the fear that I would have to be stuck with them if I didn’t like them, because the possibility of switching therapists later on was there. As I navigated through each session, I gained tools that I could use in my everyday life, and could even teach others. After working with my therapist for a while, I noticed that I wasn’t as anxious about my diagnosis as I was before I started. My mood began to elevate and I was doing better in social outings. This also  aided the succeeding conversations that I was having regarding mental health with myself, my peers, and loved ones. 

    Conclusion

    In sum, therapy is a tool that is used by a variety of professionals within the behavioral health field. It is a means for one’s mental well being-no diagnosis required. Just as various mental illnesses exist, there are also various types of therapy that help with those diagnoses, such as the most common ones like psychotherapy, CBT, and DBT. Everyone’s path to finding suitable therapy is different as there are many factors that play a key role in searching. If qualified, there are programs such as SSI and SSDI that can help with getting medical insurance like Medicare or Medi-Cal, in California. There are also online resources, like pyschologytoday.com, that can help with searching for a therapist from the comfort of your own home. As mentioned previously, the results gained from the use of therapy will vary from person to person and will not always be the same; however with dedication and patience, you may experience throughout your journey to a flourishing new lifestyle. 

    References

    Should you see a therapist, a psychologist, or a psychiatrist?. Keeping Tempo. (n.d.). https://blog.findoctave.com/should-you-see-a-therapist-a-psychologist-or-a-psychiatrist?utm_source=google&utm_medium=cpc&utm_campaign=CAPMax&utm_content=PMAXCA&utm_term=&d=c&gad_source=1&gbraid=0AAAAAC9IUD3UfneCzh9ejzpjlNBoaW6W3&gclid=CjwKCAjwqf20BhBwEiwAt7dtdRVzNpaNuNxJ78R-oKo2ccE9FFKZlvpERgJF_8YQV1X2jXd0Rq9AQBoCMMEQAvD_BwE 

    Medicare and Medi-Cal. CA.gov. (n.d.). https://seniors.insurance.ca.gov/hc/Medicare-and-MediCal.cfm#:~:text=Medi%2DCal%20is%20California’s%20Medicaid,eligible%20participants%2065%20or%20over. 

    Muraskin, A. (2023, July 2). A step-by-step guide to finding a therapist. NPR. https://www.npr.org/sections/health-shots/2023/07/02/1185661348/start-therapy-find-therapist-how-to 

    Rosenblatt, K. (2021, October 18). 12 rewarding benefits of therapy. Talkspace. https://www.talkspace.com/blog/benefits-of-therapy/ 

    Smith Haghighi, A. (2020, June 30). Types of therapy: For anxiety, depression, trauma, PTSD and more. Medical News Today. https://www.medicalnewstoday.com/articles/types-of-therapy 

    SSI vs. SSDI: The Differences, Benefits, and How to Apply. The National Council on Aging. (2023, December 11). https://www.ncoa.org/article/ssi-vs-ssdi-what-are-these-benefits-how-they-differ 

    WebMD. (2023, July 8). What is a psychologist? what they do, when to see one, and what to expect. WebMD. https://www.webmd.com/a-to-z-guides/what-is-psychologist

  • How to Find a Psychologist or Psychiatrist

    How to Find a Psychologist or Psychiatrist

    A Comprehensive Guide

    Written by Hermela Araya, a NAMI CC 2024 Summer Intern

    Table of Contents

    Finding a mental health provider that is best suited for you can often be a challenging process. If you’re unsure where to start, you are not alone. The first thing we recommend you do before getting started is to distinguish what kind of provider you’ll need. The two most common providers you can seek are Psychologists and Psychiatrists. Psychologists (and therapists) may often use therapeutic approaches like mindfulness practice, talk therapy and behavioral modification. Psychiatrists, unlike psychologists and other therapists, are medical doctors. They have the ability to prescribe medication and often focus on the biological aspects of mental health conditions. 

    Both health providers are excellent and are well trained in mental health treatment with extensive residency experience in their respective fields.They utilize a variety of evidence-driven therapy modalities, including EMDR and Somatic Therapy. There are a variety of sub specialties, ensuring there is something effective for just about everyone. Some providers even engage in bilingual or other language therapies to better connect with clients. This complements their use of mindfulness practice and behavioral modification techniques, creating a holistic and adaptable approach to mental health care.

    Psychologist

    Psychologists typically hold a doctoral degree in psychology (Ph.D. or Psy.D.) and are trained in therapy, assessment, and research. ​​They often use talk therapy (psychotherapy) to help patients manage their mental health conditions and, while they cannot prescribe medication, they are educated in its use and can make recommendations to the psychiatrist. They may work together when necessary. You may consult a psychologist if you have concerns or would like help with any of the following.

    • You experienced traumas
    • Anxiety
    • Depression
    • Grief
    • Major life events
    • Managing Stress
    • Sadness
    • Controlling your emotions
    • Hopelessness
    • Sleep disorders

    This is not a complete list, but a few common reasons to consult a psychologist.

    Psychiatrist

    Psychiatrists are medical doctors (M.D. or D.O.) who specialize in mental health. They are the only mental health providers that can prescribe medication and often focus on the biological aspects of mental health conditions. According to an article published by the Cleveland Clinic, psychiatrists are trained to treat the following conditions:

    Psychiatrists may also provide therapy, but are more likely to refer patients to a psychologist or other therapist (LMFT or LCSW) for counseling depending on the needs of the patient.

    How do I find a Psychiatrist?

    If you have decided to see a psychiatrist, your next step will involve research to find one that meets your specific mental health needs. This can look different to everyone so please explore your options to find the right one for you! I have curated a short step-by-step guide to help you find your next provider below.

    Step 1: Determine if you will be using Insurance

    If you have insurance, you may call your insurance provider and inquire about psychiatrists who are in their network. They should be able to give you a list of names and numbers to call, making it easier for you to find a psychiatrist in your area. 

    You might say something Like:

    “Hi my name is [Your Name], I am insured by [Add Your Insurance Here] and I’m interested in finding a psychiatrist. Would you be able to provide me with a few providers in your network that have availability.”

    If you live in Contra Costa County and have Medi-Cal insurance, you can contact the Contra Costa Health Plan, which maintains a separate directory of in-network mental health providers.

    If you do not have insurance there are plenty of other resources (below) that can help you find a psychiatrist.

    Step 2: Obtain a Referral

    You can receive a referral in more than a few ways. Here are a couple to get you started!

    Doctor’s office: Contact your primary care physician or medical plan provider and ask to receive a list of Mental health resources that are available to you. (Tip: You may also confirm if they are in-network and accept your insurance).

    Local Health Centers: You may try reaching out to local health centers as they often work with the clinics in your area. They may also know of affordable providers that may have a sliding scale fee option. This may be helpful if you do not have insurance.

    Online/Mobile Directories:
    • Psychology Today:  
    • American Psychiatry Association: 
    Step 3: Make the call(s) and Schedule

    This step is usually the hardest part and requires a lot of patience and persistence. If you’re lucky, you may secure an appointment within your first few calls. However, if you do not, don’t be discouraged and keep trying! Finding the right fit can often take time, but it’s worth the effort.

    What if You Can’t Find a Psychologist or Psychiatrist?

    If you are unable to find a psychologist or psychiatrist there are a few providers who are able to help.There mental health providers can provide counseling, but can not prescribe medication.

    People carrying arrows in the opposite directions.
    Designed by Freepik

    Alternative Mental Health Providers

    Licensed Marriage and Family Therapist (LMFT): Counselor with a master’s degree, with special education and training in marital and family therapy. Trained to diagnose and provide individual and group counseling. 

    Licensed Clinical Social Worker (LCSW): A counselor with a master’s degree in social work from an accredited graduate program. Trained to make diagnoses, provide individual and group counseling, and provide case management and advocacy; usually found in the hospital setting.

    Licensed Professional Clinical Counselor (LPCC): In California an LPCC is a mental health professional who provides counseling and therapy services to individuals, couples, families, and groups. They help clients address a wide range of emotional, psychological, and behavioral issues.

    The above mental health providers are not psychologists or psychiatrists, but they are excellent licensed mental health professionals. They have undergone rigorous training, thousands of clinical hours, and are experts in their respective fields. They have been trained to diagnose and treat a wide range of mental health issues. When looking for a mental health provider I recommend seeking a licensed professional because they are legally required to maintain a professional standard of care. They are also able to help treat specialized conditions and traumas from a clinical perspective.  

    Conclusion

    Whether you are seeking a Psychologist or Psychiatrist for yourself or a loved one, we at NAMI Contra Costa would like to remind you that you are not alone in this journey. We offer our support at every step in your mental health journey and encourage you to take advantage of our various support groups. Your mental health is really important. Navigating mental health can often feel overwhelming, but our community is here to provide a safe space where you can express your lived experience and connect with others who understand your challenges. Remember, you don’t have to face this alone—there’s a whole community ready to support you!

    References

    Listed throughout the article.

  • Let’s Take Care of Our Wellness

    Let’s Take Care of Our Wellness

    Written by Kaycee Briones, NAMI TAY 2024 volunteer with a deep passion for serving the community and advocating for mental health and well-being.

    August is wellness month and before the month ends, I want to talk about what wellness is and examples of what you can do to take care of your mind, body, and soul.

    Always be in pursuit of wellness. Even the smallest things can make a difference. Your own personal wellness is finding out what works for you and your quality of life is defined by you and only you.

    Table of Contents

    Defining Wellness

    Wellness is dynamic and function altogether. There are six different types of wellness: emotional, intellectual, physical, spiritual, occupational, and social. We have to actively make choices that will lead to the outcome of positive wellbeing and that is based on our behaviors and lifestyle.

    Six Dimensions Of Wellness Diagram Instagram Post by NAMI Contra Costa

    Examples of What You Can Do!

    We’re ever-changing because we’re humans and it’s a part of life–to change. My wellness at fifteen especially when it came to emotional, spiritual, mental, and social wellness was greatly different compared to now being twenty-four years of age. I’m older and have experienced more in life.

    Everything has changed, but change is good because it has pushed me to improve myself and my wellness. I maintain my wellness by going out and being with nature. I love being outside and soaking up the sun. Connecting with the environment positively affects my mental and physical health. There are social running and walking clubs around the Peninsula and East Bay that impact physical, mental, and social wellness. As we get older, creating friendships and maintaining a good balance of our wellness can be hard. Joining a running and/or walking club is a great way to incorporate physical movement while socializing. You can attend solo (if you’d like) or go with a friend!

    Always Be Great Run Club

    Always Be Great (ABG) run club was recently created by a twenty-four year old educator named Jeremy. He founded the run club three months ago May 2024 because of his pursuit for community and a ‘third space’ that is inclusive to everyone–whether you are a beginner or a pro everyone and anyone is welcome with open arms.

    Jeremy’s running journey and the creation of ABG run club started when he hit one of the lowest point in his life. “I couldn’t sleep for two weeks straight. I only got two hours of sleep. I was also experiencing depressive symptoms and my self-image was low,” he said. So, Jeremy decided to make one of the greatest changes in his life. He turned to running something which he never thought he would love.

    At our weakest, we have room to grow. We can always get back up and be better. Trying uncomfortable things is scary. Change will always be daunting because of the unfamiliarity, but there is something beautiful with
    the unknown. You can eventually love it or dislike it, but recognizing you have tried is already a step in the direction of optimal wellness and positive self-talk.

    I can confidently say that running and the amount of confidence that I gained from it is on a level that i’ve never experienced before. No other medium in my life has given me this amount of confidence and self-esteem. For me, personally this is the one activity/hobby and push that I needed to make me understand my self value and my self worth.

    Jeremy, Always Be Great (ABG) Club

    Jeremy’s love for running created a beautiful third space that welcomes all to run, foster connections, and improve their wellness. ABG run club has also collaborated with other neighboring run clubs and will continue to collaborate with other local Bay Area small businesses because it is important in the club’s mission and for the founder himself to support and represent the community. More small business collaborations will occur in the following next months for Always Be Great run club. ABG’S tagline is, “A Third Space for All” and meets every Sunday at 1 PM throughout various locations in the Bay Area. Their running schedule can be viewed on their Instagram.

    East Bay Girls Who Walk Club

    For all the girls who are located in the East Bay who want to walk, there is a perfect club for you! The East Bay Girls Walk Club is a walking social club founded by Marlene in July 2023. She created the club when she moved to the East Bay a little over two years ago. She found that many women around her were experiencing loneliness and lack of community, so Marlene decided to create a safe space for women to come together, socialize, and create friendships while improving their physical and mental health.

    The walks are low-intensity, easily accessible, and mommy-friendly. The best part about the walking club is that there are several walks in a month throughout the East Bay and meet all over like in Richmond, Oakland, San Ramon, Walnut Creek, Pleasanton, Hayward, Fremont, and other East Bay cities. There are plenty of locations and times you can attend! The club has also collaborated with small businesses and has hosted social events apart from walking for their members to enjoy like painting and flower arrangements which I believe is fantastic to build connection and foster a strong community within the club, but also in the East Bay area.

    On benefits of mental and physical benefits by walking, Marlene shares:

    “The simple act of moving your body and even the simple task of getting out of your house can be so refreshing and grounding for our minds. Besides the obvious physical benefits, walking is mostly accessible and attainable for those that are not necessarily “in shape” to do more rigorous activities such as hiking. So, it allows them to still be active without fear or even possible injury.”

    Marlene, East Bay Girls Walk Club

    More information about the East Bay Girls Who Walk schedule can be viewed on their Instagram.

    Conclusion

    Social running and walking clubs are fantastic, but if you also prefer to run or walk solo without a social club that is also great. Anything to get your body moving can impact wellness.

    Another example of improving wellness that I find to be very helpful is journaling. We can write down thoughts whether it’s positive or negative and it helps us identify patterns, can make us self-reflect, and decrease anxiety. I have been journaling since I was ten years old. I’m twenty four now and it is bittersweet to look back on my thoughts when I was just ten years old and see myself mature throughout the years and reminisce on the memories. I don’t know a world without journaling down my life and all my thoughts and feelings. It really does help so much.

    Last, but not least I find to also be very helpful is to get creative! Read! Put your phone away and pick up a book that you like, unwind, get cosy and read. I love reading and I find it reduces a lot of stress, improves my brain function because it can help with my concentration skills and my creativity whilst improving my literacy. You know what they say: We live a thousand lives by reading.It’s important to nurture the creative part in ourselves. We’re surrounded by art, so it’s also important to never let the creativity in all of us to dim. Take care of your mind, body, and soul. Always.