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

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

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

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

Athletes and Mental Health: Finding Therapists Who Understand Athletic Identity and Body Image

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Tasha was a Division I middle-distance runner at the University of Oregon, the kind of athlete whose senior season was supposed to end at the NCAA championships in Eugene. Instead, in March of her final year, an MRI showed a stress fracture in her sacrum that wouldn’t heal in time. The team doctor told her … Read more

Singing and Choir for Mental Health: Group Voice and the Vagal Effect

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Devon, a 52-year-old electrician in Cleveland, hadn’t sung anywhere except his shower since high school. After his divorce, his sister dragged him to a community choir rehearsal at a Methodist church basement on a Tuesday night, and he expected to leave at the break. He stayed three hours. The director, a former music teacher named … Read more

Psychiatric Emergency Departments: Hospital-Based Crisis Care vs Standalone EDs

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It was 11 p.m. on a Tuesday in Manhattan when Daniel’s wife called 911. He had been awake for three nights, convinced the upstairs neighbors had installed a listening device, and he had just emptied a kitchen drawer trying to find proof. The paramedics took him to Bellevue Hospital. Daniel’s wife, Iris, expected the kind … Read more

Travel and Mental Health: Therapeutic Travel, Solo Trips, and the Reset Effect

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Adina was forty-one, recently divorced, and a senior accountant at a Minneapolis firm when she booked the trip her therapist did not exactly endorse. Twelve days alone in northern Portugal, no itinerary past the first three nights, a small backpack, and a cheap phone with international data turned off most of the day. She cried … Read more

Hard of Hearing and Deaf Mental Health Providers: Finding ASL-Fluent and Tactile Therapists

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Marisol, a thirty-four-year-old graphic designer in Austin, Texas, had tried four hearing therapists before she gave up on talk therapy entirely. Each session followed the same script: a stranger interpreter would arrive, sit between Marisol and the clinician, and translate her ASL into spoken English. The clinician would respond in English. The interpreter would sign … Read more

Workplace Mental Health Crisis: When an Employee Threatens Suicide or Violence on the Job

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Diane had been an HR director at a mid-sized logistics company in Memphis for eleven years before the call that defined her career. It came at 9:14 a.m. on a Tuesday in March: a warehouse supervisor named Curtis had walked into the break room, set his phone on the counter, and told three coworkers, “I’m … Read more