July is BIPOC Mental Health Month!

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According to Mental Health America (MHA), BIPOC communities are significantly more likely to develop mental health conditions, and one of the major barriers to mental health treatment is access and the need for understanding mental health support.

Join us to celebrate Black, Indigenous, and People of Color (BIPOC) Mental Health Month! This year’s theme is #BeyondTheNumbers. which explores the nuances and uniqueness in BIPOC communities and celebrates their strengths and resilience.

BIPOC Mental Health Month is not only about raising awareness about the unique struggles that underrepresented groups face regarding mental health in the U.S, but is also about shining a light on their needs, stories, and experiences.

Together, let’s gain knowledge on historical context, systems of support, and actionable ways to move forward toward a mentally healthy future for us all.

Here are some resources to share with your friends, family and colleagues to support the BIPOC community, be a stronger ally, spread awareness about BIPOC mental health to reduce stigma, and encourage people to get the treatment they need.

For more resources visit:

Mental Health America | Homepage | Mental Health America (mhanational.org)

National BIPOC (Minority) Mental Health Month – Lifeworks Northwest (lifeworksnw.org)

BIPOC Mental Health Month | Postpartum Health Alliance

Aquí para ayudarlo a encontrar los servicios y tratamientos que usted o su familia están buscando.

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¡Hola, mi nombre es Aracely!

Comprender el sistema de atención médica puede ser difícil para la mayoría de nosotros. El sistema de atención de la salud conductual es aún más complicado. Soy una trabajadora de salud comunitaria / promotora que está aquí para ayudarlo a navegar por el sistema de atención de salud conductual para que usted y sus seres queridos puedan obtener la atención que necesita.

Primero, ¿qué es la salud conductual? La salud conductual abarca tanto los trastornos de salud mental como los trastornos por uso de sustancias (también llamados adicción). El tratamiento está disponible, pero encontrarlo y comprender los beneficios del seguro puede ser difícil.

Mi trabajo es trabajar con personas para ayudarlas a encontrar el tratamiento que necesitan. Además, estoy trabajando para crear conciencia y apoyo a la comunidad hispana / latina. Personalmente conozco las luchas y barreras que las personas de habla hispana pueden enfrentar cuando buscan atención, y quiero ayudar a romper esas barreras.

Esto es lo que puedo hacer para ayudarte:

  • Asistirte en inglés y español.
  • Conectarlo con proveedores de servicios.
  • Ayudarle a encontrar necesidades básicas como alimentos y ropa.
  • Ayudarle a aprender acerca de las opciones de tratamiento.
  • Ayudarle a encontrar un proveedor de atención de salud conductual.
  • Ayudarle a encontrar ayuda para inscribirse en el seguro o Medicaid.
  • Ayudarle a entender los beneficios de su seguro.
  • Ayudarle a obtener naloxona, el medicamento para revertir la sobredosis de opioides, y mostrarle cómo usarlo.

Estoy disponible de lunes a viernes, de 8 a.m. a 4:30 p.m. Me pueden contactar en:

  • Correo electrónico: aracelyp@co.skagit.wa.us
  • Teléfono de la oficina: 360-416-1544
  • Teléfono celular: 360-391-7201 (acepta texto)

Here to help you find the services and treatments you or your family are looking for.

Hi, my name is Aracely!

Understanding the healthcare system can be tough for most of us. And unfortunately, the behavioral healthcare system can sometime be even more complicated. I’m a Community Health Worker/Promotora who is here to assist you in navigating the behavioral healthcare system so you and your loved ones can get the care you need.

First, what is behavioral health? Behavioral health encompasses both mental health disorders and substance use disorders (also called addiction). Treatment is available but finding it and understanding insurance benefits can be difficult.

My job is to work with individuals to help them find the treatment they need. Additionally, I am working to bring awareness and support to the Hispanic/Latino community. I personally know the struggles and barriers that Spanish-speaking individuals can face when seeking care, and I want to help break down those barriers.

Here is what I can do to help you:

  • Assist you in English and Spanish.
  • Connect you with service providers.
  • Help you find basic needs like food and clothing.
  • Help you learn about treatment options.
  • Help you find a behavioral health care provider.
  • Help you find assistance signing up for insurance or Medicaid.
  • Help you understand your insurance benefits.
  • Help you get naloxone, the opioid overdose reversal drug, and show you how to use it.

I am available Monday-Friday, 8 am-4:30 pm. I can be reached at:

Feeling tired? You may need more than just sleep!

Reading Time: 4 minutes

This week, many of us are getting back to the daily grind after having several days—or even weeks—of time off for the holidays. Kids are back to school, adults are back to work, and life as usual takes over as we enter the new year.

So, for those who have had the luxury of some time off these past weeks, you may be wondering something that I definitely am today: Why don’t I feel more rested?

As I was dropping my kids off at daycare this morning, I sat in my car in the parking lot and wondered just that. Even though I slept well last night, and we got out of the house on time today, why am I feeling completely and utterly exhausted? Why, after a long weekend of doing absolutely nothing, do I feel like I can barely pull myself together?

Then, I found this article online. Could there have been any better timing!?

My exhaustion—which I’m guessing many others are feeling today as well—can be attributed to so much more than my sleep schedule. According to the article, there are 7 types of rest that people need in order to feel refreshed. Read below to see where you sit in regards to getting the rest you need.

1. Physical Rest

Under this first category, there are two types: passive and active. Passive rest is what you’d image—ensuring a good sleep routine and maybe throwing in a nap here and there. Having a healthy sleep routine typically means that you go to bed around the same time each night and get up at around the same time each morning. According to the CDC, adults (age 18-60) need 7 or more hours of sleep per night.

Active rest includes restorative activities like yoga, stretching, or massage. These activities strengthen and sooth the body, improving our circulation and promoting better health.

2. Mental Rest

This one is probably a big issue for most of us. There is just so much to process in today’s world! Between day-to-day needs, work, school, appointments, and meetings…it is amazing that any of us can turn off our brains at night to go to bed.

The article states that people can find mental rest by taking short breaks throughout the day. Maybe a break would be eating your lunch away from your desk, or taking a walk around the block? It doesn’t necessarily need to be an extravagant vacation—although that would be nice! Disengaging a few times a day for short burst can help us recenter and recharge.

3. Sensory Rest

Between smartphones, computers, email reminders, TVs, digital billboards, and the constant whirr of electronics in our homes and at work, it is no wonder that people may be experiencing sensory overload! Try countering these by tuning out for a bit each day. This might look like unplugging from electronics an hour before bedtime or turning off smartphone notifications. It could also be putting on some noise cancelling headphones and working on some deep breathing for 15-30 minutes. Whatever you need to do to turn off the noise for a little while each day.

4. Creative Rest

The article states that creative rest reawakens the awe and wonder inside each of us. This reawakening can help with things like brainstorming and problem solving, allowing folks to pull from the creative side of their brain.

Creative rest can be earned by spending time in nature or turning to the arts for inspiration. Dance, music, crafting, and drawing can help to achieve creative rest. Perhaps even reading for fun can unlock some wonder for those who do not consider themselves “artsy.”

5. Emotional Rest

Emotional rest is gained when you give yourself the opportunity to be real, to express your true feelings, and to take a break from people pleasing. If you’re the type of person who says “yes” even when you want to say “no,” it may be time for you to take an emotional vacation!

As I’m writing this, I’m realizing that it is no wonder that I am feeling exhausted coming into 2022! If you’re feeling emotionally drained or overwhelmed right now, you’re not alone. As if the day-to-day weren’t enough sometimes, the pandemic has caused many to feel chronically burnt-out.

If you do not have someone to talk to about your feelings, it is important to find an outlet. If you are feeling stressed, angry, sad, numb, afraid, or just worn out, don’t try to manage these feelings alone. If you’re experiencing stress from COVID-19, call or text at 1-833-681-0211. 

Know that there are other options available to help you cope. You can call the Lifeline at any time to speak to someone and get support. For confidential support available 24/7 for everyone in the United States, call 1-800-273-8255.

6. Social Rest

We all have (or have had) those relationships that cause more harm than good. To experience more social rest, surround yourself with positive and supportive people. And if you tend to be more introverted, make sure that you’re getting enough social downtime to recharge.

7. Spiritual Rest

We all know that it feels good to do for others—but did you know that it can also help you feel rested!? This last type of rest relies on our ability to connect beyond the physical and mental and feel a deep sense of belonging, love, acceptance, and purpose. This can be achieved in a variety of ways, including meditation, prayer, and even community involvement.

So, how did you do? Are you getting the rest you need? If you’re feeling exhausted like me today, now may be a good time to think about areas of your life that could use a bit of improvement. Ask yourself: How can you get more well-rounded rest today?

Start with something small and work your way up. Start by taking a deep breath. You’ll feel better for it, I promise.

Citation: www.ideas.ted.com/the-7-types-of-rest-that-every-person-needs

Suicide Prevention: A Critical Conversation, This Year and Every Year

Reading Time: 5 minutes

This month during National Suicide Prevention Month, we are taking extra time to raise awareness about the importance of mental health and seeking help if and when needed. This year, as we see COVID-19 cases spiking and as many are feeling the affects of months of chronic stress, it is critical that we revisit some important mental health talking points.

If someone you know is struggling emotionally or having a hard time, you can be the difference in getting them the help they need. Below are some tips to consider from the National Suicide Prevention Lifeline when talking with friends and family about mental health, depression, anxiety, and suicidal ideation.

Do They Need Your Help?

Some warning signs may help you determine if a loved one is at risk for suicide, especially if the behavior is new, has increased, or seems related to a painful event, loss, or change.

  • Talking about wanting to die or to kill themselves
  • Looking for a way to kill themselves, like searching online or buying a gun
  • Talking about feeling hopeless or having no reason to live
  • Talking about feeling trapped or in unbearable pain
  • Talking about being a burden to others
  • Increasing the use of alcohol or drugs
  • Acting anxious or agitated; behaving recklessly
  • Sleeping too little or too much
  • Withdrawing or isolating themselves
  • Showing rage or talking about seeking revenge
  • Extreme mood swings

How Can You Help Them?

Note: It can be scary when a friend or loved one is thinking about suicide, and it can be difficult to know how a suicidal crisis feels and how to act. Call the Suicide Prevention Lifeline at 1-800-273-TALK (8255) at any time for help if someone in your life is struggling.

Contact a Lifeline Center

Never keep it a secret if a friend or family member tells you about a plan to hurt themselves. Call 1-800-273-TALK (8255) so that you can find out what resources are available to you or encourage your loved one to call.

A few other resources include:

  • Crisis line 24-hour hotline: 800-584-3578 (for Island, Skagit, Snohomish & Whatcom Counties)
  • Veteran Suicide Hotline: 800-273-8255 press 1, text 838255, or chat online
  • LGBTQ+ Suicide Hotline (Trevor Project): 866-488-7386 or Text START to 678-678  
  • National Domestic Violence Hotline: 800-799-7233

Use The Do’s and Don’ts

Talking with and finding help for someone that may be suicidal can be difficult. Here are some tips that may help:

  • Be direct. Talk openly and matter-of-factly about suicide.
  • Be willing to listen. Allow expressions of feelings. Accept the feelings.
  • Be non-judgmental. Don’t debate whether suicide is right or wrong, or whether feelings are good or bad. Don’t lecture on the value of life.
  • Get involved. Become available. Show interest and support.
  • Don’t dare him or her to do it.
  • Don’t act shocked. This will put distance between you.
  • Don’t be sworn to secrecy. Seek support.
  • Offer hope that alternatives are available but do not offer glib reassurance.
  • Take action. Remove means, like weapons or pills. Do never put yourself at risk or in harms way. If the situation is unsafe or you feel threatened, call 911.
  • Get help from people or agencies specializing in crisis intervention and suicide prevention. Go to https://namiskagit.org/ for local resources.

Use the 5 Action Steps

These evidence-based action steps from bethe1to.com provide a blueprint for reaching and helping someone in crisis.

  1. ASK – Yes, you can ask the question: “Are you thinking about suicide?” By asking it directly, you are communicating that you are open to speaking about suicide in a non-judgmental and supportive way. Asking in this direct, unbiased manner, can open the door for healthier, more effective dialogue about their emotional state and can allow everyone to see what next steps need to be taken.
  2. BE THERE – It may seem that “being there” for people is harder recently. But you can be present in different ways. If you can’t physically be with someone, speak with them on the phone when you can or try sending supportive text messages; whatever you can do to show support for the person at risk. An important aspect of this step is to make sure you follow through with the ways in which you say you’ll be able to support the person; do not commit to anything you are not willing or able to accomplish. If you are unable to be physically present with someone with thoughts of suicide, talk with them to develop some ideas for others who might be able to help as well (again, only others who are willing, able, and appropriate to be there). Listening is again very important during this step – find out what and who they believe will be the most effective sources of help.
  3. KEEP THEM SAFE – First of all, it’s good for everyone to be on the same page. After the “Ask” step, and you’ve determined suicide is indeed being talked about, it’s important to find out a few things to establish immediate safety. Have they already done anything to try to kill themselves before talking with you? Does the person experiencing thoughts of suicide know how they would kill themselves? Do they have a detailed plan? What’s the timing for their plan? What sort of access do they have to their planned method?
  4. HELP THEM CONNECT – Helping someone with thoughts of suicide connect with ongoing supports (like the Lifeline, 800-273-8255) can help them establish a safety net for those moments they find themselves in a crisis. Additional components of a safety net might be connecting them with supports and resources in their communities. Explore some of these possible supports with them – are they currently seeing a mental health professional? Have they in the past? Is this an option for them currently? Are there other mental health resources in the community that can effectively help?
  5. FOLLOW UP – After your initial contact with a person experiencing thoughts of suicide, and after you’ve connected them with the immediate support systems they need, make sure to follow-up with them to see how they’re doing. Leave a message, send a text, or give them a call. The follow-up step is a great time to check in with them to see if there is more you are capable of helping with or if there are things you’ve said you would do and haven’t yet had the chance to get done for the person.

Practice Active Listening

Hearing someone talk is different than actively listening to what that person is saying. Active listening requires concentration and understanding. Improving your listening skills is easy to do with practice and these helpful tips below:

Acknowledge the Speaker

This can be as simple as a head nod or an “Uh huh.” By acknowledging the speaker, you are letting them know that you are listening to what they have to say and reminding yourself to pay attention to what is being said to you.

Respond Verbally

Asking questions or making statements may help clarify what the speaker is saying. It reminds the speaker that you are listening attentively and that you are here to help them and are truly concerned. Be sure to let the speaker finish talking before asking any questions.

Summarize What You Hear

Reflecting on what the listener is saying is also a positive verbal active listening technique. By repeating, paraphrasing, or even summarizing what the speaker has said shows that you are putting in effort to better understand them. Use phrases like; “what I’m hearing is…”or, “sounds like you’re saying….” These tactics can also allow the speaker to hear what they are saying, which may help them find positive reinforcement.

Be Mindful of Body Language

Keeping eye contact, maintaining good posture, and staying focused are key components of active listening and interpersonal communication. Being distracted and unfocused gives the speaker the impression that you aren’t paying attention. When you actively listen to someone, you are letting them know that you care about what they are saying and can indicate that you are concerned for their health and safety.

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It is important to take care of yourself when you are supporting someone through a difficult time, as this may stir up difficult emotions. If it does, please reach out for support yourself. Know that anyone is encouraged to call the Suicide Prevention Lifeline to speak with a trained professional. They’re here for you.

This September let’s actively try to reach out to those in our lives. And if you are struggling yourself, consider reaching out for help. There is absolutely no shame in needing help, and you deserve to feel better.

Women’s Health Week

Reading Time: 4 minutes

Rosemary Alpert, contributing author

The month of May welcomes blossoming lilacs, budding apple trees and more sunshine. Along with the second Sunday of May, set aside in in recognition of the mothers, and women who have been like mothers, in our lives. The week that follows has been designated by the U.S. Department of Health and Human Services as, “National Women’s Health Week,” May 9-15, 2021. A time to acknowledge and celebrate the strength, resilience and health of women. Check in with ourselves and ask, “How are we doing?” especially these days. 

One of my oldest friends, who will be turning 100 years old this coming October, has lived by this simple wisdom, she reminds me, “Put your oxygen mask on first, otherwise, you’re not going to able to care for anyone else.” How true are these words. As women, we often put ourselves last while taking care of others. Whether that be the care of children, elderly parents, community, even our pets. Sometimes we forget the importance of our personal care. In no way is selfcare being selfish; rather, it is self-preservation.  

This past year, while enduring the pandemic, we have altered, adjusted and reinvented ways of engaging.  At times, this has been exhaustingly stressful, wearing on us in various ways. Maybe we haven’t kept up with our routine healthcare checkups, or the isolation from family, friends and community has taken its toll on our mental health. We have all been affected in one way or another.  

Let’s pause, acknowledge the challenges we have experienced, and reevaluate our present state of health. Are we finding a balance in our days? Are we getting outside and moving our bodies in the sunshine? Are we getting enough sleep? If we are feeling out of balance, it is never too late to regroup and start fresh. Selfcare is an ongoing daily practice.  

During this week (and every week!), let’s make our health a priority. The Office on Women’s Health has listed a few important points and suggestions for our ongoing selfcare and preservation during this critical time in our lives. 

Here are some important considerations for our wellbeing, taking care of our physical and mental health: 

  • Continue to protect yourself from COVID-19 by wearing a mask that covers your nose and mouth, watching your distance, washing your hands often, and getting a COVID-19 vaccination when available. 
  • Schedule your COVID-19 vaccination or any vaccinations you or your family might have missed during the pandemic. If you have questions about vaccines, talk with your healthcare provider. Making sure to get information from reliable sources. In addition to Skagit County Public Health, you can find locations to receive the COVID-19 vaccine at: https://vaccinefinder.org/search.  
  • Keep up with your preventive care, PAP smears, mammograms, stress tests, cholesterol and blood pressure screenings.  
  • Stay active! Spend time outside, especially in the sunshine (don’t forget the sunblock!) and be active for 30 minutes a day. This is great for our well-being. Move your body, incorporating exercise that builds and strengthens your muscles. Find what works for you based on your abilities, age and stage of life. Explore and have fun. 
  • Eat well-balanced meals and snacks. Heart-healthy eating involves choosing certain foods, such as fruits and vegetables, while limiting others, such as saturated and trans fats and added sugars. It’s important to ensure you are getting enough vitamins in your diet, like vitamin D. Good dietary sources of vitamin D include fortified foods such as milk, yogurt, orange juice, and cereals; oily fish such as salmon, rainbow trout, canned tuna, and sardines; and eggs. Calcium is an important nutrient for your bone health across the lifespan. 
  • Practice good sleep habits to improve your mental and physical health and boost your immune system. Follow a routine for going to sleep, and be consistent going to bed and getting up, even on weekends. Try to get at least seven hours sleep. 
  • If you are experiencing stress, anxiety or depression, please reach out to a health professional, especially if this is getting in the way of your daily activities. Pay attention to your mood changes. If you or anyone you know is experiencing changes in thinking, mood, behavior, and/or having thoughts of self-harm, reach out for help: SAMHSA’s National Helpline, 1-800-662-HELP (4357). SAMHSA’s (Substance Abuse and Mental Health Services Administration) National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. 
  • Monitor alcohol intake and avoid illicit drugs, including drugs that are not prescribed to you. 
  • Look out for your lungs: quit smoking or vaping. Smoking weakens your lungs and puts you at a much higher risk of having serious health complications, especially if you have COVID-19. 
  • Seek help if you or someone you know is experiencing domestic violence, the National Domestic Violence Hotline is a 24/7 confidential service that supports victims and survivors of domestic violence. The hotline can be reached by phone at: 1-800-799-7233(SAFE), by text by texting LOVEIS to 22522, or via online chat at https://www.thehotline.org, select “Chat Now.” Highly trained, experienced advocates offer support, crisis intervention information, educational services and referral services in more than 200 languages. The website provides information about domestic violence, online instructional materials, safety planning, and local resources. 

Now is the time to take care of ourselves, so we can be supportive and present for our families and friends, and so we can contribute to our community with healthy, loving kindness. Stepping outside to smell the lilacs, soak up the sunshine and celebrate each day for the gift it truly is.  

“Lilacs” 
©Rosemary DeLucco Alpert, 2021 

Moving Forward & What We’ve Learned

Reading Time: 3 minutes

Rosemary Alpert, contributing author

The global pandemic has altered our lives in extraordinary ways. We’ve learned to adjust, as best we can, finding ways to stay connected and keep going during unprecedented circumstances. As we begin to move forward, we welcome opportunities to receive the vaccination and reconnect. We have the potential to re-engage with deepening awareness and cooperation. Together, respectfully sharing our gifts as we progress forward.  

Last week, while welcoming close to 1,200 community members immediately after receiving their first vaccination, I thought about how far we’ve come and still have to go. Looking into the eyes of our community, seeing hope, relief and sincere gratitude. With each vaccination, we are making progress, slowly and steadily. This is a monumental task and takes strategic daily planning from Skagit County Public Health to move our community forward in a healthy, safe manner. 

During this time of transition, it is vitally important to remember that we still need to be vigilant: wear our masks, socially distance, wash our hands and continue to support one another with kindness and consideration. This is not the time to let our guard down, but to remember what we’ve learned. 

Let us take a moment and acknowledge how far we have come since last year. What are the lessons we learned? What are the unexpected gifts we experienced? What will we take with us as we move forward? 

I asked the team of amazing vaccinators these questions; here are some of the responses: 

  • “I’ve learned how important and preventative wearing masks are. We’ve had a drastic decrease in the flu this season because of this practice. We must continue to wear our masks, even after being fully vaccinated.” 
  • “Each time I administer a vaccine, I feel like I am injecting hope into each person.” 
  • “I’ve experienced people are more forgiving.” 
  • “This time has given me an opportunity to step up, show up and be fully present for the community.” 
  • “Fills me with hope.” 
  • “I’ve learned how to really look into someone’s eyes.” 
  • “Together, we can accomplish more than we ever thought possible.” 
  • “I’ve learned to slow down, be more patient and appreciate the moment.” 
  • “Grateful to be a part of the team of community all-stars! I will never forget this.” 
  • “Realized how important it is to take each day as a gift and opportunity to be kind.” 

As more community members become eligible to receive their vaccination, we must remember how important it is to be considerate and patient. We still have more miles to travel as we maneuver through this collective journey. Let’s not regress backwards.  

Remember to stay in touch with updated information from reliable sources. Check Skagit County’s website for vaccination availability and information related to COVID-19. For us to move forward, we need cooperation from our entire community, each of us doing our part. If you know of someone who is seeking their first vaccination and does not have a computer, Public Health has a hotline dedicated to scheduling first vaccinations. Call the COVID Vaccine Hotline at 360-416-1500, option 1 for English, 2 for Spanish.  

Each day, while overseeing the post-first dose “Observation Space” at the Skagit County Fairgrounds, I share important “public service announcements.” Most importantly, reminders from the Centers for Disease Control and Prevention. The CDC recommends the following to slow the spread of COVID-19: 

  • Wear a mask that covers your nose and mouth to help protect yourself and others. 
  • Stay six feet apart from others who don’t live with you. 
  • Get a COVID-19 vaccine when it is available to you. 
  • Avoid crowds and poorly ventilated indoor spaces. 
  • Wash your hands often with soap and water. Use hand sanitizer if soap and water aren’t available. 

Together, we will move forward, slowly and steadily.

Welcoming in a new norm, where we engage with healthy practices and consideration to support our entire community. Spring welcomes new growth and opportunities to embrace hope.   

“Apple Blossoms” 
©Rosemary DeLucco Alpert, 2017 

Needles? No Problem! Coping with your COVID-19 Vaccine

Reading Time: 3 minutes

People react to needles in all sorts of ways: some people are fascinated by them, other people have a mild dislike for them, and many people flat out cannot stand them. Whatever camp you fall into, you most likely already know how important vaccinations are.

And when it comes to the COVID-19 vaccine, its importance cannot be overstated. A COVID-19 vaccination will help keep you from getting COVID-19—protecting you from severe illness and even death—and may also protect the people around you, particularly people at increased risk for severe illness from COVID-19. The COVID-19 vaccine is one of the best tools that we have against ending the pandemic and gradually returning to some type of “normal.”

Still, this may not make lifting your sleeve any easier. Deciding to make an appointment—and actually following through—may seem like an insurmountable feat for someone with an intense fear of needles. After all, a fear of needles (known as trypanophobia) is said to impact about 25 percent of adults in the U.S., and can cause increased heart rate, fainting, and even full-blown panic attacks.

If you are one of those individuals who struggles with vaccinations, here are some tips to prepare yourself for the COVID-19 vaccine.

1. Talk to your doctor

Getting a shot can be anxiety inducing, even when it is something as common as an annual flu shot. With the COVID-19 vaccine, there is a lot of fearmongering and politicization that may be heightening your anxiety. For this reason, you may want to talk with your primary care doctor about the vaccine to dispel any rumors that you’ve heard.

Your doctor will be able to explain the differences between the available vaccine brands, can discuss possible short-term side effects, and can also address any medical concerns that may need to be addressed prior to vaccination.

If you really struggle with vaccinations, talk to your doctor about which local vaccine provider location will be best suited to your needs.

2. Book the appointment

Worrying about making an appointment will not make the process any easier, and it won’t do anything positive for your mental health. When you’ve talked with your doctor, gotten the information you need, and feel ready to take the step forward…do it! Then celebrate your bravery!

3. Familiarize yourself with the site

Sometimes when you feel anxious about a new experience, it can be helpful to familiarize yourself with the place or process. If you have questions about a specific vaccine provider location, visit their website and read about what you should expect when you arrive for your appointment.

If you are making an appointment with Skagit County Public Health at the Skagit County Fairgrounds, reading our blog post may help to calm your nerves: https://skagitcounty.blog/2021/01/21/covid-19-vaccine-clinic-step-by-step/.  You can also access our website by visiting www.skagitcounty.net/COVIDvaccine or call our Hotline at (360) 416-1500.

4. Take Your Time & Talk to our Nurses

When you arrive to your appointment, make sure to give yourself some time. Try to arrive a few minutes early so you aren’t rushing through traffic and be sure to eat a bit before you come.

If you have questions or concerns, be sure to talk with the nurse. Letting them know that you are nervous about receiving a vaccine is totally okay! Trust us, it wouldn’t be the first time they’ve heard this!

Your nurse will most likely offer some advice on how to deal with getting your shot and will provide you with some information that you will need post-vaccine (such as what to do for pain management if you have a sore arm). If you have questions, ask! We are here for you.

5. Use Your Coping Skills

If you know from experience that you will be feeling particularly anxious during your vaccine appointment, make sure to have some coping skills at your disposal. Here are some examples:

Deep Breathing

Slow, deep, and calming breaths can help you avoid panic. There are many different breathing techniques that you can call upon. It is important to find the ones that work for you.

Box Breathing is an exercise where you breathe in for four seconds, hold for four, breathe out for four, hold for another four and repeat. It can help to imagine your breath creating an imaginary box in the air.

Another technique is Pursed Lip Breathing. To practice it, you breathe in through your nose and breathe out at least twice as long through your mouth with pursed lips.

Focus Shifting & Distractions

Distracting yourself may not help you get over your fear of needles, but it can help you cope in the moment. Need some ways to shift your focus or distract yourself? Here are some tricks:

  • Talk to someone about something random—the weather, sports, a TV show. Whatever!
  • Count backwards from 50 or try to say the alphabet backwards.
  • Think about fun plans that you have or what you would like to do on the weekend.
  • Look around and find three things you hadn’t noticed before.

Positive Affirmations

As you are waiting to receive your shot, be thinking about some positive affirmations. Remember that you have gotten vaccinations before and have been fine. That you’ve overcome difficult things. That you are not in danger, though your body or brain may be causing you to think so. You are okay, you are brave. You are making a difference in your community!

For more helpful tips and resources: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/821-133-BehavioralHealthTipsGettingTheVaccine.pdf

Restorative Practices to Heal Brain Fog

Reading Time: 2 minutes

Rosemary Alpert, contributing author

We have weathered this year, experiencing a “new norm.” Every aspect of our lives touched by a global virus, sending us home, keeping us separated and challenging our mental, physical and emotional endurance. It takes energy to keep going under stressful circumstances. If you are feeling exhausted, you are not alone: Pandemic fatigue is real. 

Last week, I forgot what day it was (a few times), my normal patience was running low, and exhaustion was taking hold. Friday, while getting ready for work, on a morning show I heard the term, “brain fog.” This referred to what some people, whether they have had COVID-19 or not, are experiencing after a year living this unusual “new norm.” Hearing the term gave me an odd sense of relief and a name to the mental exhaustion I had been feeling.  

For the past twelve months, we have been running a metaphorical race, restructuring our lives and trying to do the best we can, under extreme circumstances. Our collective exhaustion is understandable. It’s important to remember, take time to pause, breathe deeply and gift ourselves moments of rest. 

While experiencing the fatigue of the pandemic and foggy brains, it is important to be gentle with ourselves and those around us. Remembering the importance of selfcare, setting aside moments for ourselves is not being selfish, rather it is restorative. Not only for us, but for our families, too. The pandemic has taken an exhausting toll on our community from the young to our elders. Supporting one another with loving-kindness can make a huge difference in our collective movement forward.  

Over the weekend, I took time to rest and recharge. Thoughts traveled back to last spring. Remembering the unusual stillness, some days hardly a car drove past my window. It was so quiet. I could feel the earth reawakening, catching its breath without the busyness of all our coming and goings. Now as before the pandemic, I am continually grateful for time tending the garden, watching the hummingbirds zip among the blossoms and listening intently with all my senses to the unfolding of each season. Restorative time spent outside. 

These days, it is vitally important to create ways to recharge our inner beings. Refuel our endurance so we can show up with clarity and presence for our families, friends and community. 

Talking with some coworkers at the Skagit County Public Health vaccination site, each expressed experiencing some form of pandemic fatigue or brain fog over these past many months. I asked, “What is your favorite restorative practice?” 

Here are their responses:

“I head to the mountains.” 

“Every week I buy myself fresh flowers. Along with photography, it’s relaxing and creative.” 

“Play with my dog.” 

“I make sure I practice yoga every day.” 

“Call a friend, meet up for a glass of wine and walk outside.” 

“Crafting, that’s my jam!” 

“Put my phone away and unplug.” 

“Take a nap.” 

“Meditate.” 

“Listen to music.” 

“Sit quietly and watch the clouds.” 

“Gardening, tending the plants and soil, recharges me.” 

“Take a ride to the beach, spend time by the water, listen to the waves.” 

Whatever works, I hope these restorative practices can inspire you to creatively move through moments of fatigue and fogginess. Continue nurturing endurance for the days and months ahead as we move forward with deepening kindness, compassion and joy. 

Welcome Spring! 

“Daffodils” 
©Rosemary DeLucco Alpert, 2021

Overdose Prevention & You

Reading Time: 3 minutes

Bob Lutz, Washington State medical advisor for COVID-19 response, states that “Washingtonians with substance use disorders may have found themselves using more frequently [during the COVID-19 pandemic], and unfortunately, the data suggests they are also overdosing more often.” Alarmingly, Skagit County has also observed an increase in opioid-related overdoses. Keep reading for preliminary, 2020 State- and County-level overdose data.

But first, a quick terminology refresher!

Overdose happens when a toxic amount of a drug, or combination of drugs, overwhelms the body. People can overdose on lots of things including alcohol, Tylenol, opioids or a mixture of drugs. When an opioid overdose occurs, the overdosing individual may experience slow or no breath, choking or snore-like sounds, pinpoint pupils, blue/ashy skin, nails and lips, unconsciousness and/or death. Fortunately, there are harm reduction practices and prevention interventions that can significantly reduce one’s chances of overdose and death. Visit SkagitRising to learn more.

Fentanyl is a synthetic or “man-made” opioid that is 80-100 times stronger than other opioids like morphine and heroin. There are pharmaceutical forms of fentanyl that are used for anesthesia and pain. However, most recent cases of fentanyl-related overdose and death have been linked to illegally made fentanyl. Any illicit drug in any form – powder, pill, etc. – could have fentanyl in it. You can’t necessarily tell if fentanyl is present based on taste, smell, or look of the drug. According to the DOH, we should assume that any drug not from a pharmacy could have fentanyl in it.

POTENTIAL TRIGGER WARNING:

In Washington, fentanyl has been found in counterfeit pills made to look like prescription opioids (often with an imprint of “M30” or “A215”), as well as in powders and black tar heroin.

Opioid Overdose Data

Last month, the Washington State Department of Health published a News Release, which includes preliminary overdose data for the first six months of 2020.

Here is a Brief Snapshot:

  • Overdose deaths in Washington State increased by 38% in the first half of 2020, compared to the first half of 2019. Most of this increase came from deaths involving fentanyl.
  • Fentanyl-involved deaths more than doubled from 137 to 309.
  • Most deaths involved multiple substances, sometimes called polysubstance use.

Skagit County also observed an increase in opioid-related deaths when compared to 2019. While Public Health and many other community partners have been working diligently to reduce the impacts of opioid misuse and overdose in our communities (see list of collaborative efforts here: https://skagitrising.org/what-is-being-done/), we need your help!

How YOU Can Help

We all play an important role in reducing opioid overdoses and saving lives in our communities.

  • The COVID19 pandemic has affected us all. Stress and social isolation may increase risk of substance misuse and overdose. Offer support to friends and family – send a text, call, video chat, get together in one-on-one or in a small group outside.
  • Know the signs of an opioid overdose and how to help.
  • Naloxone (also called Narcan®) is a safe medication that reverses the effects of an opioid overdose. If you use opioids or know someone who does, make sure to carry naloxone. You could save a life! Under the statewide standing order, anyone can get naloxone at a pharmacy without a prescription.
  • If you think someone is overdosing don’t hesitate to call 911. The Good Samaritan Law (RCW 69.50.315) protects you and the person overdosing from prosecution of drug consumption and drug possession.
  • Help those struggling with opioid use disorder find the right care and treatment. Buprenorphine and methadone, two medications used to treat opioid use disorder (MOUD), can cut the risk of a fatal opioid overdose in half, and support long-term recovery. Find local MOUD treatment programs by visiting https://skagitrising.org/  
  • If you use drugs, please practice harm reduction techniques. If you must use alone, call 800-484-3731 (Never Use Alone Hotline).

Additional Info

Feeling overwhelmed and/or don’t know where to start? You are not alone. Visit the WA Recovery Helpline (or call 1-866-789-1511) where they provide emotional support and connect callers with local treatment resources and community services. You can also learn about local resources by visiting https://skagitrising.org/resources/

If you have questions, want to learn more about behavioral health services in Skagit County, or would like to pick-up free naloxone or fentanyl test strips, contact McKinzie Gales, Community Health Education Specialist at mgales@co.skagit.wa.us or (360)416-1528.

Heartful Care

Reading Time: 2 minutes

Rosemary Alpert, Contributing Author 

“Beneath the skin, beyond the differing features and into the true heart of being, fundamentally,  
we are more alike, my friend, than we are unalike.” 

-Dr. Maya Angelou 

As communities across the globe face ongoing challenges of the pandemic and need for vaccinations, we know each of us is affected. Dr. Angelou’s quote, reflects, no matter what our differences, underneath, we all have hearts. Hearts that are vital and keep us moving forward during these unprecedented times. 

Both our physical and emotional hearts need care—especially now, as we are almost a year into this time of drastic change and adjustments. It is important to maintain good heart care, as best we can. Making sure to reach out to our family, friends or professionals, if we experience any physical or emotional concerns or challenges; remembering we are not alone.  

A few months before the pandemic, I participated in a spiritual activism class. One of the exercises was a meditation on our hearts. We were asked to sit quietly and place our hands on our hearts. Breathe in and out at our own pace, and focus in on giving thanks to our hearts. Until that moment, I hadn’t thought of thanking my heart for keeping me alive, blood pumping and all the emotions it holds. It was a moving experience and a good place to start for heartful care and appreciation.

Here are some heartful care suggestions: 

  • Hold our hearts and say, “Thank you!” 
  • Be gentle with ourselves. 
  • Remember to take a few focused intentional breaths. 
  • Get outside as much as we can. 
  • Connect with the earth. 
  • Move our bodies: dance, yoga, hiking, biking, whatever makes us feel good. 
  • Notice the beauty. 
  • Reach out, if feeling isolated. 
  • Check in on family, friends or neighbors. 
  • Continue with regular health check-ups. 
  • Eat some dark chocolate (professionals say it’s good for the heart!). 
  • Keep wearing our masks, good for everyone’s health! 
  • Look into someone’s eyes. 
  • Smile from our hearts. 
  • Drink plenty of water, stay hydrated. 
  • Keep it simple! 

Let’s take care of our health in all ways, so we can show up wholeheartedly for our loved ones, friends and community.  

“Heartful of Seeds,” ©Rosemary DeLucco Alpert 2021