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Depression and anxiety have a new treatment option, and it is becoming more widely used all across the United States. What is transcranial magnetic stimulation, otherwise known as TMS?

How well does TMS work? Does it sound too “science fiction-ey”?

More than 16 million adults in the United States experienced a major depressive episode between 2017 and 2018, and with medical science advancing as rapidly as it is, it’s no wonder that new technologies and therapies are beginning to take the stage as options to conventional mental health treatment plans.

What is Transcranial Magnetic Stimulation?

TMS is a magnetic stimulation technique intended to target nerves in your brain that affect your mental health. More specifically, the magnetic field, delivered through a special device you wear on or over your head, stimulates the brain cells known to affect mood. The levels of magnetic energy used are in low amounts, at an individual’s unique brain frequency.

Most TMS sessions take 20 to 60 minutes and don’t require any time to recover afterward. About four to six weeks into treatment (daily, five days a week) is when most patients start noticing significant results, and after that initial treatment, patients only need to go on an “as needed” basis. Regardless of the fact that it’s not meant to be a permanent cure, patients who undergo TMS therapy feel much better overall for several months up to a full year afterward.

Many lifelong depression and anxiety patients who have undergone TMS treatments for at least a month to six weeks will tell you that they begin seeing positive results immediately after each treatment.

TMS was approved in 2008 to treat depression and in 2013, the U.S. Food and Drug Administration (FDA) also approved TMS therapy to treat some migraine conditions. In the fall of 2018, the FDA went on to approve TMS to treat obsessive-compulsive disorder (OCD), and studies are currently underway to see if it can be a viable treatment for other mental health conditions such as bipolar disorder and post-traumatic stress disorder (PTSD).

Some aspects of TMS appear to simulate what some medications do, e.g., the release of dopamine that happens after a TMS session is similar (but not exactly the same) to what a medication can do.

But TMS can restore functionality, and that’s the important thing. Patients who undergo TMS treatment report “feeling normal” again, compared to patients on psychotropic medications who feel “different” than they do normally, because of some of the medication’s side effects.

What’s so Great About TMS?

TMS is part of a newer generation of developing technologies informed by neuroscience and is easier to use than current technologies. It could very well be a look at the future of mental health care: it’s non-invasive, immediately effective after the first month to six weeks of treatment for long periods of time, and it’s especially effective for those with more severe depression and anxiety.

After the brief treatment, patients can get back to being engaged with their lives immediately, with a more positive outlook, and all the energy they need to do all the things they normally do. Further research shows that even just a few minutes of TMS daily can make a significant improvement in reducing symptoms of depression and anxiety.

TMS side effects are few and they are mild. Common side effects include minor headaches, lightheadedness, and some scalp discomfort during treatment sessions. Some facial muscle spasms and tingling or twitching of these muscles have also been reported during treatment sessions

What’s the Difference Between TMS and electroconvulsive therapy (ECT)?

TMS has shown itself to be a viable alternative to electroconvulsive therapy (ECT) for patients who are resistant to conventional mental illness treatments.

There are some key differences between TMS and ECT treatments:

  • ECT requires anesthesia and typically a hospital stay while TMS does not.
  • ECT brings with it the risk of memory loss and cognitive confusion. Patients undergoing TMS have not manifested these side effects.
  • ECT is designed to create a brief seizure in the patient as a part of the treatment session. TMS does not utilize seizures as a way to treat patients.

TMS Accessibility?

If you’ve tried several types of antidepressants or other standard depression treatment, and have not received relief from your symptoms, you may want to discuss TMS with your mental health care professional. Ask him or her about the benefits and risks, and if TMS could be a good addition to your treatment.

TMS currently has one downside: the cost. It costs up to $10,000 to 15,000 for the initial four-to-six-week treatment. Though TMS has been approved by the FDA to treat depression and anxiety after trying one antidepressant medication that proved unsuccessful at controlling depressive/anxiety symptoms, many insurance companies won’t cover the treatment until after a patient has tried at least four different antidepressants. Double-check with your insurance company to see if your coverage will cover the TMS treatments you are considering. It is still less expensive than ECT.

As always, maintain your sleep, exercise, nutrition, and stress management techniques as you normally would, even if you do undergo TMS treatment, as it will not be effective if you are not taking care of yourself.

Have you heard about TMS? Post a comment below. . .We’d love to hear your thoughts!

Are you struggling with mental health issues? Mental health is very manageable. If you or someone close to you need to talk to someone about mental health issues that seem overwhelming, we can help. Consider reaching out to our expert team at Solara Mental Health at 844-600-9747.

Saving our mental health

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A Former Google Manager is Spearheading Efforts to Limit the Negative Effects of Technology and Social Media

What are the negative effects of technology and social media on us? We’re aware of its influences on our mental health, with studies linking excessive social media use to depression and anxiety. What other grips does cyber-reality have on us?

In 2012, a young manager at Google named Tristan Harris made an impassioned plea in a presentation for his bosses to attend to “[our] moral responsibility to create an attention economy that doesn’t weaken people’s relationships or distract people to death.”

His ideas for a more ethical digital world gained some traction for a time, and it even got him tapped to be the company’s design ethicist. The company lost focus, however, and shifted its attention to other priorities.

Harris left Google in 2015, and three years later, Google produced a screentime tracker known as Digital Wellbeing, so that Android users could see how much time they were spending each day on each application they tapped into. Apple followed suit with a counterpart app for iPhones.

Continuing the Crusade

Were the new screentime tracker apps enough of a leash? Not according to Harris. In Harris’ estimation, the “free” business model is the most expensive business model ever invented.

More recently, Harris started the Center for Humane Technology and has expanded his thinking to bring more awareness to the negative impacts of the internet on our lives. From misinformation/disinformation being proliferated on various social media platforms (e.g., Facebook and YouTube (owned by Google)), to election tampering and invaded privacy, and finally to political divisiveness in our country, the internet gets blamed for a lot. And probably with good reason. Just think about how much control we give our cyber lives over our actual lives.

Harris continues to grow his audience with various national media appearances, conferences, and additional presentations of his own. The biggest takeaway he wants his listeners to remember is the mistake it is to treat mobile technology drawbacks as mutually exclusive from those inflicted by social media. It’s all part of what he refers to as the “extractive attention economy (EAE).”

Our Private Information Used as a Currency

It’s been said that “money talks.” Well, so does information in the EAE. Its business model is driven by gathering and leveraging data about its users and what they like. In order to keep them engaged online, more and more of what users want to see is constantly being fed to them, faster and faster, by automated platforms. This may sound great and convenient, but it actually gives them more extreme, sensationalized content, which only feeds upon their frailties.

Without any thought, judgment, or intent, people dealing with mental health issues might be looking on YouTube for ways to improve their mental health, while being unwittingly steered via “recommendations” toward videos about suicide and death. The only thing the platforms care about is how the relationships between what users are searching for and what the algorithms calculate they like will keep users online, engaged and clicking.

The Unbearable Lightness of Technology

What happened to “fun” social media? Harris warns that our addiction to retweets, likes, comments, and reshares, is only keeping us distracted and depressed.

Steve Jobs spoke of technology as an “exercise bicycle for the mind.” Harris has responded that the exercise bike is taking us down dark, unfamiliar roads where we might not ever want to find ourselves.

Harris believes that language can help shape reality, but he had to work through a growing fear that the language we were using to define the real impact of cyber-reality on our lives was very much lacking. It wasn’t enough to describe what he warns as a coming hailstorm.

One of his epiphanies was the realization that the real danger we’re in isn’t technology overpowering our strengths (like the cliche science fiction bit when computers take over the world). The real danger is when technology learns to overwhelm and leverage our emotional weaknesses against us… for profit.

Harris and his cohorts brainstormed themselves to a point where they thought that what might be going on was a process of diminishing, of degrading human lives and humanity as a whole. Technology, as we give it more and more of our time and attention, is causing the downgrading of human relationships, of human attention, of our common sense of decency, of democracy itself.

How Social Media Negatively Affects Us

Harris has commented specifically about how various social media platforms negatively affect us:

  • Snapchat turns conversations into “streaks,” redefining how children value real friendship.
  • Instagram glamorizes the picture-perfect life, eroding our sense of gratitude for our real lives, along with diminishing our sense of self-worth.
  • Facebook puts us into separate echo chambers, dissolving our real communities.
  • YouTube auto-plays the one video after the next, within seconds, regardless of what it does to our sleep.

Four Ways Technology is Hurting Us

Harris shares the four main ways he sees our subservience to technology is taking its toll:

Mental Health

The rat race to keep us on screen 24/7 makes it harder to disconnect, increasing stress, depression, anxiety, and sleep deprivation.

Children

The rat race to keep children’s attention trains them to replace their sense of self-worth with the number of likes they get, encourages them to compare themselves with others, and creates a non-stop illusion of missing out…which can lead to coping problems and mental health challenges.

Relationships

The competition for attention forces social media users to prefer virtual interactions and rewards (likes, shares, etc.) on their screens vs. interaction in a real face-to-face community.

Democracy

Social media unwittingly rewards faux rage, sensational facts, while reducing the role of factual information. It’s dividing us and making it increasingly difficult to agree on what is “real.”

So, where does this leave us? Possibly with additional challenges for those coping with mental health issues brought on by extensive technology use.

The good news is that you can take back control of your life by better managing your social media use.

Curious to hear more?

Do you suspect that excessive technology use and social networking are having a negative effect on your mental health or on that of a loved one? If you or someone you love need to talk to someone about mental illness or feelings of being overwhelmed, we want to help. Consider reaching out to our expert team at Solara Mental Health at 844-600-9747.

what can i do to feel better right now

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“What can I do right now to improve my mental health?” You may have asked yourself this more than once. Life comes at you fast, and some days can feel like a real uphill battle.

Sometimes external things like traffic, a difficult coworker, your significant other, finances can leave you feeling run ragged. Other things become internal stressors, like anxiety, depression, and excessive stress itself.

Internal battles can be stressful and scary, and sometimes they can leave us drained and feeling flat.

Why does feeling happy feel like so much work sometimes?

Happy and fun feelings aren’t always spontaneous. One thing you should always remember: Keep on doing things you enjoy, even if they feel like hard work. Keep in touch with friends. Meet them for dinner. Keep up with all your favorite movies and shows.

Mental illness often robs you of your “enjoying life” skills. But the good news is, it never has to be permanent. You have to relearn how to do it from time to time. Eventually, things will normalize and you can go back to feeling like yourself again.

There are no magic bullets to immediately relieve depression, stress, or anxiety. But, Mental Health Awareness month is just around the corner, so what better time to pick up some powerful new habits? Let’s walk through some things you can do RIGHT NOW to improve your positive outlook and boost your state of mind:

  1. Get your body movin’. Exercise boosts your endorphins (feel-good chemicals), and over time, it can sustain your good moods longer. It helps you reprogram your brain into positive patterns.

Again, start simple… just walking for 45-60 minutes or so a few times a week will be enough to help you feel accomplished and good about yourself.

  1. Be good to yourself. Speaking of your body, make sure you are:
  • Getting adequate sleep every night (6-8 hours). To help with this, go to bed and wake up at the same time every day and avoid naps. Get your computer and TV out of your room. Before long you’ll notice your sleep improving.
  • Avoiding smoking and drinking
  • Eating a balanced diet and minding portion sizes (stay away from junk food, and go for foods rich in omega-3 fatty acids like fish, as well as foods rich in folic acid like avocado and spinach). If you binge eat or overeat when you’re feeling anxious or depressed, getting a better handle on your eating will help you feel better about yourself.
  1. Set some S.M.A.R.T. goals. Depression leaves you feeling like you’re worthless and can’t do anything right. Prove that negative self-talk wrong. Start with small S.M.A.R.T. goals like cleaning and organizing your desk, cleaning out your car, fixing or building something as a hobby.

A S.M.A.R.T. goal is:

  • Specific
  • Measurable
  • Achievable
  • Relevant
  • Time-bound. (e.g., “I will clean out my car (or organize my desk), and vacuum it this Saturday afternoon at 3 p.m.”)

As you get better and gain momentum, you can start tackling more challenging things. Make a game out of it.

  1. Say “No!” to negative thinking. In your struggles with anxiety and/or depression, much of the battle is mental, and you’ll learn that to win, you need to reprogram the way you think about yourself. Whenever you immediately jump to the worst-case scenario in your head or keep thinking about what a failure you are… You’re a fighter, right? Learn to recognize and logically challenge each one of those thoughts for what they are: just passing thoughts. You’re under no obligation to believe every single thought that passes through your mind.

What evidence do any of these thoughts have, anyway? Over time and with practice, you’ll get in a more consistent habit of sending those negative thoughts off running. And you’ll be in better control of your self-image.

  1. Get yourself into a routine. Depression is often described as the result of feelings of helplessness and despair. You don’t know what to do, and what’s worse, you don’t even know if you care enough to keep on trying. You feel a lack of meaning, purpose, and structure. You feel out of control. If you’re feeling depressed, nothing will help you get more of a grip on your day than getting into a gentle routine to help you feel like you’re in the driver’s seat.
  2. Take on new responsibilities. When you are feeling anxious or depressed, your first inclination might be to turn and hide inward, avoiding other people, the outside world, and life in general. Resist this temptation. Get engaged with life by involving yourself with daily responsibilities.

You can:

  • Volunteer in your community.
  • Get a new job, even if it’s just part-time.
  • Sign up for some online classes.

New responsibilities will give you a sustained sense of accomplishment, self-esteem, and worth.

  1. Try something new. Get yourself out of the rut you feel you’re stuck in when feeling anxiety or depression, even if you have to push yourself a bit. Check out an art exhibit. Go to the library and find some interesting books to read. Take an online class to learn a new language.  You’ll start seeing how interesting life really is.

You will want to touch base with your doctor if you’re thinking of taking some new dietary supplements like magnesium, Vitamin C, St. John’s Wort, or Vitamin B12. This goes double if you’re already taking medications.

Keep in mind that these things can help you right away, and over time, can develop into healthy habits. They will not cure serious depression and anxiety by themselves. For help with severe depression and/or anxiety, be sure to consult with a mental health professional.

What is the latest regarding your mental health? Always remember that it is very treatable and manageable. If you or someone close to you need to talk to someone about mental health issues that seem overwhelming, we can help. Consider reaching out to our expert team at Solara Mental Health at 844-600-9747.

7 foods you need to avoid to help with your depression or anxiety

Image courtesy of USAF

What foods and beverages will make your depression and/or anxiety worse? Perhaps a better question would be, “What doesn’t make us more depressed or anxious these days?” Right?

But perhaps taking a less cynical and more rational approach is best. To further explore how your diet affects your mood and functionality, consider the fact that the food you eat nourishes and strengthens your body. It must therefore have a direct impact on your body, including your brain.  And as your brain regulates your body’s functions, including your mood, part of your mental health management would necessarily have to involve dietary considerations.

There is much research indicating that individuals who maintain a diet with less inflammatory foods and beverages also maintain lower risks of depression and anxiety. Unfortunately, many, if not most of the foods in the Standard American Diet (SAD) will cause inflammation. Healthier eating regimens include vitamins, antioxidants, high-grade proteins, and healthy fats.

The most common offenders include:

  • Sugar and artificial sweeteners
  • Genetically-Modified Organisms (GMOs)
  • Dairy
  • Gluten
  • Vegetable oils

That’s a list given in broad terms, but let’s go through a more specific list of foods and drinks that cause depression and why.

As a rule of thumb, it’s a good idea to avoid processed foods as much as possible. If you frequently consume fried foods, processed meats, refined cereals, pastries, high-fat dairy, candy, etc., you’re likely to be making your depression and anxiety worse. Stick with as much fish, fruits, vegetables, whole fiber-rich grains to help stabilize your mood more consistently.

Here they are: Some foods to avoid to help your depression and anxiety.
Note this list is not exhaustive.

  1. Sugary and Diet Soft Drinks. This list includes soda, fruit juice, energy drinks, Kool-Aid, etc. What’s so bad about them?
  • Soda Pop/Kool-Aid: This is a no-brainer to avoid. All sugar, and no nutrition. Sugar is very addictive, and plays with your brain’s incentive/reward system, which leads to depressive moods when you don’t have the sugar your body and brain crave. A better alternative if you’re craving a sugary soda drink would be seltzer water with just a splash of fruit juice. Too much caffeine often found in soda pop and diet soda can make anxiety worse, too. Try seltzer water with a splash of lime, cranberry, or orange juice. Or simply keep yourself hydrated with enough water your body needs. Your cravings for soda will go away.
  • Diet Soda: If you get rid of the sugar, you should be fine, right? Not exactly. A common artificial soft drink sweetener, aspartame, has been directly linked to depression. With diet drinks you won’t experience the energy/post-sugar crash, but diet soda can still get you depressed, perhaps even more than regular soda can. Your brain thinks it’s getting the sugar it’s craving, but it’s not, so it gets depressed.
  • Fruit Juice: Fruits not only contain healthy vitamins our bodies need, they also contain natural fiber that helps you feel full while slowing down how your blood absorbs energy. No fiber means just vitamin-packed sugar water that gets your blood up, followed by a post-sugar crash. Again, your body thinks it’s getting something it wants or needs, but is being left wanting. If you like fruit, eat it whole, and if you’re thirsty, try plenty of water, or seltzer + a splash of  your favorite fruit juice.
  • Energy Drinks: Energy drinks can cause abnormal heart palpitations, disrupted sleep, and heightened anxiety because of the caffeine and vitamin stimulants found in them (A common energy-boosting ingredient, guarana, has lots of caffeine). And don’t forget all the sugar or artificial sweeteners found in energy drinks. Water is your best bet to satisfy thirst, , while a piece of fruit nicely takes the edge off of a sugar craving.
  1. Alcohol. This one should go without saying, since alcohol is classified as a depressant. In addition to the high levels of sugar in alcohol, small quantities of it alone can disrupt your sleep, which can lead to heightened levels of anxiety and then later, depression. Too much sleep, which may result from overdrinking and then having to “sleep it off” the next day, can cause even more mood disorders, too. If you do drink, keeping your alcohol intake to moderate levels (One drink maximum for women, two drinks at most for men) can be a good way to relax, feel less anxious in social situations, and can help regulate the cholesterol in your blood.
  2. Frosting. Again with the sugar talk, right? Yes, but also keep in mind that typical cake/cookie frostings contain around 2 grams of trans fats (the bad fats) per serving. Trans fats, also known as partially-hydrogenated oils, are classified as GMOs, and have also been linked to depression. They are common in pizza dough, fried foods, crackers, cookies, donuts, cake, etc. Limit your fats to the good ones, like those found in nuts, avocado, fish, and olive oil. They actually lift your mood.
  3. White bread. Highly-processed white flour found in many white breads (also refined pastas, white rice, cereal, white sugar) quickly converts to blood sugar after consumption, much like from sugary drinks. This causes spikes and crashes in energy levels, leading to anxiety and depression. Why not try home made whole wheat bread?
  4. Light dressings. You might know that some store-bought dressings and marinades come loaded with sugar, usually listed as high-fructose corn syrup on the ingredients list. But many “light” dressings are sweetened with aspartame, much like diet soda, and are therefore also linked to depression/anxiety. Try making your own salad dressing using nothing but fresh lemon juice, olive oil, and balsamic vinegar.
  5. Ketchup/Soy Sauce. Ketchup contains high levels of sugar, while “light” ketchup contains artificial sweeteners. Soy sauce, typically associated with healthy-sounding foods like veggie stir fry and such, contains a lot of gluten, which can heighten anxiety and depression, and make you feel sluggish. Try making your own tomato salsa (and for a bit of a kick, add a dash of cayenne pepper to taste), and low-gluten soy sauce.
  6. Coffee. This is a controversial one to bring up, perhaps, but think of all the caffeine in coffee, known to disrupt our sleep, make us jittery and anxious, and let’s not even talk about the post-caffeine crashes. Caffeine levels can be gradually phased out of your diet, to avoid caffeine withdrawals and headaches. Cold water in the morning can wake you up just as well as coffee can. If you must have your coffee, try decaf.

Dietary changes can certainly improve your overall mood consistently, but sometimes depression and/or anxiety can be too much to handle on your own. Depression and anxiety are both treatable, and their treatment usually leads to better sleep and improved overall wellness. If you or someone close to you need to talk to someone about mental health issues that seem overwhelming, we can help. Consider reaching out to our expert team at Solara Mental Health at 844-600-9747.

8 things you can do to bolster your mental health in 2019

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Life changes are coming, as with every new year. Now with the holidays behind us, it’s time to take on 2019. Problems getting started? You want this year to be different, but you are not sure what to do? No worries.

Let’s get away from any nomenclature having to do with “resolutions” for the new year. Resolutions are easily forgotten, you get discouraged not too long after the new year, and then what? You’re going to wait until next January to start up with improving yourself? You can get a grip on your depression, anxiety, what have you.

Goals, not New Year’s Resolutions

You don’t need a new year, or a new week, even to start working on yourself. How about starting out by setting some short and long-term goals? It may seem overwhelming, but you don’t have to start big. Maybe you want to get better at stress management, or incorporate a more healthy lifestyle. Personal growth is the key, so remember, to just keep moving forward!

One of the best things you can do to help bolster your mental health is to be prepared for and to anticipate change. Our ability to cope with and deal with changes that life throws at us determines in large part how well-adjusted we are, and how proficient we are at problem solving.

Once you get rolling and in the habit of setting and accomplishing goals, you’ll be unstoppable. Don’t get discouraged, and don’t ever give up on yourself. One step at a time. Here are some suggestions to get you started.

  1. Be ProactiveProactive is a bit of a buzzword, and it is usually associated with something positive. Think of proactive (ahead, in front) versus reactive (afterward). See where you can “work ahead” on things at home, at work/school. If you’re a procrastinator, practicing the art of proactivity can get you out of just about any funk. Set a goal to not just meet the bare minimum, just in the nick of time, but get as far ahead of the curve as you can. Get that assignment done a week early. File that paperwork before the deadline. Set up that appointment when you have an extra 5 minutes on your lunch break. You’ll feel better about life, about yourself, and about your abilities.
  2. Get Organized. Which brings us to getting organized. Entering a space that is organized and tidy has a much more positive effect on your mental health than walking in to a messy space has. One is inspiring, while the latter is depressing and unsettling. Watch some YouTube videos and read some books if you need to, but start working on the habit of staying organized. Ever seen Marie Kondo’s show on Netflix?
  3. Watch What You Eat, Exercise, and Get Your Sleep. Taking care of your body has a huge impact on your mental health, though healthy eating, getting exercise, and getting adequate sleep (healthy living) are often overlooked. Avoid junk food, eat only wholefoods, more protein, fewer carbs, and in smaller portions. Exercise for at least 20-30 minutes, five times weekly. Get 6-8 hours of sleep every night. Get these things down, and you’ll be well on your way to being better able to manage your mental health effectively.
  4. Pick up a New Hobby, Learn a New Skill, Improve One of Your Talents. Maybe you think hobbies are too “old school” for you. You can develop your mind, ease stress, learn to breathe meditatively, etc., when engaging yourself in some pastime that interests you. Do you have a creative side? Take a class in watercolor painting. Do you like music? Have you ever thought of taking up the guitar or piano? Developing a hobby, skill, or talent will help lift your mood, and increase your self-confidence.
  5. Reign in Your Use of Technology.Excessive time on electronic devices, chatting, posting, gaming, etc. has been shown to be tied in with feelings of depression, low self-esteem, suicidal ideation, negative self talk, etc. Have you ever thought of taking a break for a week or two from Facebook, or Instagram, or Twitter? Why not give it a try? You may feel more liberated than you ever thought possible.
  6. Build Up a Reserve.  Research shows that investing time into quiet, introspective activities, like mindful meditation, can be a great help for mental health. Mindfulness practice also helps you build up a reserve of inner strength and groundedness to help you cope with any kind of future challenges you may find yourself facing.
  7. Get in the Habit of Telling Yourself Positive Things.It should come as no surprise that the way you think about yourself can have a huge effect on how you feel. Get in the habit of using words in your self-talk that reinforce feelings of self-worth and personal power. For instance, instead of saying: “I’m such a loser. I won’t get the award because I blew it writing my essay,” say something more like, “I didn’t do as well on my essay as I was hoping, but that doesn’t mean I won’t get the award.”
  8. Start a Gratitude Journal. Expressing gratitude and remembering the things you have to be thankful for have been unmistakably linked with a healthier sense of well-being, happiness, and mental health. Start a journal if you don’t already have one, and write down three things every day that you are grateful for. Think on them every day, and let them soak in. How does it feel?  Pretty good, right?

Now for a great year. Here’s to your mental health and winning 2019!

Gearing up for a great 2019? If you’ve ever struggled with mental illness or low self-esteem, now is the perfect time to address mental health issues. If you or someone close to you need to talk to someone about mental health issues that seem overwhelming, we can help. Consider reaching out to our expert team at Solara Mental Health at 844-600-9747.