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    Consultee Contact

    Midwest Psychiatric Center, Inc. is a private psychiatric practice owned by my colleague, Dr. Rakesh Kaneria.  I provide therapy to adults and a small number of children/adolescents at this location.  We can accept most commercial insurances, as well as Caresource (of Ohio Medicaid) and Medicare.  Adult clients who work with me at MPC also have the option to see Dr. Kaneria for evaluation and medication management if desired or needed.  Child psychiatric evaluation and medication management are not available with MPC.    We are located in West Chester, OH near the UC West Chester Hospital, just off I-75, between Liberty Way. and Tylersville Rd.

    Call us:
    1-513-217-5221

    Send a message: Contact Us

    “Forging Solutions out of Challenges”

    8 years ago · · Comments Off on “Forging Solutions out of Challenges”

    “Forging Solutions out of Challenges”

    JPG-2016SWM-Logo

    Every March the Social Work Profession celebrates Social Work Month as a time to raise public awareness about the role of social workers, research current social issues, promote social change and solutions, and support the growth of the profession.  This year’s theme is “Forging Solutions out of Challenges” – a concept at the core of every good Social Worker’s practice. 

    There are a lot of myths about Social Work.  Chances are you have been or will be served by a social worker at some point in your life.  (If you are my client, you already ARE working with a social worker!)

    Here are some things you might not know about the Social Work Profession:

    • The primary mission of the Social Work profession is to enhance well-being and help meet the basic needs of all people, especially the most vulnerable in society.
    • Social Work is one of the fastest growing careers in the United States with more than 640,000 members of the profession.
    • Social Workers work in all areas of our society to improve happiness, health and prosperity, including in government, schools, universities, social service agencies, community programs, the military, and mental health and health care facilities.
    • Social Workers have helped this nation live up to its ideals by successfully pushing for equal rights for all, including women, African Americans, Latinos, people who are LGBTQ and various ethnic, cultural, and religious groups.
    • Social Workers have helped people in this nation overcome racial strife and economic and health care uncertainty by successfully advocating for initiatives such as Medicaid, unemployment insurance, workplace safety, Social Security benefits, the Civil Rights Act, the Voting Rights Act, and the Affordable Care Act.
    • Social Workers are the largest group of mental health care providers in the United States and daily work to help people overcome depression, anxiety, substance abuse and other disorders so they can lead more fulfilling lives.
    • The U.S. Department of Veterans Affairs employs more than 12,000 professional Social Workers and Social Workers help bolster our nation’s security by providing support to active duty military personnel, veterans, and their families.
    • Thousands of child, family and school Social Workers across the country provide assistance to protect children and improve the social and psychological functioning of children and their families.  Social Workers help children find loving homes and create new families through adoption.
    • Social Workers in schools work with families and schools to foster future generations by ensuring students reach their full academic and personal potential.
    • Social Workers work with older adults and their families to improve their quality of life and ability to live independently as long as possible and get access to quality mental health and health care.
    • Social Workers have helped the United States and other nations overcome earthquakes, floods, wars and other disasters by helping survivors get services such as food, shelter, and health care and mental health care to address stress and anxiety.
    LeahGroshek-Professional

    Leah Groshek, LISW-S, CTP

    My favorite thing about being a social worker is that on a regular basis I am able to see every-day people achieve amazing things despite challenges or adversity.  I am proud that my profession is centered on identifying, mobilizing, and building upon the strengths that already lie within ourselves, our families, and our communities.  As human beings, we have what it takes to do incredible things, and my job is to help awaken that potential in each person I serve.  Especially as a therapist and Certified Trauma Practitioner, I am often amazed by the magnificence of human resilience I witness in my clients. I am honored to support individuals’ ability to heal from the past and pursue a life-giving future.

    9 years ago · · Comments Off on New Mental Health Legislation

    New Mental Health Legislation

    Before Congress adjourned for summer recess, two important Mental Health bills were introduced, one in the Senate and one in the  House.  These two bills have been claimed to “comprehensively overhaul and strengthen America’s mental health care system.”

     

    The Mental Health Reform Act of 2015 (S 1945)  

    &

    The Helping Families in Mental Health Crisis Act (HR 2646)

     

    The National Alliance on Mental Illness offers more education about the bills and ways to get involved.  You can read more about theses bills HERE and consider reaching out to your Senators/Representative if you wish to express your opinions.

    Take the Pledge to Reduce Stigma!

    9 years ago · · Comments Off on Take the Pledge to Reduce Stigma!

    Take the Pledge to Reduce Stigma!

    stigmaFree

    Did you know that approximately 1 in 5 adults in the U.S.—43.7 million, or 18.6%—experiences mental illness in a given year? (National Survey on Drug Use and Health, 2012) That’s a pretty high percentage! When I hear my clients describe feeling “alone” or “bizarre”, I wish society could help them feel less isolated – because the truth is, if you’re struggling with a mental illness you really AREN’T alone!

    For Mental Health Month 2015, the National Alliance on Mental Illness (NAMI) is especially focusing on the task of reducing the stigma of mental illness.

    As a community, we can work to reduce the stigma of mental illness. We can educate ourselves, engage in dialogue, and ask questions. We can make an effort to see the person, not the illness. We can share our stories.
    As a part of the Stigma Free Campaign, NAMI is inviting individuals, companies, and organizations to take a pledge to work to reduce that stigma of mental illness.

    You can take the pledge at : http://www.nami.org/stigmafree.

    It’s a great opportunity to get involved, educate yourself, and take a stand!

    Addressing Mental Health Before Stage 4 (#B4Stage4)

    9 years ago · · Comments Off on Addressing Mental Health Before Stage 4 (#B4Stage4)

    Addressing Mental Health Before Stage 4 (#B4Stage4)

    MHM2015 B4Stage4 FB Cover Image

    When we think about cancer, heart disease, or diabetes, we don’t wait years to treat them. We start before Stage 4—we begin with prevention. When people are in the first stage of those diseases, and are beginning to show signs of symptoms like a persistent cough, high blood pressure, or high blood sugar, we try immediately to reverse these symptoms. We don’t ignore them. In fact, we develop a plan of action to reverse and sometimes stop the progression of the disease.

    So why aren’t we doing the same for individuals who are dealing with potentially serious mental illness?
    When you or someone close to you starts to experience the early warning signs of mental illness, knowing what the risk factors and symptoms are will help to catch them early. Often times, family and friends are the first to step in to support a person through these early stages. Experiencing symptoms such as loss of sleep, feeling tired for no reason, feeling low, feeling anxious, or hearing voices, shouldn’t be ignored or brushed aside in the hopes that they go away. Like other diseases, we need to address these symptoms early, identify the underlying disease, and plan an appropriate course of action on a path towards overall health. Mental health conditions should be addressed long before they reach the most critical points in the disease process—before Stage 4.

    Many people do not seek treatment in the early stages of mental illnesses because they don’t recognize the symptoms. Up to 84% of the time between the first signs of mental illness and first treatment is spent not recognizing the symptoms.

    Mental Health America’s screening tools can help. Consider taking an online screening at www.mhascreening.org.  A screening is an anonymous, free and private way to learn about your mental health and see if you are showing warning signs of a mental illness. It only takes a few minutes, and after you are finished you will be given information about the next steps you should take based on the results. A screening is not a diagnosis, but it can be a helpful tool for starting a conversation with your doctor or a loved one about your mental health.

    This May is Mental Health Month; it’s important that we all work to raise awareness of the important role mental health plays in our lives and encouraging members of the community to learn more about their own mental health and to take action immediately if they are experiencing symptoms of a mental illness.

    Mental illnesses are not only common, they are treatable. There is a wide variety of treatment options for mental illnesses ranging from talk therapy to medication to peer support, and it may take some time for a person to find the right treatment or combination of treatments that works best for them. But when they do, the results can be truly amazing and life changing. Let’s help people learn what they can do both to protect their mental health and know the signs of mental illness #B4Stage4.

    It’s up to all of us to know the signs and take action so that mental illnesses can be caught early and treated, and we can live up to our full potential. We know that intervening effectively during early stages of mental illness can save lives and change the trajectories of people living with mental illnesses. Be aware of your mental health and get screened #B4Stage4 today!

     

    9 years ago · · Comments Off on “I had a black dog, his name was Depression…”

    “I had a black dog, his name was Depression…”

    The metaphor of the “black dog” is widely used to describe the experience of depression. Some are surprised to learn that Winston Churchill (and those close to him) used this metaphor to describe periods of melancholy and sadness. http://www.blackdoginstitute.org.au/docs/Foley.pdf

    [embedyt]https://www.youtube.com/watch?v=XiCrniLQGYc[/embedyt]

    For those of us who struggle with depression, using metaphors like the black dog can be really helpful in identifying strategies for feeling better, and perhaps more importantly, reduce feelings of shame and embarrassment. If you struggle with depression remember: YOU NOT DEPRESSION. It does not define you. It is not who you are. It is a challenge, separate and external from you. You might consider having a conversation with your therapist about metaphors for depression that are helpful to you. Some people see depression as a rain cloud that follows them around – sometimes it’s big and dark, pouring down, while other times the cloud is lighter, maybe only sprinkling. Some people experience depression like a super-villain, and they are the super-hero who mobilizes her/his strengths and powers to defeat the enemy.  Similar methods have even been used to help empower and motivate cancer patients to beat the disease!

    What metaphor works for you?

    10 Tips to Help with Holiday Stress

    9 years ago · · Comments Off on 10 Tips to Help with Holiday Stress

    10 Tips to Help with Holiday Stress

     yoga santa

    The Holiday Season can be a time filled with joy, excitement, celebration, and togetherness, but many of us don’t experience it that way. Some of us feel overwhelmed, stressed, sad, or alone. There is no doubt that the holidays can be stressful, so here are some tips that might help make your holiday a little easier.

    1. Be careful with “shoulds.”
    All those old Christmas movies seem to bombard us with ideals and images of how the holiday season “should” be, but that’s fiction! There is no certain way that the holidays “should” be done, so go easy on yourself. If you don’t like or want the traditional way, who’s to say you can’t change things up? Allow yourself to make changes, think outside the box, and do things your own way. If you are doing things out of obligation but not finding them meaningful, enjoyable, or useful, maybe you don’t NEED to do them.

    2. Reach out.
    If you are feeling alone or isolated this holiday season, consider reaching out. Getting involved in a community activity or event, participating in church or temple, or volunteering are great ways to keep from feeling too alone. You may even consider doing something you’ve never done before. Maybe try going to a place of worship if you never have or check out a local community event you’ve always wondered about.

    3. Acknowledge your feelings.
    Just like we need to watch out for things we do only because we think we “should”, we need to watch out for feelings we think we’re “supposed” to have. If you don’t feel particularly jolly this Christmas, that’s okay. That doesn’t make you the Grinch or Mr. Scrooge. Maybe you’re grieving this year. Maybe you are exhausted. Maybe you have big worries for the coming year. Whatever you’re feeling, acknowledge it and permit the feelings to come, go, and change. Maybe try communicating those emotions to someone you trust. It might help them to understand you, support you, or just be sensitive to your feelings.

    4. Set realistic expectations.
    We can easily work ourselves to the bone trying to make things just so. We might agonize over creating the best light display on the block, serving the perfect latkes, or buying the perfect present. We might have images of a perfect family meal or the most beautiful party, but the reality is most of our holidays don’t look like “a picture print by Currier and Ives.” Our families are complicated. Our budgets are limited. Be realistic.

    5. Say “no” when necessary.
    We might be feeling swamped by the magnitude of the season.  There seem to be a million events going on in our communities.  We might have multiple invitations to gatherings, parties, or functions.   Commercials show us a zillion gifts we could buy and our children might have wish lists that seem a mile long.  There even seem to be a multitude of charities in need of support this time of year. If we don’t say “no” sometimes, we can easily bust the budget, overfill our calendars, or even overindulge. It’s impossible to do it all, so allow yourself to say “no” from time to time. Decide what your priorities are and focus on those first. Anything else is superfluous.

    6. Preserve routines and habits when possible.
    Try to maintain a sense of normalcy if you can. Crazy schedules, atypical spending, and special meals can really turn our systems upside down. Whenever possible, try to do things as you normally would. Bedtime routines are a good place to do this – for grown-ups and for kids! Don’t throw all your household rules out the window just because it’s a holiday. Structure and predictability help us stay grounded and keep things from feeling too out of control.

    7. Take time out.
    The holidays are full of stimulation – special sounds, smells, tastes, colors, sensations, and sights to see. All the lights, tasty treats, songs, etc. mark this special time of year, but sometimes can get a little overwhelming. Every once in a while, give yourself – and your children too! – a break from all the stimulation. Take some time to be quiet. Maybe go for a quiet walk, breathe the fresh winter air. Turn off the music or the TV for a little. Plan for some down time from all the celebrating, and allow yourself and your family members some alone time to decompress. It’ll give your nervous system a bit of a break.

    8. Let it go!
    (And I’m not talking about Frozen!)
    Let’s face it. We all have baggage, complications, and conflict in our lives, so gatherings with family and friends can sometimes be emotionally charged. Now is a good time to set aside any beefs that you may have with others, just briefly. You don’t have to become a doormat or live in denial during the holidays, but having it out with a family member at Christmas dinner probably won’t help you enjoy a stress-free meal. Maybe instead, commit to conflict resolution or healthier boundaries in 2015! Take on some of those challenges carefully in the New Year.

    9. Be careful with alcohol.
    Celebrations can be full of drinks that we might not get to enjoy year round. The egg nog, fancy wines, cocktails, champagne, and other alcoholic beverages seem to be everywhere we go this time of year! Be careful not to get carried away. Remember what cautions come with any medications you take, know your limits, and certainly make arrangements for a designated driver! There are lots of holiday drinks that you can enjoy that don’t involve booze, too. Hot chocolate, cranberry ginger ale, or a peppermint mocha might make good alternatives. Remember to be sensitive to anyone around you who might be trying to maintain sobriety, and if that person is you, consider fitting an extra AA meeting into your schedule.

    10. Accept support.
    If you’re struggling, don’t be afraid to let someone help! You might accept an extra hug from a consoling friend, talk with a trusted loved one, chat with your pastor, or even schedule an extra therapy session. Sometimes support comes in a less emotional and more practical form, so consider delegating tasks to others to help lighten your burden. Make use of community resources that might help as well. Accepting kindness from others warms two hearts!

    Ultimately, keep your eyes on the prize! Try to focus on the reason for your celebration – whatever holiday you recognize. Celebrate family and friends, history, miracles, accomplishment, heritage, community, salvation, the beauty of creation, and your religious beliefs. Hope and pray for peace and a healthy coming year. If you focus on the reason for your celebration, you’ll be more likely to keep a healthy perspective and remember what really matters to you.

    10 years ago · · Comments Off on Attention Butler County Residents!

    Attention Butler County Residents!

    The Mental Health Renewal Levy is on the ballot for Butler County this November.

    You can read about the levy HERE.

    You can read about how the levy has affected your part of the county, number of citizens served by the levy in past years, as well as what services have been made available to Butler County residents as a result of the levy.

    Inform yourself so you can make your vote count in November!

    10 years ago · · Comments Off on Understanding a Diagnosis

    Understanding a Diagnosis

    There seems to be a lot of confusion about the whole idea of “diagnosis”, especially when it comes to mental health. I find that many of my clients are confused about what these terms are really all about. I think it’s very important to be informed, so I’d like to try to take some of the mystery out of the matter!

    When an individual comes to counseling or psychotherapy, the clinician they are seeing will likely render a diagnosis. A formal diagnosis allows us to demonstrate “medical necessity” and bill your insurance company. A diagnosis is essential a name for a problem. Just like sinusitis, urinary tract infection, or Diabetes are names that describe a medical problem with a specific set of signs and symptoms, a mental health diagnosis has certain criteria that help clinicians to recognize what’s going on. Just like medical problems, some mental health diagnosis are temporary (acute) and some are long-term (chronic).

    The tricky thing about a mental health diagnosis is that it is not exact. These terms are somewhat subjective. If you see three different clinicians, you may get three different names for the problem though hopefully they are all in the same ballpark. There are groupings of diagnoses (Mood Disorders, Anxiety Disorders, Psychotic Disorders, Personality Disorders, etc.) which help us begin to zero-in on an accurate name for the problem and over the course of treatment, you may see that the clinician may be able to more specifically define what you’re experiencing. If the general diagnosis is accurate, the therapeutic interventions are likely to be about the same – no matter what the specific name turns out to be. (For example, I will help a person with Dysthymia in about the same way that I would help a person who is having a Major Depressive Episode. We may just know more, the longer we work together.)

    While research and technology are making it easier for us to identify and treat mental illness, it’s still not exact. We can’t do a blood test to tell us “it’s this” or “it’s that.” This is why it is CRUCIAL for clients/patients to try to be as honest, direct, and forthcoming as possible when communicating with their providers. The more we know, the easier it will be for us to help. Your doctor may be able to find the right medication for you faster. Your therapist may be able to target the right interventions more quickly to help you make positive changes – which in turn gets you feeling better faster!

    A Diagnosis, not YOUR Diagnosis

    The most important thing you should know about a diagnosis is that it is JUST A NAME. If your paperwork says “Bipolar Disorder,” (or any other label for that matter) this does not define you. It’s a name for a set of symptoms. It describes moods, thought patterns, or behaviors. You are YOU. You most certainly are NOT A DIAGNOSIS. You are an individual with life experiences, ideas, opinions, and feelings that are unique to you and you alone. Ask questions and educate yourself, but try not to get hung up on labels, names, and terms. Be you and work on being the best you that you can be!

    If you want to learn about a particular diagnosis, the National Institute of Mental Health is a great resource.  Ask your providers questions. Maybe think about what your strengths are – the capabilities, knowledge, insights, and skills that you bring to the table that make you resilient. Your strengths will be at the heart of your therapeutic experience, and your therapist can help you to mobilize them so you can make the most of all the wonderful things that make you you!

    10 years ago · · Comments Off on Write it down!

    Write it down!

    Do you write in a journal or diary? Expressive writing is a habit many people enjoy on a regular basis, and this is a strategy that many counselors and therapists recommend. There are lots of reasons why writing could help improve your quality of life, so it might be something you want to consider!

    When we write, we experience our thoughts in a different way that if we are simply thinking or even talking. Different parts of the brain are engaged to translate our ideas into written words and sentences, so writing allows us to observe our thoughts in a different way – as well as gain insight and perspective. Many people also enjoy the idea of expressing feelings in an external way – when we write we can “empty out” our emotions or “unload our feelings”, taking them out of ourselves and placing them somewhere separate, bringing relief from emotional distress, pain, or worry.

    Studies suggest a number of physical and emotional benefits that come from expressive writing:

    • Decreased distress
    • Healthier immune system
    • Healthier blood pressure, lung functioning, and liver functioning
    • Improved mood
    • Feeling of well-being
    • Reduced depression
    • Better work attendance
    • Improved working memory
    • Improved performance in sports
    • Better grades in school
    • Improved social skills

    Follow this link if you’re interested in learning more about some of these studies. http://apt.rcpsych.org/content/11/5/338.full

    If you are interested in starting a journal and you’re not sure how to begin, here are some suggestions:

    1.  Make a routine. Set aside a certain time each day or a few times a week to devote to writing. Give yourself at least 15-20 minutes to write.
    2. Find a good place to write. A quiet room with a comfortable writing surface, minimal distractions, and some creature comforts (i.e. a cup of tea, scented candle, comfortable chair).
    3. Keep your writing all in one place – a notebook, bound journal, or computer file. You may want to make sure you store carefully if you’re concerned about privacy.
    4. Let go! Don’t worry about grammar, spelling, punctuation, or handwriting. This is not about creating a prize winning piece of literature! This is about self-expression and self-discovery.
    5. Experiment with genres. Try different kinds of writing like poetry, short stories, stream of consciousness, lists, or even play writing.
    6. If you have writer’s block, don’t quit. Just write whatever goes through your mind, even if it is “I don’t know what to write about today.”
    7. Give yourself extra time to settle down after you write if you experience intense emotions like anger, rage, fear, or sadness.

    Here (Journal Prompts) are some interesting journal topics you might consider.

    Know Your Stress Sweet Spot

    10 years ago · · Comments Off on Know Your Stress Sweet Spot

    Know Your Stress Sweet Spot

    How many times have you found yourself saying or thinking, “I’m so stressed out!” and not being sure what to do about that feeling?  Typically when we say we feel “stressed out” we are referring to a specific type of stress (or arousal) that is better labeled “distress.”  Distress is often described as feeling overwhelmed, anxious, or concerned.  When we are distressed we are usually less productive and likely experience more physical complaints like muscle tension or headaches.  Distress is the negative stress we experience from things like loss, divorce, financial strain, interpersonal conflict, un/underemployment, legal problems, injury/illness, etc.

    There is another type of stress we call “eustress,” which is a more positive type of stress.   Eustress is when we have enough stimulation to challenge, motivate, and interest us without overwhelming us.  It usually results from positive things like starting a new project/job, holidays, learning, moving, receiving an award/promotion, beginning a new relationship, etc.   When we experience eustress we are usually motivated, though short-term.  We typically believe that the challenge we face is within our abilities – it’s something we can handle.  Eustress generally feels exciting and energizing, and our performance/productivity peaks.

    The psychological theory call The Yerkes-Dodson Law suggests that the relationship between our performance and stress (arousal or stimulation) has a dramatic impact on our quality of life.  If we can individually determine what level of stimulation and challenge “gets us going” and when we “go over the edge” to feeling overwhelmed, we are more likely to have satisfying and productive lives.

    So the challenge we have is to find our personal “stress sweet spot” and aim to have enough in our lives to keep us interested, productive, functioning, and stimulated, but not overwhelmed.  This sweet spot typically changes depending on our circumstances, age, and health, so it is valuable to monitor where we are at on a regular basis.

    The infographic below illustrates these concepts pretty well – for those of  us who are visual learners!  Essentially our goal with stress is to stay at the top of the curve, where our performance, health status, and motivation all peak.  (Click on the image to see it the most clearly.)

    Yerkes-Dodson-Principle (2)

    ____________________________________________________________________________________________________________

    Here are some things you can do to try to stay at your “stress sweet spot:”

    1. Monitor your feelings carefully
    2. Monitor your health carefully
    3. Practice saying no when you need to set a limit or boundary
    4. Identify the challenges that get you excited
    5. Evaluate your successes to identify the factors that helped you do well
    6. Know your strengths

     

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