Moral injury occurs when an individual experiences social, psychological, and
spiritual harm due to a betrayal of their core values. Here are some ways in which
moral injury can happen:
1. Acts of Commission: These occur when a person actively engages in behaviors that
conflict with their moral beliefs. For example, a soldier who must shoot an enemy
combatant may experience moral injury if they later discover personal details about the
deceased, such as seeing a picture of the dead man’s children 1 .
2. Acts of Omission: Moral injury can also result from failing to prevent harm or
wrongdoing. Imagine a situation where someone witnesses an injustice but feels
powerless to intervene. The guilt and shame from not taking action can lead to moral
injury 2 .
3. Acts of Betrayal: This type of moral injury often involves leaders or authority figures.
When those in positions of trust fail to protect their subordinates or violate ethical
norms, it can profoundly wound a person’s conscience. For instance, doctors facing
ethical dilemmas within the healthcare system may experience moral injury when
business interests conflict with patient care 1 .
4. High-Stakes Situations: Anyone caught in a life-or-death scenario with no good
choices can suffer moral injury. This includes therapists, human rights workers, first
responders, and survivors of abuse or violence. Even doctors, faced with decisions that
impact patients’ survival, may grapple with moral conflicts 13 .
In the military context, moral injury is widespread and linked to anxiety, depression,
PTSD severity, and suicide risk. Over 90% of veterans with PTSD exhibit symptoms of
moral injury, emphasizing its significant impact 1 . Similarly, doctors today face moral
dilemmas due to conflicts between healthcare practices and their deepest values 14 .


Remember that moral injury arises from circumstances, not character, and it can fundamentally alter a person’s worldview and ability to trust others.
TIPS for healing
Healing moral injury is a complex and deeply personal process, often requiring time,
effort, and support. Here are some tips that may help:

• Seek Professional Help: Consider seeking support from a therapist or counselor experienced in treating moral injury. They can provide guidance and tools tailored to your specific situation.
• 2. Self-Reflection: Take time to reflect on the events or experiences that have caused moral injury. Journaling or engaging in introspective practices like meditation can help you process your feelings and thoughts.
• 3. Seek Understanding: Try to understand the circumstances that led to the moral injury, including the choices and actions of others involved. This can help contextualize your feelings and promote empathy, forgiveness, or acceptance.
• 4. Connect with Others: Seek support from trusted friends, family members, or members of your community who can offer empathy, understanding, and companionship as you navigate your healing journey.
• 5. Engage in Meaningful Activities: Participate in activities that align with your values and bring you a sense of purpose and fulfillment. This can help rebuild a sense of meaning and identity that may have been affected by the moral injury.
• 6. Practice Self-Compassion: Be gentle with yourself and recognize that experiencing moral injury is a normal response to challenging situations. Treat yourself with kindness and understanding as you work through your feelings.
• 7. Explore Spiritual or Religious Practices: For some individuals, spiritual or religious practices can provide comfort, guidance, and a sense of connection to something greater than themselves.
• 8. Advocate for Change: If your moral injury stems from systemic issues or injustices, consider getting involved in advocacy or activism efforts aimed at addressing the underlying causes and promoting positive change.
• 9. Set Boundaries: Establishing healthy boundaries can help protect your emotional well- being and prevent further harm. This may involve distancing yourself from triggering situations or individuals, setting limits on your involvement in certain activities, or seeking support in enforcing boundaries.
• 10. Give Yourself Time: Healing from moral injury is a process that takes time and patience. Be patient with yourself and trust that with time and effort, you can find healing and peace.

By Tandy Hale, LCMHC, ATR-BC, NCC 

Social anxiety is a common mental health condition that affects millions of people worldwide. The fear of being judged, scrutinized or rejected in social situations can disrupt normal functioning and lead to avoidance of many activities. Fortunately, there are effective ways to manage social anxiety with practice and persistence. In this blog, we will discuss some tips and techniques that can help you overcome social anxiety and live a fulfilling life.

Understanding social anxiety
​Social anxiety, also known as social phobia, is a type of anxiety disorder that can range from mild to severe. It is characterized by intense fear or discomfort in social situations that involve interaction with others, such as public speaking, parties, dating, and small talk. Social anxiety can cause physical symptoms like sweating, trembling, blushing, palpitations, and nausea. It can also lead to negative self-talk, self-doubt, and self-consciousness.
Tips for managing social anxiety

1. Identify your triggers: Recognize what situations trigger your social anxiety, and try to face them gradually. Start with situations that are less distressing, such as talking to a friend, and work your way up to more challenging situations, like public speaking.
2. Challenge your negative thoughts: Social anxiety is often fueled by negative thoughts, such as “I’ll embarrass myself,” “people will judge me,” or “I’m not good enough.” Try to question these thoughts and replace them with positive ones. For example, “I’ve prepared well for this presentation,” “people are not perfect either,” or “I’m learning and growing.”
3. Practice relaxation techniques: Deep breathing, progressive muscle relaxation, and visualization can help you calm down and reduce physical tension. Practice these techniques regularly, so you can use them when you face an anxiety-provoking situation.
4. Learn assertiveness skills: Being assertive means expressing your needs, opinions, and feelings clearly and respectfully. Assertiveness can increase your confidence and reduce social anxiety. Practice assertiveness skills, such as saying “no” when you need to, asking for what you want, and speaking up for yourself.
5. Seek professional help: If your social anxiety is severe or interfering with your daily life, seek help from a mental health professional. Cognitive-behavioral therapy (CBT) and medication can be effective treatments for social anxiety. CBT helps you change your negative thinking patterns and behaviors, while medication can reduce your symptoms.

ConclusionSocial anxiety can be a challenging condition to live with, but it is treatable. With the right guidance and support, you can learn to manage your social anxiety and enjoy social situations without fear. Remember, overcoming social anxiety takes time and effort, but it is worth it. Don’t let social anxiety hold you back from living the life you want.

By Jessica Whittington, LCSW, CCTP-II

#SocialAnxiety #MentalHealthMatters #AnxietyAwareness #Mindfulness #SelfCare #MindfulLiving #AnxietySupport #AnxietyHelp #Anxiety #EmotionalWellbeing

The inner critic is that pesky voice inside our heads that often focuses on our flaws, mistakes, or shortcomings.  It's like having a harsh judge constantly evaluating and criticizing our thoughts, actions, or appearance.  This inner voice can be relentless, causing self-doubt, lowering self-esteem, and sometimes leading to anxiety or perfectionism.  Managing the inner critic involves learning to recognize and reframe negative self-talk or limiting beliefs and replace them with more realistic and compassionate self-talk.


​
Challenging the inner critic:

1. Awareness: Start by becoming aware of your inner dialogue.  Notice when negative thoughts or self-criticisms arise.  Awareness is the first step toward challenging them.
2. Question the Validity: When negative thoughts emerge, ask yourself if they're based on evidence or if they're assumptions or self-imposed beliefs.  Challenge their validity and ask for proof.
3. Reality Check: Consider if you would speak to a friend the way you speak to yourself.  Often, we're more critical of ourselves than we are of others.  Treat yourself with the same kindness you would offer a friend.
4. Replace Negative Thoughts: When a negative thought arises, consciously replace it with a positive or more realistic one.  For instance, if you think, "I'll never succeed," replace it with, "I am capable and learning from each experience."
5. Practice Self-Compassion: Treat yourself with kindness and understanding, especially during difficult times.  Practice self-compassion by acknowledging your struggles without judgment.
6. Challenge Perfectionism: Recognize that perfection is unrealistic.  Embrace the idea that mistakes are opportunities for growth and learning.
7. Reframe with Evidence: When the inner critic arises, counter it with evidence of your strengths, past successes, or times when you've overcome challenges.  Remind yourself of your capabilities.
8. Focus on Progress, Not Perfection: Shift your focus from achieving perfection to making progress.  Celebrate small victories and acknowledge the effort you put into your endeavors.
9. Seek Support: Share your struggles with a supportive friend, family member, or therapist.  Sometimes an outside perspective can provide insights and encouragement.
10. Mindfulness and Meditation: Engage in mindfulness practices to observe your thoughts without attachment.  Meditation can help you develop awareness and detach from negative thought patterns.

Challenging the inner critic is an ongoing process that requires patience and persistence.  Over time, with conscious effort, you can reframe negative self-talk and cultivate a more positive and empowering inner dialogue.

By Tandy Hale, LCMHC, ATR-BC, NCC

#InnerCritic #SelfCompassion #Mindfulness #PositiveMindset #InnerPeace #SelfLove #PersonalGrowth #MindsetShift #WellnessJourney #PositiveThinking #EmbraceYourself #InnerStrength #PositiveChange #SelfImprovement #MindfulLiving #Empowerment #BlogPost #InnerDialogue #MindsetMatters

Toxic Positivity
We know this time of year can be challenging, especially navigating family. Let's focus on something we've all encountered at some point: toxic positivity. Being positive is generally not a bad thing; in fact, we encourage it. But what happens when that positivity turns toxic? And how does positivity turn toxic? It is possible to have too much, albeit well-intentioned, misguided optimism.
You know that family member or friend who seems to have a perpetually sunny disposition, radiating positivity like a glitter bomb? Sure, it sounds great in theory, but let's get real! Let's explore why toxic positivity can be a bit like trying to put out a fire with gasoline.
Ever had a rough day and needed a venting session? Toxic positivity might rear its head with a dismissive comment like, "Cheer up! It could be worse!" Thanks, Captain Obvious, but that's not exactly what I needed to hear. It's like telling someone with a sprained ankle, "At least it's not a broken leg." Sure, it's true, but it doesn't make the pain magically disappear. The only thing statements like these do is invalidate your feelings.
Then there's the classic, "Look on the bright side!" While you might appreciate the sentiment, the truth is sometimes life hands you a bag of lemons, and you just want a moment to acknowledge the sourness. Pushing someone to always see the silver lining might inadvertently trivialize their struggles, not to mention contribute to repression and emotional imbalance.
And let's not forget the infamous, "You should be grateful!" Gratitude is great, but implying that someone's feelings are invalid because they're not counting their blessings at that very moment? That's like telling someone drowning in a stormy sea to be grateful for the fresh air.
We all encounter struggles in life. In fact, struggles are a necessary part of life, without which there would be no emotional or spiritual growth. There would be no contrast. Life would get boring very quickly.
In our journey to promote positivity, we often forget the importance of holding space for the messy, complicated emotions that make us human. Life isn't all rainbows and unicorns, and pretending that it is can leave people feeling isolated in their struggles.
The key is finding that delicate balance between encouraging a positive mindset and acknowledging the stormy weather. It's about honoring difficulties, understanding that it's okay not to be okay, and allowing ourselves and others the freedom to experience the full spectrum of emotions.
People who tend to act with an over-the-top positive affect run the risk of disingenuous and superficial connections with others and, in fact, with life itself. They are more likely to be bored and seek quick fixes, with no genuine or long-lasting fulfillment. A deeper connection comes only from authenticity. Nobody's life is perfect.
So, my friends, let's be mindful of our positivity. Let's offer support that doesn't dismiss, validate without judgment, and create a space where people feel heard, even when the world feels like a bit of a dumpster fire.
In the grand dance of life, sometimes we need a slow waltz through the challenges rather than a relentless, upbeat jig. After all, it's in those difficult moments that we discover our resilience and strength. So here's to embracing the messy, acknowledging the tough stuff, and navigating the maze of life with authenticity and compassion. Cheers to a balanced emotional diet and a genuine understanding of the human experience!


By Deborah Ashway, LCMHC, LCAS

#ToxicPositivity #PositivityCulture #AuthenticityMatters #EmotionalWellness #Mindfulness #PositivityAwareness #RealTalk #HealthyMindset #BalancedLiving #PositiveVibesOnly #MindfulLiving #EmbraceEmotions #AuthenticPositivity #WellnessWithoutDenial #BreakThePositivityMyth #PositivityCheck #MindfulPositivity #GenuineJoy #EmotionalIntelligence #HealthyMindsetRevolution #EmbraceYourFeelings 

The holiday season is often depicted as a time of joy, love, and togetherness. However, for many, spending time with difficult or challenging people can turn this festive period into a source of stress and anxiety. Whether it's a family member, a friend, or a colleague, dealing with challenging relationships during the holidays can take a toll on your mental health. In Let's explore strategies to cope with difficult people and prioritize your well-being during this special time of the year.


First and foremost, focus on yourself. That's right, put yourself first. Chances are if you're worried about dealing with difficult or toxic people, you spend a lot of time worrying about or caring about others instead of yourself. You might have been conditioned to believe that putting yourself first is 'selfish' when it's actually the opposite. Change the wording to see it from a different perspective, and change the program. Consider focusing on 'self-care' instead of 'prioritizing yourself', because it's known that self-care is important. During the holiday hustle and bustle, it's easy to neglect self-care with all the focus on giving and presents and festivities. However, taking care of your mental health is crucial, especially when dealing with challenging relationships. Find moments of solitude to recharge, engage in activities that bring you joy, and prioritize sleep and nutrition.
Practice Mindfulness. Mindfulness can be a powerful tool for managing stress and navigating challenging interactions. Stay present in the moment, focus on your breath, and let go of the urge to dwell on past grievances or worry about future conflicts. Let go of the urge to worry about others, what they think of you, all the things you need to do, things you said or they said. Do this long enough to return to the present moment and sustain a state of calm for at least 30 seconds. Practice this until you can sustain it for 10 minutes or longer. Mindfulness can help you respond to difficult situations with greater calm and clarity.


Make sure to set realistic expectations. One of the most important ways to navigate the holidays with difficult people is to understand and set realistic expectations. People may not change overnight, and the dynamics of your relationship is not likely to transform miraculously during this season. Accepting the reality of the situation and knowing the habits and behaviors of these difficult people can help you manage your own expectations. Doing this can greatly reduce the emotional impact of difficult interactions.


Establish and maintain healthy boundaries. This is a way to prioritize your mental well-being and focus on yourself. Communicate your limits to those around you, and don't be afraid to say no to activities or situations that you find stressful. Setting boundaries is an essential act of self-care, allowing you to protect your emotional energy and maintain a sense of control over your holiday experience.


Seek support! You don't have to face challenging relationships during these times alone. Reach out to friends, a support group, or a mental health professional who can provide guidance and understanding. Sharing your feelings and experiences with trusted others can be therapeutic and help you gain perspective on the situation.


Choose your battles. Not every disagreement needs to escalate into a full-blown confrontation. Pick your battles wisely and recognize when it's best to let go of minor issues. Prioritize your well-being by avoiding unnecessary conflicts and redirecting your energy toward positive and enjoyable aspects of the holiday season. If someone wants control, attention, or your energy, try not to engage.
Spending the holidays with difficult people can be challenging, but it's essential to prioritize your mental well-being. By setting realistic expectations, establishing boundaries, focusing on self-care, seeking support, practicing mindfulness, and choosing your battles, you can navigate the festive season with greater resilience and maintain a positive mindset. Remember that your well-being is a priority, and you have the power to shape your holiday experience in a way that aligns with your mental health goals.

By Deborah Ashway, LCMHC, LCAS

​#HolidayWellbeing #NavigatingChallenges #MentalHealthMatters #SelfCareDuringHolidays #BoundariesForWellness #MindfulHoliday #CopingStrategies #FamilyDynamics #EmotionalResilience #SupportNetwork #PositiveMindset #ChooseYourBattles #HolidayStress #WellnessJourney #MindfulnessInAction #RelationshipBoundaries #CopingWithDifficultPeople #FestiveSelfCare #PrioritizeYourPeace #HealthyMindHappyHolidays #JoyfulMind #HolidaySupport #ResilienceInRelationships #SettingExpectations #SelfLoveDuringHolidays #WellbeingGuide