DBSA JACKSON: Depression Bipolar Support Alliance of Jackson is committed to helping to improve the lives of those suffering with mood disorders. Our inspirational support group, A Better Tomorrow, meets every Thursday at 3 - 5 pm. At the Rainbow Peer Support Center, 67 American Drive, Jackson. Friends and family members are welcome. For more information call: (731) 215-7200.
Showing posts with label DBSA Tennessee. Show all posts
Showing posts with label DBSA Tennessee. Show all posts
Friday, November 27, 2015
Wednesday, October 21, 2015
Monday, October 12, 2015
Saturday, October 10, 2015
World Mental Health Day 2015
Sunday, October 4, 2015
REMEMBER:
"NATIONAL MENTAL ILLNESS AWARENESS WEEK"
Mental Illness Awareness Week (MIAW) (also known as Mental Health Awareness Week) was established in 1990[1] by the U.S. Congress in recognition of efforts by the National Alliance on Mental Illness (NAMI) to educate and increase awareness about mental illness. It takes place every year during the first full week of October. During this week, mental health advocates and organizations across the U.S. join together to sponsor a variety of events to promote community outreach and public education concerning mental illnesses such as major depressive disorder, bipolar disorder, and schizophrenia. Examples of activities held during the week include art/music events, educational sessions provided by healthcare professionals, advertising campaigns, health fairs, movie nights, candlelight vigils, and benefit runs.
An estimated 26.2 percent of Americans ages 18 and older - about one in four adults - suffer from a diagnosable mental illness in any given year.[2] However, stigma surrounding mental illness is a major barrier that prevents people from seeking the mental health treatment that they need.[3] Programs during Mental Illness Awareness Week are designed to create community awareness and discussion in an effort to put an end to stigma and advocate for treatment and recovery.
Mental Illness Awareness Week also coincides with similar organizational campaigns in early October such as World Mental Health Day[4] (World Federation for Mental Health), National Depression Screening Day[5] (Screening for Mental Health), and National Day Without Stigma[6] (Active Minds).
SOURCE: Wikipedia
Friday, May 9, 2014
Borderline Personality Disorder relations to Bipolar Disorder and Depression
NIMH information on treatment, etc.
What is borderline personality disorder?
Borderline personality disorder is a serious mental illness marked by unstable moods, behavior, and relationships. In 1980, the Diagnostic and Statistical Manual for Mental Disorders, Third Edition (DSM-III) listed borderline personality disorder as a diagnosable illness for the first time. Most psychiatrists and other mental health professionals use the DSM to diagnose mental illnesses.
Because some people with severe borderline personality disorder have brief psychotic episodes, experts originally thought of this illness as atypical, or borderline, versions of other mental disorders.1 While mental health experts now generally agree that the name "borderline personality disorder" is misleading, a more accurate term does not exist yet.
Most people who have borderline personality disorder suffer from:
- Problems with regulating emotions and thoughts
- Impulsive and reckless behavior
- Unstable relationships with other people.
People with this disorder also have high rates of co-occurring disorders, such as depression, anxiety disorders, substance abuse, and eating disorders, along with self-harm, suicidal behaviors, and completed suicides.
According to data from a subsample of participants in a national survey on mental disorders, about 1.6 percent of adults in the United States have borderline personality disorder in a given year.2
Borderline personality disorder is often viewed as difficult to treat. However, recent research shows that borderline personality disorder can be treated effectively, and that many people with this illness improve over time.1,3,4
What are the symptoms of borderline personality disorder?
According to the DSM, Fourth Edition, Text Revision (DSM-IV-TR), to be diagnosed with borderline personality disorder, a person must show an enduring pattern of behavior that includes at least five of the following symptoms:
- Extreme reactions—including panic, depression, rage, or frantic actions—to abandonment, whether real or perceived
- A pattern of intense and stormy relationships with family, friends, and loved ones, often veering from extreme closeness and love (idealization) to extreme dislike or anger (devaluation)
- Distorted and unstable self-image or sense of self, which can result in sudden changes in feelings, opinions, values, or plans and goals for the future (such as school or career choices)
- Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving, and binge eating
- Recurring suicidal behaviors or threats or self-harming behavior, such as cutting
- Intense and highly changeable moods, with each episode lasting from a few hours to a few days
- Chronic feelings of emptiness and/or boredom
- Inappropriate, intense anger or problems controlling anger
- Having stress-related paranoid thoughts or severe dissociative symptoms, such as feeling cut off from oneself, observing oneself from outside the body, or losing touch with reality.
Seemingly mundane events may trigger symptoms. For example, people with borderline personality disorder may feel angry and distressed over minor separations—such as vacations, business trips, or sudden changes of plans—from people to whom they feel close. Studies show that people with this disorder may see anger in an emotionally neutral face5 and have a stronger reaction to words with negative meanings than people who do not have the disorder.6
Suicide and Self-harm
Self-injurious behavior includes suicide and suicide attempts, as well as self-harming behaviors, described below. As many as 80 percent of people with borderline personality disorder have suicidal behaviors,7 and about 4 to 9 percent commit suicide.4,7
Suicide is one of the most tragic outcomes of any mental illness. Some treatments can help reduce suicidal behaviors in people with borderline personality disorder. For example, one study showed that dialectical behavior therapy (DBT) reduced suicide attempts in women by half compared with other types of psychotherapy, or talk therapy. DBT also reduced use of emergency room and inpatient services and retained more participants in therapy, compared to other approaches to treatment.7 For more information about DBT, see the section, "How is borderline personality disorder treated?"
Unlike suicide attempts, self-harming behaviors do not stem from a desire to die. However, some self-harming behaviors may be life threatening. Self-harming behaviors linked with borderline personality disorder include cutting, burning, hitting, head banging, hair pulling, and other harmful acts. People with borderline personality disorder may self-harm to help regulate their emotions, to punish themselves, or to express their pain.8 They do not always see these behaviors as harmful.
When does borderline personality disorder start?
Borderline personality disorder usually begins during adolescence or early adulthood.1,9 Some studies suggest that early symptoms of the illness may occur during childhood.10,11
Some people with borderline personality disorder experience severe symptoms and require intensive, often inpatient, care. Others may use some outpatient treatments but never need hospitalization or emergency care. Some people who develop this disorder may improve without any treatment.12
Studies suggest early symptoms may occur in childhood
What illnesses often co-exist with borderline personality disorder?
Borderline personality disorder often occurs with other illnesses. These co-occurring disorders can make it harder to diagnose and treat borderline personality disorder, especially if symptoms of other illnesses overlap with the symptoms of borderline personality disorder.
Women with borderline personality disorder are more likely to have co-occurring disorders such as major depression, anxiety disorders, or eating disorders. In men, borderline personality disorder is more likely to co-occur with disorders such as substance abuse or antisocial personality disorder.13
According to the NIMH-funded National Comorbidity Survey Replication—the largest national study to date of mental disorders in U.S. adults—about 85 percent of people with borderline personality disorder also meet the diagnostic criteria for another mental illness.2
Other illnesses that often occur with BPD include diabetes, high blood pressure, chronic back pain, arthritis, and fibromyalgia.14,15 These conditions are associated with obesity, which is a common side effect of the medications prescribed to treat borderline personality disorder and other mental disorders. For more information, see the section, "How is borderline personality disorder treated?"
What are the risk factors for borderline personality disorder?
Research on the possible causes and risk factors for borderline personality disorder is still at a very early stage. However, scientists generally agree that genetic and environmental factors are likely to be involved.
Studies on twins with borderline personality disorder suggest that the illness is strongly inherited.16,17 Another study shows that a person can inherit his or her temperament and specific personality traits, particularly impulsiveness and aggression.18 Scientists are studying genes that help regulate emotions and impulse control for possible links to the disorder.19
Social or cultural factors may increase the risk for borderline personality disorder. For example, being part of a community or culture in which unstable family relationships are common may increase a person's risk for the disorder.1 Impulsiveness, poor judgment in lifestyle choices, and other consequences of BPD may lead individuals to risky situations. Adults with borderline personality disorder are considerably more likely to be the victim of violence, including rape and other crimes.
How is borderline personality disorder diagnosed?
Unfortunately, borderline personality disorder is often underdiagnosed or misdiagnosed.20,21
A mental health professional experienced in diagnosing and treating mental disorders—such as a psychiatrist, psychologist, clinical social worker, or psychiatric nurse—can detect borderline personality disorder based on a thorough interview and a discussion about symptoms. A careful and thorough medical exam can help rule out other possible causes of symptoms.
The mental health professional may ask about symptoms and personal and family medical histories, including any history of mental illnesses. This information can help the mental health professional decide on the best treatment. In some cases, co-occurring mental illnesses may have symptoms that overlap with borderline personality disorder, making it difficult to distinguish borderline personality disorder from other mental illnesses. For example, a person may describe feelings of depression but may not bring other symptoms to the mental health professional's attention.
No single test can diagnose borderline personality disorder. Scientists funded by NIMH are looking for ways to improve diagnosis of this disorder. One study found that adults with borderline personality disorder showed excessive emotional reactions when looking at words with unpleasant meanings, compared with healthy people. People with more severe borderline personality disorder showed a more intense emotional response than people who had less severe borderline personality disorder.6
What studies are being done to improve the diagnosis of borderline personality disorder?
Recent neuroimaging studies show differences in brain structure and function between people with borderline personality disorder and people who do not have this illness.22,23 Some research suggests that brain areas involved in emotional responses become overactive in people with borderline personality disorder when they perform tasks that they perceive as negative.24 People with the disorder also show less activity in areas of the brain that help control emotions and aggressive impulses and allow people to understand the context of a situation. These findings may help explain the unstable and sometimes explosive moods characteristic of borderline personality disorder.19,25
Another study showed that, when looking at emotionally negative pictures, people with borderline personality disorder used different areas of the brain than people without the disorder. Those with the illness tended to use brain areas related to reflexive actions and alertness, which may explain the tendency to act impulsively on emotional cues.26
These findings could inform efforts to develop more specific tests to diagnose borderline personality disorder.6
How is borderline personality disorder treated?
Borderline personality disorder can be treated with psychotherapy, or "talk" therapy. In some cases, a mental health professional may also recommend medications to treat specific symptoms. When a person is under more than one professional's care, it is essential for the professionals to coordinate with one another on the treatment plan.
The treatments described below are just some of the options that may be available to a person with borderline personality disorder. However, the research on treatments is still in very early stages. More studies are needed to determine the effectiveness of these treatments, who may benefit the most, and how best to deliver treatments.
Psychotherapy
Psychotherapy is usually the first treatment for people with borderline personality disorder. Current research suggests psychotherapy can relieve some symptoms, but further studies are needed to better understand how well psychotherapy works.27
It is important that people in therapy get along with and trust their therapist. The very nature of borderline personality disorder can make it difficult for people with this disorder to maintain this type of bond with their therapist.
Types of psychotherapy used to treat borderline personality disorder include the following:28
- Cognitive behavioral therapy (CBT). CBT can help people with borderline personality disorder identify and change core beliefs and/or behaviors that underlie inaccurate perceptions of themselves and others and problems interacting with others. CBT may help reduce a range of mood and anxiety symptoms and reduce the number of suicidal or self-harming behaviors.29
- Dialectical behavior therapy (DBT). This type of therapy focuses on the concept of mindfulness, or being aware of and attentive to the current situation.1 DBT teaches skills to control intense emotions, reduces self-destructive behaviors, and improves relationships. This therapy differs from CBT in that it seeks a balance between changing and accepting beliefs and behaviors.30
- Schema-focused therapy. This type of therapy combines elements of CBT with other forms of psychotherapy that focus on reframing schemas, or the ways people view themselves. This approach is based on the idea that borderline personality disorder stems from a dysfunctional self-image—possibly brought on by negative childhood experiences—that affects how people react to their environment, interact with others, and cope with problems or stress.31
Therapy can be provided one-on-one between the therapist and the patient or in a group setting. Therapist-led group sessions may help teach people with borderline personality disorder how to interact with others and how to express themselves effectively.
One type of group therapy, Systems Training for Emotional Predictability and Problem Solving (STEPPS), is designed as a relatively brief treatment consisting of 20 two-hour sessions led by an experienced social worker. Scientists funded by NIMH reported that STEPPS, when used with other types of treatment (medications or individual psychotherapy), can help reduce symptoms and problem behaviors of borderline personality disorder, relieve symptoms of depression, and improve quality of life.32 The effectiveness of this type of therapy has not been extensively studied.
Families of people with borderline personality disorder may also benefit from therapy. The challenges of dealing with an ill relative on a daily basis can be very stressful, and family members may unknowingly act in ways that worsen their relative's symptoms.
Some therapies, such as DBT-family skills training (DBT-FST), include family members in treatment sessions. These types of programs help families develop skills to better understand and support a relative with borderline personality disorder. Other therapies, such as Family Connections, focus on the needs of family members. More research is needed to determine the effectiveness of family therapy in borderline personality disorder. Studies with other mental disorders suggest that including family members can help in a person's treatment.33
Other types of therapy not listed in this booklet may be helpful for some people with borderline personality disorder. Therapists often adapt psychotherapy to better meet a person's needs. Therapists may switch from one type of therapy to another, mix techniques from different therapies, or use a combination therapy. For more information see the NIMH website section on psychotherapy.
Some symptoms of borderline personality disorder may come and go, but the core symptoms of highly changeable moods, intense anger, and impulsiveness tend to be more persistent.34 People whose symptoms improve may continue to face issues related to co-occurring disorders, such as depression or post-traumatic stress disorder.4 However, encouraging research suggests that relapse, or the recurrence of full-blown symptoms after remission, is rare. In one study, 6 percent of people with borderline personality disorder had a relapse after remission.4
Medications
No medications have been approved by the U.S. Food and Drug Administration to treat borderline personality disorder. Only a few studies show that medications are necessary or effective for people with this illness.35 However, many people with borderline personality disorder are treated with medications in addition to psychotherapy. While medications do not cure BPD, some medications may be helpful in managing specific symptoms. For some people, medications can help reduce symptoms such as anxiety, depression, or aggression. Often, people are treated with several medications at the same time,12 but there is little evidence that this practice is necessary or effective.
Medications can cause different side effects in different people. People who have borderline personality disorder should talk with their prescribing doctor about what to expect from a particular medication.
Other Treatments
Omega-3 fatty acids. One study done on 30 women with borderline personality disorder showed that omega-3 fatty acids may help reduce symptoms of aggression and depression.36 The treatment seemed to be as well tolerated as commonly prescribed mood stabilizers and had few side effects. Fewer women who took omega-3 fatty acids dropped out of the study, compared to women who took a placebo (sugar pill).
With proper treatment, many people experience fewer or less severe symptoms. However, many factors affect the amount of time it takes for symptoms to improve, so it is important for people with borderline personality disorder to be patient and to receive appropriate support during treatment.
How can I help a friend or relative who has borderline personality disorder?
If you know someone who has borderline personality disorder, it affects you too. The first and most important thing you can do is help your friend or relative get the right diagnosis and treatment. You may need to make an appointment and go with your friend or relative to see the doctor. Encourage him or her to stay in treatment or to seek different treatment if symptoms do not appear to improve with the current treatment.
To help a friend or relative you can:
- Offer emotional support, understanding, patience, and encouragement—change can be difficult and frightening to people with borderline personality disorder, but it is possible for them to get better over time
- Learn about mental disorders, including borderline personality disorder, so you can understand what your friend or relative is experiencing
- With permission from your friend or relative, talk with his or her therapist to learn about therapies that may involve family members, such as DBT-FST.
Never ignore comments about someone's intent or plan to harm himself or herself or someone else. Report such comments to the person's therapist or doctor. In urgent or potentially life-threatening situations, you may need to call the police.
How can I help myself if I have borderline personality disorder?
Taking that first step to help yourself may be hard. It is important to realize that, although it may take some time, you can get better with treatment.
To help yourself:
- Talk to your doctor about treatment options and stick with treatment
- Try to maintain a stable schedule of meals and sleep times
- Engage in mild activity or exercise to help reduce stress
- Set realistic goals for yourself
- Break up large tasks into small ones, set some priorities, and do what you can, as you can
- Try to spend time with other people and confide in a trusted friend or family member
- Tell others about events or situations that may trigger symptoms
- Expect your symptoms to improve gradually, not immediately
- Identify and seek out comforting situations, places, and people
- Continue to educate yourself about this disorder.
Where can I go for help?
If you are unsure where to go for help, ask your family doctor. Other people who can help are:
- Mental health professionals, such as psychiatrists, psychologists, social workers, or mental health counselors
- Health maintenance organizations
- Community mental health centers
- Hospital psychiatry departments and outpatient clinics
- Mental health programs at universities or medical schools
- State hospital outpatient clinics
- Family services, social agencies, or clergy
- Peer support groups
- Private clinics and facilities
- Employee assistance programs
- Local medical and psychiatric societies.
You can also check the phone book under "mental health," "health," "social services," "hotlines," or "physicians" for phone numbers and addresses. An emergency room doctor can provide temporary help and can tell you where and how to get further help.
What if I or someone I know is in crisis?
If you are thinking about harming yourself, or know someone who is:
- Call your doctor.
- Call 911 or go to a hospital emergency room to get immediate help or ask a friend or family member to help you do these things.
- Call the toll-free, 24-hour hotline of the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or TTY: 1-800-799-4TTY (4889) to talk to a trained counselor.
- If you are in a crisis, make sure you are not left alone.
- If someone else is in a crisis, make sure he or she is not left alone.
Thursday, May 8, 2014
Borderline Personality Disorder relations with BP
Borderline personality disorder (BPD) and bipolar disorder frequently co-occur (numbers range from 8% to 18%), although they are distinct clinical entities (Paris J et al, Compr Psychiatry2007;48(2):145–154). A proper diagnosis guides the most effective treatment, but you’ve probably faced the difficult challenge of diagnosing these conditions, which share several clinical features.BPD can be described by four types of psychopathology: affective disturbance, impulsivity, cognitive problems, and intense, unstable relationships. What’s most important—in addition to seeing that your patient meets DSM-IV criteria for BPD—is to establish that patterns of affective instability, impulsivity, and unstable relationships have been consistent over time. Thus, obtaining a detailed history is crucial. Also, the key features we see in BPD, such as dissociation, paranoia, and cognitive problems, are often affected by the patient’s environment and, particularly, his or her relationships. A patient might have a history of rapid and sudden deterioration when relationships change—such as threatening suicide after a breakup or severe mood swings when separated from her family. Generally, the more intense or significant the relationship is, the greater the risk of chronic stress and mood dysregulation.
Many of the same features are seen in patients with bipolar disorder, such as dysphoria, hyperactivity, impulsivity, suicidality, and psychotic symptoms. As a result, borderline patients with this cluster of symptoms are often misdiagnosed with bipolar disorder, possibly because of the effectiveness of psychopharmacological treatments for such symptoms. In fact, a more thorough assessment might show that these patients actually suffer from a personality disorder. In one study, more than one third of those misdiagnosed with bipolar disorder met DSM-IV criteria for BPD (Zimmerman M et al, Compr Psychiatry2010;51(2):99–105).
In BPD, mood changes are generally short-lived, lasting only for a few hours at a time. In contrast, mood changes in bipolar disorder tend to last for days or even weeks or months. Mood shifts in BPD are usually in reaction to an environmental stressor (such as an argument with a loved one or a frustration in the waiting room), whereas mood shifts in bipolar disorder may occur out of the blue. Some clinicians consider BPD an “ultrarapid-cycling” form of bipolar disorder, but there’s little evidence to support this link (Gunderson JG et al, Am J Psychiatry 2006;163(7):1173–1178). Patients with BPD might rapidly cycle through depression, anxiety, and anger, but these mood shifts rarely involve elation; more often, the mood shifts are from feeling upset to feeling just “OK.” Likewise, the anxiety or irritability of BPD should not be mistaken for the mania or hypomania of bipolar disorder, which usually involve expansive or elevated mood.
At a more existential level, patients with BPD—particularly younger patients— often struggle with feelings of emptiness and worthlessness, difficulties with self-image, and fears of abandonment. These are less common in bipolar disorder, where grandiosity and inflated self-esteem are common, especially during mood episodes. And while both conditions may include a history of chaotic relationships, a patient with BPD may describe relationship difficulties as the primary—or sole—source of her/his suffering, while the bipolar patient may see them as an unfortunate consequence of his behavior.
A pattern of self-harm and suicidality often serves as a cue for diagnosing BPD (but are not necessarily required). But both can be seen in bipolar disorder, too. In BPD, suicide threats and attempts may occur along with anger at perceived abandonment and disappointment. Patients often explain these impulses as a way to be relieved of pain, or to “stop their thinking,” more so than to end their lives, per se. Patients with BPD may experience “micropsychotic” phenomena of short duration (lasting hours or at most a few days), including auditory hallucinations, paranoia, and episodes of depersonalization. However, patients generally retain insight, and can acknowledge that “something strange is happening” without strong delusional thought. When psychotic symptoms occur in bipolar disorder, they happen in the context of a mood episode, they tend to last longer, and patients may be unable to reflect on their behavior.
This article originally appeared in The Carlat Psychiatry Report -- an unbiased monthly covering all things psychiatry.
Want more, plus easy CME credit?
Subscribe today!
TCPR’s VERDICT: Clinicians sometimes think of a BPD diagnosis as pejorative (chronic and untreatable) and may be reluctant to disclose it, but patients and their families often find it helpful to be informed of the diagnosis. Similarly with bipolar disorder, accurate diagnosis often determines prognosis and effective treatment. For the clinician, however, it’s imperative that you make the proper diagnosis in these two often overlapping, but fundamentally quite distinct, conditions in order to optimize your patients’ outcomes.
Tuesday, January 28, 2014
Speak with the Decision-makers --
The attached document contains a ‘pairing’ of PSC’s with their area’s Senator & Representative. For those of you planning on attending Mental Health Day on the Hill, this year, I’m hoping you can take some consumers with you. It would be great if you can use this document, early on,& go ahead & call your area legislators for appointment times. M H ‘Day on the Hill is March 18ththis year.
I would like to know when you set appointments, so I can try to be with you. Obviously, the huge issue for Mental Health Consumers is the matter of Governor Haslam’s desire to eliminate funding for the Peer Centers. Let’s all in regions VI, & VII “put it together”, & influence our Legislators as to how important pro-mental health legislation is. And particularly how very important it is to keep our Peer Support Centers running. You can let me hear from you byemail..dhamer@tmhca-tn.org, or by my cell #: 731-234-2194
PEER SUPPORT CENTERS IN TENNESSEE
REGION I
FRONTIER HEALTH SERVICES
Host Agency Contact: Mary Fultineer
26 Midway Street
Bristol TN 37620423-224-1461
Host Agency Contact: Mary Fultineer
26 Midway Street
Bristol TN 37620423-224-1461
Open Arms
Coordinator: Angela Prater423-274-8100
1400 Windsor Avenue
Bristol, TN 37620
Open: Monday-Thursday 8:30 am - 6:30 pm
Counties Covered: Sullivan
Coordinator: Angela Prater423-274-8100
1400 Windsor Avenue
Bristol, TN 37620
Open: Monday-Thursday 8:30 am - 6:30 pm
Counties Covered: Sullivan
Friendship House
Coordinator: Glenda Edwards423-232-4264
805 West Walnut Street
Johnson City, TN 37604
Open: Tuesday-Thursday 8 am – 5 pm
Counties Covered: Unicoi, Washington, Carter
Coordinator: Glenda Edwards423-232-4264
805 West Walnut Street
Johnson City, TN 37604
Open: Tuesday-Thursday 8 am – 5 pm
Counties Covered: Unicoi, Washington, Carter
Friendship Connection
Coordinator: Melissa Frazier423-247-0160
117 Wexler Street
Kingsport, TN 37660
Open: Monday-Thursday 9 am-6 pm
Counties Covered: Sullivan
Coordinator: Melissa Frazier423-247-0160
117 Wexler Street
Kingsport, TN 37660
Open: Monday-Thursday 9 am-6 pm
Counties Covered: Sullivan
Freedom Peer Support Center – Greeneville
Coordinator: Charles McLain423-639-1313
616 East Church Street
Greenville, TN 37743
Open: Mon, Tues, Thurs, Fri 11 am-5 pm
Counties Covered: Greene, Hawkins
Coordinator: Charles McLain423-639-1313
616 East Church Street
Greenville, TN 37743
Open: Mon, Tues, Thurs, Fri 11 am-5 pm
Counties Covered: Greene, Hawkins
Higher Ground
Coordinator: Charles Justice 423-727-8685
1404 Crossroads Drive
Mountain City, TN 37683
Open: Tues, Wed, Thurs, Fri 9 am-5 pm
Counties Covered: Johnson
Coordinator: Charles Justice 423-727-8685
1404 Crossroads Drive
Mountain City, TN 37683
Open: Tues, Wed, Thurs, Fri 9 am-5 pm
Counties Covered: Johnson
New Start - Sneedville
Coordinator: Charles McLain423-733-1540
119 Nora Alder Drive
Sneedville, TN 37689
Open: Tues, Wed, Thurs, Fri 12-5 pm
Counties Covered: Hancock
Coordinator: Charles McLain423-733-1540
119 Nora Alder Drive
Sneedville, TN 37689
Open: Tues, Wed, Thurs, Fri 12-5 pm
Counties Covered: Hancock
REGION II
CHEROKEE HEALTH SYSTEMS
Host Agency Contact: Stella Melton423-623-5301 or 423-586-5032
215 Hedrick Drive
Newport, TN 37821
Host Agency Contact: Stella Melton423-623-5301 or 423-586-5032
215 Hedrick Drive
Newport, TN 37821
Health Recovery Group-Morristown
Peer Counselor: Mike Clayton 865-207-1047
815 W 5th North Street
Morristown, TN 37814
Hours: Mon, Wed, Fri 1-4 pm
Counties covered: Hamblen, Cocke
Peer Counselor: Mike Clayton 865-207-1047
815 W 5th North Street
Morristown, TN 37814
Hours: Mon, Wed, Fri 1-4 pm
Counties covered: Hamblen, Cocke
Health Recovery Group-Newport
Peer Counselor: Mike Clayton423-623-5301or 423-586-5032
215 Hedrick Drive
Newport, TN 37821
Hours: Tues &Thurs 1-4 pm
Counties covered: Hamblen, Cocke
Peer Counselor: Mike Clayton423-623-5301or 423-586-5032
215 Hedrick Drive
Newport, TN 37821
Hours: Tues &Thurs 1-4 pm
Counties covered: Hamblen, Cocke
RIDGEVIEW PSYCHIATRIC HOSPITAL & CENTER
Host Agency Contact: Sharon Stratton865-482-1076 ext. 1110
240 West Tyrone Road
Oak Ridge, TN 37830
Host Agency Contact: Sharon Stratton865-482-1076 ext. 1110
240 West Tyrone Road
Oak Ridge, TN 37830
Friendship Place
Coordinator: Linda King865-882-7694
201 Sewanee Street #100
Harriman, TN 37748
Open: Tues – Fri 12 PM to 5:30 PM
Counties Covered: Morgan
Coordinator: Linda King865-882-7694
201 Sewanee Street #100
Harriman, TN 37748
Open: Tues – Fri 12 PM to 5:30 PM
Counties Covered: Morgan
Horizons
Coordinator: Linda White865-483-5457
11 Joel Lane
Oak Ridge, TN 37830
Open: Wed – Sat 12 PM to 5:30 PM
Counties Covered: Anderson
Coordinator: Linda White865-483-5457
11 Joel Lane
Oak Ridge, TN 37830
Open: Wed – Sat 12 PM to 5:30 PM
Counties Covered: Anderson
Wings
Coordinator: Barbara Smith423-562-2022
1327 East Central Avenue, Suite 5
Lafollette, TN 37766
Open: Wed – Thurs, 11 AM - 6; Fri, 11 AM – 7 PM Sat, 10 AM – 6 PM
Counties Covered: Campbell
Coordinator: Barbara Smith423-562-2022
1327 East Central Avenue, Suite 5
Lafollette, TN 37766
Open: Wed – Thurs, 11 AM - 6; Fri, 11 AM – 7 PM Sat, 10 AM – 6 PM
Counties Covered: Campbell
HELEN ROSS MCNABB CENTER
Host Agency Contact: Jana Morgan 865-544-3841 ext. 4108
526 Lamar Street
Knoxville, TN 37917
Host Agency Contact: Jana Morgan 865-544-3841 ext. 4108
526 Lamar Street
Knoxville, TN 37917
Friendship House
Coordinator: Michelle Palmer865-541-6635
526 Lamar Street
Knoxville, TN 37917
Open: Tues., Thurs. & Sat. 10 AM to 2 PM
Wed. & Fri. 10 AM to 6 PM
Counties Covered: Knox
526 Lamar Street
Knoxville, TN 37917
Open: Tues., Thurs. & Sat. 10 AM to 2 PM
Wed. & Fri. 10 AM to 6 PM
Counties Covered: Knox
PENINSULA BEHAVIORAL HEALTH
Host Agency Contact: Mary Nelle Osborne865-374-7140
1451 Dowell Springs Blvd Suite 101
Knoxville, TN 37909-2451
Host Agency Contact: Mary Nelle Osborne865-374-7140
1451 Dowell Springs Blvd Suite 101
Knoxville, TN 37909-2451
Maryville Wellness Recovery Center
Coordinator: Joey Amason865-379-6030
532 E. Broadway Avenue
Box 9
Maryville, TN 37804
Open: Mon – Thus, 10:00 AM – 4:00 PM
Counties Covered: Blount
Coordinator: Joey Amason865-379-6030
532 E. Broadway Avenue
Box 9
Maryville, TN 37804
Open: Mon – Thus, 10:00 AM – 4:00 PM
Counties Covered: Blount
Sevierville Wellness Recovery Center
Coordinator: Marjorie Diefenbach865-705-4012
509 High Street
Sevierville, TN 37862
Open: Mon – Thur, 11 am – 6 pm
Counties Covered: Sevier
Coordinator: Marjorie Diefenbach865-705-4012
509 High Street
Sevierville, TN 37862
Open: Mon – Thur, 11 am – 6 pm
Counties Covered: Sevier
Knox Wellness Recovery Center
Interim Coordinator: Leslie Judson865-374-7148
1451 Dowell Spring Road
Knoxville, TN 37919
Open: Tuesday- Thursday 3-7
Counties Covered: Knox
Interim Coordinator: Leslie Judson865-374-7148
1451 Dowell Spring Road
Knoxville, TN 37919
Open: Tuesday- Thursday 3-7
Counties Covered: Knox
REGION III
FORTWOOD CENTER
Host Agency Contact: Dot Stephens423-763-4608
1028 East 3rd Street
Chattanooga, TN 37403
Host Agency Contact: Dot Stephens423-763-4608
1028 East 3rd Street
Chattanooga, TN 37403
Lighthouse Peer Support Center
Coordinator: Marty Davis423-756-1295
509 South Highland Park
Chattanooga, TN 37403-4116
Open: Monday – Thursday 10:00 AM – 6:00 PM
Saturday – 10:00 AM – 3:30 PM
Counties Covered: Hamilton
Coordinator: Marty Davis423-756-1295
509 South Highland Park
Chattanooga, TN 37403-4116
Open: Monday – Thursday 10:00 AM – 6:00 PM
Saturday – 10:00 AM – 3:30 PM
Counties Covered: Hamilton
The Cottage
Coordinator: Paul Turney423-942-9177
112 College Street
Jasper, TN 37347
Open: Mon, Wed, Fri 9:30 AM – 6:00 PM
Tues &Thurs 10:30 AM – 7:00 pm
Counties Covered: Marion, Grundy
Coordinator: Paul Turney423-942-9177
112 College Street
Jasper, TN 37347
Open: Mon, Wed, Fri 9:30 AM – 6:00 PM
Tues &Thurs 10:30 AM – 7:00 pm
Counties Covered: Marion, Grundy
Dakoda Place - Athens
Coordinator: Tina Gesolgon423-744-9540
PO Box 685
424 Old Riceville Road
Athens, TN 37303
Open: Monday – Friday 9:00 AM – 3:00 PM
Counties Covered: McMinn
Coordinator: Tina Gesolgon423-744-9540
PO Box 685
424 Old Riceville Road
Athens, TN 37303
Open: Monday – Friday 9:00 AM – 3:00 PM
Counties Covered: McMinn
Dakoda Place - Cleveland
Coordinator: Tina Gesolgon423-339-9622
940 South Ocoee Street
Cleveland, TN 37311
Open: Tues & Thurs 9:00 AM – 3:00 PM
Counties Covered: Bradley
Coordinator: Tina Gesolgon423-339-9622
940 South Ocoee Street
Cleveland, TN 37311
Open: Tues & Thurs 9:00 AM – 3:00 PM
Counties Covered: Bradley
Friends & Company
Coordinator: Angela Smithers931-432-7874 or 931-432-7875
1200 S. Willow Avenue
Cookeville, TN 38503
Open: Tues 12-5; Wed - Fri 9-5
Counties Covered: Putnam, White
Coordinator: Angela Smithers931-432-7874 or 931-432-7875
1200 S. Willow Avenue
Cookeville, TN 38503
Open: Tues 12-5; Wed - Fri 9-5
Counties Covered: Putnam, White
Friendship Circle
Coordinator: Becky Porter 423-775-0809
412 Delaware Avenue
Dayton, TN 37321
Open: Monday – Friday 9:00 AM – 5:00 PM
Counties Covered: Rhea
Coordinator: Becky Porter 423-775-0809
412 Delaware Avenue
Dayton, TN 37321
Open: Monday – Friday 9:00 AM – 5:00 PM
Counties Covered: Rhea
My Friends House
Coordinator: Linda Joan Smith 931-823-5680
209 B South Church Street
Livingston, TN 38570
Open: Monday – Friday 9:00 AM – 5:00 PM
Counties Covered: Overton, Clay, Pickett
Coordinator: Linda Joan Smith 931-823-5680
209 B South Church Street
Livingston, TN 38570
Open: Monday – Friday 9:00 AM – 5:00 PM
Counties Covered: Overton, Clay, Pickett
PREPS Center
Coordinator: Sandra Crabtree931-456-4727
47 Willow Street
Crossville, TN 38555
Open: Mon - Fri 8:00 AM – 4:00 PM
2nd Friday 8:00 AM – 12:00 PM
2nd Saturday 9:00 AM – 1:30 PM
Counties Covered: Cumberland
Coordinator: Sandra Crabtree931-456-4727
47 Willow Street
Crossville, TN 38555
Open: Mon - Fri 8:00 AM – 4:00 PM
2nd Friday 8:00 AM – 12:00 PM
2nd Saturday 9:00 AM – 1:30 PM
Counties Covered: Cumberland
Harmony House
Coordinator: Mary Webb931-260-7647
107 Lyon Street Suite 3
McMinnville, TN 37110
Open: Monday - Thursday, 8 am to 2 pm
Counties covered: Warren
Coordinator: Mary Webb931-260-7647
107 Lyon Street Suite 3
McMinnville, TN 37110
Open: Monday - Thursday, 8 am to 2 pm
Counties covered: Warren
REGION IV
CENTERSTONE
ReConnect Nashville
Coordinator: Greg Bennett 615-460-4452 or 931-206-1086
1101 Sixth Avenue North
Nashville, TN 37208
Open: Monday – Friday 10 – 4 open one Saturday per month
Counties Covered: Davidson
Coordinator: Greg Bennett 615-460-4452 or 931-206-1086
1101 Sixth Avenue North
Nashville, TN 37208
Open: Monday – Friday 10 – 4 open one Saturday per month
Counties Covered: Davidson
REGION V
ReConnect Clarksville
Regional Coordinator: Carla Sanders931-920-7208 or615-477-8369
611 8th St.
Clarksville, TN 37040
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Montgomery, Robertson
Regional Coordinator: Carla Sanders931-920-7208 or615-477-8369
611 8th St.
Clarksville, TN 37040
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Montgomery, Robertson
ReConnect Dickson
Regional Coordinator: Carla Sanders615-441-6178 or 931-206-1086
224 N Main ST
Dickson, TN 37055-1802
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Dickson
Regional Coordinator: Carla Sanders615-441-6178 or 931-206-1086
224 N Main ST
Dickson, TN 37055-1802
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Dickson
ReConnect Tullahoma
Regional Coordinator: Brenda Hargrove 931-434-1079
709 North Davidson St
Tullahoma, TN 37388
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Coffee, Lincoln
Regional Coordinator: Brenda Hargrove 931-434-1079
709 North Davidson St
Tullahoma, TN 37388
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Coffee, Lincoln
ReConnect Columbia
Regional Coordinator: Wanda Yeager931-381-3027 or 931 212-7055
6011 Trotwood Avenue
Columbia, TN 38401
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Maury, Lawrence
Regional Coordinator: Wanda Yeager931-381-3027 or 931 212-7055
6011 Trotwood Avenue
Columbia, TN 38401
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Maury, Lawrence
ReConnect Shelbyville
Contact Person: Brenda Hargrove931-685-9330 or 931-434-1079
1110 Woodbury Street
Shelbyville, TN 37160
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Bedford
Contact Person: Brenda Hargrove931-685-9330 or 931-434-1079
1110 Woodbury Street
Shelbyville, TN 37160
Open: Mon – Fri 10 – 4; open one Saturday per month
Counties Covered: Bedford
Enrichment House
Coordinator: Effie Cates 615-452-2344
538 East Main Street
Gallatin, TN 37066
Open: Tues – Fri 8:00 AM – 5:00 PM
Counties Covered: Sumner, Wilson
Coordinator: Effie Cates 615-452-2344
538 East Main Street
Gallatin, TN 37066
Open: Tues – Fri 8:00 AM – 5:00 PM
Counties Covered: Sumner, Wilson
Our Place
Coordinator: Lyndi Shupp 615-867-3538
120 S. Hancock Street
Murfreesboro, TN 37130
Open: Mon – Thurs & Sat 9:00 AM – 3:00 PM
Counties Covered: Rutherford
Coordinator: Lyndi Shupp 615-867-3538
120 S. Hancock Street
Murfreesboro, TN 37130
Open: Mon – Thurs & Sat 9:00 AM – 3:00 PM
Counties Covered: Rutherford
REGION VI
CAREY COUNSELING CENTERHost Agency Contact:
Sherri Sedgebear731-986-4411
PO Box 793
Huntingdon, TN 38344
Sherri Sedgebear731-986-4411
PO Box 793
Huntingdon, TN 38344
Liberty Place
Coordinator: Priscilla Johnson731-855-3153
111 East Eaton St
Trenton, TN 38382
Open: Tues – Fri 10-8; Sat 8-4
Counties Covered: Gibson
Coordinator: Priscilla Johnson731-855-3153
111 East Eaton St
Trenton, TN 38382
Open: Tues – Fri 10-8; Sat 8-4
Counties Covered: Gibson
Outreach Center
Coordinator: Kathy Graham 731-642-8994
1539 Hwy 69 North
Paris, TN 38242
Open: Tues- Fri 10-6; Sat 8-4
Counties Covered: Henry
Coordinator: Kathy Graham 731-642-8994
1539 Hwy 69 North
Paris, TN 38242
Open: Tues- Fri 10-6; Sat 8-4
Counties Covered: Henry
C.A.R.E.S. Center
Coordinator: Teresa Madison731-584-6233
946 Flatwoods Road
Camden, TN 38320
Open: Thurs – Fri 9-4; Sat 9-3
Counties Covered: Benton
Coordinator: Teresa Madison731-584-6233
946 Flatwoods Road
Camden, TN 38320
Open: Thurs – Fri 9-4; Sat 9-3
Counties Covered: Benton
Sunrise Outreach Center
Coordinator: Shawna Williams 731-884-1549
110 East Church Street
Union City, TN 38261
Open: Tues – Fri 10-6; Sat 8-4
Counties Covered: Obion
Coordinator: Shawna Williams 731-884-1549
110 East Church Street
Union City, TN 38261
Open: Tues – Fri 10-6; Sat 8-4
Counties Covered: Obion
The Hope Center
Coordinator: Debbi Young731-287-7535
222 E. Court St. Suite A
Dyersburg, TN 38024
Open: Tues – Thurs 8:00 AM – 3:30 PM
Counties Covered: Crockett, Dyer, Lake
Coordinator: Debbi Young731-287-7535
222 E. Court St. Suite A
Dyersburg, TN 38024
Open: Tues – Thurs 8:00 AM – 3:30 PM
Counties Covered: Crockett, Dyer, Lake
Rainbow Center
Coordinator: Thomas Byars 731-423-9500
67 American Drive
Jackson, TN 38301
Open: Tue, Wed & Thurs 8:00 AM – 4:00 PM
Counties Covered: Madison, Haywood
Coordinator: Thomas Byars 731-423-9500
67 American Drive
Jackson, TN 38301
Open: Tue, Wed & Thurs 8:00 AM – 4:00 PM
Counties Covered: Madison, Haywood
Comfort Center
Coordinator: Kim Buckley 731-968-1504
300 Holly Street
Lexington, TN 38351
Open: Mon - Fri 8:00 AM-4:00 PM
Counties Covered: Henderson
Coordinator: Kim Buckley 731-968-1504
300 Holly Street
Lexington, TN 38351
Open: Mon - Fri 8:00 AM-4:00 PM
Counties Covered: Henderson
PROFESSIONAL CARE SERVICES
Host Agency Contact: Jimmie Jackson901-475-3569
1997 Hwy 51 S
Covington, TN 38019
Host Agency Contact: Jimmie Jackson901-475-3569
1997 Hwy 51 S
Covington, TN 38019
Hearts in Hands
Coordinator: Brenda Robbins 901-465-0420
12615 S. Main
Somerville, TN 38068
Open: Mon, Tues, Thurs, 8:00 AM – 5:00 PM
Wed 8:00 AM – 2:00 PM
Counties Covered: Fayette
Coordinator: Brenda Robbins 901-465-0420
12615 S. Main
Somerville, TN 38068
Open: Mon, Tues, Thurs, 8:00 AM – 5:00 PM
Wed 8:00 AM – 2:00 PM
Counties Covered: Fayette
Togetherness House
Coordinator: Melissa Belair 731-635-8802
477-B South Washington
Ripley, TN 38063
Open: Mon, Wed, Fri, 8:30 – 5; Tues, 9 – 5; Thurs, 1-5
Counties Covered: Lauderdale, Tipton
Coordinator: Melissa Belair 731-635-8802
477-B South Washington
Ripley, TN 38063
Open: Mon, Wed, Fri, 8:30 – 5; Tues, 9 – 5; Thurs, 1-5
Counties Covered: Lauderdale, Tipton
QUINCO MENTAL HEALTH CENTER
Host Agency Contact: Heather King731-658-6113
10710 Old Hwy 64
Bolivar, TN 38008
Host Agency Contact: Heather King731-658-6113
10710 Old Hwy 64
Bolivar, TN 38008
Horizon of Bolivar
Coordinator: Shirley Kelley731-403-3000
428 W. Market St.
Bolivar, TN 38008-2606
Open Tues-Fri, 8 am – 4 pm
Counties Covered: Hardeman, Chester
Coordinator: Shirley Kelley731-403-3000
428 W. Market St.
Bolivar, TN 38008-2606
Open Tues-Fri, 8 am – 4 pm
Counties Covered: Hardeman, Chester
Horizon of Savannah
Coordinator: Jana James731-925-7790
430 Pinhook Drive
Savannah, TN 38372
Open: Wednesday – Friday 8:00 AM – 4:00 PM
Counties Covered: Hardin, McNairy
Coordinator: Jana James731-925-7790
430 Pinhook Drive
Savannah, TN 38372
Open: Wednesday – Friday 8:00 AM – 4:00 PM
Counties Covered: Hardin, McNairy
REGION VII
SOUTHEAST MENTAL HEALTH CENTER
Host Agency Contact:
Debra Dillon901-259-8900
135 N. Pauline
Memphis, TN 38104
Host Agency Contact:
Debra Dillon901-259-8900
135 N. Pauline
Memphis, TN 38104
Turning Point
Coordinator: Zoe Simpson901-458-4553
4088 Summer Ave
Memphis, TN 38122
Open: Mon., Thurs. & Fri. 8:30 AM to 4:30 PM
Counties Covered: Shelby
Coordinator: Zoe Simpson901-458-4553
4088 Summer Ave
Memphis, TN 38122
Open: Mon., Thurs. & Fri. 8:30 AM to 4:30 PM
Counties Covered: Shelby
The Beers-Van Gogh Peer Center
Coordinator: Megan Hoffmann901-522-2090
669 Madison Ave
Memphis, TN 38103
Open: Mon – Fri 12 PM to 5 PM
Counties Covered: Shelby
Coordinator: Megan Hoffmann901-522-2090
669 Madison Ave
Memphis, TN 38103
Open: Mon – Fri 12 PM to 5 PM
Counties Covered: Shelby
REPRESENTATIVE JOHN DEBERRY—(901) 725-0130
Subscribe to:
Posts (Atom)