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August 17, 2024
Grief and Loss

Grief and loss are universal experiences that touch us all at some point in our lives. However, not all grief is created equal, and understanding the different types of grief and loss disorders can help us navigate these difficult emotions with greater clarity and compassion.

It is important to differentiate between normal grief and more complex types of grief. Normal grief symptoms tend to fade over time, allowing individuals to accept their loss and regain functionality, whereas complicated grief symptoms persist and intensify.

Grief and loss come in many forms, impacting individuals differently. Understanding the common types of grief and loss disorders can help us navigate our emotions better.

Complicated Grief Disorder is characterized by intense feelings of longing and yearning for the deceased, accompanied by difficulty accepting the death. Prolonged Grief Disorder involves persistent grief symptoms lasting beyond the typical mourning period.

Disenfranchised Grief occurs when a person’s loss is not openly acknowledged or socially supported, leading to feelings of isolation. Anticipatory Grief refers to mourning a loss before it actually happens, often experienced by individuals facing terminal illness.

Each type presents unique challenges and requires tailored support to cope effectively. By recognizing these distinctions, we can provide better understanding and empathy toward those experiencing various forms of grief and loss disorders.

Complicated Grief Disorder

Dealing with the loss of a loved one can be incredibly challenging. Complicated Grief Disorder is a type of grief that doesn’t ease over time as expected. It’s like being stuck in an endless cycle of intense emotions, longing, and distress.

People with Complicated Grief Disorder may experience feelings of disbelief, anger, guilt, or even bitterness that persist for an extended period. They might have trouble accepting the reality of their loss or find it difficult to move forward with their lives. Intense emotional pain is another symptom characterized by overwhelming sadness, guilt, or anger.

Symptoms can include persistent yearning for the deceased, difficulty trusting others, avoidance of reminders related to the loss, and feeling disconnected from reality. Emotional numbness, an inability to experience positive emotions, is also common and often accompanied by sadness, anger, and guilt. These deep-rooted emotions can significantly impact daily functioning and overall well-being.

Seeking support from a mental health professional is crucial in managing Complicated Grief Disorder effectively. Counseling and therapy sessions tailored to address these specific issues can help individuals navigate through their complex emotions and develop coping strategies for moving forward positively.

Prolonged Grief Disorder

Have you ever experienced a loss that felt like it lingered longer than expected? Prolonged Grief Disorder, also known as Persistent Complex Bereavement Disorder, is a type of complicated or prolonged grief where the intense emotions and longing for the person who passed away continue to persist over an extended period. It goes beyond what is considered a normal grieving process and can significantly impact daily life.

Individuals with Prolonged Grief Disorder may find it challenging to accept the reality of their loss, experience intrusive thoughts or memories of their loved one, and struggle with feelings of emptiness or meaninglessness. This type of grief can interfere with relationships, work performance, and overall well-being.

The Diagnostic and Statistical Manual (DSM-5 and DSM-5-TR) recognizes Prolonged Grief Disorder as a mental health condition, highlighting the importance of ongoing research and debates regarding its diagnostic criteria.

It’s essential for those experiencing prolonged grief to seek support from mental health professionals who specialize in grief counseling. Therapy sessions can help individuals navigate through their emotions, develop coping strategies, and gradually adjust to life without their loved ones. Additionally, medications may be prescribed in some cases to manage symptoms such as depression or anxiety associated with prolonged grief.

Coping with Prolonged Grief Disorder requires patience, self-compassion, and resilience. Finding healthy ways to express emotions, maintaining connections with supportive friends and family members, and engaging in self-care activities like exercise or hobbies are all beneficial strategies for managing this challenging condition. Remember that healing from prolonged grief takes time; allow yourself space to grieve while also taking steps towards healing and finding peace within yourself.

Disenfranchised Grief

Disenfranchised grief is a type of mourning that goes unacknowledged or unsupported by society. It occurs when an individual experiences a loss that is not openly recognized or socially accepted. This could be due to the nature of the relationship, such as losing a pet, ex-spouse, or co-worker.

People experiencing disenfranchised grief may feel isolated and misunderstood because their pain is invalidated by others. They might struggle to find closure and acceptance without the validation they would typically receive in more conventional forms of mourning.

This type of grief can be particularly challenging to navigate because individuals may internalize their emotions rather than seek support from friends and family. It’s essential for those experiencing disenfranchised grief to find alternative outlets for processing their feelings, such as therapy or support groups tailored to their specific situation.

Acknowledging disenfranchised grief and seeking help can lead to healing and eventual acceptance of the loss despite societal norms that may dismiss it.

Anticipatory Grief

Anticipatory Grief is a complex and often misunderstood type of grief that occurs before the actual loss takes place. It can happen when someone anticipates the death of a loved one due to an illness or terminal condition. This form of grief allows individuals to start processing their emotions and preparing for the inevitable loss.

People experiencing anticipatory grief may go through a range of emotions, including sadness, anxiety, guilt, and even relief in some cases. They may also struggle with feelings of helplessness and uncertainty about the future without their loved one by their side.

One key aspect of anticipatory grief is the opportunity it provides for individuals to say goodbye, express their love, and resolve any unresolved issues with the person who is dying. This process can be both painful and healing at the same time.

It’s essential for those going through anticipatory grief to seek support from friends, family, or professional counselors to navigate this challenging journey with compassion and understanding. By acknowledging these difficult emotions and allowing oneself to grieve before the loss occurs, individuals can begin to find ways to cope effectively during this emotionally intense period in their lives.

Symptoms and Signs of Each Type

When it comes to grief and loss disorders, each type manifests unique symptoms and signs, collectively known as symptoms of grief.

Complicated Grief Disorder is characterized by intense longing and yearning for the deceased, difficulty accepting the death, feeling numb or detached from others, and experiencing bitterness or anger related to the loss. Painful emotions are a significant aspect of complicated grief, often making it challenging for individuals to move forward in life.

Prolonged Grief Disorder involves persistent feelings of disbelief, emotional pain that doesn’t improve with time, avoiding reminders of the loss, trouble engaging in activities once enjoyed, and an overwhelming sense of emptiness.

Disenfranchised Grief may present as feeling unsupported in grief by others due to societal stigma or lack of recognition of the relationship with the deceased.

Anticipatory Grief includes sadness about future losses, preparing emotionally for an anticipated death, and feeling guilt about looking forward to life after a loved one’s passing.

Recognizing these distinct signs can help individuals seek appropriate support and interventions tailored to their specific needs.

Causes and Risk Factors

Grief and loss disorders can be triggered by various causes and risk factors.

The loss of a loved one, whether sudden or anticipated, is a common cause of grief disorders. Significant life changes such as divorce, job loss, or relocation can also contribute to feelings of grief.

Prolonged grief is recognized as one of the mental disorders in the Diagnostic and Statistical Manual of Mental Disorders.

Individuals who have experienced trauma or abuse may be more susceptible to developing complicated grief disorder. Additionally, those with a history of mental health issues like depression or anxiety are at higher risk for prolonged grief disorder.

Social support plays a crucial role in how individuals navigate through their grief journey. Lack of support from friends and family members can exacerbate feelings of isolation and prolong the grieving process.

Genetic predisposition may also play a role in how individuals process and cope with loss. Research suggests that certain genetic factors could influence an individual’s vulnerability to developing grief disorders.

Understanding the underlying causes and risk factors associated with grief and loss disorders is essential in providing appropriate treatment and support for those struggling with these challenges.

Treatment Options

When it comes to dealing with grief and loss disorders, there are various treatment options available to help individuals navigate through their emotions. Therapy is a common approach that can provide a safe space for individuals to express their feelings and work through their grief with the guidance of a professional.

Treatment approaches for complicated grief can be similar to those used for post traumatic stress disorder. Therapists can offer different techniques such as cognitive-behavioral therapy or group therapy sessions tailored to address specific types of grief disorders. Additionally, medications may be prescribed in some cases to alleviate symptoms like anxiety or depression that often accompany these disorders.

It’s essential for individuals experiencing grief and loss disorders to explore different treatment options and find what works best for them on their healing journey. Whether it’s through talking therapies or medication support, seeking help is a proactive step towards coping with the challenges of grieving.

Therapy

For those struggling with grief and loss disorders, therapy can be a valuable tool in the healing process. Therapy provides a safe space to explore emotions, thoughts, and behaviors related to the loss experienced. A therapist can help individuals navigate through difficult feelings of sadness, guilt, anger, or confusion that may arise.

One common type of therapy used for grief and loss is cognitive-behavioral therapy (CBT). CBT helps individuals identify and change negative thought patterns that contribute to their distress. Another effective approach is interpersonal therapy (IPT), which focuses on improving communication skills and relationships impacted by the loss.

Group therapy offers a supportive environment where individuals can connect with others who are going through similar experiences. It provides a sense of belonging and reduces feelings of isolation. Ultimately, therapy empowers individuals to grieve in a healthy way and move toward acceptance and healing.

Medications

Medications can be a helpful tool in managing grief and loss disorders. In some cases, antidepressants or anti-anxiety medications may be prescribed to help alleviate symptoms like intense sadness or anxiety. It’s important to work closely with a healthcare provider to determine the right medication and dosage for your specific needs.

These medications can assist in regulating brain chemicals that may be imbalanced due to the grieving process. They are not a cure but can provide relief from overwhelming emotions that make it difficult to cope with daily life. It’s essential to follow your doctor’s instructions carefully when taking these medications, as they may have side effects and require monitoring.

Remember that medication is just one part of the treatment plan for grief and loss disorders. Therapy, support groups, self-care practices, and coping strategies all play crucial roles in healing and moving forward after experiencing significant losses. Each person’s journey through grief is unique, so finding what works best for you is key in navigating this challenging time.

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    Riley Tangeman, Therapist

    Please join us in welcoming Riley Tangeman, LSW to the First City Recovery Center team! Riley joined us this week as a full-time therapist, bringing with her a strong background in community mental health, trauma-informed care, and addiction treatment. Riley is passionate about helping clients feel seen, heard, and empowered in their recovery journeys. She also serves as the founder of Lotus Recovery, a women’s recovery residence in Marion, Indiana, where she continues to mentor women navigating substance use recovery. Her dedication to bridging individual needs with systemic change is evident in her work addressing stigma, gender inequality, and socioeconomic barriers affecting marginalized populations. When she’s not working, Riley enjoys house projects, biking, reading, being in nature, walking her dog, and staying active. We’re thrilled to have her on board and can’t wait to see the positive impact she’ll have at FCRC!

    Vahid Osman, M.D. Medical Director

    Medical Director Board Certification by American Board of Psychiatry and Neurology

    Dr. Vahid Osman, MD is a Board Certified Psychiatrist serving as First City Mental Health Center’s Medical Director. Dr. Osman has over 32 years of experience in Neurodevelopmental Disorders, Psychotic Disorders, and Addiction and Substance Use Disorders.

    He studied at Universite Hassan II, Faculte de Medicine and completed his residency at University of Texas, Austin State Hospital. He is affiliated with Prohealth Waukesha Memorial Hospital and is well known throughout the Kokomo community. Additionally, he is licensed to practice Telepsychiatry in California, Georgia, Illinois, and Wisconsin.

    Jacqueline V. Lazzaro, Executive Director

    Jacqueline is a highly qualified and experienced Program Director at First City Recovery, where she has been instrumental in the development and carrying out of innovative client programs and services. With over nine years of experience in the behavioral health field, Jacqueline is a respected leader dedicated to enhancing the lives of those battling mental health and substance abuse disorders. As our Program Director, she oversees First City Recovery Center, ensuring regulatory compliance, utilization, effective interpersonal relations, and quality client care.

    Jacqueline is an expert in developing programs and evaluation, quality enhancement, and staff training and development. She has committed herself to ensuring that the First City Recovery Center exceeds state and Joint Commission requirements and standards, and has a track record of meeting all specifications, standards, and measurable outcomes.

    Jacqueline’s motivational leadership inspires the First City Recovery Center team to continue striving for excellence in service and care. She thrives in going above and beyond to ensure that all clients receive the utmost quality of compassion, services, safety, and care.

    Lindsay Russell, Psychiatric Nurse Practitioner, MSN, PMHNP at First City Recovery Center

    Lindsay serves as a Psychiatric Nurse Practitioner and is proud to be a part of the team at First City Recovery Center. Her primary goal is to be a supportive partner in the client’s journey to wellness.  She crafts personalized treatment plans that put individuals in control of their healing process. She serves as their guide, assisting clients in reaching the positive changes they seek.

    “I believe in collaborative decision-making, where we work together to ensure you’re comfortable and confident in the treatment choices we make. Your empowerment and achieving your desired outcomes safely are my top priorities.”

    Lindsay specializes in medication management for a range of mental health diagnoses, catering to individuals ages 6 and older. With over 19 years of experience in mental health, she brings a wealth of expertise to the table.  Her team includes nurse practitioners, therapists, psychologists, and psychiatrists, all dedicated to meeting clients’ mental health needs.  Lindsay is always available to make sure clients receive the very best care and support during and after their treatment stay.

    Seeking mental health treatment can be a challenging and daunting process.  She is there to listen with an open mind, provide the necessary resources, and help clients achieve their treatment goals. “We all need someone in our corner to confide in, and I’m eager to be that person for you.”

    Remember “Tough times never last, but tough people do.” – Robert H. Schuller

    Tara Gibson, RN Lead Nurse at First City Recovery Center

    Tara Gibson is a registered nurse with 10 years’ experience in the healthcare industry. She is from Kokomo and obtained her bachelor’s degree in nursing science from Indiana University of Kokomo. During her career Tara has worked in a variety of settings, starting in medical imaging where she worked for Ascension St. Vincent. Her compassionate approach and patient-centered care is what sets her apart in the mental health and addiction field. Believing that empathy and compassion are key drivers to a fulfilling life of serving others, she is passionate about understanding the individual needs and preferences of each patient and tailoring her care accordingly. Tara loves working at First City Recovery Center because “it is a locally owned treatment facility that is providing a solution to our community’s struggle with addiction & Mental Health. The positive impact this center is bringing to our community and just being part of the solution directly aligns with both my professional and personal goals.” Deeply involved in her community, Tara is family-oriented and enjoys volunteering for local events.

    Michael Durham - Admissions Coordinator

    Michael Durham is an Admissions Coordinator for First City Mental Health Center.  He graduated from Florida State University and has been working in the substance abuse and mental health field for nine years in multiple roles and settings. He is a firm believer in second chances and that redemption is possible. What Michael enjoys most about his job is seeing the transformation that can occur in someone and the positive impact that person can have on their community. In his free time, he enjoys surfing, spending time with my family, and rooting for Florida State University sports teams.

    “There’s no need to talk about it, because the truth of what one says lies in what one does.” -Bernhard Schlink

    Kevin Metz - Admissions Coordinator

    Kevin Metz is the Admissions Coordinator for First City Mental Health Center. He started working in this field in 2013 because of his passion for helping broken people recreate their lives and recover from the disease of addiction. There is no greater joy in life for Kevin than watching individuals who were once struggling with drugs and alcohol recover from this fatal disease and become the person that they were truly meant to be. His job entails working with individuals and their families, guiding them through the process of entering treatment and giving the best care possible.  He always considers each and every person that he places into treatment as his greatest accomplishment working in this field followed by being a founding member of Young Addiction Professionals in association with Texas Association of Addiction Professionals. Kevin currently lives in The Woodlands, TX and is in recovery himself.  This makes working with individuals and their families all the more rewarding. “Find a job you love, and you will never have to work a day in your life”.

    Rachel Duhe - Admissions Coordinator

    Rachel has been working with SBH for two years and brings six years of experience in the addiction and behavioral health field.  Her job is to help people who are struggling with mental health and/or substance use disorders receive the help they need. As someone who is in recovery herself and suffered a great deal, she is very passionate about helping others achieve sobriety. “I know what the outcome is if treatment and recovery are not involved. I genuinely love what we offer at our programs. Nothing is more rewarding than being able to see numerous success stories daily as the result.”

    Chris Cosgrove - Admissions Coordinator

    Christopher Cosgrove brings a wealth of experience to First City Recovery Center as an Admissions Coordinator. With a dedicated career spanning 12 years, Chris has immersed himself in various aspects of the recovery field, gaining valuable insights and expertise. Christopher’s true passion lies in making a positive impact on the lives of those struggling with substance use and mental health issues. His commitment to helping individuals navigate the challenging journey towards recovery is at the core of his professional mission.

    Drawing from years of experience, Christopher is well-versed in the intricacies of recovery services. As an Admissions Coordinator, he plays a crucial role in guiding individuals through the initial steps of their recovery journey, providing support, understanding, and a compassionate approach.  Beyond his role, Christopher is deeply committed to fostering a community that values holistic well-being. His dedication extends to creating a safe and nurturing environment for individuals seeking assistance, ensuring that they receive the care and attention needed for a successful recovery. Christopher’s journey is supported by a strong educational foundation, with a background in marketing and sales. This academic background enhances his ability to approach recovery with a comprehensive and informed perspective.

    In his free time, Christopher enjoys playing golf recreationally, video games and spending time with friends, family, and his three children. Reflecting his balanced approach to life, Christopher and the First City Recovery Center team’s motto is, “Join us on the path to recovery, where compassion meets expertise.”

    Riley Metz - Director of Admissions

    Riley brings a unique blend of skills and experiences to his role. A graduate in informatics and business from Indiana University, Riley initially ventured into the computer programming world with startups. However, recognizing the limited social interaction in this field, he transitioned into real estate development, working as a broker and marketer.  During this time, Riley discovered his passion for working directly with potential clients and assisting them in taking significant steps in their lives. Concurrently, he became all too familiar with the challenges of addiction and its profound impact on individuals and families. Motivated by a desire to contribute to solutions in this area, Riley found his way to the admissions and intake side of treatment.

    In his role, Riley works closely with potential clients, friends, and family members, guiding them on their journey toward education and recovery from drugs, alcohol, and mental health issues. Witnessing the devastating effects of addiction on families and their lives, he felt compelled to be part of an industry dedicated to creating solutions. Riley is committed to making a positive impact by assisting individuals along their path to recovery, embodying the mission of First City Recovery Center.

     


     

    Rebekka Carmack, Administrative Assistant

    Rebekka is the Administrative Assistant at First City Recovery Center, where she plays a critical role in ensuring the smooth and efficient operation of the organization. Rebekka is a skilled and detail-oriented professional who is committed to providing the highest level of support to First City Recovery Center and its clients.

    Rebekka holds an Associate of Business management where she studied at Ivy Tech College. She is committed to ongoing professional development and training, and is always looking for ways to improve her skills and knowledge.

    Rebekka’s expertise includes managing schedules, coordinating meetings and appointments, maintaining accurate records, and providing excellent customer service to clients and stakeholders. She is dedicated to ensuring that all administrative tasks are completed accurately and in a timely manner, and is always willing to go above and beyond to ensure the success of the organization.

    In addition to her professional experience, Rebekka is a friendly and personable individual who is passionate about helping others. She is committed to providing exceptional customer service to clients, staff and visitors, and is always willing to lend a helping hand. Rebekka is a valuable member of the First City Recovery Center team, and is dedicated to making a positive impact on the lives of those she serves.

    Amber Heath, Senior Case Manager

    Amber is a dedicated and compassionate Senior Case Manager at First City Recovery Center. With 12+ years of experience in the medical field and 9+ years in the behavioral health field. Amber is a skilled professional who is committed to helping clients achieve their treatment goals and improve their overall quality of life.

    Amber’s expertise includes working with indigent families, the elderly population, and with domestic violence shelters. She received her bachelor’s degree in Human Services from Grace College and is also a Certified Nursing Assistant. Amber oversees all case management services and assists with the intake coordination process. She assists clients with identifying the barriers that are keeping them from success and gives them the tools and resources they need to be liberated from those barriers. She has extensive experience working with diverse populations, including individuals with serious mental illness and  substance abuse disorders.

    In addition to her professional experience, Amber  is a compassionate and empathetic individual who truly cares about the well-being of others. She is committed to providing the highest quality of care to each and every client she works with and is passionate about making a positive difference in their lives. Amber is a valued member of the First City Recovery Center team and is dedicated to helping clients achieve their full potential.

    Jeff Lazzaro, Director of Operations

    Jeff is the Director of Operations at First City Recovery Center. As a seasoned operator with 11+ years of experience in the behavioral healthcare industry, Jeff is responsible for overseeing the day-to-day operations of the organization, ensuring that high-quality care is provided to clients, and that the organization runs smoothly and efficiently.

    Jeff carefully guides First City Recovery Center’s team to strive for excellence in the continuity of care for all clients by promoting awareness of individual needs, and for all by fostering excellent communication between the client, care team and their loved ones. Jeff thrives on assuring to assure that First City Recovery Center continues to build the most sincere and exceptional quality service to fulfill the expectations and emptiness to our clients and their loved ones.

    Jeff is passionate about making a positive impact on the lives of others. He is committed to providing the highest quality of care to clients, and is deeply invested in the success of First City Recovery Center. He is a respected leader within the behavioral healthcare industry, and is dedicated to helping the organization achieve its mission of providing compassionate care to those in need.

     


     

    Lindsie Bazzel, LMHC, CADAC V, Clinical Director at First City Recovery Center

    Lindsie Bazzel has been involved in the substance use disorder treatment industry for over a decade. Lindsie specializes in the leadership of clinical teams and the development of clinical treatment programs. She received her bachelor’s degree from Florida State University in 2008 and her Master’s degree from Nova Southeastern University in 2010.

    Lindsie has treated diverse populations including juveniles, adults, and couples. Lindsie holds multiple professional licenses in various states and has experience coordinating with the local, state, and federal levels to develop treatment programs. Her extensive experience and dedicated passion to her work has allowed Lindsie to create treatment environments conducive to client sobriety and success.

    Nathan White, EAP Liaison

    Nathan’s journey is a remarkable testament to the transformative power of recovery. Growing up in Kokomo, Indiana, he faced the challenges of active addiction for nearly two decades. However, on March 15th, 2018, Nathan made a pivotal decision to get sober, marking the beginning of a new chapter in his life.

    Embracing recovery wholeheartedly, Nathan immersed himself in various support groups, including Celebrate Recovery, AA (Alcoholics Anonymous), NA (Narcotics Anonymous), and South Creek Recovery faith-based 12-step meetings. His commitment to sobriety and personal growth led him to discover a profound passion and purpose in helping others navigate the challenges of addiction.

    In a significant milestone, Nathan joined First City Recovery Center on December 7th, 2020, becoming the first person from Kokomo to be hired at the facility. Serving as the Recovery Liaison and Group Facilitator, Nathan plays a crucial role both within the facility and in the community. His dedication extends beyond the walls of the recovery center, as he actively engages with people, aiding them in their journey toward freedom from active addiction.

    Nathan not only facilitates recovery groups, but also shares his personal story, experiences, strength, and hope at recovery meetings and community events. His willingness to be open about his journey contributes to reducing the stigma surrounding addiction and inspires others to seek help.

    Recognizing the importance of community involvement, Nathan serves as a council member of the Drug-Free Howard County Substance Abuse Prevention Local Coordinating Council (LCC). This council, a division of the Governor’s Commission for a Drug-Free Indiana Local Coordinating Council, plays a pivotal role in providing essential funding to substance abuse prevention organizations.

    In summary, Nathan’s story is one of resilience, redemption, and community engagement. Through his work at First City Recovery Center and involvement in local councils, he continues to make a positive impact on the lives of those struggling with addiction while actively contributing to substance abuse prevention efforts in Howard County.


    Sherry Waymire, Regional EAP Liaison at First City Recovery Center

    Sherry Waymire, the Regional EAP Liaison at First City Recovery Center, holds a Master’s in Management and a Master’s in Leadership. She is also certified as a Labor Assistance Professional (LAP-C).  With an impressive career spanning 31 years at Chrysler Corporation (now Stellantis), Sherry dedicated 23 of those years as the UAW Employee Assistance Representative for Local 685. This extensive experience uniquely positions her as a valuable asset in her role at FCRC, where she has embarked on a second career.  Sherry’s wealth of knowledge and expertise, coupled with her commitment to employee assistance, makes her a vital contributor to the First City Recovery Center team. Her background and dedication reflect the organization’s commitment to providing exceptional care and support.


     

    Allison Pugh, BD Executive at First City Recovery Center

    With 18 years of experience in mental health and substance use disorder treatment, Allison Pugh currently serves as a Community Recovery Liaison at First City Recovery Center in Indiana. She played a crucial role in launching a groundbreaking trauma-informed and evidence-based treatment program for individuals in the criminal justice system, providing an alternative to incarceration. In addition to creating a federally qualified healthcare system catering to those without insurance and uninsured communities, Allison played a key role in revamping a program for homeless Veterans that specializes in treating co-occurring disorders.

    During her senior year in college, she contributed to the development of an eight-week treatment program at the Plainfield Re-Entry Facility. With a versatile background encompassing non-profits, hospitals, correctional facilities, and behavioral healthcare facilities, Allison is dedicated to serving marginalized and underserved populations. Acknowledged for excellence, she earned a nomination as the Addictions Professional of the Year by ICAADA in 2018.  Allison holds a Bachelor’s Degree in Criminal Justice from Indiana University, and her commitment to community service extends through volunteer work with organizations like Parke-Vermillion Humane Shelter, Big Brothers Big Sisters, YMCA of Greater Indianapolis, and the Wheeler Mission.

    Hannah Gauger, LMHCA, MA, Clinical Therapist & Clinical Lead at First City Recovery Center

    Hannah is a graduate of Indiana University of Kokomo, holding a master’s degree in Mental Health Counseling. She brings a unique perspective to her role, having served as a United States Air Force veteran for eight years, focusing on communications and Honor Guard services. Outside of her professional life, Hannah enjoys staying active, traveling the world, and cherishing moments with family and friends.

    With a diverse background, Hannah has worked in various roles, including life skills coaching, case management with the Department of Child Services, advocacy for domestic violence victims, mobile crisis intervention, and as a registered National Coalition Against Domestic Violence speaker. Her expertise lies in Substance Use, ADHD, and borderline personality disorders, with a strong foundation in Dialectical Behavior and Cognitive Behavioral Theories.

    Hannah’s passion extends to helping individuals in domestic violence crisis situations, and she incorporates feminist theories to empower her clients. At First City Recovery Center, she plays a crucial role in leading a veteran’s peer support group and providing co-occurring services.

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