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April 1, 2023
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Mental health diagnoses are common in Kokomo, with the most common being anxiety and depression. Other common mental health diagnoses include bipolar disorder, post-traumatic stress disorder (PTSD), and schizophrenia. Mental health care in Kokomo is focused on providing treatment options for these common mental health diagnoses. Treatment options for mental health care in Kokomo include individual therapy, group therapy, medication management, and psychiatric services.

Anxiety Disorders

Anxiety disorders are characterized by intense and persistent feelings of anxiety, fear, and worry. These disorders can make it difficult to function in daily life and can lead to avoidance of certain activities or situations. Common anxiety disorders include generalized anxiety disorder (GAD), panic disorder, social anxiety disorder, and specific phobias. Treatment for anxiety disorders typically includes cognitive-behavioral therapy (CBT) and/or medication.

Mood Disorders

Mood disorders are characterized by persistent changes in mood that can interfere with daily life. Common types of mood disorders include depression, bipolar disorder, and anxiety disorders. While the exact cause of mood disorders is not known, they are thought to be caused by a combination of genetic and environmental factors.

Treatment for mood disorders typically includes medication and psychotherapy. Medication can help to stabilize mood and relieve symptoms, while psychotherapy can help patients to understand and cope with their disorder.

Schizophrenia & Psychotic Disorders

It is estimated that one in every 100 adults experience some form of psychotic disorder during their lifetime. Psychotic disorders are a group of mental illnesses that affect a person’s ability to think clearly, manage emotions, make decisions, and relate to others. The most common type of psychotic disorder is schizophrenia. Other types of psychotic disorders include schizoaffective disorder, bipolar disorder with psychosis, and severe depression with psychosis.

Symptoms of a psychotic disorder can vary depending on the type of illness and how severe it is. Common symptoms of all types of psychotic disorders include hallucinations (seeing or hearing things that are not there), delusions (false beliefs about reality), disorganized thinking, and abnormal behavior. People with a psychotic disorder may also have problems with substance abuse, anxiety, and depression.

A person with a milder form of a psychotic disorder may be able to function fairly well in day-to-day life but may have difficulty maintaining close relationships or holding down a job. A person with a more severe form of the illness may be unable to take care of him or herself and may need to be hospitalized. In some cases, people with psychotic disorders can become violent.

There is no single cause for psychiatric illnesses like schizophrenia or other types of psychosis. Rather, they likely result from a combination of genetic vulnerability and environmental factors such as stress or drug use. Treatment for psychosis generally includes medication and psychotherapy.

Personality Disorders

Personality disorders are a group of conditions that are characterized by distorted and unhealthy patterns of thinking, feeling, and behaving. The cause of personality disorders is not fully understood, but it is thought to be a combination of genetic and environmental factors. Treatment for personality disorders typically involves psychotherapy, medication, or both.

There are many different types of personality disorders, each with its own set of symptoms. Some common symptoms of personality disorders include:

• Difficulty managing emotions

• Difficulty maintaining relationships

• Impulsivity

• Self-destructive behaviors

• Unhealthy coping mechanisms (e.g., substance abuse)

Personality disorders are a type of mental disorder that can cause significant impairment in social, occupational, or other important areas of functioning. Personality disorders are characterized by inflexible and maladaptive patterns of behavior, cognition, and inner experience. These patterns develop early, are persistent, and can lead to significant distress or problems in functioning.

There are 10 different types of personality disorders which are grouped into three clusters based on similar characteristics and symptoms. Cluster A personality disorders (including paranoid, schizotypal, and antisocial personality disorders) are characterized by odd or eccentric thinking and behavior. Cluster B personality disorders (including borderline, histrionic, narcissistic, and avoidant personality disorders) are characterized by dramatic, erratic, or emotional thinking and behavior. Cluster C personality disorders (including obsessive-compulsive personality disorder and dependent personality disorder) are characterized by anxious or fearful thinking and behavior.

Personality disorders typically begin in adolescence or young adulthood and may be triggered by stressful life events such as relationship breakups or job loss. Treatment for personality disorders often includes psychotherapy, medication, or both.

Treatment Options for Mental Health Diagnoses

Mental health diagnoses are often complex, and there is no one-size-fits-all approach to treatment.  That is why at First City Mental Health Center we offer custom treatment plans based on our patients’ individual needs.  Here are some of the most common treatment options for mental health diagnoses:

Psychotherapy: Psychotherapy, also known as talk therapy, is a common treatment option for mental health diagnoses. Psychotherapy can help people manage their symptoms and improve their overall well-being. There are many different types of psychotherapy, and the type that is most effective for each individual will depend on the diagnosis and the severity of symptoms.

Medication: Medication can be an effective treatment for many mental health diagnoses. psychiatric medications can help reduce symptoms and improve functioning. However, it is important to note that not all psychiatric medications are right for every person. It is important to work with a psychiatrist or other mental health professional to find the medication or combination of medications that is most effective for you.

Self-care: Self-care is an important part of any treatment plan for mental health diagnoses. Self-care includes activities such as exercise, relaxation techniques, healthy eating, and getting enough sleep. These activities can help reduce stress and promote overall well-being.

Support groups: Support groups provide a space for people with similar experiences to connect with one another. Support groups can offer emotional support and practical advice from people who understand what you’re going through.

Medications & Psychiatric Services

Mental health disorders are complex and require a variety of treatment options to address different symptoms. Medications are one treatment option that can be used to manage mental health symptoms. Psychiatric services are another type of treatment that can be used to address mental health disorders.

Psychiatric services include a wide range of treatments such as counseling, therapy, and medication management. These services can be provided by psychiatrists, psychologists, licensed clinical social workers, and other mental health professionals. Psychiatric services can help people with mental health disorders identify and cope with the thoughts, feelings, and behaviors that are causing problems in their lives.

Alternative Therapies & Practices

There are a number of alternative therapies and practices that can be used to treat mental health conditions. These include but are not limited to: art therapy, yoga, meditation, aromatherapy, acupuncture, and massage therapy. Each of these modalities can be used alone or in combination with other treatments to help address the root cause of the condition and improve symptoms.

Mental health care in Kokomo, Indiana is an important issue that affects many people in the area. By understanding primary diagnoses and available treatment options, individuals can take proactive steps to address their mental health needs. While there are numerous resources available to those living in Kokomo, it is important for everyone to stay informed of potential diagnosis and treatment options so they can make informed decisions about their own mental health journey.

Call us anytime to speak with our admissions team. 877-679-2964 or email us at MH@firstcityrecoverycenter.com

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    Common Mental Health Diagnoses in Kokomo and Treatment Options
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    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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