Crisis Resources

Crisis Resources

We’ve put together a list of helpful national and local Portland, OR and Seattle, WA resources for mental health and suicide prevention, updated for COVID-19. Please let us know if any of these links are broken, or if you have new ones to suggest. Thank you, and be well.

Helplines

https://suicidepreventionlifeline.org The National Suicide Prevention Lifeline at 1-800-273-8255 provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals. Telephone and online chat available.

https://oregonyouthline.org For teens, they can call, text, chat and during certain hours can talk to peer support.

https://www.crisistextline.org Crisis Text Line, text HOME to 741741.

http://communitycounselingsolutions.org/warmline  A peer-run program of Community Counseling Solutions.

https://www.translifeline.org – Peer support, hotline, and resources for the trans community.

https://www.thetrevorproject.org – A national 24-hour, toll free confidential suicide hotline for LGBTQ youth.

503-575-3764Crisis Line for Racial Equity Support – Answered by BIPOC counselors M-F from 8:30 AM -5:00 PM.

877-226-3111 – Addiction Hotline

1-855-227-3640 – Caregiver Help Desk Hotline

503-300-1633 – Clackamas Senior Loneliness Line

844-228-2962 – Eating Disorder Hotline

877-455-0628 – Self Harm Hotline

888-640-5174 – Depression Hotline

Clackamas County Mental Health Crisis Line (503) 655-8585


Multnomah County Mental Health Crisis Line (503) 988-4888


Washington County Mental Health Crisis Line (503) 291-9111


Thero Directory

Seattle Mental Health Crisis Line (866) 427-4747

Suicide Prevention Cards - PDX Local

Community Resources

https://www.nami.org NAMI, the National Alliance on Mental Illness, is the nation’s largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness. Oregon NAMI Chapter: https://namior.org/

http://gettrainedtohelp.com – Suicide First Aid. Free trainings in suicide prevention for the general public, youth workers, and more. Includes the ASIST curriculum. Trainings temporarily suspended.

https://www.facebook.com/groups/stjohnssuicideprevention – St. John’s Suicide Prevention Team. A community group helping reduce the incidence of suicides in Portland, Oregon and the St. John’s neighborhood.

https://multco.us/mhas/mental-health-crisis-intervention – Multnomah Crisis Intervention Resources (includes walk-in clinic).

https://www.co.washington.or.us/hawthorn – Walk-in trauma intervention program in Washington County.

http://www.seattlecrisis.org/counseling.html – Counseling and mental health resources for Seattle, WA.

https://www.mentalhealthfirstaid.org – Nationwide organization providing training to help someone who is developing a mental health problem or experiencing a crisis.

https://mesotheliomahub.com/mesothelioma/patient-resources/suicide  – Suicide Prevention & Cancer Patients

Substance Abuse

https://www.samhsa.gov/ebp-resource-center/ – Federally funded Evidence Based Practices Resource Center for mental and substance abuse disorders.

https://www.drugrehab.com/guides/suicide-risks/ – A guide to understanding the connection between Substance Abuse & Suicide.

https://www.detoxrehabs.net/ – This site helps you find centers in your home state or out of state. We also provide information for different community needs, such as help for our veterans, LGBTQ+ friendly programs, free or Medicaid accepting treatment, and pet-friendly facilities.

www.AlcoholRehabGuide.org – This guide doesn’t promote any specific clinic or service, but it does provide valuable information to help people understand the effects of alcoholism and the variety of ways to find help.

www.alcoholhelp.com – Browse resources and get connected to treatment that is right for you.

Suicide Prevention Cards - PDX Local

Hashtags

#endsuicide #worldmentalhealthday #suicideawareness

 

Wellness Gift Guide

Wellness Gift Guide

Over 50 Great Healthy and Positive Gift Ideas

The PDX Local Wellness Gift Guide celebrates independent, local, and woman-owned businesses while making it really, really easy to beat traffic and do your shopping online. But what exactly qualifies as a “wellness gift?”

Well…

That’s a tricky concept. Maybe you’re thinking it’s anything that doesn’t involve mindless consumption, booze, strippers, or chocolate. Except… we have beer yoga. And pole dancing workout classes. And chocolate, like that made locally right here in Portland by Moonstruck, has been shown to reduce heart disease and promote emotional well-being.

 

For me, wellness means taking care of yourself—and giving others the tools and resources to do the same. I put this list together by asking friends, allies, and colleagues on social media, as well as going with a few old favorites and items from my personal “wish list.” I hope it inspires you to think past the obvious and create wonderful experiences and memories for the year to come.

Here’s to a healthy and productive 2020. Have fun! Shop local.

 

Stand and Deliver

Maybe someone on your list works from home, but their office is a cubbyhole in the corner of the kitchen? Support their goals and dreams with a healthy, ergonomic home office.

 

Jarvis Standing Desk - from Fully Furniture

Jarvis Standing Desk Bamboo Top   Electric Adjustable Height Sit Stand Desk –  by Fully.   Portland, Oregon Local Business   

Swopper Air Motion Chair With Wheels – by Aeris. There are plenty of adjustable ergonomic chairs out there that can be configured to work with standing desks. I’ll be honest. The Swopper is here because it looks the coolest.

 

Anker Wireless Vertical Ergonomic Mouse  I have one of these, and in all honesty it is probably the reason I am still able to type and write today. For those who struggle with repetitive stress injuries (and for those who wish to prevent them!) this inexpensive and elegant wireless mouse is a game changer.

Olander Earthworks makes quirky desktop zen gardens that many therapists and wellness advocates use as a fun anxiety relief tool. So many ways to customize. Portland, Oregon Local Business. 

 

 

Fitness

Seriously. Who doesn’t need a little Lululemon and prAna in their life? But did you know that we have fabulous, fashionable brands of active wear being produced right here in Portland? Check out SXY Athletics. This local, woman-owned line of fitness clothing will keep you motivated to go to the gym. Check out their #BlackFriday Sale. SXY Athletics is a Portland, Oregon Local Business. 

 

Go “Ruck Yourself.” Seriously! Rucking (walking with a weighted backpack) is one of the easiest and safest ways to lose weight over time. If you don’t have a sturdy backpack, you can pick up the weighted kind at goruck.com. For the 80% to 90% who have our own (or our kid’s) Jansport sitting in a closet somewhere, adding weight to a day pack is a great way to try out rucking. I recommend custom rucking weights over hand weights because they are less likely to shift and potentially damage the pack.

 

Comfort and Joy

You know how we always say “practice self care?” Well, sometimes that’s easier to do when somebody else helps out with the little things. The people on your list will know they are cared for with these thoughtful and practical gift ideas.

Full Belly Fare – Do you have a loved one who’s had a new baby, surgery, or other stressor? Although you may not be able to deliver a meal yourself, Full Belly Fare is the perfect gift solution for family and friends who want to provide meaningful support to someone experiencing a life transition or challenge!  Personal chef Lyla prepares hand-crafted meals, including vegan gluten free, dairy free, vegetarian, soy free, and paleo meal options. Use discount code PDXLocal15 for $15 off all first orders (new customers). Portland, Oregon Local Business   


Cassarole – Handmade and vintage items. Only shop features tinctures, body butter, and this extraordinary geode soap. Portland, Oregon Local Business   

Seagrape bath + body is a queer owned natural brand with a focus on artisan crafted goods for self-care. Portland, Oregon Local Business 


Hot Cherry Pit Pillow Square – Red Denim, Natural-Dyed Natural Moist Heat or Cold Therapy for Muscle Pain, Tension Relief, Headaches, Arthritis, Aromatherapy – Microwavable

Mama Tea-a Inspirational hand-blended organic herbal teas. Portland, Oregon Local Business. 

Cherry River CBD

Cherryriver.net. CBD products for Bath, Beauty, and Wellness. They offer gift sets, along with a line of topicals, a sports line, bath bombs, and have just released a high potency tincture. Portland, Oregon Local Business   

Back to Broth.  Organic, local, pasture-raised medicinal bone broth. Portland, Oregon Local Business   

Briar Patch Herbs. Culinary and medicinal herbs. Receive compassionate guidance from an experienced Herbalist. Portland, Oregon Local Business   

Gather Around Nutrition. Johanna is a private therapeutic chef with a Master’s Degree in Holistic Nutrition who does in-home meal prep, custom meal plans and in-home cooking classes. Portland, Oregon Local Business   

Molly Muriel. The best lip balm I have ever found. Even better, it’s vegan! Read our interview with founder and apothecary Branda Tiffany here. Portland, Oregon Local Business   

Optimistic Soap. Optimistic Soap makes unique, handcrafted soap with all-natural ingredients! 20% of all profits are donated to charity. Portland, Oregon Local Business   

Recreating Society self care holistic products and tea. Portland, Oregon Local Business   

Whole Tree CBD. Hand-crafted hemp CBD products that aid in healing of the mind and body. Portland, Oregon Local Business   

Yo Soy Candles  Handcrafted eco-conscious candles. Each beautiful scent is paired with its very own “I AM” statement to inspire a positive mindset + empower transformation by practicing the self loving ritual of I AM. Portland, Oregon Local Business 

Gift Certificates

So many people will tell you that they don’t need more “stuff” in their life. So what is the perfect gift? Consider health and wellness services from a local practitioner. From massage to coaching to astrology, a gift certificate gives someone the opportunity to explore a path that they might never have discovered otherwise.

Anna DeSalvo. “I offer productivity coaching for working moms juggling it all.” Sound like anyone you know? Portland, Oregon Local Business 

Avani Massage. Head and neck pain specialist, online gift certificates available for multiple locations. Portland, Oregon Local Business 

Beaverton Neurofeedback. Brain training for better sleep, memory, attention and more. Portland, Oregon Local Business

Beginning Within – Massage therapy, pelvic floor therapy, newborn therapy. Offering hypnobirthing classes and childbirth consultations, and a range of gift certificates Portland, Oregon Local Business 

The Bodhi Tree Clinic. Gift Certificates for Massage and Chiropractic. Portland, Oregon Local Business 

Body Awareness Massage. Wellness collective, NE Portland. Portland, Oregon Local Business 

Brass Tacks. Strength and nutrition coaching. Portland, Oregon Local Business 

FOXO3 Sauna. Infrared sauna sessions. Portland, Oregon Local Business

Goals with Tracy. Holistic in-home personal training for whole women. Portland, Oregon Local Business 

H.O.P.E. PDX. Ear reflexology, trauma release, reiki, and pranic healing. Portland, Oregon Local Business 

Indigo Healings. Specializing in energy work: Reiki, Access Bars for people and Animal Healings for beloved pets. Intuitive readings are included with the bodywork. Portland, Oregon Local Business 

Jenee Woodlief. Massage gift certificates. Located in NE Portland. Portland, Oregon Local Business 


The Herbal Apothecary: 100 Medicinal Herbs and How to Use Them
by J.J. Pursell  Portland, Oregon Local Author

Love Your Skin Day Spa. Lacey offers organic facials, massage, organic airbrush tans, facial waxing, Microderm, LED and oxygen treatments. Portland, Oregon Local Business 

Marchick Counseling. If you’re a GenXer like me, eldercare is already on your mind, and probably on the minds of other family members as well. Daniella is a licensed therapist and consultant who makes it a little less scary to address this daunting topic. She specializes in caregiving and aging concerns, and offers give gift certificates to interested individuals who want to consult about caregiving. Portland, Oregon Local Business 

Meet at the Spa. Chelsea has massage therapy gift certificates available. Contact her for the most up-to-date-information. Portland, Oregon Local Business 

Pathfinder Wellness Clinic Black Friday offers through Monday 12/2. They have holiday gift certificates available for these packages and for gift packages of any size. Portland, Oregon Local Business 

Pink Moon PDX. Facials, lashes & waxing & dermalogica products. Portland, Oregon Local Business 

PDX Local Coaching. Yes, I offer gift certificates! My coaching practice focuses on entrepreneurial coaching and  wellness coaching for individual with depressive and bipolar disorders. Contact me to find out more. Portland, Oregon Local Business 

Portland Cuddle Shop.  Connection and Cuddle Therapy.  Gift a Connection Session to someone this winter. Hold or be held, think out loud, take a nap, play a game, color, cry, laugh, reminisce. Relax in a judgement free zone with you-centered attention. Portland, Oregon Local Business   

Beatriz ReynaBeatriz Reyna. Inner child work/shadow work/journeys into your inner world.

From Beatriz: “YOU WILL BE SEEN. YOU WILL BE HEARD. YOU WILL BE UNDERSTOOD. YOU WILL BE FELT INTO AND EXPERIENCE ATTUNEMENT. YOU WILL EXPERIENCE THE LOVE AND PRESENCE YOU’VE ALWAYS WANTED.YOU WILL HAVE MAJOR SHIFTS.”

Portland, Oregon Local Business   

Root and Branch Fitness Personal training and integrative fitness. Portland, Oregon Local Business   

Royal Treatment Skin. As a dual licensed Acupuncturist and Aesthetician, Melissa offers a ton of awesome services to help you look and feel your best. Portland, Oregon Local Business 

Sabrina Wright. Massage therapist with gift certificates and massage packages available. Portland, Oregon Local Business 

Showgirl Temple. ShowGirl Temple offers gift cards for Burlesque classes and merch, for some sexy selfcare! Portland, Oregon Local Business   

SkinSense Spa. Debbie offers holistic facials using Naturopathica and ISUN skin care lines that is organic, vegan and gluten free and wildcraft. Holistic facials for tweens, teens and adults specifically with acne, also pregnant mamas and clients recovering from skin cancer. She also offers Intraceuticals Oxygen facials to target aging and preventing fine lines and wrinkles and Cryoskin treatments to slim and tone for facials. Black Friday Special: use promo code BF20%

Sofia Angelina Photography. Sofia offers healing portrait sessions, in which she combines energy healing and portrait photography for folks who are looking to celebrate themselves and embrace their bodies with empathy. Portland, Oregon Local Business   

Whole Being Massage. We have massage gift certificates and also sell some very nice aromatherapy oils and self-care tools that make great gifts! We can do couples/friend massages, prenatal, new mama massages, and more We are in inner SE PDX. Portland, Oregon Local Business   

Therapia Wellness Clinic.  Massage, chiropractic and acupuncture gift certificates available. Portland, Oregon Local Business   

Disclaimer: This article is not intended to give health or fitness advice. Exercise at your own risk. Consult your doctor or another health professional if you are unsure whether a product or form of exercise is safe for you to use. All opinions expressed are those solely of the PDX Local blog, and do not represent its sponsors, affiliates, or guest contributors. No paid advertising or paid endorsements have been provided for the products featured above. The reviewer makes no claims regarding the efficacy, workmanship, utility, or safety of any of the products listed above. As an Amazon Associate I earn from qualifying purchases. Use and purchase at your own risk.

Under the Bridge

Under the Bridge

Beth Gadwa, Bipolar Life Coach

Me, standing under the bridge in my neighborhood in Portland, Oregon. The bridge is the site of weddings, festivals, film shoots, and deaths.

How to Save a Million Lives

It starts with being visible.

November 2, 2019

In anyone’s memory, certain dates stand out forever.

I remember standing in my aunt and uncle’s sunny family room in San Mateo, California on April 18, 2018. That was when the customer service rep on the phone told me I did not qualify for life insurance. This was a problem. In fact, it was a huge problem. It meant I would not be able to obtain what is called “Key Man” Insurance, which shields professional investors in case of the accidental or untimely death of the CEO or other essential team members. Key Man Insurance is a must for any startup seeking serious investor funding (seed round or VC). Unknowingly, I had raised funds from friends and family for a venture that could not succeed with me at the helm.

I checked it out. I got a second quote. It didn’t matter that I was healthy and had managed the condition successfully for 19 years.

This wasn’t a case of bias, or stigma. It was a numbers game. The diagnosis is bipolar disorder. The reason I couldn’t get life insurance was that my diagnosis carries a 15 – 20% lifetime fatality rate. That means that as many as one in five people with bipolar disorder may die by suicide. (National Institute of Mental Health, as cited by DBSA.)

If present trends continue, over 855,000 of the 5.7 million individuals living today with bipolar disorder in the U.S will die by suicide. That’s almost a million people.

We are living in the middle of an epidemic. And one ever seems to notice.

Our company’s investor woes seemed pretty trivial in comparison.

Which brings me to the other date. Just over a year ago.

October 17, 2018

On that single day, in my home city of Portland, Oregon, we lost three people to suicide. One of the deaths happened a few hundred feet from my apartment, when a woman jumped off the St. John’s Bridge. I found out when I heard the sirens and saw the flashing red lights. I took some roses out of a vase, went outside, walked down the hill, and put the roses by the police line.

For me, that death brought home the reality of the suicide epidemic in America. I don’t know whether any of the three people who died had a diagnosis, but given the high risk factor and the fact that 1 in 23 Americans are bipolar, it is likely. Suicide fatality rates are actually higher for people with bipolar disorder than for those with unipolar depression(NCBI). Because suicide is a social epidemic, the death of one individual can result in the deaths of other individuals, who may not even share the same diagnosis. There a lot of reasons why this post has been hard for me to write. One of them is that this year, in the time since I started writing this blog post, about three weeks ago, I learned of two other likely suicides in my home communities: one here in Oregon and one in Massachusetts. The taboo around speaking about suicide is strong, just like the taboo against discussing bipolar disorder. I went to a walk this month by the American Society for Suicide Prevention. It’s a worthy event, and it does a lot of good for survivors. But nowhere — nowhere — was bipolar disorder mentioned as a cause or a killer. Talking about America’s suicide epidemic without talking about bipolar is like trying to talk about heart disease and never mentioning high blood pressure.

Last fall it felt like the bodies were literally dropping from overhead. Those deaths, in particular the one so close to home, jolted me out of complacency. I kept thinking to myself, If fifteen percent of bipolar people are dying by suicide, why don’t we hear about it? Why aren’t we doing more to stop it?”

I had been marked as a plague victim and I didn’t even know it.

I found a replacement CEO for my startup. After stepping down, my plan had been to take a course or two in data science and rejoin the corporate world. Instead, I found myself on an entirely different path. I earned a certification in Life Coaching, another as a Peer Support Specialist, and completed the excellent QPR suicide prevention training which is offered for free to lay people in the Portland area. The goal: work part time coaching bipolar and entrepreneurial clients from around the world. Spend the rest of my time learning a new coding language and building something cool.

The crazy thing is, one year later it actually seems to have worked.

The people I have coached confound my expectations. They are C-level executives, computer programmers, bankers, and accountants. Leave every expectation you have surrounding bipolar people and their temperament or personality type at the door. Just know, above all, we are here. And there are a lot of us. The recovery rate for bipolar disorder is 80%. (Health Central) Mostly you can’t tell us apart from anybody else. Because when the medication works well for us, like most other Americans, we’d much rather concentrate on our lives and families and hobbies than on getting riled up with anything that resembles activism.

Coaching is intense. I have had more than one occasion where the client burst into tears during the first session. Unlike therapy, the emphasis is on achieving short term goals. Most of my service offerings are designed to last 3-6 sessions, although some clients stay on much longer. I think my favorite sessions are the outdoor fitness sessions, where we do the coaching during an hourlong walk or hike. I never agree to work with a client unless they are also seeing a licensed doctor or clinician. Confidentiality is key. In the event of a situation where someone’s safety is at risk or where someone expresses suicidal thoughts, I will of course contact emergency services, as well as other members of a client’s care team.

Whatever assorted coaching gurus may promise, my type of coaching won’t make you rich. That’s not why I do it. I just know that it’s important for bipolar people to be visible.

This is where the saving lives come in. It’s about much more than the coaching, although I believe that’s important and meaningful work. It’s about being visible, and letting people know that bipolar gets better. Coming out is risky, and it has a cost. You may not get asked on that second date. As a programmer the last thing you want is your supervisor wondering what medications you were taking when you pushed that last commit! But I’ve come to believe that the cost of silence is greater. Silence equals death. Stigma equals death.

Here’s how we can save one million lives over the next generation:

1.) Make stigma against bipolar people unacceptable. End the jokes. Stop using bipolar as shorthand for a personality disorder. Educate yourselves. This shouldn’t be my job, as the person with the disability, but I need to take responsibility first and foremost for my own actions. I am not “out” in every professional or social social situation, but I try to live my life in a way that I can communicate to others, who may be more closeted, that there is hope.

2.) Improve quality and access to mental health care. Bipolar people face special challenges. We encounter more stigma than people with depression or anxiety disorders, and if we are misdiagnosed, the consequences can be serious. But all mental health conditions deserve treatment on a par with physical health. The quality of generic medications has taken an alarming dive. I have experienced these issues myself, and heard alarming reports from others. Legal or regulatory action must be taken to ensure that vulnerable populations do not suffer.

3.) Work for a cure. Amazingly, for a disease that affects millions of Americans and people the world over, we still do not understand the causes of bipolar disorder. It receives only a fraction of the federal funding for diseases with a similar mortality rate. Meanwhile, the pharmaceutical industry shows off its latest advances: a pill with a tracking device to make sure the patient complies and takes their medication. We are solving for the wrong goal here.

You may have noticed that the beginning of this piece promised to tell you how to save one million lives.  And you may have noticed that based on the figures above, we’re still 145,000 lives short. There’s a reason for that. The reason is that bipolar people, when we are well and healthy, save lives.

The reason is that bipolar people are our best and our brightest. We are leaders. We are artists. We are entrepreneurs and innovators. We are mystics. We are heroes. We feel deeply, and we act on the courage of our convictions. From Winston Churchill to Kanye West, the names of famous bipolar people read like a roll call. Bipolar people who are able to live out their lives to their fullest potential will design lifesaving vaccines, help mitigate climate change, and create songs and stories that sustain and offer hope for an imperiled planet. We give back every day. We are mothers and fathers, aunts and uncles, teachers and mentors, some of the best and most loyal friends you will ever find. We are generous. We go the extra mile. Maybe we are still trying to prove we are “good enough.” Maybe deep down we know that we different, and also blessed. There is a reason we are in this genome.

We have so much to give, and we are irreplaceable.

 


 

Find free crisis resources in the Pacific Northwest and nationwide.

Read my advice posts on Quora.

Due to the COVID-19 epidemic, I have scaled back my coaching practice. I have a limited number of phone and video entrepreneurial and coaching slots available. Full professional resume and credentials available on request.

Listen to a radio spot:

 

 

Suicide Is Preventable

Suicide Is Preventable

Laura and I are humbled and thrilled with all the media coverage received for our small effort to put up notes of encouragement on the St. John’s Bridge. Read or watch the story by Portland’s Fox 12 here.

But this is really only the beginning. Would you like to take two hours out of your busy schedule and learn how to save a life? We are please to announce a free training available in our community. The two-hour “Suicide First Aid” class, offered through http://gettrainedtohelp.com, a tri-county initiative, is for lay people. No special background is required. It teaches essential skills for responding if somebody you know or love has reached out and appears to be at risk. The one-time session will be held in the evening, from 6-8 PM on Tuesday, January 15. 2019, at Vision 8 Studios at Cathedral Park Place. Training is open to all residents of Portland, OR and the surrounding area; however St. John’s residents have priority. The training is for everyone aged 18 and over.

If you are interested, sign up here.

Please click here for a comprehensive guide to suicide hotlines and other community resources in the area.

Biking When the Air Is Bad

Biking When the Air Is Bad

Did you know that if you run, hike, or bike on a day when the air quality is labeled “Unhealthy,” you can permanently damage your lungs? Don’t take a chance. If you want or need to be active outdoors in areas experiencing air pollution due to heavy industry, car traffic, or forest fires, these products will help keep you safe.

Everything listed below is washable and reusable. I specifically chose affordable products available online. You can save a few dollars and buy a cheap disposable ventilator mask from a hardware store, of course, but it will be less comfortable, offer less protection, and as a throwaway product, contribute to the problems we are all concerned about.

If you have yard work to do this weekend, or if you want to keep walking or biking to work—even when the air is bad—considering investing in a reusable mask.

 

 

 

 

Disclaimer: This site is not intended to give health, medical, or fitness advice. Exercise at your own risk. Consult your doctor or another helaht professional if you are unsure whether it is safe to exercise or to be outside. All opinions expressed are those solely of the PDX Local blog, and do not represent its sponsors, affiliates, or guest contributors. No paid advertising or paid endorsements have been provided for the products featured above. The reviewer makes no claims regarding the efficacy, workmanship, utility, or safety of any of the products listed above. Use and purchase at your own risk.