GOOD EVENING.

I'M PSYCHIATRIST JAY FAWVER.

LIVE FROM FORT WAYNE, INDIANA, WELCOME TO ANOTHER SPECIAL EDITION OF "MATTERS OF THE MIND."

WE'VE RECENTLY PASSED DAY 50 WITH SHELTER AT HOME AND SOCIAL DISTANCING ORDER, AND YOU WILL NOTICE ONCE AGAIN I'M NOT ON MY USUAL SET.

WE WILL LIKE TO KEEP THE PROGRAM FOCUS ON THE MENTAL HEALTH ASPECTS OF THE CORONAVIRUS AND THE COVID-19 DISEASE IT CAUSES.

HOW DO YOU DEAL WITH IT?

HOW DO YOU KEEP FROM BECOMING OVERWHELMED?

TO HELP ANSWERS WITH THESE QUESTIONS I'M PRIVILEGED TO ONCE AGAIN BE JOINED TONIGHT BY TWO LOCAL MENTAL HEALTH EXPERTS TO REVIEW THE EMOTIONAL EXPERTS CONCERNING CORONAVIRUS.

JOINING US IS PSYCHOLOGIST SIQUILLA LIEBETRAU, WHO IS AT THE BOWEN CENTER AND DOCTOR MATT RUNYAN AT THE PARKVIEW BEHAVIORAL HEALTH INSTITUTE.

TONIGHT WE WOULD LIKE TO HEAR HOW YOU ARE DOING, AND WE WOULD LIKE TO TAKE YOUR CALLS SPECIFICALLY AS THEY RELATE TO YOUR QUESTIONS TO THE MENTAL HEALTH ASPECTS OF THE CORONAVIRUS AND COVID-19.

IF YOU HAVE ANY QUESTIONS THAT WE CAN ANSWER ON THE AIR, YOU CAN CALL US IN THE FORT WANE AREA OR CALLING LONG DISTANCE DIAL TOLL-FREE.

AND IF YOU HAVE QUESTIONS, YOU CAN CONTACT US BY NET AT MATTERSOFTHEMIND.ORG OR CALL IN AND TALK TO US HERE.

FIRST I WOULD LIKE TO INTRODUCE A WEBSITE THAT WAS JUST RELEASED TODAY.

IT WAS DEVELOPED BY THE INDIANA FAMILY AND SOCIAL SERVICES ORGANIZATION DOWN IN INDIANAPOLIS 2ND INTERNET ADDRESS WWW.BEWELLINDIANA.ORG.

NOT.COM OR.GOV, IT'S.ORG.

ITIS A NICE WEBSITE THAT GIVES YOU A LOT OF DIFFERENT RESOURCES.

PLACES YOU CAN CALL IF YOU ARE HAVING ANXIETY OR DEPRESSION.

IT ACTUALLY USES SCALES THAT WE USE IN OUR PRACTICE TO HELP PEOPLE ASSESS IF THEY POSTTRAUMATIC STRESS DISORDER, BIPOLAR, ALL THE SCALES ARE ON HERE AND GIVE YOU NEW MIRACLE DIFFICULTIES WITH WHAT YOU MIGHT BE HAVING WITH ALL THESE SYMPTOMS.

FROM MY PERSPECTIVE, I LOVE FOR A LOT OF PATIENTS CALLING IN MY OFFICE SAYING THEY HAVE ALREADY TAKEN THE DIFFERENT SCALES AND GIVE US AN IDEA HOW THEY ARE DOING AND WE WOULD BE ABLE TO DIRECT THEM TO THE PROPER RESOURCES.

I JUST SAW THIS SCALE FOR THE FIRST TIME ABOUT 30 MINUTES AGO.

SIQUILLA, YOU ACTUALLY HEARD ABOUT IT EARLIER TODAY.

WHAT DO YOU THINK ABOUT IT?

>> I LOVE IT.

I THINK IT'S A REALLY GREAT ONE-STOP SHOP WHERE FOLKS CAN GO TO GET SOME HELP, GET SOME GUIDANCE.

LIKE YOU SAID, TAKE THE MEASURES SO THAT THEY HAVE A BETTER UNDERSTANDING FOR THEMSELVES WHEN THEY REACH OUT TO A PROVIDER TO SAY, HEY, THIS IS WHAT I TOOK, THIS IS WHAT MY SCORE WAS, WHAT STEPS CAN WE TAKE NEXT?

SO I REALLY DO LOVE IT.

>> AND IN PSYCHIATRY NOWADAYS WE ARE USING OUT COME METRICS AND LOOKING AT NUMERICAL ALWAYS AT PEOPLE WITH DEPRESSION AND ANXIETY.

IT'S BE WELLIT'S BEWELLINDIANA.. THERE IT IS AGAIN.

I WANT TO MAKE SURE YOU ARE ALL ABLE TO SEE THAT.

LET'S GO TO OUR FIRST EMAIL QUESTION FOR TONIGHT.

THE FIRST QUESTION FOR TONIGHT READS, DEER DR.

FAWVER, I HAVE A COWORKER WHO THINKS THE CORONAVIRUS IS FAKE AND IS NOT TAKING THE STAY AT HOME ORDERS SERIOUSLY.

MANAGEMENT WILL NOT GET INVOLVED.

HOW TOHOW DO YOU DEAL WITH BEING AROUND SOMETHING LIKE THIS?

IT MAKES ME UNCOMFORTABLE.

>> OKAY, MANAGEMENT WON'T GET INVOLVED, IT IS, QUITE FRANKLY, A HUMAN RESOURCES ISSUE.

SO YOU HAVE TO SEE WHAT YOUR ORGANIZATION IS REQUIRING.

BUT ANY THOUGHTS FROM EITHER ONE OF YOU CONCERNING HOW YOU CAN HELP SOMEBODY WHO IS HAVING A LOT OF ANXIETY ABOUT A COWORKER WHO IS JUST NOT TAKING THE SOCIAL DISTANCING SERIOUSLY?

>> YEAH.

YOU HAVE TO FOCUS ON WHAT YOU CAN CONTROL.

YOU CAN'T CONTROL IF THEY ARE GOING TO TAKE A SERIOUSLY.

YOU CAN'T CONTROL THAT THEY THINK IT'S FAKE.

IT'S NOT, BUT IF THAT'S WHAT WE BELIEVE, YOU CAN'T CHANGE THEIR MIND.

I'M ASSUMING THIS PERSON HAS PROBABLY TRIED TO CHANGE THEIR MIND AND SAY HERE'S SOME DATA AND YOU HAVE RUN INTO A BRICK WALL.

OKAY, YOU TRIED.

NOW YOU CONTROL WHAT YOU CAN.

DOES THAT MEAN YOU KNOW WHEN THEY STAY THEIR BREAKS?

DON'T TAKE A BREAK AT THE SAME TIME.

IF THEY AREN'T GOING TO WEAR A MASK, MAYBE YOU SHOULD.

MAYBE UNCAN CHANGE YOUR WORK ENVIRONMENT TO AVOID THEM AND MAKE SURE THE CO-WORKERS -- IF THERE IS SOMEBODY IRIS BEING IN YOUR OFFICE OR YOU WORK WITH, MAKING SURE EVERYBODY IS AWARE THIS MIGHT BE MORE OF A RISK.

BUT I WOULD MAKE SURE THAT MANAGEMENT IS AWARE THAT THEY ARE NOT DOING THAT, AND IF THERE'S ANY WAY THAT YOU DO FEEL UNCOMFORTABLE WITH IT, HOW DO YOU GET THAT ADDRESSED IN REGARDS TO MAKING YOUR OWN SAFETY A PRIORITY.

>> I WOULD AGREE, ABSOLUTELY.

YOU NEED TO ADVOCATE FOR YOURSELF.

EVEN THOUGH IT MIGHT NOT FEEL VERY COMFORTABLE TO DO THAT, I WOULD SAY, LIKE MATT SAID, AS WELL, PUT IT IN WRITING TO MANAGEMENT, TO YOUR HR DEPARTMENT THAT YOU HAVE CONCERNS, AND WHAT YOUR CONCERNS ARE, AND MAKE SURE THAT YOU PRACTICE WHAT YOU THINK YOU NEED TO DO TO KEEP YOURSELF SAFE.

SO MAKE SURE THAT YOU STAY CAREER CLEAR -- STATE CLEARLY TO THE PERSON THEY NEED TO STAY SIX FEET AWAY FROM YOU.

DO HAND-WASHING AND HAND SANITIZING AND IF YOU ARE IN MEETINGS TOGETHER, FOR INSTANCE, THAT YOU SIT AT LEAST SIX FEET AWAY FROM THEM SO THEY GET THE MESSAGE VERY CLEARLY, LIKE THEY ARE GIVING YOU A MESSAGE VERY CLEARLY THAT THEY AREN'T INTERESTED IN FOLLOWING THE GUIDELINES.

WELL, YOU ARE PLAYING BY THE RULES AND YOU ARE FOLLOWING THE GUIDELINES AND YOU DON'T HAVE TO FEEL SORRY ABOUT THAT.

>> I WOULD BE PARTICULARLY CONCERNED IF THIS OTHER COWORKER HAD A COUGH AND THEY ACTUALLY APPEARED TO BE ILL WITH CORONAVIRUS, AND THAT'S WHERE YOU WOULD WANT TO KEEP YOUR PARTICULAR DISTANCE.

A LOT OF THINGS WE ARE LEARNING WITH CHOIRS ARE KIND -- WITH CORONAVIRUS ASK LIKE LIFE LESSONS AND YOU FEEL WITH IN GENERAL.

YOU CAN'T CONTROL THE BEHAVIORS OF OTHER PEOPLE AND SO MANY THERE HAVE CONFLICTS WITH THEIR FAMILY MEMBERS AND YOU THINK HOW CAN I GET THEM TO BE CONVINCED OF THIS OR THAT?

YOU OFTEN CAN'T.

YOU CAN TAKE CARE OF YOURSELF, BUT SOMETIMES YOU CAN'T CONVINCE OTHER PEOPLE TO THINK AS YOU MIGHT WANT THEM TO THINK.

NOW, SIQUILLA, WE WERE TALKING EARLIER ABOUT THE RISK OF SUICIDE DURING THE SOCIAL ISOLATION WITH CORONAVIRUS.

THE MONTH OF APRIL HISTORICALLY HAS BEEN CONSIDERED TO BE A HIGH RATE FOR SUICIDE, A MONTH AT HIGH RATE FOR SUICIDE.

THERE WAS AN ARTICLE THAT JUST CAME OUT ABOUT A WEEK AGO THAT DEPICTED THAT THE MONTH OF MAY, WHEN THEY LOOKED OVER THOUSANDS OF PEOPLE OVER THE COURSE OF TEN YEARS, THE MONTH OF MAY APPEARED TO BE AT THE TOP OF THE LIST IN TERMS OF SUICIDE RISK MONTHS.

SECONDLY, A HIGH LIKELIHOOD OF SUICIDE WAS IF YOU WERE NOT SLEEPING AT NIGHT, IT MADE YOU MORE LIKELY TO COMMIT SUICIDE SOMEWHERE BETWEEN MIDNIGHT AND 6:00 A.M.

IF YOU WEREN'T SLEEPING.

JURIES BEING OF SUICIDE TRIPLES.

AND I THOUGHT THAT WAS SO INTERESTING BECAUSE IF YOU THINK ABOUT IT, WHEN PEOPLE AWAKEN AT NIGHT, THEY WILL OFTEN HAVE ALL THESE UNREASONABLE, IRRATIONAL THOUGHTS.

AND IT'S IN THAT DARKNESS WHEN THERE'S REALLY NO ONE ELSE TO TALK TO THAT YOU ARE ALONE WITH YOUR THOUGHTS AND YOU MIGHT BE FADING IN AND OUT OF SLEEP AND DURING DREAMS YOU OFTEN HAVE DREAMS THAT ARE ILLOGICAL ANYWAY, THAT'S WHEN YOU CAN BE AT HIGH RISK OF HAVING REALLY POOR JUDGMENT AND POOR REASON.

I THOUGHT THAT WAS REALLY INTERESTING.

>> ABSOLUTELY.

AND I THINK CERTAINLY WE ARE CURRENTLY IN UNPRECEDENTED, UNUSUAL TIMES.

THERE'S NO GUIDELINES FOR US TO FOLLOW AT THIS POINT.

AND EVERYTHING IS KIND OF OUT OF WHACK.

THINGS ARE SCARY.

WE DON'T KNOW WHEN THINGS ARE GOING TO OPEN BACK UP.

WE DON'T KNOW WHEN THINGS GOING TO GET BACK TO, QUOTE, UNQUOTE, NORMAL.

REALLY PEOPLE ARE SUGGESTING YOU SHOULD GET COMFORTABLE WITH THE IDEA OF A NEW NORMAL AS OPPOSED TO RETURNING TO YOUR OLD NORMAL.

BUT I THINK OF SO MANY PEOPLE THAT ARE STRUGGLING AND HURTING FOR SO MANY DIFFERENT REASONS.

I THINK ALL OF THE FOLKS THAT MAYBE ENGAGE IN SELF-HARM BEHAVIOR, BECAUSE THAT'S THE ONLY WAY THAT THEY CAN NUMB THEIR PAIN.

I THINK OF THE FOLKS THAT ENGAGE IN EATING DISORDERS, BEHAVIOR, BECAUSE IT'S THE ONLY WAY THEY FEEL CONTROL.

I THINK OF THE FOLKS THAT HAVE EXPERIENCED TRAUMA THAT STRUGGLES TRUSTING PEOPLE ANYWAY AND NOW THEY HAVE MORE REASON NOT TO TRUST FOLKS.

I THINK OF THE PEOPLE THAT STRUGGLE WITH BEING OUT IN SOCIETY AROUND OTHER PEOPLE, THEY HAVE MORE REASON FOR THAT.

THERE ARE SO MANY PEOPLE HURTING RIGHT NOW.

THERE'S PEOPLE THAT ARE DEPRESSED ON A REGULAR DAY.

AND I WOULD SAY WE REALLY HAVE TO LISTEN VERY CAREFULLY TO OUR LOVED ONES.

IF YOU ARE CONCERNED ABOUT A LOVED ONE, THAT THEY MAY POSSIBLY BE SUICIDAL, DON'T TRY TO TALK YOURSELF OUT OF HAVING THAT CONVERSATION WITH THEM.

MAKE SURE THAT YOU HAVE A CONVERSATION.

AND WE'RE NOT GOING TO DENT AROUND THE TOPIC, NOT SAYING DO YOU FEEL LIKE HURTING YOURSELF?

THAT'S NOT STRAIGHTFORWARD ENOUGH.

YOU NEED TO ASK, DO YOU FEEL LIKE YOU WANT TO KILL YOURSELF?

DOES ANY PART OF YOU WANT TO KILL YOURSELF?

OFTENTIMES THERE IS THAT INTERNAL STRUGGLE BETWEEN I WANT TO LIVE, BUT I SEE NO WAY OUT.

AND, JAY, AS YOU TALKED ABOUT IN THE MIDDLE OF THE NIGHT WHEN THERE'S NOBODY ELSE AROUND, WHEN YOU ONLY SEE DARKNESS, AND YOU SEE NO WAY OUT, AND YOU SEE NO HOPE, THAT'S WHEN YOU NEED TO REACH OUT SO SOMEBODY ELSE CAN BE YOUR HOPE.

I CAN BE YOUR HOPE, ANOTHER THERAPY PIT CAN BE YOUR -- THERAPIST CAN BE YOUR HOPE.

THERE IS HOPE AND THERE IS HELP, AND NO MATTER HOW DIFFICULT THINGS ARE RIGHT NOW OR HOW SCARY THINGS ARE, WE WILL GET TO A PLACE WHERE YOU CAN MANAGE THIS BETTER IF YOU REACH OUT.

I DEFINITELY WANT TO MAKE SURE THAT PEOPLE KNOW THAT, WHETHER IT'S FOR YOURSELF OR A LOVED ONE.

THINGS ARE REALLY SCARY RIGHT NOW.

SO DON'T FEEL LIKE YOU HAVE TO DO THIS BY YOURSELF.

DON'T FEEL LIKE SOMEBODY IS GOING TO JUDGE YOU.

WE ARE HERE.

WE'RE HERE TO HELP YOU.

>> THE HOPELESSNESS IS A KEY COMPONENT, AND IT'S A KEY RISK FACTOR FOR SUICIDE, AND FOUR WEEKS AGO A LOT OF PEOPLE WERE HAVING DIFFICULTY WITH WONDERING WILL THE COACHES WITH THE CORONAVIRUS, WILL IT EVER END?

THEY DIDN'T SEE LIGHT AT THE END OF THE TUNNEL.

NOW WE ARE STARTING TO SEE SOME HOPE THAT WE WILL BE ABLE TO START GETTING OUT AND ABOUT A LITTLE MORE OVER THE NEXT WEEK OR TWO.

MATT, YOU HAVE YOUR FINGER ON THE PSYCHIATRIC PULSE OF THE COMMUNITY, BEING ON THE INPATIENT PSYCHIATRIC UNITS.

WHAT'S YOUR PERCEPTION AT THIS POINT?

HOW IS THE GENERAL PUBLIC HANDLING ALL OF THIS?

>> I THINK IT'S PRETTY MUCH STILL WHERE IT'S BEEN.

THERE'S A LOT OF FEAR, THERE'S A LOT OF ANXIETY, THERE'S A LOT OF UNKNOWN.

YOU KNOW, WE'RE TALKING ABOUT SOME STATES LIKE GEORGIA ARE OPENING UP THE STAY AT HOME ORDERS AND STARTING TO MOVE FORWARD.

GOVERNOR HOLCOMB MADE COMMENTS ABOUT SEEING HOW INDIANA CAN MOVE THAT WAY.

THERE'S STILL A LOT OF UNCERTAIN ABOUT WHEN CAN WE GO BACK TO WORK?

WHEN WILL MY SMALL BUSINESS START BACK UP?

WE AREN'T SEEING A LOT OF PEOPLE BEING ADMITTED FOR THE ANXIETY, THE NUANCE OF DEPRESSION, YOU KNOW, KIND OF THE SOCIAL RELATION THAT WE WOULD KIND OF COME TO EXPECT.

I THINK THAT WILL COME IN THE FUTURE.

I THINK ONCE KIND OF THE COVID WAVE SLOWS DOWN AND WE KIND OF GET OVER THE HUMP OF A PEAK AND WE WILL HAVE PEOPLE DEALING WITH THE CONSEQUENCES OF COVID COMING N MORE OF THE PEOPLE WHO ARE HAVING DEPRESSION ARE, STRUGGLING WITH IT BUT ARE SCARED TO GO TO THE HOSPITAL BECAUSE COVID IS THERE.

I'M SUPPOSED TO STAY AT HOME, I CAN BE AT HOME BUT WHEN I HAVE TO GO OUT TO TRY TO DO SOMETHING NEW, WHEN I HAVE TO GO BACK TO WORK, WHEN I HAVE TO GO BACK AND SEE FAMILY, WHEN THINGS LIKE THAT HAPPEN WE EXPECT TO SEE MORE OF THOSE TYPES OF EMISSIONS.

RIGHT NOW A THE ALTHOUGH OF OUR ADMISSIONS ARE SUBSTANCE ABUSE AND CHRONICALLY ILL.

AND THEY ARE ALREADY KIND OF STRUGGLING, THERE'S NOT A LOT OF PLACES FOR THEM TO BE.

THEY DON'T HAVE A LOT OF SOCIAL SUPPORT, A LOT OF THEM ARE ON FIXED INCOMES AND HAVE DIFFICULTY WITH HOUSING.

I THINK FORT WAYNE TRANSPORTATION MADE THE BUS SYSTEM FULLY FREE.

I HOPE THAT'S ACCURATE.

THAT'S WHAT I WAS TOLD.

IF NOT, I APOLOGIZE.

BUT I'M 99% CERTAIN YOU AREN'T NEEDING BUTTS PASSES RIGHT NOW BECAUSE TRANSPORTATION IS SO IMPORTANT FOR PEOPLE WHO DON'T HAVE ACCESS TO TRANSPORTATION.

SO THAT POPULATION, IT SEEMS FROM A PSYCHIATRIC ASPECT, THERE'S A LOT MORE CRISIS WITH THAT GROUP BECAUSE THEY ARE ALREADY ISOLATED, THEY ALREADY DON'T HAVE A LOT OF SUPPORT AND THEY ARE ALREADY STRUGGLING AND WE HAVE HAVING A LOT OF THOSE TYPES OF ADMISSIONS, AS WELL, THE SUBSTANCE ABUSE.

TALKING ABOUT OTHER PROVIDERS, BOTH IN FORT WAYNE, AS WELL AS IN INDIANA, WE ARE ALL KIND OF ON THE SAME PAGE THAT WE ARE EXPECTING TO GET BUSIER AND SEE MORE UNFORTUNATE ADMISSIONS IN THE NEXT COMING WEEKS TO MONTHS.

>> I'M ON THE OUTPATIENT SIDE, AND YOU ARE TOO, SIQUILLA, BUT ON THE OUTPATIENT SIDE I WAS SURPRISED INITIALLY THAT WE WEREN'T HEARING ABOUT THAT MANY PEOPLE CONTACTING US EARLY IN THE CRISIS, THE FIRST TWO OR THREE WEEKS.

I THOUGHT IT WAS PRETTY QUIET.

BUT NOW WE ARE STARTING TO HEAR THE VOLUME PICK UP A LITTLE BIT.

THERE'S A COUPLE THINGS HAPPENING.

NUMBER ONE, A PEOPLE WITH DEPRESSION WILL STRUGGLE MORE WITH THE SOCIAL ISOLATION.

WHEN PEOPLE ARE DEPRESSED WE ARE ALREADY TRYING TO ENCOURAGE THEM TO GET OUT AND GET AROUND OTHER PEOPLE AND HERE THEY ARE TOLD TO ISOLATE.

THE THEY QUESTION IF WE WERE OPEN FOR BUSINESS AND, OF COURSE, WE WERE AND THE PRIMARY DOCTORS CLOSED DOWN AND THEY SAW PEOPLE VIRTUALLY.

BUT SECONDLY, IMPEACHMENT HAVING A LOT OF ANXIETY AT WORK BECAUSE THEY WERE HAVING TROUBLE WITH CO-WORKERS, THEY GOT TO STAY AT HOME AND NOW THEY ARE STARTING TO CONTACT US.

WE HEARD SOME CALLS TODAY, PEOPLE WHO WERE EXPECTED TO GO BACK TO WORK AFTER THEY HAVE HAD SOMEWHAT OF A REPRIEVE FROM THE WORKPLACE ENVIRONMENT AND THEY ARE HAVING TO GO BACK TO WORK AND THEY SAY I AM GETTING MORE ANXIOUS BECAUSE I KNOW I HAVE TO GO BACK INTO MY WORKPLACE.

ARE YOU HEARING THE SAME THING, SIQUILLA?

>> ABSOLUTELY.

PEOPLE HAVE SORT OF FALLEN INTO KIND OF A NEW PATTERN, FOR LACK OF A BETTER WORD.

THEY HAVE BEEN HOME FOR QUITE A FEW WEEKS.

THEIR DAY LOOKS DIFFERENT.

MAYBE THEIR SLEEP PATTERN LOOKS DIFFERENT BECAUSE THEY DIDN'T HAVE TO GET UP EARLY IN THE MORNING.

MAYBE THEY ARE GETTING USED TO HAVING THEIR KIDS AROUND TOMORROW.

THERE ARE SO MANY THINGS AROUND THEM AND WHEN THERE'S DIFFERENT AND YOU HAVE TO ADJUST TO A NEW PATTERN, THAT JUST NATURALLY CAUSES ANXIETY.

FOLKS THAT ESPECIALLY HAVE PRE-EXISTING CONDITIONS OF ANXIETY, THAT'S ACTUALLY DIFFICULT.

AND I THINK WITH ANY TRAUMATIC EVENT, OFTENTIMES WE SEE LINGERING EFFECTS AFTERWARDS.

SO I REALLY THINK THE MENTAL HEALTH FIELD, BOTH MEDICATION AND THERAPY, WILL SEE A ROLLOVER EFFECT WITH THIS FOR MONTHS, POSSIBLY YEARS TO COME.

>> WE ALWAYS EMPHASIZE TO PEOPLE THAT STRESS IS A CHANGE.

IT CAN BE A GOOD CHANGE, IT CAN BE A BAD CHANGE, BUT IT'S A CHANGE.

SO WE HAD THE STRESS GOING INTO THE SOCIAL ISOLATION AND STAY AT HOME ORDERS SIX WEEKS AGO AND NOW WE HAVE THE STRESS OF COMING OUT OF IT.

SO IT'S GOING TO BE A CHANGE, AND WITH THAT CHANGE, THE FIRST THING I THINK PEOPLE ARE GOING TO HAVE TROUBLE WITH IS GOING TO BED AT THE SAME TIME AND GETTING I AM AT THE SAME TIME.

I'M HEARING ABOUT A LOT OF PEOPLE THAT ARE ABLE TO SLEEP IN MORE BECAUSE THEY ARE WORKING FROM HOME, AND THEY ARE PRODUCTIVE, BUT THEY ARE ALLOWED TO WORK FROM HOME SO THEY CAN SLEEP IN A LITTLE BIT MORE BECAUSE, NUMBER ONE, THEY DON'T HAVE TO GET READY FOR WORK.

I ENCOURAGE THEM TO MAINTAIN BASIC HYGIENE, BURR THEY DON'T HAVE TO GET READY FOR WORK AS THEY USUALLY WOULD, AND THEY DON'T HAVE TO DRIVE TO WORK.

AND THAT MIGHT SAVE TOMORROW 30 MINUTES TO AN HOUR SO THEY HAVE MORE TIME TO SLEEP IN AND THEY FEEL BETTER BECAUSE OF THAT.

WHAT I AM TRYING TO DO IS GET THEM TO HOLD ON TO THAT MINDSET OF GETTING MORE SLEEP, TRYING TO GET TO BED EARLIER, NOT STAYING UP AT NIGHT PLAYING COMPUTER GAMES OR WATCHING TELEVISION UNNECESSARILY.

I MEAN GETTING TO BED WHEN YOU SHOULD BE GETTING TO BED AND TRYING TO GET THAT CIRCADIAN RHYTHM STRAIGHTENED OUT AGAIN.

SLEEP IS IMPORTANT.

IF YOU HAVE QUESTIONS RELATING TO THE CORONAVIRUS, CALL US.

OR IF YOU ARE CALLING FROM OUTSIDE THE FORT WANE AREA CONTACT US AT THE TOLL-FREE NUMBER.

MATT, WHAT IS THE BIGGEST CONCERN YOU HAVE SEEN WITH THE PEOPLE WITH SUBSTANCE ABUSE CONDITIONS?

WHAT ARE YOU SEEING FROM THEM?

>> IN REGARD TO ADMISSIONS, WE ARE SEEING A LOT OF ALCOHOL, WHICH IS KIND WHAT HAVE WE SEE A LOT OF.

>> ALCOHOL SALES HAVE INCREASED.

>> ALCOHOL SALES HAVE SKYROCKETED.

>> AS HAVE MARIJUANA SALES IN OTHER STATES.

>> AND WHETHER IT'S YOUR IDEA IT'S ESSENTIAL OR NOT, THOSE ARE OPEN AND PEOPLE ARE BUYING THEM AND PEOPLE ARE DRINKING MORE, LESS, THE SAME, I CAN'T TELL.

I DO KNOW THAT WE ARE GETTING A LOT OF PEOPLE THAT ARE COMING IN THE HOSPITAL ASKING FOR HELP.

AGAIN, TALKING WITH SOME OF MY COLLEAGUES AND THE PEOPLE AROUND THE STATE, WE SUSPECT THAT THAT'S GOING TO GO UP WHEN PEOPLE HAVE TO GO BACK TO WORK.

WE AREN'T SLEEPING TOO WELL AND ALCOHOL HELPS US SLEEP SO NOW WE DRINK TO HELP US SLEEP AND MAYBE WE DRINK A LITTLE MORE AND DRINK MORE AND EVENTUALLY WE DRINK TO FALL ASLEEP OR DRINK THROUGHOUT THE DAY.

NOW ALL OF A YOU HAD YOU HAVE TO GO TO WORK ON MONDAY AND THE ROUTINE YOU BUILT UP, IT'S NOT GOING TO WORK FOR YOU.

WE ARE CONCERNED WITH THE SUBSTANCE ABUSE POPULATION JUST WITH THE LEGAL DRUGS AND SOME STATES ALCOHOL AND MARIJUANA, HOW THEY ARE COPING WITH THE CURRENT ISOLATION, THE CURRENT CHANGES, AS WELL AS A BIT MORE FREEDOM.

IF YOU ARE AT WORK FROM 7:00 A.M.

TO 5:00 P.M., YOU ARE PROBABLY NOT DRINKING DURING THE DAY.

IF YOU ARE AT HOME, MAYBE YOU HAVE A DRINK OR TWO, MAYBE YOU HAVE A FEW MORE.

IN TERMS OF ILLICIT DRUGS, WE ARE STILL SEEING ABOUT THE SAME NUMBER.

THERE'S ACTUALLY BEEN A DECREASING AMOUNT OF PILLS, PEOPLE WHO ARE USING LIKE DOCTOR-PRESCRIBED ADDICTIVE PILLS.

BUT WE THINK THAT SUPPLY DIPPED OFF BECAUSE PHYSICIANS OFFICERS WEREN'T OPEN FOR A WHILE SO THERE WAS NO SUPPLY COMING IN.

IN REGARDS TO ILLICIT SUBSTANCES, WE HAVEN'T SEEN MUCH OF A CHANGE IN THAT, IN HERMS OF METHAMPHETAMINE, HEROIN, THINGS LIKE THAT, COCAINE.

WE ARE STILL SEEING A DECENT AMOUNT OF ADDITIONS AND I EXPECT WE WILL, IF NOT MORE AFTER COVID STARTS TO CALM DOWN WHEN PEOPLE ARE TRYING TO RETURN TO THEIR LIVES.

YOU TALK ABOUT STRESS AND GRIEF, GRIEF ABOUT DEATH AND DYING IS ONE THING, BUT WE DON'T THINK ABOUT DYING WITH LOSS AND CHANGE.

YOU KNOW, IT'S NOT NECESSARILY LOSS OF LIFE, IT MUST BE A LOT OF JOB OR LOSS OF FUNCTION.

OR I DIDN'T HAVE ANY HIGH SCHOOL GRADUATION OR PROM.

YOU ARE 18 YEARS OLD, AND YOUR SENIOR YEAR IS WRAPPED AROUND THIS, AND ALL OF A SUDDEN IT'S GONE.

YOU KNOW, THAT'S A GRIEF.

THAT'S A TRAUMA, DEPENDING ON THE PERSON, DO THEY HAVE A HISTORY OF TRAUMA, HOW DO THEY PROCESS THAT, WHAT'S THEIR SUPPORT SYSTEM, HOW ARE THEY ISOLATING?

THAT CAN DEVELOP INTO HOW DO I COPE WITH THIS?

THERE'S A POTENTIAL WE COULD SEE A MASSIVE SKYROCKETING IN PEOPLE WHO HAVE NEW ADDICTIONS BECAUSE OF TRYING TO COPE WITH -- AND I HAD A SMALL BUSINESS, I HAD TO SHUT DOWN FOR COVID.

WHEN I REOPENED I DIDN'T HAVE ANY BUSINESS ANYMORE.

AGAIN, NOBODY DIED.

MAYBE THEY DID.

BUT IN THIS CASE NOW WE ARE GRIEVING.

HOW DO WE DEAL WITH THE GRIEF?

HOW DO WE MOVE FORWARD AND A DEAL WITH IT?

HOPEFULLY YOU CAN GET BACK UP ON YOUR FEET INSTEAD OF TURNING TO OPTIONS THAT MAY NOT BE AS HELPFUL.

>> WE ARE EXPECTING A FLOOD OF PEOPLE WITH MENTAL HEALTH DIFFICULTIES AFTER WE ARE ALLOWED TO BE OUT AND SOCIALIZE ONCE AGAIN, ONCE BUSINESSES START OPENING UP.

ARE YOU EXPECTING MORE PATIENTS TO BE SEEN AT THE BOWEN CENTER, SIQUILLA?

>> ABSOLUTELY.

WE HAVE REALLY APPRECIATED THE CHANGES IN THE RULES AND REGULATIONS SO THAT WE ARE ABLE TO SEE PEOPLE VIRTUALLY, EITHER VIA PHONE OR VIDEO LINK.

SO PRETTY SOON HERE WE DO EXPECT THAT THERE WILL BE SOME RETURN TO THE OLD WAY OF DOING THINGS, MEANING THAT THERE WILL PROBABLY BE SOME IN-OFFICE APPOINTMENTS, WHERE IT'S FOR MEDICATION MANAGEMENT OR THERAPY.

BUT WE ALSO DO HOPE THAT WE WILL CONTINUE TO BE ABLE TO, AT LEAST FOR A WHILE, CONTINUE TO SEE FOLKS VIA PHONE AND VIDEO LINK, AS WELL.

AND ACTUALLY I THINK THE RESEARCH THAT IS BEING DONE CURRENTLY TO SHOW THE EFFECTIVENESS OF TELE-SERVICES WILL MAKE A REALLY GOOD CASE FOR MEDICAL PROVIDERS TO CONTINUE TO PROVIDE SERVICES VIA PHONE AND VIDEO LINK.

WE KNOW THAT ESPECIALLY IN RURAL SETTINGS SO MANY OF OUR COUNTIES IN INDIANA ARE RURAL.

THERE'S ALWAYS, ALWAYS A LACK OF SUFFICIENT SERVICES IN THESE RURAL AREAS.

SO WE ARE HOPING THAT WE WILL BE ABLE TO CONTINUE TO PROVIDE SERVICES THIS WAY, TO OVERCOME BARRIERS LIKE TRANSPORTATION AND FOLKS THAT CAN'T MAKE TIME IN THEIR BUSY SCHEDULE DURING THE DAY TO DRIVE TO A DOCTOR'S APPOINTMENT AND DRIVE BACK.

MAYBE THEY CAN JUST SET ASIDE THE TIME TO ACTUALLY SEE THE DOCTOR OR THE THERAPIST IN THE MOMENT.

SO WE REALLY ARE HOPEFUL THAT WE WILL BE ABLE TO CONTINUE TO DO SERVICES THIS WAY.

BUT, YES, WE WILL BE OPENING UP THE DOORS REALLY SOON HERE, I THINK, FOR MORE TRADITIONAL SERVICES.

BUT EVEN THAT WILL LOOK DIFFERENT, I THINK, AS WE ARE KIND OF EASING BACK INTO THINGS.

IT WON'T BE BUSINESS AS USUAL COMPLETELY.

THERE WILL PROBABLY BE A STAGGERING OF APPOINTMENTS, THERE WILL PROBABLY BE FEWER CHAIRS IN THE WAITING ROOM, THERE WILL PROBABLY BE A CHECK-IN SITUATION BEFORE YOU EVEN COME IN THE DOOR TO MAKE SURE THAT YOU ARE HEALTHY SO THAT YOU CAN STAY HEALTHY AND THE OTHER FOLKS THAT YOU ARE ENGAGING IN ARE HEALTHY.

SO I THINK THERE WILL BE A LOT OF NEW MEASURES IN PLACE TO MAKE SURE THAT EVERYONE STAYS HEALTHY.

>> I'M ANTICIPATING IT.

I THINK IT WILL BE AN EXCITING TIME FOR US TO BE CONTINUING WITH TELEMEDICINE WITH PEOPLE WHERE WE CAN GO TO THEM AS OPPOSED TO THEM COMING TO US.

THANKS FOR JOINING US TONIGHT.

TELL US HOW WE CAN GET A HOLD OF YOUR FOLKS AT THE BOWEN CENTER.

>> SURE.

YOU CAN REACH US EITHER ON OUR WEBSITE AT BOWENCENTER.ORG OR YOU CAN CALL US AT OUR 800 NUMBER.

1-800-342-5653.

>> MATT, THANK YOU FOR JOINING US.

HOW WOULD WE GET A HOLD OF THE FOLKS AT BEHAVIOR HEALTH INSTITUTE?

>> THANKS, JAY.

BARK VIEW BEHAVIORAL HEALTH YOU CAN CALL THE PARKVIEW BEHAVIORAL HEALTH HOTLINE AT 800, 284-8439.

>> UNFORTUNATELY WE ARE OUT OF TIME FOR THIS EVENING.

I'M PSYCHIATRIST JAY FAWVER.

YOU HAVE BEEN WATCHING MATTERS OF THE MIND.

GOD WILLING, WE WILL BE BACK NEXT WEEK.

IF YOU HAVE QUESTIONS CONCERNING MENTAL HEALTH ISSUES, GIVE ME AN EMAIL AT MATTERS THREE AT THE MATTERSTHETHEMIND.ORG AND ALSO CHECK OUT BEWELLINDIANA.ORG.

THANKS FOR WATCHING AND HAVE A GOOD EVENING.