Now or Never: Long-Term Care Strategy with Kosta Yepifantsev

Join Kosta and his guest: Meghan Judge, Host of Judging Meghan, a podcast created with the mission of ending the stigma surrounding mental health and trauma.

Today we’re talking about aging and our mental health crisis.

In this episode:  Are changes in personality and behavior a normal and expected part of aging? What should you say to someone that is resistant to seeking the mental help they need at any age? How can families and healthcare professionals better support seniors with mental health issues?

Watch this episode on YouTube:
https://www.youtube.com/watch?v=hEkT2IzJOpI

Find out more about  Meghan Judge:
https://judgingmeghan.com/

Listen to Judging Meghan Podcast:
https://judgingmeghan.com/latest-episodes/

Find out more about Kosta Yepifantsev:
http://kostayepifantsev.com/

What is Now or Never: Long-Term Care Strategy with Kosta Yepifantsev?

Now or Never: Long-Term Care Strategy is a podcast for all those seeking answers and solutions in the long-term care space. Too often we don’t fully understand the necessity of care until it’s too late. This podcast is designed to create solutions, start conversations and bring awareness to the industry that will inevitably impact all Americans.

Meghan Judge: A lot of people
that are of retirement age now

I'm sure you know this don't
want to retire. And it's because

they know because they are now
going well I see my friends and

all they do is like sit in front
of a TV. They don't take care of

their their mental health is
goes along with their gut health

goes along with their physical
fitness, right? So a lot of them

just kind of give up. It's all
connected.

Caroline Moore: Welcome to Now
or Never Long-Term Care Strategy

with Kosta Yepifantsev a podcast
for all those seeking answers

and solutions in the long term
care space. This podcast is

designed to create resources,
start conversations and bring

awareness to the industry that
will inevitably impact all

Americans. Here's your host
Kosta Yepifantsev.

Kosta Yepifantsev: Hey, y'all,
this is Kosta and today I'm here

with my guest Meghan judge, host
of judging Meghan a podcast

created with a mission of ending
the stigma surrounding mental

health and trauma. Today we're
talking about aging, and our

mental health crisis. So Meghan,
we get this question all the

time, or changes in personality
and behavior, a normal and

expected part of aging?

Meghan Judge: Well, first of
all, thank you so much for

having me on. Absolutely. To
answer your question. Yes, I

think so. I think that, as we
age, there's so much of there's

so many things that are great
about aging, you know, like that

the bad part is we don't
physically look the same as we

did in our 20s. And then, as we
go on, we look worse and worse.

But the best part is the wisdom
and the knowledge that we

inevitably hopefully have, and
life learned lessons by the time

we're older. But I do think that
the amount of wisdom that we

inherently have, by the time
we're older is, you know,

that's, I believe, a good change
and something that, you know,

people, the elderly should be
glorified for that I know, for

me personally, I have found that
being around older people is

something that I love doing. I
actually take this lady to Mass

every Sunday, I'm Catholic, so I
go to masseuse. And she's about

she's 89. Her name's Pat. And I
just love hearing her stories,

she has so many amazing stories,
you know, and I think a lot of

times people are afraid of, of
learning about people that might

be like, have come from a
different generation, and there

may be like, scared off because
they're gonna say the wrong

thing. They're people just like
where people?

Kosta Yepifantsev: Absolutely I
think we don't give I don't, I

think that we just don't give
seniors people that are elderly,

enough credit. And, you know,
they have so much to offer so

much wisdom. And we discredit
them, like you're saying, you

know, we just kind of discount
their worth, and we don't take

the time to build relationships
with them, because they may not

be on the same pace,
essentially, that we are on. And

that's sad, because they've
already got so much life

experience and have lived
through so many things,

struggles, etc. I mean, if you
think about it, people that are

CEOs of major companies are
usually identified for their

skills, but more importantly for
their experience. And when it's

not someone in a position of
power and influence, and

they're, you know, over the age
of 65, then it's like, oh, well,

you know, they're they don't
know what they're talking about,

or they're stuck in the in the
old times, you know, and the

world's new and shiny and what
can they do to contribute to the

narrative? So I think you're
absolutely right.

Meghan Judge: I think too, like
as a society, we're we're so

ageist, you know, and it's a
major, major issue. I think that

what we all need to remember is,
you know, we could be in our 30s

and 40s and 50s, and even 60s
and be successful and taken

seriously in the world or in the
business world. And then it's

like you're kind of thrown out
to pasture and you're expected

to, like sit in front of a TV
and play golf. Yeah. And, and

it's, that's not that's not
fair. People don't should not

have earned, like, where they're
supposed to go backwards and be

an infant again, I find that my
friend or the people that I know

that are you know, maybe at the
end of their life, including my

own mom, who's in her late 70s
Yes, she might report she might

tell me a story three times, you
know, or they're a little like

slower to you know, they can't
do the same things physically

that we can do, but you

Kosta Yepifantsev: wouldn't get
mad at your kids. If now

Exactly. It's such a good point.

So Megan, what are the signs
that someone might have a mental

health condition that should be
addressed?

Meghan Judge: I mean, that is a
great question. I don't have an

answer for that. Honestly, you
don't look at what happened

yesterday. Yeah. I mean, it was
so sad all day with the Twitch

that the producer that committed
suicide. So that's what happened

to him. It was it was yeah, it
was a gunshot. It was a gunshot

wound to

Kosta Yepifantsev: my gosh, and
he's only 40 years old. 40 years

old.

Meghan Judge: I'm completely
like, I mean, I know me

personally, I was so upset all
day yesterday, because as like,

we really are way too into
Instagram. Everybody knows that.

But I would follow Instagram and
his family and his wife and they

were so happy. And I loved
watching their dancing. And he

was always smiling. And my point
is you just never know, like,

how do you know that somebody
has is suffering with their

mental health. I personally was
diagnosed with complex PTSD,

stemming from my childhood, a
lot of trauma I went through,

and that was a few years ago.

And you would if I didn't tell
you, you would probably have

never known because I high I
did. I don't anymore. I'm very

honest. And that's part of why I
started my podcast, but I hid

behind jokes and humor. And I
was always kind of like the life

of the party. So you don't that
question is so hard to, to

answer, because you really don't
know, unless you're somebody

with like a case of like, you
know, bipolar and, or like,

like, it's like severe
schizophrenia, your

schizophrenia, you would maybe
you wouldn't even know it if

somebody was suffering with like
major depressive disorder a lot

of times. So there's really no
answer to that. It's kind of

like, if the sports analogy of
like playing through an injury,

like say, you hurt your
shoulder, right. And your foot,

my nephew happens to be a
football player. And he's he

plays for TCU, actually, so
they're going to laughs Yeah.

Johnny Hodges, I love him.

Anyways, so he hurt his
shoulder. And he was still

playing through. And nobody
would have known it because he

was sitting there still tackling
people and doing his job. Well,

it's the same thing with our
brains. You know, we we have the

capability as humans to hide so
much, because this massive

Oregon, you know, isn't really
like you're not wearing a cast

on it. You just don't know.

Right?

Kosta Yepifantsev: Right. Yeah.

And I think you said it really
well, when you were talking

about social media and
projecting that image, while at

the same time you said the most
important thing in your journey

was was coming out and speaking
about it, you know, I'm talking

and you, I'm just I'm trying to
put all this together, because I

knew Twitch had passed away, I
just didn't know that he had

committed suicide. I think so
many people in our society, and

honestly, this happens in the
long term care space. Often,

people suffer in silence, you
know, and it's even more

pronounced when you go into like
a nursing facility, when you're

in an institution, that type of
base care, facility based care.

They suffer because they're
isolated, they suffer because

they don't want to be there. And
I mean, you take when you take

care of your mom, are there ever
things that you notice that she

may or may not do? When being a
healthcare medical, or I'm

sorry, a mental health
professional, that you can see

that and say, Oh, I know what
that is, and I know how to fix

it.

Meghan Judge: Well, my mom,
thankfully, my mom is seven, she

just turned 79. The woman does
Pilates five days a week. And

she looks like she's probably
60. She's in great health. The

only thing that my mom really
has going on is dementia happens

to run in our family on both
sides, which is very scary. But

she says she's getting to that
age. I mean, it's like, you

know, our physical body slow
down. You know, we when we get

hit a certain age, we can't like
run, we can't do certain things

a lot of times, same thing with
our minds. So if you're going to

tell a story three times, so my
mom is definitely not one that I

really am worried about, like
taking care of. I don't take

care of her right now. She lives
in Florida. I have three other

siblings. They're closer to her.

Yeah, I've already said you can
move to California when it's

your time. But yeah, so I can't
really answer the question about

my mom. I'm in particular, but I
can tell you I can tell you just

in general, having lived through
my my aunt being suffering with

dementia and slowing down and
all of that stuff, I wasn't

witnessing it. But I just know
how hard it was for my sister.

Yeah, to go through and to touch
on something you just said, I'm

getting help with your mental
health. And I, by the way, I'm

no professional, like I am
somebody that does a mental

health podcast. Because I
decided a few years ago, when I

was at my lowest point, I wasn't
going out that way. And instead

of the, you know, I'm very
upfront and honest with my own

battles with suicidal ideations
and all of that, I decided I was

going to stay. And I picked
myself up and I started a

podcast without even really
understanding what it was. And

now it's way to do it. Yeah. And
now, I mean, that's what I do.

And I think, going backwards a
little bit, just to touch on

what you said, it's a
generational thing, you know,

people that are in their 70s,
and 80s, and 90s. We're barely

touching the surface of being a
generation or society coming out

of COVID, that feels comfortable
saying, Oh, I have depression,

I'm suffering. They don't,
there's no way that somebody

sitting in assisted living or
anything like that, would ever

feel like it's okay, so, so sad,
because they're really suffering

in silence, because they can't
speak up. And it's hot. It's not

okay.

Kosta Yepifantsev: Right. So
what you're saying is, is for

the, for the elderly population,
these issues are even more

pronounced, and then they're not
going to talk about it. And so

we need to be even more keen on
finding ways to start these

conversations, and identifying
tools, what strategies can be

used to reduce the stigma around
mental health and aging adults?

And also, how can we empower our
older generations to prioritize

mental health?

Meghan Judge: That is such a
good question, I really think

it's about once again, educating
them. And in the United States,

we have so many uphill battles
with mental health, obviously,

with homelessness, and all the
things that go on shootings,

like everything we deal with in
the United States. But I think

with the elderly, we really need
to have a system in place where

they can have like cap free
counseling, and they can have

like, it should be normal, it
should just be normalized, we as

a society would not have the
issues that we have, if we just

made mental health, one of the
top priorities in our country.

Kosta Yepifantsev: You know, I
was talking to a friend of mine,

and he worked for the state of
Tennessee, so I'm based in

Tennessee, he works for the
state. And, you know, we all

know that anytime that you work
for a government agency, you

have fantastic health insurance,
right? We were talking about him

going to therapy, and he has to
pay first off, he can't find a

therapist in his area. So most
rural communities, small towns

don't have access to you know, a
wide array of therapists or

counselors for that matter. So
he has to drive probably about

an hour and a half drive. He has
to pay almost $100 per session

out of pocket with insurance.

And I asked him, I said, you
know, why not, you know, make it

free or like a $10 copay or
something like that. And for

some reason, that's not been a
area that you know, healthcare

in general has wanted to
address.

Meghan Judge: Well, I'll tell
you something that makes me

infuriates me. So that is very,
very sad. There are resources, I

would highly recommend for
people to look into something

like better help. Yes, they are
one of my sponsors, but I

personally use better help,
because I was in therapy. And my

therapist was writing a book and
kind of took a break. And I was

like, if I'm, if I'm going to be
promoting a company, I'm going

to try it myself. Sure. So that
that would be a great resource

for people across the country
that don't have access and or

are in rural rural communities.

But I also think, I 100%
understand what he and so many

people in this country are going
through. I worked in corporate

America for 15 years of my life.

I had started having massive
panic attacks. I could not work

anymore. This was like, right,
going right into 2020. And now

my I'm an independent podcast
like, that's my job. That's what

I do. And it's my and I, what
was it the pressure? Yeah, like,

Kosta Yepifantsev: what was what
was it? Because I have heard

that story before. And it's very
often like, what about that

environment, and you don't have
to go into too much detail, if

you don't want to know I'm

Meghan Judge: very open about
it. So I was, I just went

through, I was basically at a
boiling point with all the

trauma from my childhood,
pushing it pushing it down. I

went to this really bad friend
breakup, very long story. So I

felt at the time this was going
into 2020, extremely isolated,

upset, like, UPS depressed. And
then I always kind of had

suffered with panic attacks. But
it was at a boiling point where

I was having such bad panic
attacks that I would wake up at

night and thought I was dying.

Oh, well, I think the
combination of everything and

then having the pressure, I was
a female in sales, I was always

looked upon as a number. I am
somebody that when I was in

corporate America and sales, I
was always pushing myself to be

the best kind of an
overachiever. And then I know

the feeling Yeah. And then I
just, you know, I think that

we're, we're in, we're just
pushed to our limits, and people

push. It's all about money and
consumerism. And it's not about

like, it's kind of like a
facade, where we're all just

like, obsessed with materialism,
and all these things. And then

it's really blacking out what's
really important, which is

obviously getting help and
mental health. And then just to

like, piggyback on one other
thing I said, was when I lost

when I ended up, like leaving my
job, due to COVID, and

everything else, the panic
attacks. I then had to pay and

my insurance for my family was
like 1600 a month, I had always

been in a job where I had like,
perfect insurance. Yeah, think

about all the people that maybe
don't qualify for, you know,

insurance, and they make over a
certain amount. So they have to

pay that it doesn't make any
sense. It makes sense.

Kosta Yepifantsev: You know, a
lot of the issues that I think

everybody experiences some type
of PTSD or trauma, whether it's

mild or severe. I think
everybody does. But I have been

going to therapy for six years
now. And I'll be honest, like,

if that wasn't an outlet or an
avenue? I don't know, I don't

know, what would have happened.

You know, I answered so many
underlying issues, questions, I

guess you could say, during
therapy, and I see a lot of

people suffering. And that's why
I really am curious, like when

someone is resistant to seeking
mental help. What do you tell

that person?

Meghan Judge: Well, I number
one, I always tell my listeners

or people that you know, I think
because I've been doing this a

little while people just assume
I'm a good resource. I don't

know why. But anyway, I say that
that finding the right

therapist, and I'm sure you can
agree with this is like going on

a blind date, or like, I never
did the dating where the online

dating, but it's kind of like
doing, doing your research, like

going on these bad dates to find
the good person that you want to

date. It's the same thing with
therapy, right? You might have

to interview a couple therapists
go to a couple of sessions to

find the right one. I think that
I went through that personally,

where for years, I had kind of
like, been in and out of

therapy. And then I happened to
find this amazing therapist,

and, and I was able to not only
like put in the work and do the

work because you have to write
like if you're just gonna, like,

do phonons and be like, No,
everything's fine. And it is

hard. Like, I mean, some days
I'm sure you can relate to this.

You dread going to therapy or
like I have nothing to talk

about sign today. Yes. But then
you leave or you're like, Oh, I

didn't realize I had to talk
about that. Yeah, right.

Kosta Yepifantsev: And, you
know, so my therapist always

hands out. He always gives hand
handouts like tango, ABC, stuff

like that. And he's always say,
now listen, you need to actually

read this and try this. Don't
come back and just, you know,

put it in with all the other
papers that you have. And you're

absolutely right. You have to do
the work if you want to improve.

Meghan Judge: And then we're
always to like just to give you

like a pat on the shoulder. A
little bit even though we just

met for men like for men to be
like, I'm going into therapy,

I'm doing therapy. I, it's so
frowned upon, you know, like,

for for men in general, like
they feel like, Oh, I'm strong,

I can get through this. Whereas
the highest suicide rates are

men. So women are taught from a
young age like we're chatters,

we love to talk about with our
girlfriends or friends. Like I

can't believe my boyfriend did
this. I love the law. And men

really just like are taught to
like, hold things in. Yeah, and

then don't get me started on the
African American black

community. That is, you know,
I've done that. And they just

won't, they won't. They're
taught to hold it all in. Yeah,

Kosta Yepifantsev: I'll tell
you, there's a good documentary

called the mask we wear or the
mat it's about, it's about young

boys and teenage boys. It's on
Prime Video, I believe. Anyway,

long story short, it discusses
primarily how boys are raised to

you know, you can't cry in
public. You know, if you're 10

years old, and you're crying in
public, you know, your parents,

your friends, all of society
thinks there's something wrong

with you. So you bottle up all
of this emotion, right? And it

eats away at you unless you're
able to express yourself. And so

I've got I've got four kids, and
two of them are boys, ones are

oldest, eight years old. And the
other one is for spent to be

five and April, okay. And I try,
I almost go out of my way to try

to make them feel comfortable
when they're just trying to be

themselves. So if you want to
cry, go ahead and cry. And it's

just because, like, a lot of the
issues that I have was similar

to what you were saying earlier
about. My dad was, hey, you got

to be the best. You got to be an
overachiever. You know, things

are hard. Don't don't, you know,
don't show any emotion, just

push through it. And so you hold
yourself to this incredibly

difficult standard. And it's
very difficult to it's almost

impossible to reach it, you
know, nobody's perfect. But you

hold yourself to that perfect
standard, and it eats away. I

think a lot of times that your
self confidence. And you develop

other problems because of it. So

Meghan Judge: 100% Yeah, I think
that's great. I think the more

men that teach their young boys
to be themselves and talk about

their problems. I mean, that's
the work that we have to do.

Again, if we can't get people
into therapy, we have, we have

jobs, a job as parents, I have
two young girls, and it's really

important to me that I got my
older daughter, who is in her

tween hood. She's about to be 13
and into therapy right away,

because I think that what these
kids have to go through right

now with just so much like tick
tock like, it never saw media.

It just never ends.

Kosta Yepifantsev: I'm terrified
when my kids turning 13 I'm just

I mean, I'm just like, they have
iPads that, you know, they play

yeah, five minutes a day. But
they're not. They're playing

Roblox right now.

Meghan Judge: Yeah, I have an
eight year old and she's into

that I let I let her. I let my
kids I do allow them on social

media. It's impossible. I was
talking to a mom the other day,

she was like, Oh, it's a parent
of an eight year old, a good

friend of mine in my daughter's
class. And she's like, Oh, I'm

not allowing my daughter to have
a phone and I go. Okay, said the

same thing. When every single 12
year old in the seventh grade

class, has a phone and your
daughter is the one kid that

doesn't have a phone. Right? You
start? What do I do?

Kosta Yepifantsev: Yeah. Well,
you almost do more harm than

then good. Yeah. Yeah. Yeah. So
in your opinion, what's the

greatest mental health threat to
seniors and our aging population

today?

Meghan Judge: I think it goes
back to what we talked about a

little while ago, isolation. A
lot of people that are of

retirement age now I'm sure you
know, this don't want to retire.

And it's because they know
because they are now going well,

I see my friends and all they do
is like sit in front of a TV.

They don't take care of their
like their their mental health

is goes along with their gut
health goes along with their

physical fitness, right. So a
lot of them just kind of give

up. It's all connected. So I
think the isolation piece of it

is Self isolation. I mean, my
mom is 79 years old. I hate to

pick on My poor mom. But I adore
her. And I just told you, she

does Pilates five days a week.

It's amazing. She is goes out
with her friends for like a

margarita night. She is very
socially active. Like she's

always, you know, chatting with
friends and going to coffee and

doing things. But she also still
works. And she's 79 She works

like one day a week in a store.

It's amazing. And I'm like, Mom,
why are you still working? And

she goes, Megan, it's really
good. For me, it helps me like I

have to do the register and like
check people out. And it sounds

really funny. But she got an
end, not to mention the fact

that she volunteers in a
hospital once a week to wow, she

does kind of like a candy
striper position, you know, and

goes and talks to patients and
to help my mom, you know, stay

non not isolated, you know, and
so I think she's, that's

something that people really
should think about as they age.

Right? You know,

Kosta Yepifantsev: I think that
you said it really well, like

people don't want to retire.

It's almost like they throw up
the white flag when they retire.

You know, it's like, okay, I'm
out, you know, I'm done. But

what they don't realize is that
retirement, as long as they

follow kind of a similar
pattern, where they don't

isolate themselves, a lot of
times, especially if someone

gets injured, or let's just say
like they go, they have a

traumatic medical event, like
maybe a stroke or heart attack

or something like that, and it
changes their life

significantly. They're like, I
can't face everybody. I can't

face my friends, I can't face my
people that I know, in the

community, because I'm
different. Now, you know, before

I could walk, you know, with a
steady gait, you know, no

problem. But now, maybe because
I have some pair, like, maybe

it's an issue, I was paralyzed
on the left side or something

like that, I look different, I
feel different. I am different.

And so whether or not people
will accept me, I don't know,

I'd rather just not fool with it
altogether. And I see that a

lot. Because when I talk to
family members of some of the

individuals that receive care
within my agency, and they tell

me how different they were prior
to their disability, and I think

to myself, what if that
individual talked to a

therapist, and was able to sort
of connect the dots between why

they feel the way that they do
now? And how their, their their

perception of their disabilities
affecting them? So, for what

that's worth,

Meghan Judge: no, I think it's a
great point. I mean, it's like

an Olympian training and hurting
themselves, and then they think

their life is over. Yeah. And
it's, it's about, you know,

they're still young enough that
they can pick themselves up and,

and, and go on a lot of aging is
about ego, right? Yep. And so if

if somebody in their senior
years, like, let's say, takes a

fall, well, they have to do the
therapy, the physical therapy to

get themselves while but a lot
of times I think they just give

up. Yeah. And that and that,
again, is connected with the

mental health piece.

Kosta Yepifantsev: Absolutely.

And yeah, your mom does not go
to therapy,

Meghan Judge: right. My mom is
of the generation that she and

my mom actually was on my
podcast, and has been through

more trauma than probably most
people could ever imagine. And

she should have been in therapy,
but she has never been in

therapy.

Kosta Yepifantsev: How do you
support her and her decision to

choose to not go to therapy.

Meghan Judge: I mean, that's the
thing you can only, like, you

can only encourage somebody so
much, you know, to to do the the

work a lot of times, people it's
like teaching an old dog new

tricks, and I hate to say old
dog, but if they don't want to

try and learn the trick or do
the work, they're just not going

to do it. And my mom's one of
those people. She is kind of set

in her ways. She knows she's
been through stuff. She's very

spiritual. She is a great
person, but she kind of has been

gotten to the point where she's
like, well, it is what it is

like this trauma. This stuff
happened to me. And it is what

it is. Yeah. Whereas I know she
suffers and, you know, is in

pain, but at least she's doing
the best she can with what she

has. Yeah.

Kosta Yepifantsev: It's it's
really interesting when you talk

about different generations. And
again, Another conversation that

I have very often with people in
the healthcare industry is it's

hard to change people. And so
it's almost like you adapt a

system for a specific
generation. And then you adapt.

And then you completely adapt.

And then you completely change
your adaptation for a different

generation. And so our health
care system caters to the senior

population one way caters to the
millennial Gen Z population a

different way. And I think a lot
of it has to do with with

funding. And the reason that I
bring that up is because, you

know, obviously, people over the
age of 65, qualify for Medicare,

and Medicare pays 80% of
physical ailments. So like the

claims that that say, for
example, if you have, you know,

if you get hip surgery or
something, Medicare will pay for

80% for mental health treatment,
they will only pay 50%. So you

can see where they place value.

But I'm curious, where in your,
in your experience, where do

people go to seek mental health
care if they don't have a lot of

money?

Meghan Judge: Okay, that's a
great question. A lot of times,

schools offer free mental like,
so if it's a therapist and

training, so colleges, like
local community colleges, even

or local, if you live near a
major university, they have

their they have people that are,
you know, in their getting

their, you know, they're in
their final year and they have

to do cases and they have that
free service so people can reach

out that way. And try mench I
mentioned earlier better help is

it does it does cost money. But
I don't feel like it's too

expensive. I think you they have
a coupon code you can use for

the first month. And so there
are so many new Reese, like new

resources coming out for I
think, especially from COVID

Wow, there's such a focus now on
mental health. I'm sure that

people understand that and are
learning that as time goes on,

and it'll no matter

Kosta Yepifantsev: how much is
the better help? Is it a

subscription? Or do you pay a

Meghan Judge: monthly
subscription? Okay. And you, I

can't remember exactly how much
it is because I haven't been

doing it for like the past three
months, probably. But you pay a

monthly fee. So say it's like
180 for the month or something

like that. And then it might be
less than that for the for a

month. And you can use my code,
by the way, and you'll get a

discount your code is charging
Magan chi Chan? So yeah, I can't

remember what the actual
discount is. And that's great on

my part that I don't even know.

But yeah, so you can try that
code and get a discount for your

first month.

Kosta Yepifantsev: I love it.

So, before we wrap up, I want to
ask you about COVID because it

is a constant theme that's come
up where, you know, people

essentially either got laid off,
or they went to go work from

home. And so they spent a lot of
time with themselves, their

families. And one of the
statistics that I've read

recently is that a lot of like
addiction issues have have risen

tremendously during the
pandemic, because people were

using some type of substance to
cope What was your experience,

like, whenever COVID hit, and
you had this fast paced job, and

you had all these goals and
expectations, and then it's

like, go home and you know, stay
safe? What was that like for

you?

Meghan Judge: I think it was,
like very, a very scary time and

very humbling for for everybody,
not just me, you know, I think

that we as a society never
really realized that we would be

placed in a position in 20 in
the year 2020 where we had to

wear a mask and be in self
isolation like that or family

isolation. And I think a lot of
people turn to alcohol pills you

know, that's why or addiction
issues are so horrific right

now. For me personally, I just
you know, I I got through it the

best way that I I was equipped
to get through it like everyone

else. And in some ways, I
sometimes think that COVID I

know this sounds insane was a
blessing. Because I don't world

down. Yeah, it slowed everybody
down, I think, until it got

political and people went crazy
over it. In the, in the very

beginning part of COVID, I think
people started to really like

look at themselves. And after
drinking, like at three o'clock

in the afternoon and kind of
going on, they, they looked at

themselves and went like, this,
like Life is short. Yeah, right

now, like, this is kind of
scary, like, how am I gonna go

on and people came out of it
different forever, however, it

it, it touched you.

Kosta Yepifantsev: As a society
as a whole, I think is

operating. It's functioning
completely different, which is

which, you know, that's also in
and of itself, traumatic for

people. Because, you know, as
human beings like, we accept

change, but we don't always like
change. And, you know, in

literally three years, the world
has been turned upside down. And

as much as everybody wants to,
you know, talk about the before

times, and that we're almost
back to the before times, I

don't think we're ever going to
be back. The world's a different

place. And so I think now more
than ever, people need therapy

to better understand and I want
to touch on one more thing. You

were talking about addiction
issues and addiction rising

during the pandemic. And I'll be
honest, the same exact facet

applies to people that are
elderly. And physically

disabled. There are I don't know
the exact percentage, but there

are very high levels of elderly
individuals taking opioids that

are prescribed opioids that are
prescribed various other

psychoactive drugs. And if
you're not talking about your

problems, and you're going to
use a substance to cope, so you

don't have to feel or talk about
it. That's a very slippery

slope. So

Meghan Judge: 100% And I think
that I it's funny, you say that,

so I took a break from alcohol.

First, I took 68 days, I know
that's so random. I went to

like, it was recently my
birthday. So it didn't drink

for, like 68 days, yeah. And
then I started going down the

rabbit hole of like, what
alcohol does to our bodies, and

how we're basically putting
ethanol in our fleet, we're

poisoning ourselves, and, and
how alcohol had been such a

crutch for me, you know, like, a
form of escapism. But then when

I stopped for that period of
time, and I haven't gone back, I

was a daily drinker, I'm very
honest about that, I would drink

wine every single night. I will
never go back to that, because I

think it all it is, is a band
aid. Same thing for you know,

you're talking about the
elderly, and how a lot of them

are being, you know,
administered pills and whatever

else. It's a band aid. And it's
an I feel like it's never too

late for somebody to, if you
just kind of like open up that

person, they really just want to
talk, they really just want to

know that somebody cares, right
at the end of the day, that's

all we as human beings really
want is to know that we matter.

And our contribution to society
matters. And our stories matter

and our lives matter and what
we've done in our lives matter.

And that's really, at the end of
the day, really what happens.

And then a lot of times, ego
just gets in the way for

everyone.

Kosta Yepifantsev: Luckily, the
world is still malleable. And

we're still kind of trying to
figure out what to do next with

after this whole pandemic. So I
think this is about as best as

the chances we're going to get
to, to convince people that

there's a better way to do
things. 100% Yeah. So we always

like to end the show with a call
to action. What's your best

advice for anyone in the long
term care industry that is

seeking to promote and
prioritize their mental health?

Whether they be an industry
professional, a caregiver, or a

patient?

Meghan Judge: Are you saying
their own mental health? Yes,

well, I would say you can't
really seek out it you can't

really administered advice and,
and help other people unless you

help yourself like the old
saying of nobody's ever gonna

love you. If you don't love
yours. off, right? That's

correct. So it's the same thing.

Caroline Moore: Thank you for
joining us on this episode of

Now or Never Long-Term Care
Strategy with Kosta Yepifantsev.

If you enjoyed listening and you
wanna hear more make sure you

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with a friend. Now or Never
Long-Term Care Strategy is a

Kosta Yepifantsev production.

Today’s episode was written and
produced by Morgan Franklin.

Want to find out more about
Kosta? Visit us at

kostayepifantsev.com