Essays
The archive.
62 essays on mental health, medications, therapy, and the daily work of psychiatric care. Organized by topic.
ADHD
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Why ADHD medications may seem to "stop working" — and what actually helps
The belief that stimulant medications inevitably lose effectiveness is largely a misconception. While some patients experience reduced symptom control over time, research indicates that true pharmacological tolerance affects only 2.7% to 24.7% of patients, depending on how tolerance is measured.
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Why Your Brain Says 'Tomorrow': The Neural Science Behind Procrastination and Self-Sabotage
Procrastination isn't a moral failure — it's rooted in how your brain weighs effort, reward, and threat. This guide explains the science, from delay discounting and the amygdala's "action brake" to the default mode network, and turns it into practical, neuro-informed strategies you can actually use.
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ADHD Medications Compared: Stimulants vs. Non-Stimulants for Kids and Adults
Choosing between stimulant and non-stimulant ADHD medication is a personal decision. This plain-language guide walks through how each type works, how well they tend to work, what to watch for, and the questions worth bringing to your prescriber - for children, teens, and adults in the Inland Empire.
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Hidden in Plain Sight: When Adult ADHD Looks Like Anxiety or Depression
Adult ADHD is often mistaken for anxiety or depression because their symptoms overlap so closely. This guide explains how the conditions differ, why so many adults aren’t diagnosed until later in life, and how to prepare for an accurate, ADHD-informed evaluation in the Inland Empire.
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Adult ADHD in the Inland Empire: signs, options & next steps
Struggling with focus or overwhelm? Learn adult ADHD symptoms, proven treatments, costs, and how to get care in Redlands and in the Inland Empire.
Anxiety
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Understanding High-Functioning Anxiety
You look so put together—no one would ever guess what's really going on inside.
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Aromatherapy for Anxiety: Which Scents Have Supportive Data?
Feeling overwhelmed by anxiety? This plain-language review for patients and clinicians cuts through the noise to show which scents actually have supportive data. Learn what the trials say about lavender, citrus, chamomile, and rose, how to use essential oils safely, and where aromatherapy fits alongside proven anxiety care.
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Why You Feel What You Feel: The Brain Chemistry Behind Anxiety and Depression
Ever wonder why you feel anxious or low? “Why You Feel What You Feel” uncovers the real science behind your emotions, how brain chemistry, neural pathways, and chemical imbalances shape anxiety and depression. It’s not just in your head—it’s biology. Read this to finally understand the science of how you feel.
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Anxiety vs. Panic Attacks: Know the Signs & Find Relief
Anxiety and a panic attack feel different and call for different care. Learn how to tell them apart, what to do in the moment, the treatments that genuinely help, and how to find compassionate psychiatric care close to home in Redlands and the Inland Empire.
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Mental Health for Young Adults
Balancing school, work, family, and social life can feel like a juggling act, especially when you’re just starting out in the “adulting” world. Mental health for young adults is an important topic, because stress, anxiety, and even depression can show up when you least expect…
Autism & Neurodevelopment
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Lost & Found Faster: Community Resources for Dementia and Autism Wandering in the Golden State
Wandering is a common and preventable safety risk for people living with dementia and for autistic children and teens. This guide walks California families, especially in the Inland Empire, through alert systems, county safe-return registries, tracking tools, and a step-by-step prevention plan so help can start faster if a loved one goes missing.
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Could I Be Autistic? A Guide to Adult Autism Testing and Care in Redlands & Beyond
The blog article discusses the increasing awareness of autism in adults, emphasizing the importance of recognizing and diagnosing autism spectrum disorder ASD later in life. It provides insights into the testing process for adult autism in Redlands and surrounding areas, detai…
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Autism Early Intervention in Redlands & Corona | Personalized Psychiatric Support
As a psychiatric nurse practitioner who works closely with children and families in Redlands and Corona, I’ve seen firsthand how early and comprehensive support can make a life changing difference for children with Autism Spectrum Disorder ASD. Autism affects roughly 1 in 31 c…
Bipolar & Mood Disorders
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Cyclothymic Disorder: Riding the Ups and Downs of “Mild” Bipolar Moods
Cyclothymic disorder, or cyclothymia, is a chronic mood condition affecting 0.4%–1% of people — recurring emotional highs and lows that never reach the extremes of bipolar I or II. Though it’s often called “mild,” it can meaningfully affect relationships, work, and self-esteem. Here’s what it is, how it differs from other bipolar disorders, and how it’s treated.
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Holding the Line: Family Resilience When Psychosis and Mood Symptoms Collide
Schizoaffective disorder affects roughly 0.3% of people over a lifetime and combines mood symptoms depression and/or mania with psychosis—making day-to-day caregiving uniquely complex. Family members must navigate appointments, medication management, safety planning, and the p…
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Mood Stabilizers Demystified: Lithium, Lamictal, and Beyond
Navigate the complexities of Bipolar Disorder treatment with this essential guide, “Mood Stabilizers Demystified.” Drawing on the latest VA/DoD and NICE 2025 guidelines, this article provides evidence-based clarity on first-line treatments like Lithium and Lamotrigine Lamictal…
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Combining GLP-1s With Mood Stabilizers and Antipsychotics: What We Know About Drug Interactions and Safety
GLP-1 and dual GLP-1/GIP medications such as semaglutide and tirzepatide are now widely used for diabetes and weight management, and many people in psychiatric care are asking whether they can be combined with a mood stabilizer or antipsychotic. For most people the answer is yes, with a clear plan. This guide explains where real drug interactions exist (and where they do not), why timing and lithium monitoring matter most, how to manage nausea so both treatment plans stay on track, and how coverage works in California and the Inland Empire.
Couple Therapy
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After the Fight: 7 Repair Phrases Healthy Couples Use
Fights happen in every relationship. What separates thriving couples from stuck ones is how they repair—the words and actions partners use to turn back toward each other after hurt. Decades of observational research show that positive affect and well-timed “repair attempts” help partners de-escalate, calm flooded nervous systems, and reconnect after conflict.
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Insecurity Inferno: Self-Doubt That Scorches Trust and Sanity
When you constantly wonder, “Am I enough?”, even a safe relationship can start to feel like a minefield — every late reply or quiet moment read as proof your partner is pulling away. You are not alone, and you are not “too much.” This pattern is usually tied to self-esteem and old attachment habits, not your partner’s behavior, and there are gentle, evidence-based ways to cool the fire.
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The Effects of Continuous Divorce Conflict on Toddler Wellbeing, Early Childhood Trauma, and Long-Term Risks for Mental Illness and Substance Use
For children ages 1 to 5, it is the ongoing, hostile conflict between parents (not the divorce itself) that most affects wellbeing. This review looks at how persistent conflict can shape a young child's stress, sleep, and sense of security, what it may mean for mental health and substance-use risk later in life, and what helps protect children most: lower conflict, warm and steady caregiving, and predictable routines.
Depression
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Chronic Pain and Depression: The Overlooked Connection
Are you or a loved one struggling with chronic pain and finding that your mood is also taking a hit? You’re not alone! This essential guide reveals the powerful, often-overlooked connection between chronic pain and depression, impacting nearly 40% of those living with persiste…
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Not Just Mad, Maybe Sad: Why Anger Is Sometimes Depression in Disguise
Ever feel angry, yet something deeper is stirring below the surface? “Not Just Mad, Maybe Sad” explores how rage can mask underlying depression — how emotional pain can turn outward into frustration, irritability, or fury, and why recognizing the pattern early can be the first step toward relief.
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The Effects of Depression on Concentration and Productivity
Depression's brain fog — slow thinking, lost focus, and missed details — is for many people the hardest part of the illness. This guide explains what depression does to concentration and working memory, how it differs from ADHD, why pseudodementia matters in older adults, and what evidence-based treatments actually help.
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Urgent Mental Health Care: Finding the Support You Need Right Away
When anxiety, depression, or other mental health issues become overwhelming, it can be difficult to know where to seek help. Urgent mental health care is designed to help you quickly, so you do not have to face a crisis alone.
Eating & Body Image
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Muscle Dysmorphia
Imagine working out every day. You spend hours at the gym. You eat perfectly. You do everything right. But when you look in the mirror, you still see someone small and weak. No matter how much muscle you build, it never feels like enough.
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EATING DISORDERS 101
Eating disorders are serious, life‑threatening mental illnesses that affect people of all ages, genders, and body sizes, and most individuals with them are not underweight.
Medications
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CANNABIS AND MENTAL HEALTH
A clear, evidence-based guide to how cannabis affects the brain and mental health—covering anxiety, depression, bipolar disorder, and psychosis, who is most at risk, the warning signs to watch for, and how cannabis use disorder is treated.
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Low-Dose Naltrexone (LDN) in Psychiatry: A Comprehensive Guide
Low-dose naltrexone (LDN) is being explored as an investigational, off-label adjunct in psychiatry. This guide explains what LDN is, how it may work on endorphin and immune systems, where current evidence supports a careful trial, and the safety considerations every patient and prescriber should know.
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Food Noise, Mood Noise: What Ozempic Means for People on Antidepressants
A clinical review of how GLP-1 medications such as semaglutide (Ozempic and Wegovy) intersect with antidepressant therapy: psychiatric safety, drug interactions, effects on mood and food noise, and evidence-based monitoring for patients combining the two.
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Food Noise, Not Joy: How GLP-1s Rewire Reward Without Flattening Feeling
GLP-1 medications like Ozempic and Wegovy can quiet the constant "food noise" many people describe. Current evidence suggests they do this by adjusting how the brain weighs food rewards specifically, not by dimming mood or joy across the board. Here is what the science shows, what to watch for, and when to talk with your prescriber.
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Drug Interactions to Know: Antidepressants, Alcohol, CBD, and More
Are you one of the millions of Americans taking antidepressants? Then you need to read this vital guide on drug interactions! Discover the hidden dangers of mixing your medication with everyday substances like alcohol, CBD, and even common over-the-counter remedies. This compr…
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The Waiting Game: Why Antidepressants Take Time And How to Make Those First 6 Weeks Count
Antidepressants take weeks to work, and the wait can be hard. Here's what to expect week by week through the first six weeks, and how to make them count.
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Your DNA, Your Dose: How Genetic Testing Is Changing Psychiatric Care
Finding the right psychiatric medication can feel like trial and error. Pharmacogenomic (PGx) testing looks at how your genes affect the way your body processes certain medications, which can help your prescriber personalize dosing and steer away from options more likely to cause side effects. Here is what PGx testing can and cannot do, who tends to benefit, what the evidence shows, and how coverage works in California and the Inland Empire.
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Antidepressant Side Effects No One Warned Me About and How to Manage Them
Antidepressants can bring side effects no one warned you about—nausea, sleep changes, sexual side effects, weight changes, and more. Here’s what’s common, what’s serious, and how to manage each one with your prescriber.
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Psilocybin | A Once-Sacred Mushroom Making Its Way Into Modern Medicine
This article traces psilocybin from Mazatec ceremony through modern psychiatric research. It covers proposed mechanism of action, the current Phase 3 trial pipeline, and the federal and California regulatory landscape. Psilocybin remains a Schedule I controlled substance under federal and California law; access in the United States is limited to FDA-approved clinical trials.
Nutrition & Lifestyle
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Minerals, Electrolytes & Mental Health: Understanding How These Important Nutrients Affect Your Mood, Energy, and Thinking
Minerals and electrolytes like sodium, potassium, magnesium, calcium, zinc, and others play a far bigger role in mental health than most people realize. As the guide explains, these nutrients act as the electrical and chemical foundation for your brain — helping regulate mood,…
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Acupuncture for Depression and Pain: What Patients Report vs. Trials
Acupuncture is seeing increased adoption in mental health and pain care, with usage among U.S. adults more than doubling from 1.0% in 2002 to 2.2% in 2022, and 73% of users reporting pain management as their primary reason. This plain-language review examines what trials and guidelines actually show for depression and chronic pain—and how that compares with what patients report—so you can make an informed choice in the Inland Empire.
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Mind Your Microbes: The Surprising Link Between Gut Health and Mood
Unlock new hope in depression treatment by understanding the powerful gut-brain axis. This groundbreaking connection reveals that your digestive system profoundly influences your mood and mental health. While traditional methods like psychotherapy and medication remain the fir…
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Mood in Motion: When Exercise Becomes the Best Medicine
Break free from the grip of depression with the most accessible and natural “medicine” available: exercise! This revolutionary article isn’t just about getting active; it unveils how walking, yoga, and strength training are now recognized as core treatments alongside therapy a…
Parenting
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A Parent's Guide To Communicating With Your Child During Separation and Divorce
Separation and divorce reshape a family, but they don't have to damage a child's emotional world. This guide explains how children of different ages understand divorce, what reactions are normal, and how parents can communicate in ways that build safety, trust, and resilience.
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Screens, Kids, and Growing Brains
Screens are woven into everyday life, and how children use them can shape the way young brains grow, learn, and handle emotions. This plain-language guide explains what the research really says, age by age, and offers calm, practical steps families in the Inland Empire can use starting today - no guilt, no panic.
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IEP vs. 504 Plan: Understanding School Support Options for Students with Disabilities
The essential differences between IEPs and 504 Plans, the two primary school-based supports available to students with disabilities. Both ensure access to a free appropriate public education, but they serve distinct purposes: an IEP provides specialized instruction and related services, while a 504 Plan provides accommodations.
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Early Signs of Autism by Age: What Parents Can Look For
Autism spectrum disorder (ASD) affects about 1 in 31 U.S. 8-year-olds, according to the latest CDC data (May 2025), with boys diagnosed over three times as often as girls. Recognizing the early signs by age opens doors to free evaluations, school supports, and therapies that can begin before a formal diagnosis in California.
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Screen Time Boundaries Without Meltdowns: A Family Guide
Tired of screen-time meltdowns? This guide offers Inland Empire families evidence-based, practical strategies to manage digital devices and restore peace at home—moving beyond simple time limits to focus on sleep, routines, content, and connection.
Sleep
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Sleep Anxiety: "Tired of Being Tired? The Science of Sleeping Without Pills"
Insomnia can feel like a sleep problem, but it is often a hyperarousal problem — a brain stuck in "on" mode. This guide explains how anxiety, conditioned habits, and everyday routines can train your brain to stay awake, and walks through the science-backed, non-drug approaches — led by CBT-I — that actually help most people sleep again.
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Iron and Your Mental Health: How Low Iron Can Affect Your Mood, Focus, Energy, and Sleep
Low iron is one of the most overlooked causes of fatigue, brain fog, anxiety, and low mood, and many people struggle for years without realizing their symptoms have a physical root. Because iron helps the brain make the chemicals that steady mood, focus, energy, and sleep, low iron can quietly shape how you feel day to day. The encouraging part: it is common, it is checkable with a simple blood test, and it is very treatable.
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Sleep Studies Explained
A sleep study monitors your brain and body overnight to uncover hidden sleep disorders such as obstructive sleep apnea, narcolepsy, and movement disorders. Here is what these tests measure, what to expect before, during, and after, and how to get one in the United States.
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The Silent Night Struggle: Sleep Apnea's Overlooked Role in Depression
Obstructive sleep apnea and depression are closely linked, and treating one can ease the other. This patient guide explains how the two conditions feed into each other, how sleep apnea is diagnosed, and what treatment and coverage options are available in the Inland Empire.
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CBD for Anxiety and Sleep: What We Know, What We Don't
Curious whether CBD can ease anxiety or help you sleep? Here is an honest look at what the research actually shows, what it does not, and how to think it through safely. That includes the proven options worth considering first and the questions to ask your clinician or pharmacist before you try anything.
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Sleep Medications Demystified: When They Help and When They Don't
Sleep medicines can help during short, stressful stretches—but they work best as a short-term bridge, not a long-term fix. Here’s when they make sense, when they don’t, and why CBT-I is the first-line treatment for sleep that lasts.
Therapy & Skills
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From Empathy Burnout to Compassionate Boundaries: A Science-Based Guide
This guide translates the neurobiology of codependent caregiving into clear, evidence-based steps for families navigating addiction or a mental health crisis in someone they love. Learn how threat circuits, reward learning, and bonding chemistry pull you toward rescuing — and how to shift from empathic distress to steady compassion held in place by firm, caring boundaries.
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Exposure Therapy for Anxiety and OCD: Facing Fears, Safely
Exposure therapy, including Exposure and Response Prevention (ERP), is a leading, evidence-based treatment for anxiety and OCD. This guide explains what it is, what to expect from a course of care, and how to find a trained clinician in the Inland Empire who accepts IEHP and Medi-Cal.
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Family Therapy Basics: Strengthening Communication at Home
A plain-language guide to family therapy for Inland Empire families, including Redlands. Learn how the main therapy models work, simple ways to communicate better at home, what California insurance covers, and how to find care near you.
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CBT Made Simple: How Changing Thoughts Changes Feelings
Cognitive Behavioral Therapy (CBT) is one of the most thoroughly researched, practical treatments for worry, low mood, and stress — often delivering meaningful results in five to twenty sessions. This guide covers how CBT works, the 2023–2024 evidence base, and how to access CBT in the Redlands and Inland Empire region.
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From Surviving to Thriving: Essential DBT Skills for Mental Health
Dialectical Behavior Therapy (DBT) offers practical, learnable skills for managing strong emotions, difficult relationships, and stressful days. This article explains DBT's four core skill areas — mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness — and how to begin using them.
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BPD Explained: What It Really Is and What It’s Not
This blog article provides a clear and insightful overview of borderline personality disorder BPD, distinguishing common misconceptions from the reality of the condition. It explains the symptoms, emotional challenges, and behaviors associated with BPD, while emphasizing the i…
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The Truth About Burnout
Burnout is more than being tired—it’s a deep exhaustion that rest alone often can’t fix. As a psychiatric nurse practitioner serving the Inland Empire and Redlands, I’ve learned that burnout which keeps returning is often the visible tip of something treatable underneath, from untreated anxiety and depression to adult ADHD and trauma…
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Stress Reduction Therapy & Finding Calm in a Busy World
Are the demands of everyday life feeling too heavy right now? Stress reduction therapy can help lighten the load. It’s a way to learn healthy coping skills, so you can handle work, family, and personal challenges without feeling completely overwhelmed.
Trauma & PTSD
Women's Mental Health
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How Your Menstrual Cycle Affects Your Mood, Brain, and Mental Health: What Every Woman Deserves to Know
For many women, the menstrual cycle isn’t just a physical experience—it’s an emotional one. One week, you feel energized, focused, and grounded. Next, you’re anxious, irritable, overwhelmed, or suddenly crying in your car. If you’ve ever wondered why you feel like two differen…
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Bipolar Disorder in Women: Why Hormonal Changes Make a Difference
Hormones don’t cause bipolar disorder, but shifts across the menstrual cycle, pregnancy, postpartum, and perimenopause can change how symptoms appear. A practical guide for women in Redlands and the Inland Empire on what to watch for and how to plan care.
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Estrogen, Progesterone, and Mood: What Women in the Inland Empire Should Know
The article of “What Women in the Inland Empire Should Know” explores the significant impact of hormonal changes on women’s emotional well-being. It provides essential insights into how estrogen and progesterone levels can influence mood and mental health, making it a vital re…