Advocacy

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Dealing with Sleep Disruption Caused by Anxiety

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Anxiety is a prevalent mental health issue among the elderly population residing in nursing homes. Around 40 million Americans face anxiety at some point in their lives. Anxiety, along with its underlying triggers, can significantly disrupt sleep patterns, making it difficult to fall asleep and stay asleep. This can create a vicious cycle where anxiety hinders sleep, and sleep deprivation, in turn, exacerbates anxiety.

It is crucial for elderly individuals in nursing homes to seek help from therapists when anxiety starts affecting their ability to maintain their daily routines, especially their sleep. Quality sleep plays a vital role in maintaining both physical and mental health. Picture your body constantly stuck in a state of fight or flight while you’re attempting to sleep, hindering your body’s recovery and your ability to function during the day.

Sleep deprivation can also compromise your immune system. Even a short period of sleep loss can lead to a significant increase in anxiety and its debilitating effects. It can be important to distinguish between insomnia (general persistent problems falling and staying asleep) from mental health diagnoses effecting sleep. The goal is always to treat the source of the issue.

Strategies to Address Anxiety-Induced Sleep Issues Independently

There are some simple techniques that can be attempted to alleviate anxiety and improve sleep quality before seeking therapeutic interventions. Breathing exercises and a technique called “triangle breathing” can help regulate your heart rate manually, assisting in calming you down in the moment. Triangle breathing involves inhaling for three seconds, holding your breath for three seconds, and exhaling for another three seconds. This straightforward method can help bring your mind and body back to a calm state. Anxiety comes from thoughts, so it takes a ‘neck down’ intervention to try and fight or distract from those thoughts.

Incorporating meditation, yoga, or physical exercise into your routine can also be effective in calming both your mind and body. Physical activity offers various benefits, such as lowering blood pressure, managing weight, reducing the risk of physical illnesses, fostering social interaction, and promoting healthier coping mechanisms. Moreover, in today’s era of constant digital connectivity, putting your phone away and setting it to silent mode can eliminate distractions that might trigger anxiety when attempting to sleep.

How Therapists Can Assist in Treating Anxiety-Related Sleep Problems

Collaborating with a therapist experienced in anxiety therapy can provide valuable support in minimizing its daily impact and restoring a healthy sleep pattern. Anxiety therapists typically employ cognitive-behavioral therapy (CBT) and guided therapy to help you regain optimal sleep quality.

CBT is the most used therapy intervention for addressing anxiety. It aims to identify and rectify negative thoughts and beliefs that contribute to anxiety. CBT can improve sleep by creating awareness of behaviors that disrupt it, such as maintaining a consistent bedtime routine, reserving the bed solely for sleep, eliminating stimulants that hinder sleep, and removing distractions and light sources from the bedroom.

Another effective anxiety therapy intervention is guided therapy, which uses mental imagery, memories, and stories to evoke positive and calming feelings. Guided therapy can assist in calming your mind, preventing it from wandering and triggering anxiety. An example of this technique is imagining yourself engaging in a mundane activity like painting a room with a soothing color. This keeps your mind focused on the task at hand, reducing anxiety triggers. Learning to connect your mind and body helps diminish anxiety’s grip on your overall well-being.

If anxiety is interfering with your ability to sleep or carry out daily functions, it’s advisable to reach out to a therapist. While anxiety is common and often experienced in specific situations, persistent and life-altering anxiety doesn’t need to be a burden you carry in your daily life. There are numerous highly effective therapy interventions available to help you regain the quality of life you deserve.

Taking Sleep Problems and Anxiety Further

Working in collaboration with a therapist and a medication prescribing professional can be an option if therapy alone does not significantly reduce the symptoms. Top quality providers will attempt supplements like melatonin, magnesium, and lavender before attempting medication that provides sedation effects. Many nursing home facilities have their own Nurse Practitioners who prescribe medications. Otherwise, there are telehealth options for prescribers. The collaboration of prescribers and facility staff is important to monitor and track any changes or side effects that could signal a need to change or stop prescriptions.

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Five Advocacy Tips For Living In Skilled Nursing Facilities

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Adjusting to a new environment can be difficult. Adjusting to an environment that is typically seen as a higher level of care from an independent life can be even more challenging. As older adults are requiring more dependence in self-care, it is important to be mindful of how individuals and families can advocate for needed care. There can be many factors that can affect how care is delivered in skilled nursing facilities. As a telehealth therapist who works more often with rural facilities, I have compiled a list of the top five tips for addressing advocacy concerns.

  1. Know your rights: Familiarize yourself with the rights you have as a nursing home resident, such as the right to privacy, to be treated with respect, and to make decisions about your care. This means that staff should be knocking on doors before they enter private rooms. If you are in a meeting (like a therapy session) where you expect privacy, there should be some type of sign on the door making notice of a private conversation taking place. If there is a care plan meeting, sufficient notice of the meeting needs to be given to residents and their guardians/power of attorneys as well as any parties they wish to invite. Skilled nursing facilities are most often privately owned businesses although they still have to adhere to state and federal regulations. There are state ombudsmen who will inform on rights as well as county aging and disability resource centers (ADRC) that can assist with knowing rights.
  2. Speak up: If you have concerns about your care, don’t be afraid to speak up and let your caregivers and nursing home staff know. You have the right to have your concerns addressed and to have your needs met. As a therapist, I encourage my patients to speak up, often their voices are the last bit of control they have in their lives. One needs to understand the difference between addressing concerns with CNA’s, LPN’s or aides versus nurses and administrators. If the issue is smaller, then the aides may be able to assist in correcting things quickly. If there are larger concerns, nurses and administrators may be a better option to listen and respond.
  3. Keep a record: Keep a journal or log of any issues or concerns you have, including dates, times, and the names of any staff involved. This can be helpful if you need to report a problem or issue to the nursing home administration or to a regulatory agency. What I will say instead of writing things down (people often cannot write due to sight and arthritis or neuropathy) is to keep track of how often a concern is verbalized and to whom it was verbalized. Often, a concern will be lost at the doorway when the staff move on to addressing the immediate needs of another resident. As a therapist, I have found that staff will often listen and respond in a way that keeps the resident calm in the moment and then there is no further action taken. These situations are more difficult when residents have isolated contact with family members or if they require corporate guardians (non-family guardians/POA). In Wisconsin, a guardian is only required to be in communication every three to six months (sooner if needed) and to see individuals once per year face to face.
  4. Use the nursing home’s grievance process: If you have a problem or concern that cannot be resolved through casual conversation, use the nursing home’s grievance process to report the issue. The grievance process is probably the most effective way to get issues resolved or to get some accountability and action. Issues or complaints related to direct interactions with staff are usually handled through the grievance process. The facility’s social worker (who sometimes isn’t even a social worker) can assist in explaining the grievance process.
  5. Be assertive and keep family or friends informed. It is important to be firm and clear about your needs and concerns, but it is also important to be respectful of the staff and caregivers who are working to meet your needs. Staff have a lot to deal with during their shifts and a lot of different personalities to connect with when assisting residents with their personal needs. Keep your family informed about your care and any concerns. They can be a valuable source of support and can help you advocate. Know where to go for help: If you feel that your rights are being violated or that you are not receiving the care you need, don’t be afraid to seek help from facility management teams, ombudsmen, facility social workers, and county human service departments.

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Five Therapy Goals for Treating Dementia and Agitation

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Dementia can present in many ways; it is often considered an umbrella term for diagnoses that create a loss of memory or thinking abilities that cause interferences with managing daily life. Dementia can be associated with the following diagnoses: Alzheimer’s, Vascular, Lewy Body, Frontotemporal, mixed dementia, and other contributing factors.

Talk therapy is used to ease the progression and agitation. Creating therapy goals for a patient with dementia requires careful consideration of the patient’s individual needs and abilities. As a telehealth therapist that works with patients in skilled nursing homes, dementia can be a challenging diagnosis for individuals, family members, and facility staff.

Here are five therapy goals that may be appropriate for a patient with dementia:

  1. Improve communication skills: Dementia can often cause changes in communication abilities. Therapy goals might include improving the patient’s ability to express their needs and wants, as well as improving their understanding of spoken and written language.
  2. Promote independence: Despite the challenges of dementia, it’s important to promote as much independence as possible. Therapy goals might include helping the patient learn new skills or strategies to help them manage their daily activities more independently.
  3. Enhance memory and cognitive skills: Dementia can cause changes in memory and cognitive skills. Therapy goals might include helping the patient use strategies to improve their memory and cognitive skills, such as using memory aids or practicing memory exercises.
  4. Manage behavioral challenges: Dementia can sometimes cause behavioral challenges, such as agitation, aggression, or wandering. Therapy goals might include identifying and addressing the underlying causes of these behaviors, as well as developing strategies to manage them effectively.
  5. Improve quality of life: Ultimately, the goal of therapy for a patient with dementia is to improve their quality of life. Therapy goals might include finding ways to help the patient feel more engaged, fulfilled, and satisfied with their life.

It’s important to keep in mind that therapy goals for a patient with dementia should be realistic, achievable, and tailored to the individual’s needs and abilities. It may also be helpful to involve the patient’s family and care team in the goal-setting process. Involving medical professionals who manage medication is also an important aspect of managing agitation and progression of symptoms.

Working closely with nurse practitioners who provide medication management, I have seen some conversations when they collaborate amongst themselves. Beyond drug classifications and possible common uses, medication knowledge is beyond me especially when it comes to CMS requirements. Remember that there is no handbook for dementia with agitation which makes it one of the hardest types of patients to treat.

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The Red List: Developing a Spotlight on Policies and Initiatives Affecting People

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Previously, I created a separate website specifically for my therapy clients. That website was called, “The Rebellion Clause.” Now, The Rebellion Clause redirects to this website.

The idea of the Red List grew out of the idea of policy changes affecting the livelihoods of the people they were supposed to protect. Before my start in the world of social work, I wrote about gaps in the community related to crisis intervention services and how agencies dealt with children who had higher level behavioral health needs. I turned my photography website into an advocacy website and was eventually able to land a job addressing those themes and topics in direct practice every day. I went from a made up job title to Clinical Director in a few years.

Now I find myself at the top of the social work field, essentially doing private practice telehealth therapy for the various populations. I conduct telehealth therapy with patients in four states. I’ve gotten the itch to continue my written advocacy work after working with clients in skilled nursing facilities.

There is no doubt that COVID had a massive impact on social service delivery and staffing changes. It almost seems like we’re back in the 1970’s after de-institutionalization began and we’re finding ways to either keep people in new forms of institutional care or fighting against the current to get people back to the level of independence they had before the pandemic.

After watching ‘The Black List’ on Netflix, I had the idea of creating a ‘Red List’ for agencies and policies that keep individuals stuck in new forms of institutional care. I also want to focus on state and federal initiatives that are not effectual in their goals. A lot of taxpayer dollars are wasted on awareness campaigns. Awareness campaigns only reach the people who are already aware of the issues. I hope to give a platform for real people negatively effected by policies and initiatives or do not go far enough to be fiscally beneficial.

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10 Skills for Adjusting to Living in Skilled Nursing Facilities

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Transitioning to a skilled nursing facility due to medical needs can be challenging for many people. With or without the threat of COVID, skilled nursing facilities are a closed door environment. Here are ten ways to cope with this difficult transition from a therapist’s perspective:

1. Acknowledge the feelings: It’s essential to acknowledge and express the emotions that come with adjusting to a new environment with less privacy, independence, and community interaction. Feelings of sadness, frustration, and fear are normal and expected.

2. Build a support system: It’s important to build a support system of family, friends, and healthcare providers who can provide emotional support and practical help.

3. Engage in meaningful activities: Participating in meaningful activities, such as hobbies, reading, or connecting with friends and family, can help maintain a sense of purpose and fulfillment.

4. Keep a positive attitude: Maintaining a positive attitude, focusing on the good in life, and finding joy in simple things can help improve the overall well-being. Distractions are often a necessary way to stay positive. As a therapist, I always ask patients if they have comfort items in their room that help them alleviate distress or isolation.

5. Take control: Find ways to take control of the situation, such as getting involved in the care plan, participating in decision-making, and advocating for oneself. If there are guardianships or power of attorneys, having a seat at the table for one’s own care makes a huge difference.

6. Learn relaxation techniques: Practicing relaxation techniques, such as deep breathing, meditation, or mindfulness, can help reduce stress and anxiety. Access to nature, even looking out the window or sitting on a patio can have healing effects on the mind and body.

7. Stay connected: Stay connected with the outside world by utilizing technology, staying informed of current events, and reaching out to friends and family. Maintaining family connections can help residents minimize feelings of burden, worthlessness, and isolation.

8. Engage in therapy: Working with a therapist can help process the emotions and challenges that come with being in a skilled nursing facility. Telehealth is making access to medical professionals easier, even in rural America.

9. Stay physically active: Engaging in physical activity, such as stretching, walking, or chair exercises, can help maintain physical health and well-being. Facilities should have exercises activities in addition to their available physical and/or occupational therapy.

10. Find meaning and purpose: Finding meaning and purpose in one’s life, such as writing a memoir, volunteering, or advocating for others in similar situations, can help bring a sense of fulfillment and purpose to the situation.

Often times, the basic reaction for new residents is to isolate in their rooms which can be detrimental to both physical and mental health. Challenging the body with movement, challenging the brain with brain games (crosswords, trivia, reading), and seeking out personal connections help alleviate symptoms of situation-related depression, anxiety, and insomnia.

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TikTok Told Me to Jump Off A Cliff!

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Let’s be clear, TikTok inspired me to jump off the occupational cliff. Going from a salaried position to an LLC position. It all started when TikTok became the dominant social media entertainment source during the 2020 pandemic.


I started to take entrepreneurial ventures more seriously. Suddenly I was stuck in the entrepreneurial algorithm and hooked on the advice and tips. I started liking content as fast as possible for ‘come back to it’ research. In the 2020 pandemic and national shutdown, as a clinical social worker in the mental health field, I was considered essential and never missed a day of work unless I was home for a quarantine scare from other coworkers or clients.


I made a big decision about turning my personal brand website that had led to my clinical position into an LLC. With the creation of Relentless Advance as an LLC and the addition of gaining a bit of traction through Fiverr freelance writing, I decided to use all my research and try career skydiving.


I jumped off the occupational cliff in April 2021 after five years in the same place. I had started in a made-up job title and became one of the directors. Before I gave my thirty-day notice, I thought I was irreplaceable. I left a big title behind as well as a consistent paycheck. I had been working fifty hours per week and I was paid for forty-hour salary. The job was basically 24/7 and it was my life for five stressful years but it was my normal.


In my job hunts, I found an agency that was offering independent contractor status, running a position through my LLC under independent contractor status. Of course, that meant paying for my own health insurance, getting my own liability insurance, saying goodbye to paid vacation hours, and only getting paid for the hours that I worked rather than a salary.


I ran into a few problems getting things going on the fly. I had to dip into my savings account to offset what I was not making in the beginning. The previous job had thankfully paid out my saved vacation days and that gave me a little bit of an emergency cushion.


I started my new position with a small number of hours per week that did not suddenly pick up. I liken the whole experience to retiring and then going back to work at a less stressful job. The problem was I was not pulling from social security or a pension, I was pulling from my savings account.


In the normal process of changing jobs, I reached out to the former agency’s retirement planner to figure out how to figure out how to handle the retirement account. I ended up having a few meetings with the retirement planner as I was beginning the whole business process. Those meetings were like therapy for me.


After each meeting, the retirement planner gave me new knowledge and insight into my situation. The told me that I should be looking for several income sources because I was no longer guaranteed a consistent paycheck. Boy, was he right! After about two months into jumping off the cliff, I was still pulling money from the savings account. And lets me real, I live a pretty boring life with zero extravagance. So, I have been pulling money for usual bills and mortgage.


Prior to quitting my clinical director job, I had intended to leave at a certain point after gaining enough traction with my freelance writing on Fiverr. However, I jumped at the tease of a potential income increase. I currently have thirteen, five-star reviews on Fiverr with at least three repeat customers. With niches in fitness, mental health, and gardening, I play to my strengths and interests. However, the gigs are not consistent, and it is nowhere near what I need to take it and run from any type of traditional clinical position.


Currently it has been three months since leaving my job. I am no longer reaching into my savings account, but I am also not replenishing it yet either. I have settled on this retirement feeling and will steadily increase my workload and work hours. I have other projects that I am working on as well for income.


Did you get addicted to TikTok in 2020? Have you fallen down the entrepreneurial algorithm? Did TikTok make you jump off a cliff like me? Let me know by commenting below. Thanks

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Craniofacial Kid Revisits the Past As A Clinical Director

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At the tail end of a four-day trauma-informed ‘Train the Trainer’, I stopped to contemplate and reflect on my biggest trauma response trigger, Children’s Hospital of Wisconsin in Milwaukee. In the flood of Milwaukee’s afternoon traffic, I ventured into the now conglomerate of an area that has sprung up incorporating Froedert Hospital and the Milwaukee Mental Health Hospital.

Initially I was nervous that someone was going to catch my uneasiness from the anxiety and trauma triggers. I’ve lived enough years to figure out how to settle myself enough to continue functioning physically in spite of a mental fog. I do not go all to pieces mostly due to the human connections in my life that were barriers (resilience) to even more detrimental effects.

Assisting my ability to remain calm was that nothing visually is the same as is burned into my memories of childhood except for the logo of two blue children. In fact, I began writing this article in the hospital lobby, sitting at a table next to Cafe West. Quite possibly I might have also been in the wrong building, as there are two structures with the same name and the same logo with Froedert being between them. I am not sure, but I’m pretty sure I was one of the few adults who continued to have surgeries at Children’s due to their ICU capabilities.

It has been too many years to remember everything about this place and yet not too long to erase the seared in memories of everyday appointments for so many years and countless surgeries. When I was a kid, we would get ice cream from the cafe in this lobby as a reward for handling another day of appointments or procedures. Gone is the archway of white toy blocks that I used to refer to as the ‘Archway to Hell’. The efforts of appealing to children was something that used to strike a negative chord with me, like the hospital was trying to hide their true purpose.

In college, I took Environmental Psychology and love it, so I have a different appreciation for safe, inviting spaces. What really helps being back in this environment is that I have the emotional maturity to know that the past cannot come back to harm me. The men who operated on me, lied to me, never explained things to me or forced the gas mask on my face are either retired or are long since deceased.

Intellectually, I have nothing to blame on this place or the people that work here. I was but a child caught up in the trials and errors of advancing techniques to better assist kids and families dealing with craniofacial differences. Combine that with an age where kids with disabilities were still being institutionalized and separated from family and community. My parents refused to institutionalize me or put me in special education. I think about whether the idea of complex medical trauma was around in the late 80’s and early 90’s. But then I think about my parents who saw it and made changes to assist in buffering the practices and recommendations of medical professionals.

At home, I had a normal life or what I saw as a normal life with the ability to do normal things. In the hospital, the outside world was seen as an ever-present danger. Two parents taking a child to appointments every day started leading to isolation, so it became a good cop bad cop situation. When my parents took me out of the team environment of the craniofacial team at Children’s Hospital, I stopped simply surviving and started thriving.

Unfortunately, I have seen the present day outcome of other kids I once knew who were not so lucky in that all encompassing realm. Ultimately, I believe that an external surgeon gave me back power and control over my own body and my existence. I didn’t have to suffer through things without being told what was happening to me. This is where I believe my indifference to self-torture began. In so many instances, I had to give up control and disassociate in order to deal. So I became a social worker to advocate for children that didn’t have the ability to communicate their needs in similar atmospheres.

I’ve never been negatively vocal about Children’s Hospital, and I don’t intend to do so in the future. I just choose not to contribute any of my resources to the charity aspect of an organization that attempted multiple times in court to take my parents’ house away to pay for medical bills. I still get triggered, unfortunately most often due to radio ads for the hospital’s foster care services. Being involved professionally in social services, I get triggered more often.

I still have night terrors and I still go back and relive moments that shouldn’t have happened. These days, I am able to deal with what comes from exposure or response in the moment. I hope I can be a beacon of hope for others who have experienced trauma. I still hold on to a lot of anger and it used to fuel my drive to succeed. I don’t know if I will ever get rid of the anger, nor do I know if I want to release it. I’ve become so used to anger leading to passion and then action.

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Ms. Blakk for President

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On Wednesday I ventured to Chicago from Green Bay (four hours nonstop) with a coworker to attend the production of Ms. Blakk for President at Steppenwolf theater. Based off the real life experiences of Joan Jett Blakk in the early nineties. Joan was a drag queen who was able to get herself on to several state ballots for presidential candidates.

The creator of the play, Tina Landau held a discussion following the play. Unfortunately, few remained to take part in the discussion. Hopefully, audience members left with plenty to discuss regarding how queer history parallels current queer culture as well as other current minority groups attempting to be brought into the fold. The discussion sparked more conversation about queer identity. I enjoyed the younger and older reactions to the play.

The stage was setup like a runway adorned in hot pink and black queer history iconography. The actors were able to use the unique runway stage to it’s full advantage, making sure to turn and face the different sides of the audience. Utilizing television screens to play real historical video clips, helped validate the importance of telling Ms. Blakk’s storyline of events.

One thing that caught me was how group and individual differences for how far to take things mirrored what I had seen portrayed with Harvey Milk and The Advocate magazine. Queer Nation just wanted to be mentioned, wanted the AIDS crisis to be mentioned but Ms. Blakk wanted more. Arguably Ms. Blakk’s queer identity threatened Queer Nation’s idea of being accepted in a more mainstream way. We’ve seen these mainstream arguments about moving the needle inch by inch. The HRC trying to push through a non-inclusive Employment Non-Discrimination Act is the first to come to mind. This began discussions in the LGBT community about whether the transgender community needed to split off and be separate. Ms. Blakk would have been placed in another realm of wanting too much for herself in the moment.

Thankfully, a knowledge of queer history is not needed to come away with a lasting impression. I looked at the play through two different lenses. One lens was what I knew about the type of environment it was back then in the Reagan years. The other lens was through an interest in one day creating a play that teaches and ignites action for change. I was taken back to the memory of a video of Dustin Lance Black talking about his playwright process, making characters really real.

As much of a pain as it was (mostly in my driving leg) to drive back to Green Bay and arrive at 1:30am, I enjoyed going to the play as well as getting out of my comfort zone. I would have never gotten an idea to drive down to Chicago on a Wednesday afternoon for a play. I’m glad we did it. Given that this Saturday is Green Bay’s annual Pride event, it was a good reminder of living our lives openly and honestly under whatever labelled identities we use to describe ourselves.

“You as an alive and functioning queer are a revolutionary.” ~Queer Nation Manifesto 1990

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Advancing Community Integration

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I’m moving forward with a past website idea. ‘Advancing Community Integration’ is going to be an on-going series of interviews with community movers and shakers in Northeast Wisconsin. The hope is to highlight various organizations and agencies that offer services to the community in an effort to make communities stronger. I already have a list of twelve potential contacts and topics to begin the series.

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Trauma-Informed Care in Action

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My hope is to create a series on Trauma Informed Care (TIC) in Action. Rather than wasting everyone’s time with a multitude of awareness campaigns that only serve to cater to those already aware of the issues. When I was in graduate school, TIC became a hot button issue/training opportunity. Hopefully this was sparked by the new wave of combat veterans and research on adverse childhood experiences. The hope of this series is to highlight people and projects contributing to real changes in trauma-informed care not necessarily where federal, state, and local money flow.

I didn’t fully confront my own medical trauma until graduate school, when out from the end of first semester I wrote a dark and honest performance piece called, “Gods and Monsters.” A piece that opens with, “As a child my teddy bear wasn’t allowed to have eyes.” Memorized, engraved somewhere in the lizard part of my brain. 

My talents in social services are my abilities to write, my high attention to detail/excellent memory, and my desire to advocate for others. As a writer, I write professionally/clinically as well as creatively. I write performance pieces or poems meant to be performed and I have been fortunate to be published by other change agents. Cathy Plourde formed Add Verb Productions (The Thin Line, Major Medical Breakthrough, You the Man, Out & Allied Project Volume I & II) and later Animal Mineral Press (Making Out Like a Virgin). Both ventures have focused on sharing the experiences of others in subjects meant to educate and respond to social justice issues most professionals will not or do not know how to approach. I prime example of taking action rather than wasting time and money on another awareness campaign. A feel-good project accessorized with brightly colored bracelets. Never mind the stigmas that victims and survivors carry with them and others are walking around with look-at-me bracelets.

Mistakenly, I thought social workers were a profession of trauma survivors, a field of flowers that was once a minefield, showing others how to plant the seeds of change. We aren’t even fully aware of the trauma we continue to inflict on others. I went to a TIC training hosted by Brown County by Disability Rights Wisconsin. It changed how I interacted with clients, especially those who are not able to verbalize their needs. Environmental psychology taught me that children who have experienced trauma have a larger personal space bubble. My bubble requires much more space than others I interact with on a daily basis. I am not a hugger, not even with family. “To hug me is to hold a collection of bones mummified for self-preservation.” Give people their space. Take some action and start planting the seeds of change rather than advertising the seed package.

Links associated with this post:

Addverbproductions.org
Animalmineralpress.com
Disabilityrightswi.org

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