Impact of Dual Diagnosis on Professional Life: When Struggles Spill Over
A dual diagnosis doesn’t exist in a vacuum; it inevitably affects every area of life, and for women executives, the impact on professional life can be particularly significant and damaging. The very qualities that might have helped you succeed – drive, focus, resilience – can be eroded by the combined weight of a mental health condition and substance misuse. The most immediate impact is often seen on **job performance and career progression**. Symptoms of depression (fatigue, lack of motivation, difficulty concentrating), anxiety (excessive worry, panic, avoidance), or substance use (hangovers, withdrawal, preoccupation) can lead to: * **Decreased Productivity:** Struggling to meet deadlines, complete tasks efficiently, or maintain previous levels of output. * **Impaired Decision-Making:** Difficulty thinking clearly, poor judgment, increased risk-taking, or an inability to make decisions. * **Memory Problems:** Trouble remembering important details, conversations, or commitments. * **Increased Errors:** Making more mistakes than usual due to lack of focus or cognitive impairment. * **Absenteeism or Presenteeism:** Missing work frequently, arriving late, leaving early, or being physically present but mentally checked out and unable to contribute effectively. These performance issues can stall career advancement, lead to negative performance reviews, and prevent you from reaching your full potential. Over time, what might start as subtle slips can become noticeable patterns that raise concerns among colleagues and superiors. Dual diagnosis also significantly impacts **relationships with colleagues and workplace dynamics**. Changes in mood and behavior associated with mental health conditions and substance use can strain professional interactions: * **Irritability and Mood Swings:** Lashing out at colleagues, being overly critical, or having unpredictable emotional responses. * **Withdrawal and Isolation:** Pulling back from team activities, avoiding interactions, or seeming distant and unapproachable. * **Conflict:** Increased disagreements or friction with team members, superiors, or clients. * **Unreliability:** Failing to follow through on commitments or letting others down. * **Erosion of Trust:** Colleagues may lose confidence in your ability to lead or contribute effectively if performance and behavior become erratic. This can damage your reputation as a leader and team player, making collaboration difficult and potentially isolating you further. The **long-term career implications** of an unaddressed dual diagnosis can be severe. What might be manageable initially can escalate, leading to: * **Damaged Reputation:** Word can spread, impacting how you are perceived within your company and industry. * **Loss of Leadership Roles:** Being passed over for promotions or even demoted if performance and reliability decline significantly. * **Job Loss:** In serious cases, termination may occur due to poor performance, policy violations related to substance use, or erratic behavior. * **Difficulty Finding New Opportunities:** A damaged reputation or history of job instability can make future career moves challenging. The high stakes involved in executive roles mean that the consequences of untreated dual diagnosis can be particularly devastating professionally. However, seeking help through **dual diagnosis treatment** is not an end to your career; it’s an investment in saving and ultimately strengthening it. Addressing these issues allows you to regain clarity, stability, and the ability to perform at your best. Many successful executives have navigated recovery and returned to their roles stronger and more resilient. At Asana Recovery, we understand the importance of your career and offer treatment options designed to support your professional life, including flexible programs like our
Intensive Outpatient Program (IOP).
Solutions and Treatment Options: Finding the Right Path Forward
The good news is that dual diagnosis is treatable, and women executives can absolutely achieve lasting recovery and continue to lead successful professional lives. The key lies in finding the right kind of help – treatment that understands and addresses both the mental health condition and the substance use disorder simultaneously. This is known as an **integrated treatment for dual diagnosis**, and it’s the cornerstone of effective care. Trying to treat only the depression while ignoring the alcohol use, or focusing solely on stopping drug use without addressing the underlying anxiety, is like trying to fix only half of a broken machine. It rarely works in the long run because the untreated condition often triggers a relapse in the other. Integrated treatment recognizes that both issues are intertwined and need to be managed together for sustainable recovery. At Asana Recovery, we specialize in providing comprehensive, **integrated treatment for dual diagnosis**. We understand that as a woman executive, you need a sophisticated, confidential, and potentially flexible approach. Our **Asana Recovery services** are designed to meet these needs, offering a range of evidence-based therapies and support systems tailored to your unique situation. Some key components of our approach include: * **
Intensive Outpatient Program (IOP):** This program provides structured therapy and support for several hours a day, multiple days a week, while allowing you to continue living at home and potentially manage work responsibilities. It’s an excellent option for professionals who need robust treatment but don’t require 24/7 residential care. We even offer a
Virtual IOP for maximum flexibility. * **
Partial Hospitalization Program (PHP):** Offering a higher level of care than IOP, PHP involves treatment programming for most of the day, five days a week, while still allowing you to return home in the evenings. It provides more intensive support during the initial stages of recovery. * **
Residential Treatment:** For those needing a more immersive and structured environment away from daily triggers and stressors, our residential program provides 24/7 care and support. * **
Cognitive Behavioral Therapy (CBT):** A cornerstone of dual diagnosis treatment, CBT helps you identify and change negative thought patterns and behaviors that contribute to both mental health issues and substance use. * **
Dialectical Behavior Therapy (DBT) for Addiction:** Particularly effective for managing intense emotions, improving relationships, and developing coping skills. * **
Medication-Assisted Treatment (MAT):** Utilizes FDA-approved medications, in combination with counseling and behavioral therapies, to treat substance use disorders (especially opioid and alcohol addiction) by reducing cravings and withdrawal symptoms. * **
Couples Treatment:** Addiction and mental health struggles significantly impact relationships. Involving a partner in therapy can rebuild trust, improve communication, and create a stronger support system for recovery. * **
Dual Diagnosis Treatment Groups:** Connecting with peers facing similar challenges provides invaluable support, reduces isolation, and allows for shared learning and coping strategies. * **
Medically-Assisted Detox:** Provides a safe and comfortable environment to manage withdrawal symptoms under medical supervision before transitioning into ongoing treatment. Crucially, we believe in **personalized treatment plans for women executives**. We recognize that your experiences, triggers, responsibilities, and goals are unique. We conduct a thorough assessment to understand your specific needs and tailor a treatment plan that fits your life. This might involve coordinating care around work schedules, focusing on specific workplace stressors in therapy, and developing coping strategies relevant to your high-pressure environment. We also understand the need for discretion and offer **private care for addiction recovery**. If you’re ready to explore how our integrated approach can help you, we encourage you to
Contact Us. Our team can answer your questions, discuss our programs in detail, and help you determine the best path forward. You can also begin by exploring payment options, including
Insurance Verification and our
Private Pay and Payment Options.
The Role of Therapy in Recovery: Building Skills for a New Life
Therapy is the heart and soul of effective dual diagnosis treatment. While managing withdrawal symptoms or using medication can be crucial first steps, it’s therapy that helps you understand the root causes of your struggles, develop healthy coping mechanisms, and build the foundation for lasting recovery. For women executives dealing with the complex interplay of mental health challenges and substance use, specific types of therapy are particularly beneficial. **
Cognitive Behavioral Therapy (CBT)** is one of the most widely used and effective approaches for **dual diagnosis treatment**. The core idea behind CBT is simple but powerful: our thoughts, feelings, and behaviors are interconnected. Negative or distorted thought patterns can lead to distressing emotions and unhealthy behaviors, including substance use. CBT helps you: * **Identify Triggers:** Recognize the situations, thoughts, or feelings that lead to substance cravings or worsen mental health symptoms (e.g., stress from a board meeting triggering a desire to drink, or negative self-talk fueling depression). * **Challenge Negative Thoughts:** Learn to examine and question automatic negative thoughts (e.g., “I’m not good enough,” “I can’t handle this pressure without a drink”) and replace them with more realistic and balanced perspectives. * **Develop Coping Skills:** Build practical strategies to manage stress, handle difficult emotions, resist cravings, and navigate challenging situations without resorting to substances. This might involve relaxation techniques, problem-solving skills, or assertiveness training relevant to the workplace. * **Change Maladaptive Behaviors:** Gradually modify behaviors that contribute to the cycle of addiction and mental health struggles. CBT is practical, goal-oriented, and empowers you with tools you can use long after therapy sessions end. It’s highly effective in treating anxiety, depression, and various substance use disorders simultaneously. Another powerful therapy often used is **
Dialectical Behavior Therapy (DBT) for Addiction**. While sharing similarities with CBT, DBT places a stronger emphasis on emotional regulation, mindfulness, distress tolerance, and interpersonal effectiveness. It can be particularly helpful for individuals who experience intense mood swings, have difficulty managing strong emotions, or struggle with relationship conflicts – all common issues when dealing with dual diagnosis under high pressure. For women executives whose struggles have impacted their primary relationship, **
Couples therapy for addiction** can be invaluable. Addiction and mental health issues rarely affect just the individual; they ripple outwards, often causing significant strain on partnerships. Couples therapy provides a safe space to: * **Improve Communication:** Learn healthier ways to talk about difficult topics, express needs, and resolve conflicts. * **Rebuild Trust:** Address breaches of trust caused by addiction-related behaviors or the impact of mental health symptoms. * **Understand the Illness:** Help the partner understand the nature of dual diagnosis, reducing blame and fostering empathy. * **Establish Healthy Boundaries:** Define clear expectations and boundaries to support recovery. * **Develop Shared Coping Strategies:** Work together as a team to navigate challenges and support the recovery journey. Involving a supportive partner can significantly enhance treatment outcomes and provide a crucial pillar of support outside of the treatment center. Finally, the role of **group therapy and peer support networks** cannot be overstated. While individual therapy is essential for personalized work, group sessions offer unique benefits. Sharing experiences with others who genuinely understand the pressures of executive life combined with the challenges of dual diagnosis can be incredibly validating and reduce feelings of isolation. You learn from others’ successes and setbacks, gain different perspectives, practice new interpersonal skills, and build a sense of community. At Asana Recovery, therapy is integrated into all levels of care, from
Residential Treatment to our
Outpatient Services. Our skilled therapists utilize evidence-based approaches like CBT and DBT, facilitate supportive group sessions, and offer specialized therapies like couples treatment to create a comprehensive, healing experience.
Medication-Assisted Treatment (MAT): A Tool for Stability
For many individuals struggling with dual diagnosis, particularly when opioid or alcohol dependence is involved, **
Medication-Assisted Treatment (MAT)** can be a crucial component of a successful recovery plan. It’s important to understand what MAT is and what it isn’t, as there can be misconceptions surrounding its use. **MAT combines FDA-approved medications with counseling and behavioral therapies to provide a “whole-patient” approach to the treatment of substance use disorders.** It is considered the gold standard of care for opioid use disorder and is also highly effective for alcohol use disorder. The medications used in MAT work by normalizing brain chemistry, blocking the euphoric effects of alcohol and opioids, relieving physiological cravings, and normalizing body functions without the negative effects of the abused substance. **Key benefits of MAT include:** * **Reduced Cravings:** Medications can significantly lessen the intense physical and psychological urge to use substances, making it easier to focus on therapy and recovery. * **Managed Withdrawal Symptoms:** MAT can alleviate the often severe and uncomfortable symptoms of withdrawal, providing a safer and more comfortable detoxification process, often starting with
Medically-Assisted Detox. * **Increased Treatment Retention:** By making the early stages of recovery more manageable, individuals are more likely to stay engaged in their treatment program. * **Reduced Risk of Relapse and Overdose:** MAT has been proven to decrease illicit opioid use and overdose deaths. * **Improved Ability to Function:** By stabilizing brain chemistry and reducing preoccupation with substance use, MAT allows individuals to engage more fully in therapy, work, family life, and other responsibilities. It’s crucial to understand that MAT is *not* simply substituting one drug for another. The medications used are prescribed and monitored by medical professionals within a structured treatment setting. They do not produce the same euphoric high as abused substances when taken as directed. Instead, they provide stability, allowing the brain and body to heal while the individual works on the psychological and behavioral aspects of addiction through therapy. **Common medications used in MAT include:** * **For Opioid Use Disorder:** Methadone, Buprenorphine (Suboxone®, Subutex®), Naltrexone (Vivitrol®). * **For Alcohol Use Disorder:** Naltrexone (Vivitrol®), Acamprosate (Campral®), Disulfiram (Antabuse®). The choice of medication and dosage is tailored to the individual’s specific needs, medical history, and substance use patterns. At Asana Recovery, **MAT is integrated thoughtfully into our comprehensive treatment programs** when clinically appropriate. It’s never a standalone solution but is always combined with robust counseling, therapy (like
Cognitive Behavioral Therapy (CBT)), and support services. Our medical team works closely with therapists to ensure a coordinated approach. For a woman executive dealing with the intense pressures that might contribute to opioid or alcohol dependence, MAT can provide the necessary stability to fully engage in the therapeutic process, address underlying mental health issues, and develop the coping skills needed for long-term recovery without the constant battle against overwhelming cravings or withdrawal. If you have questions about **Medication-Assisted Treatment (MAT)** and whether it might be right for you or a loved one, please
Contact Us. Our medical and clinical teams can provide detailed information and assess your individual situation confidentially.
Importance of Aftercare and Support: Sustaining Recovery Long-Term
Completing a primary treatment program like detox, residential care, PHP, or IOP is a monumental achievement, but it’s not the end of the recovery journey – it’s a critical beginning. Recovery from dual diagnosis is an ongoing process, and maintaining the progress made during treatment requires continued effort and support. This is where aftercare comes in. The **role of aftercare in maintaining recovery** is absolutely vital. Think of primary treatment as learning to walk again after an injury; aftercare is the ongoing physical therapy and lifestyle adjustments needed to stay strong and prevent re-injury. For women executives returning to high-pressure environments, having a solid aftercare plan is especially important to navigate triggers and stresses without falling back into old patterns. Aftercare helps to: * **Reinforce Coping Skills:** Continue practicing the strategies learned in therapy (CBT, DBT) to manage stress, cravings, and emotional challenges in real-world situations. * **Prevent Relapse:** Identify potential relapse triggers early and have a plan in place to address them. Having ongoing support makes it easier to reach out before a slip becomes a full-blown relapse. * **Provide Ongoing Support:** Offer continued connection with therapists, counselors, and peers who understand the recovery journey. This combats isolation and provides encouragement during difficult times. * **Address New Challenges:** Life continues to happen after treatment. Aftercare provides a space to process new stressors or difficulties that arise in work, relationships, or other areas. * **Maintain Accountability:** Regular check-ins with therapists or support groups help maintain focus on recovery goals. Effective aftercare typically involves a combination of strategies tailored to the individual’s needs. Common components include: * **Ongoing Therapy:** Continuing individual therapy sessions, perhaps less frequently than during primary treatment, provides ongoing professional guidance and support.
Couples therapy may also continue if beneficial. * **Support Groups:** Participating in groups like Alcoholics Anonymous (AA), Narcotics Anonymous (NA), SMART Recovery, or specialized support groups for professionals or those with dual diagnosis offers invaluable peer support and shared experience. * **Medication Management:** If participating in
Medication-Assisted Treatment (MAT), regular follow-ups with the prescribing physician are essential. * **Alumni Programs:** Many treatment centers, including Asana Recovery, offer alumni programs that provide social events, support meetings, and ways to stay connected with the recovery community. * **Sober Living Environments (Optional):** For some, transitioning to a structured sober living home after residential treatment can provide additional support and accountability before returning fully to independent living. At Asana Recovery, we understand that recovery doesn’t end when you walk out our doors. We are committed to your long-term well-being and work with you to develop a comprehensive and personalized aftercare plan before you complete your primary treatment program. **Asana Recovery’s aftercare services** may include referrals to outpatient therapists, connections to local support groups, ongoing check-ins, and access to our alumni network. We want to ensure you have the tools and support system necessary to sustain your recovery and thrive. Our
Outpatient Services can also serve as a step-down level of care or part of an ongoing aftercare strategy. Investing time and effort into aftercare is investing in your future – safeguarding your health, your career, and your overall well-being.
Encouraging Women Executives to Seek Help: Taking the Brave First Step
We’ve discussed the unique pressures, the impact of dual diagnosis, and the effective treatments available. But perhaps the biggest hurdle remains: overcoming the internal and external barriers that prevent many women executives from seeking the help they need and deserve. If you’re reading this and recognizing yourself or a loved one in these descriptions, know that you are not alone, and reaching out is a sign of profound strength and self-awareness. The primary barrier is often **overcoming stigma and fear**. The fear of judgment, of career repercussions, of appearing weak – these are powerful deterrents. But consider this: is continuing to struggle silently, potentially letting your performance slip and your health deteriorate, truly the stronger option? Is sacrificing your well-being for the *perception* of control sustainable? True strength lies in recognizing a problem and taking decisive action to address it. Seeking **dual diagnosis treatment** is an investment in your most valuable asset: yourself. It’s about regaining control, clarity, and resilience so you can lead effectively and live a more fulfilling life. At Asana Recovery, **confidentiality and discretion** are paramount. We understand the sensitive nature of seeking help, especially for professionals in high-profile positions. Our admissions process, treatment environment, and communication protocols are designed to protect your privacy. We offer **private care for addiction recovery**, ensuring your journey remains yours. Whether you choose immersive
Residential Treatment or more flexible options like our
Intensive Outpatient Program (IOP) or
Virtual IOP, your privacy is a top priority. For some, the idea of stepping away for treatment feels impossible due to work commitments. While taking time for intensive treatment like residential care is often the most effective path initially, our flexible outpatient options are designed specifically for busy professionals. IOP allows you to receive robust treatment while maintaining your presence at work and home. It’s about finding a solution that works within the realities of your life. We also recognize that practical concerns matter. For some executives, leaving a beloved pet can be an additional barrier to seeking residential care. That’s why we offer
Pet-Friendly Rehab options, allowing you to bring your furry companion along for support. It’s also important to work towards **creating a supportive work environment**, though this can be challenging. While you are not obligated to disclose your struggles widely, sometimes confiding in a trusted HR representative or supervisor (if you feel safe doing so) can lead to accommodations like medical leave or adjustments upon your return. Increasingly, companies are recognizing the importance of mental health and addiction support for their employees’ well-being and productivity. Treatment can equip you with the skills to navigate workplace stress more effectively and potentially advocate for healthier workplace cultures. **How Asana Recovery can assist in the journey to recovery:** We are more than just a treatment facility; we are partners in your recovery. We understand the unique pressures faced by **women executives mental health**. Our team provides: * **Expertise:** Specialized knowledge in **integrated treatment for dual diagnosis**. * **Compassion:** A non-judgmental, empathetic environment. * **Confidentiality:** Strict protocols to protect your privacy. * **Flexibility:** Various levels of care (
Medically-Assisted Detox, Residential, PHP, IOP, Virtual IOP) to meet your needs. * **Personalization:** Treatment plans tailored to your specific challenges and goals. * **Support:** Guidance on navigating practical aspects like insurance and payment. Taking the first step is often the hardest part. We encourage you to reach out for a confidential conversation.
Contact Us today at Asana Recovery. Let us answer your questions, address your concerns, and explore how we can help. You can also explore our
Private Pay and Payment Options page or simplify the process by using our online
Insurance Verification form. You don’t have to carry this burden alone.
Conclusion: Investing in Your Health and Future
Navigating the demanding world of executive leadership while silently battling the complexities of a dual diagnosis is an exhausting and often isolating experience. The immense pressure, unique gender-specific challenges, and pervasive stigma can make it incredibly difficult for women executives to acknowledge their struggles and seek help. Yet, understanding and addressing both mental health conditions and substance use disorders simultaneously through **integrated treatment for dual diagnosis** is not just important – it’s essential for reclaiming your health, preserving your career, and building a sustainable, fulfilling future. Throughout this discussion, we’ve highlighted the interconnected nature of mental health and substance use, the specific ways these issues impact high-achieving women, and the effective, evidence-based solutions available. From specialized therapies like **
Cognitive Behavioral Therapy (CBT)** and DBT, to the supportive role of **
Couples Treatment**, the stabilizing potential of **
Medication-Assisted Treatment (MAT)**, and the crucial importance of ongoing aftercare, comprehensive treatment addresses the whole person. Recovery is not about erasing your ambition or diminishing your capabilities; it’s about removing the barriers that prevent you from being your best self. It’s about developing healthier coping mechanisms to manage stress, improving emotional regulation, healing relationships, and regaining clarity and focus. It’s an investment that pays dividends in every area of your life. Asana Recovery, nestled here in Orange County, is deeply committed to providing compassionate, confidential, and effective **Asana Recovery services** tailored to the unique needs of professionals, including women executives. We understand the courage it takes to reach out, and we meet that courage with expertise and unwavering support. We offer various levels of care, including flexible options like our **
Intensive Outpatient Program (IOP)**, designed to integrate with your demanding schedule. We encourage you to choose hope over silence, action over stagnation. Your well-being matters. Your future matters. Taking the step to seek **private care for addiction recovery** and mental health support is a testament to your strength and your commitment to yourself. Don’t let fear or stigma dictate your path forward. Contact Asana Recovery today for a confidential consultation. Let us help you navigate your options and begin your journey towards healing and renewed vitality. Your health and future are worth it. Take the first step now: **
Verify your insurance** quickly and easily using our online form, or call us directly to speak with one of our compassionate admissions specialists. Help is here, and recovery is possible.
Frequently Asked Questions (FAQs)
1. What is dual diagnosis?
Dual diagnosis, also known as co-occurring disorders, means having both a mental health disorder (like depression, anxiety, PTSD, bipolar disorder) and a substance use disorder (like alcohol addiction or drug dependency) at the same time. These conditions often influence each other, meaning the symptoms of one can trigger or worsen the symptoms of the other. Effective treatment requires addressing both conditions simultaneously through an
integrated treatment approach, like the specialized programs offered at Asana Recovery.
2. How does dual diagnosis affect women executives differently?
Women executives face unique pressures that can contribute to dual diagnosis and create barriers to seeking help. These include intense work stress, gender-specific workplace challenges (like bias or the glass ceiling), societal expectations around balancing career and personal life, and a higher degree of stigma associated with showing vulnerability in leadership roles. Fear of judgment, career repercussions, and damage to their reputation can make women executives hesitant to seek treatment. Asana Recovery understands these specific challenges related to **women executives mental health** and provides confidential, tailored care.
3. What treatment options are available for dual diagnosis at Asana Recovery?
Asana Recovery offers a comprehensive range of **Asana Recovery services** for dual diagnosis, tailored to individual needs. Our **integrated treatment for dual diagnosis** includes various levels of care such as
Medically-Assisted Detox,
Residential Treatment,
Partial Hospitalization Program (PHP), and flexible outpatient options like our
Intensive Outpatient Program (IOP) and
Virtual IOP. Key therapeutic modalities include
Cognitive Behavioral Therapy (CBT),
Dialectical Behavior Therapy (DBT) for Addiction, individual and group therapy,
Couples Treatment, and, when appropriate,
Medication-Assisted Treatment (MAT). We focus on creating personalized plans that address both mental health and substance use.
4. How can Cognitive Behavioral Therapy help in dual diagnosis?
**
Cognitive Behavioral Therapy (CBT)** is highly effective for dual diagnosis because it directly addresses the interconnectedness of thoughts, feelings, and behaviors that fuel both mental health issues and substance use. CBT helps individuals identify triggers, challenge negative thought patterns (e.g., self-criticism that leads to depression, or justifications for substance use), develop practical coping skills to manage stress and cravings, and change behaviors that perpetuate the cycle. It empowers individuals with tools to manage symptoms of both conditions more effectively.
5. What is Medication-Assisted Treatment and how does it work?
**
Medication-Assisted Treatment (MAT)** is an evidence-based approach combining FDA-approved medications (like Buprenorphine or Naltrexone) with counseling and behavioral therapies to treat substance use disorders, particularly opioid and alcohol dependence. The medications help normalize brain chemistry, reduce cravings, and manage withdrawal symptoms. This stability allows individuals to engage more effectively in therapy and address the psychological aspects of addiction and any co-occurring mental health conditions. MAT is medically supervised and is considered a gold standard for certain substance use disorders.
6. Why is aftercare important in recovery?
Aftercare is crucial because recovery is an ongoing process, not a one-time event. After completing a primary treatment program, individuals need continued support to maintain sobriety, manage ongoing mental health symptoms, and navigate life’s challenges without relapsing. Aftercare typically involves ongoing therapy, support groups (like AA/NA or alumni programs), medication management if needed, and practicing coping skills learned in treatment. It provides a vital support system, helps reinforce healthy habits, and significantly increases the chances of long-term, sustainable recovery. Asana Recovery helps clients develop robust aftercare plans before they leave treatment.
7. How can I verify my insurance for treatment at Asana Recovery?
Verifying your insurance coverage for treatment at Asana Recovery is simple and confidential. You can use our secure online **
Insurance Verification** form on our website. Just provide some basic information, and our admissions team will promptly check your benefits and contact you to discuss your coverage options. Alternatively, you can call us directly, and one of our specialists will assist you with the verification process over the phone. We also provide information on **
Private Pay and Payment Options** if needed. We aim to make understanding the financial aspects as straightforward as possible so you can focus on getting help.