Jan Hamilton , MS, PMHNP, 
Psychiatric Nurse Practitioner

Doorways LLC.

 1825 E. Northern Ave. 

Suite 200

Phoenix, AZ 85020


(602) 997-2880


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A Note from Jan
Founder of Doorways 
Dear Friend of Doorways,

There's a new program on Netflix that has caused quite an uproar in the media, and in our office.

13 Reasons Why is a Netflix series about Hannah, a middle school girl w ho takes her own life. 

Two weeks after her tragic death, a classmate named Clay finds a mysterious box on his porch. Inside the box are recordings made by Hannah -- on whom Clay had a crush -- in which she explains the 13 reasons w hy she chose to commit suicide. If Clay decides to listen to the recordings, he will find out if and how he made the list. 

This intricate and heart-wrenching tale is told through Clay and Hannah's dual narratives.

I spoke to one of our counselors,  Sarah VanHolland, LPC,
about this series. She is the Clinical lead therapist for our DBT Skills Intensive Outpatient Program and this show has been the topic of conversation many times in that IOP group. Here's what Sarah said:

"The concerning aspects of the series are its glorification of suicide and its promotion of the message 'wait until I'm gone, then they'll be sorry'.  

The show reduces its main character to little more than what happens to her. There is no real mention of depression, genetics, her lack of coping skills, her access to support systems, or biochemistry.  

At times, the show seems to perpetuate a cycle of feeling shame and blaming others.  While these issues are harmful and spread misinformation, the series does offer insights into the experiences of adolescents today.  

The show highlights the alarming rate of sexual harassment and assault, mass and instant dissemination of rumors via social media and smart phones, and the overall social climate present in many high school campuses today.  

The show is painfully accurate in its depiction of how secrets are harmful to everyone, how one person's brokenness causes more brokenness, and that everyone is experiencing their own pain and sadness."

My concern of course, is that students would try to follow Hannah's example because the series, though tragic, still "romanticizes" the action of suicide and the idea of leaving a message for the survivors to teach them a lesson.

We hope that parents will talk to their teens about this program and the messages it sends. If your son or daughter are hinting about suicide in any way, you need to take it seriously. Reach out to an experienced professional to get help. 

Because doing nothing is not an option.

We are here for you,
Jan Hamilton, MS, PMHNP-BC
Psychiatric Nurse Practitioner


PS. We have a new Eating Disorder IOP for Young Adults running this summer. Find out more below. 

New Summer IOP!

Provider Spotlight
 1 Million Steps 4 OCD Walk

Saturday, June 10th
7:30 AM
Dreamy Draw Recreation Area 
2421 E. Northern Ave., Phoenix, AZ 85021

On Saturday, June 10th, Doorways staff, led by OCD therapist Megan Schwallie, LCSW,  will be participating in the International OCD Foundation's 1 Million Steps 4 OCD Walk to raise awareness about OCD and related disorders!
We invite anyone interested in coming together in support of this cause to join us for a time of enjoying nature and celebrating courage.  

June 10th, Saturday, 7:30 AM at Dreamy Draw Recreation Area (2421 E. Northern Ave., Phoenix, AZ 85021)

All you do to participate is show up ready for a 30-minute hike (and bring water!). We will not have an official team, but if you are interested in becoming an official Virtual Walker through the IOCDF you may do so on your own at  https://www.crowdrise.com/virtual-1MILLIONSTEPS4OCDWALK2017.

Please note this is not a clinical event. Doorways staff will not take pictures or collect identifying information of anyone participating in order to protect the privacy of anyone who joins us.  Other individuals, of course, may take pictures of themselves or share that they are participating as they feel comfortable.  
To learn more about the inspirational story behind the walk, we encourage you to visit:  https://iocdf.org/blog/2017/04/13/1-million-steps-4-ocd-welcome-by-denis-asselin/

Calendar of Events
Open Groups at Doorways

Adolescent Eating Disorders IOP for ages 13-18

This ED IOP is 3 days per week, a total of 10 hours per week.  Open enrollment, join any time.

Anxiety Disorders/OCD IOP for ages 13-17

For those adolescents who suffer with the effects of OCD and severe anxiety in their lives, this IOP will be of great benefit towards overcoming their symptoms. 

DBT Skills IOP for ages 13-17

The DBT Skills IOP program gives adolescents the tools they need to have successful relationships and boundaries. DBT is a highly interactive skills-based group program. It's not a program where you just sit.

DBT 101 - Skills Group for Teens Ages 13-18

DBT 101 is a psychoeducational group for teenagers age 13-18.  This group focuses on teaching healthy coping skills through mindfulness strategies. DBT has an "open door" policy; you may join at any time!

If you know anyone who may benefit from any of our group programs, please don't hesitate to give us a call at 602.997.2880.

We are also contracted with Aetna, Blue Cross Blue Shield, Cigna, and United Behavioral Healthcare for our IOP's. 

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