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Kratom and 7-OH: What You Need to Know About This Emerging Opioid Risk

Kratom Image

Kratom is a leafy plant belonging to the coffee plant family, named Mitragyna Speciosa, native to Southeast Asia. Tea, tonics, capsules or pressed tablets have been consumed for a long time in certain countries in Asia and have been available in the US as supplements with psychoactive properties.


The leaves contain multiple substances with activity on human serotonin, dopamine, adrenergic and opioid receptors. Depending on the dose ingested, activity on these receptors can produce stimulant-like effects or opioid-like effects. Mitragynine and 7-hydroxymitragynine (7-OH) are those components of the Kratom leaves that bind to the opioid mu-receptors, just like classical opioids (such as morphine) do.


Read more about Kratom on our recent blog post written by Delia Cimpean Hendrick MD, Psychiatrist, WestBridge’s Medical Director.


Monthly Resource Tip

Earth Day Image

Earth Day presents an opportunity for a short, structured outing that supports both recovery and community engagement. For individuals in mental health or addiction treatment, the most effective activities are those that combine movement, purpose, connection, and low pressure. A simple environmental project can provide a sense of contribution while also encouraging reflection and mindfulness.


Here are a few suggestions for outings that support Earth Day and Mental Health

  • A local park or trail cleanup combined with a nature walk.
  • Planting trees or pollinator plants in a community garden or public green space.
  • A community garden volunteer session.
  • A riverbank or neighborhood cleanup.


Staff Spotlight - Haley Monkton, MLAD, CIOP/PHP Clinical Manager

Haley Monkton

Haley Monkton, MLADC, is a Master Licensed Alcohol and Drug Counselor and pre-licensed Clinical Social Worker with a decade of experience in behavioral health and substance use disorder treatment. She currently serves as PHP/IOP Clinical Manager at WestBridge, where she oversees a team of dedicated professionals in both of the organization's day programs. She has worked at WestBridge since May 2025.


Haley previously supported individuals with co-occurring addiction and mental health challenges in residential, primary care, emergency department, and outpatient settings. She holds a Bachelor of Arts in Psychology from Keene State College and a Master of Social Work from Boston University. She has also served as a behavioral health intern with Lowell General Hospital, where she gained valuable experience in treating individuals in every life stage. 


Drawing from Rogerian principles, Haley approaches all interactions with unconditional positive regard, empathy, and genuineness, creating a space where individuals feel valued and supported in their growth. She has a deep passion for promoting emotional wellness and reducing stigma through compassionate care. 


In her new Clinical Manager role, she is enjoying the challenges that come with helping to build a new Partial Hospitalization Program and continuing to enhance the foundation of the existing Intensive Outpatient Program. She is committed to thoughtful program development and creating systems that support both staff and participants in achieving positive outcomes.


man playing guitar

Resources


April is Alcohol Awareness Month and Stress Awareness Month, it also includes National Alcohol Screening Day and Earth Day. Please find some resources below that can help educate and raise awareness.


Alcohol Awareness

National Alcohol Screening Day


Alcohol Use and Your Health


Alcohol Awareness Month: Know the facts about alcohol use and abuse


Alcohol Awareness Month 


Alcohol FAQs


Screen and Assess: Use Quick, Effective Methods for Alcohol Use


Check Your Drinking. Make a Plan to Drink Less


The AUDIT (Alcohol Use Disorders Identification Test) Screen


Alcohol Use Screening Tests


Stress Awareness

I’m So Stressed Out! Fact Sheet


Resources for Mindfulness & Managing Stress


Stress effects on the body


Understanding the stress response


Stress symptoms: Effects on your body and behavior


Earth Day

Sour mood getting you down? Get back to nature


Nature’s Therapy: Exploring the Mental Health Benefits of Urban Greenery


Nurtured by nature


Nature as Healer: How Spending Time Outdoors Improves Mental Health



“…The counselors were very perceptive and picked up on body language, facial expressions and even silences, so that an issue could be explored in more depth. They went out of their way to help our son; for example, driving him home to deal with a water-filled basement.”

An Appreciative WestBridge Parent (CIP)

Easy Raspberry and Pecan Bread

with Honey Ginger Cream Cheese

raspberry and pecan bread

Recipe courtesy of a WestBridge staff member


Yield: 8 servings (1 standard loaf or 8 mini loaves)

Prep Time: 10 minutes

Bake Time: 50–60 minutes (standard loaf) or 20–25 minutes (mini loaves)


Ingredients

  • 1 1/2 cups all-purpose flour
  • 1 cup granulated sugar
  • 1/2 teaspoon baking soda
  • 1/2 teaspoon Kosher salt
  • 1 1/2 teaspoons ground cinnamon
  • 3/4 cup chopped toasted pecans
  • 2 large eggs
  • 3/4 cup olive oil
  • 1 cup fresh raspberries

 

Optional substitution: Replace raspberries with sliced strawberries or blueberries.


Instructions

  • Preheat oven to 350°F. Lightly coat a standard loaf pan or 8 mini loaf pans with cooking spray.
  • In a large mixing bowl, combine flour, sugar, baking soda, salt, cinnamon, and pecans. Stir until evenly blended.
  • Add eggs and olive oil. Mix until fully incorporated and a smooth batter forms.
  • Gently fold in the raspberries, taking care not to overmix.
  • Pour batter into the prepared pan(s), spreading evenly.
  • Bake:
  • Standard loaf: 50–60 minutes
  • Mini loaves: 20–25 minutes
  • Check for doneness by inserting a toothpick into the center; it should come out clean.
  • Allow bread to cool in the pan for 5–10 minutes, then remove and transfer to a wire rack to cool completely.


This loaf recipe freezes well. Serve with butter and jam or plain or flavored cream cheese.


Honey Ginger Cream Cheese


Ingredients

  • 8 oz cream cheese, softened
  • 2–3 tablespoons honey (adjust to taste)
  • 1–2 teaspoons freshly grated ginger
  • 1/2 teaspoon pure vanilla extract or maple syrup
  • Kosher salt to taste


Instructions

1.     Place softened cream cheese in a bowl and mix until smooth.

2.     Add honey and blend until fully incorporated.

3.     Stir in ginger gradually and taste as you go, you want the ginger to be tasted but not overwhelming. Ginger can vary in strength dependent on a variety of factors.

4.     Add vanilla and a small pinch of salt to balance sweetness.

5.     Optional: Whip for 1–2 minutes



Printable Recipe


From Stress to Better Habits: Understanding the Mind-Body Connection

Image of Blocks that say stress

Stress is something nearly everyone experiences, yet many people underestimate how deeply it affects both the body and mind. Research from organizations such as the National Institute of Mental Health, American Psychological Association, Harvard Medical School, and Mayo Clinic highlights several surprising and important insights about stress and health.


One of the most important observations is that stress itself is not always harmful. In small doses, it can actually be useful. Stress is the body’s natural response to challenges or demands, and a small amount can motivate people to meet deadlines, solve problems, or react quickly in dangerous situations. The problem arises when stress becomes constant and the body’s stress response never fully shuts off.


When a stressful situation occurs, the body activates what scientists call the “fight-or-flight” response. Hormones such as adrenaline and cortisol are released, increasing heart rate, breathing, and alertness so the body can respond to a perceived threat. This system is designed for short bursts of activity, but when the system stays activated for long periods, it begins to strain many parts in the body.


Researchers emphasize how many different parts of the body stress affects. According to the American Psychological Association, stress can influence nearly every major body system, including the musculoskeletal, cardiovascular, respiratory, endocrine, digestive, and nervous systems. This explains why stress can show up in many physical ways that people might not immediately connect to mental health.


Stress symptoms may include headaches, muscle tension, fatigue, trouble sleeping, irritability, or difficulty concentrating for example. It can also influence behavior, leading to overeating, social withdrawal, or increased use of alcohol or other substances as coping mechanisms. Because these symptoms affect both physical health and daily habits, stress often impacts overall well-being more than people realize.

Another important insight from stress research is the difference between short-term stress and chronic stress. Short-term stress typically goes away once a challenge passes. Chronic stress, however, can last for weeks or months and can be a result of ongoing problems such as financial worries, workplace pressure, or relationship conflict.


Over time, this continuous strain can take a measurable toll on health.

Studies have linked chronic stress to increased risk of high blood pressure, heart disease, obesity, diabetes, anxiety, and depression. Long-term exposure to stress hormones can also affect the brain, potentially contributing to changes that influence mood, memory, and emotional regulation.



Another key point highlighted by mental health researchers is that stress and anxiety are related but not identical. Stress is usually triggered by an external cause, such as a difficult project or a conflict and again often goes away once the situation is resolved. Anxiety may remain even when no clear external threat remains. Understanding this difference can help people recognize when everyday stress may be turning into something that requires additional support.


Stress can often be managed through relatively simple lifestyle practices. Most people are familiar with what mental health experts frequently recommend. Strategies such as maintaining regular sleep, exercising, spending time with supportive friends or family, and practicing relaxation techniques, but the harder part is putting it into practice. Identifying stress triggers to start with can make a significant difference and often that is the first step.


Sometimes it's as simple as learning how to create better habits first so that when stress occurs, you can identify it and practice the new strategy immediately. Over time, the stress response will lessen or possibly even disappear with this new habit.  An example is that you get stressed by a particular family member coming to visit. Instead of taking a drink of alcohol, you instead create the habit of having a cup of chamomile tea and then going for a short walk prior to the family visit. Small habits are the easiest to create and the easiest to keep and maintain.


Book suggestion contributed by a WestBridge Staff Member

"One of my favorites tools is a book by James Clear called Atomic Habits. He also has a very helpful weekly newsletter with tips on creating and keeping better habits."


This Month's WestBridge Puzzle

WestBridge Puzzle Image


This month's puzzle was created from one of our own photos of the WestBridge Common's Living Room. Take a short break, reset your focus, and enjoy a few minutes of low-pressure problem-solving before jumping back into your day.


Current Availability


Direct admissions are available in all programs.


Levels of care include:



WestBridge now offers two Intensive Outpatient Programs, a morning IOP and an afternoon IOP. Individuals are able to attend programming in-person or virtually via Zoom. Additional flexible options will be available soon.


WestBridge’s Partial Hospitalization Program (PHP) provides structured, intensive mental health and substance use treatment in a supportive outpatient setting, five hours per day, five days per week for 4 – 6 weeks. Designed for individuals experiencing moderate to severe psychiatric symptoms, emotional distress or substance use disorders that interfere with daily functioning, and who require a higher level of care than traditional outpatient therapy but do not need 24-hour inpatient hospitalization. As such, PHP can serve as a step-down from inpatient care or a step-up from lower levels of outpatient support.


For more information: Call our admissions team at 1-877-461-7711, email inquiry@westbridge.org or connect with us at https://www.westbridge.org/admissions/.

 

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