Suicide is the act of someone taking their own life and is often closely intertwined with depression and substance abuse. In 2019, the CDC reported that foul play ranked as the tenth leading cause of death across the United States. For people between the ages of ten and fourteen, fifteen and twenty-four, and twenty-five and thirty-four, suicide ranked as the second leading cause of death. It was preceded only by accidental injuries.1
foul play rates have shown a dramatic increase over the past two decades, seeing a 30% rise between 1999 and 2020. Moreover, while suicide rates have seen small decreases over the past two years, there were still 45,855 deaths from foul play in 2020 alone.2
Unfortunately, suicide and addiction often seem to go hand-in-hand. The Substance Abuse and Mental Health Services Administration (SAMHSA) found that in 2011, approximately 230,000 emergency department visits were the result of drug-related suicide attempts. Nearly all of those emergency department visits involved the use of over-the-counter medications or prescription drugs.3
SAMHSA has found that alcohol and drugs often play significant roles in suicide deaths:3
There are two main reasons why alcohol and drug addiction may co-occur so frequently with suicide.
Most substances that distract someone from internal turmoil work by acting on the central nervous system, which slows brain functioning. While short-term substance use may contribute to relief and even euphoria, in the long term, people often find themselves struggling with compounded depressive effects.
Secondly, alcohol and drug use contribute to increased disinhibition, making it easier for people to follow through on ideas that they would not do when sober.
Numerous factors may place someone at higher risk for both substance use disorders and suicidal ideation (thinking) and behaviors.3
Research suggests that at least 50% of suicides are related to depressive and other mood disorders. At the beginning of the 2000s, the leading causes of unnatural death worldwide were depression (30%) followed by substance use disorders (18%).4 Inversely, research has also found that 15% of people with depression, 15% of people with alcohol addiction, and 10% of people with opiate addiction will likely die by suicide.5
These numbers are not altogether surprising, considering the toxic and cyclical relationship between mood disorders, substance use disorders, and suicide. Someone experiencing a mood disorder, like depression, may find themselves struggling to cope with their overwhelming feelings of sadness, emptiness, loss of enjoyment, and fatigue.
Substances like alcohol, cocaine, amphetamines, and marijuana may be seen as methods to temporarily transport people to a more enjoyable and, at times, euphoric state. This solution, however, is short-lived. With extended use, many substances elicit depressive symptoms aside from pre-existing mental conditions, which can make the original depression harder to treat.
It is important to note that many people who struggle with drug addiction and substance abuse may never experience suicidal thoughts or behaviors, just like many who struggle with suicidal ideation may not develop substance use disorder. However, it seems several risk factors make certain populations more vulnerable to a dual diagnosis of suicidal ideation and SUD.
People who are at increased risk of co-occurring suicidal ideation and substance abuse include:
Dealing with both addiction and foul play ideation can feel daunting and scary, but there is hope. With help, anyone can overcome this dark period in their life. Read on to learn more about treatments for foul play ideation and substance use disorder.
If you are struggling with a dual diagnosis of substance use disorder and suicidal ideation, it is essential to treat both disorders. Because drug addiction is a risk factor for suicidal thoughts and vice versa, leaving one disorder untreated makes it easier to fall back on habits that trigger a relapse. Taking a combined approach of treatment for suicide prevention and treatment for drug addiction or substance use disorder is often essential to preventing relapse and helping on the road to recovery.
The National Institute of Health suggests therapy can be highly effective in treating co-occurring SUD and suicidal thoughts and behaviors.6
One widely used therapy is CBT or cognitive-behavioral therapy. CBT helps people gain greater awareness of their patterns of thoughts and beliefs, so they can replace negative systems of thinking and behaviors with more positive ones. Dialectical behavior therapy (DBT) is another popular therapy that teaches mindfulness, emotional coping, and communication skills to help patients manage intense emotions and control impulsive behaviors.
If you are looking for help treating teen suicide or adolescent suicidal behavior, therapies like brief strategic family therapy, multidimensional family therapy, and multisystem therapy may be helpful. Other beneficial therapies may include contingency management and assertive community treatment.6
Education and support are critical components of suicide prevention. Learning to recognize the signs that someone may be considering foul play is essential to take preventative action.
People contemplating suicide may find it challenging to socialize and begin to withdraw from relationships and activities they once enjoyed. This behavior makes the individual feel even more isolated. In these moments, support and friendship can become vital lifelines.
Currently, the FDA has only approved one drug (clozapine) for suicide reduction for patients with schizophrenia. However, many substances used to treat depression are also used to target depressive symptoms that contribute to suicidal thoughts and behaviors.
When it comes to drug addiction and alcohol addiction treatment, care providers may prescribe one of several medications to help reduce cravings and control withdrawal symptoms. It is vital to make sure your care provider is aware of both aspects of the dual-diagnosis to prevent potential drug interactions.
If you or a loved one is struggling with suicidal thoughts, seek support immediately. You do not have to go through this alone. Below are a few of the resources that many have found helpful in moments of crisis.
We’re committed to fostering unbroken recovery. We provide treatment for addiction and dual diagnosis that is both life-long and life-changing. At Stages of Recovery, our continuum of care helps individuals struggling with addiction become the people they were meant to be.
If you’re looking for a safe recovery program for yourself or someone you know, there is hope. Call us today.
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Cari has worn a variety of hats before coming to Stages of Recovery – in a past life, she was in advertising sales, association management, corporate event planning and property management. Hailing from West Texas, Cari grew up in Midland before attending Texas Tech University. Always creative and an over-achiever, she graduated magna cum laude with a BA in Advertising before moving to Florida for the next seven years. A true Texan at heart, Cari returned to the Lone Star State and pursued a career in property management where she earned national designations in leasing, apartment management and obtained her real estate license. In 2015, she met Stages of Recovery owner Stephen Medley by chance. Recognizing her style and resourcefulness, he challenged Cari to head up the renovation of the men’s Transitional Housing properties in Lubbock and Waco (check them out – they look pretty great if we say so ourselves!). Given her knack for organization and execution, the Stages family officially welcomed Cari in 2020 to assist behind the scenes in administration, operations and marketing – she’s here to make us look good! In her spare time, Cari’s pastimes include cooking, interior design and doting on her Scottish Folds – Birdie and Apollo.
Words to Live by:
“Why cope when you can eliminate?”
Jarrod is from Abilene, Texas where he graduated from Abilene Christian University with a BS in environmental science. There he began the journey that ultimately led him to Stages of Recovery. Jarrod was ruled by the disease of addiction for over 8 years and is now coming up on four years of sobriety. He currently resides in Waco where he found sobriety, peace, freedom, and purpose. Jarrod has worked with kids for the majority of his adult life as an outdoor instructor/guide, as well as recreation staff at countless camps across the US including Texas, North Carolina, and California. In addition to providing support at our Transitional Living community in Waco, Jarrod works as a recreation therapist at Waco Center for Youth where he mentors at-risk youth. He also moonlights as a Disc Jockey all around Texas.
“I chose to work in recovery because it saved my life. I connect with the guys that come through Stages. The same goes for the kiddos at WCY. I know the feeling of hopelessness and I hope to continue helping others out of that pit. The way of life afforded me through sobriety is something I hope to continue to give back to others as long as I am alive.”
Favorite Quote:
“I Understood Myself Only After I Destroyed Myself. And Only In The Process Of Fixing Myself, Did I Know Who I Really Was.” Sade Andria Zabala
Jordan graduated from the University of Colorado in 2012 with a Bachelor’s degree in finance. He joined Stages of Recovery in July of 2020, and has been in active recovery since October of 2018. Jordan was born and raised in Waco, TX. He strongly believes that working with Stages of Recovery adds purpose and meaning to life, and is one way to pass along that which was freely given to him – the opportunity to live a fulfilling life. Stages has entrusted Jordan with several responsibilities including assisting the transitional housing team at the men’s property in Waco, admissions and working as a mentor and accountability partner to men and women in our facility as part of Stage’s Client Development program.
Seaver is a certified recovery coach and has worked in the treatment industry for over four years. He was born in Irving, TX and was raised in Grapevine. Seaver has been celebrating sobriety since 2015. He’s highly active in the Waco recovery community as a 12-step sponsor and mentor, and has helped found Waco’s first DAA (Drug Addicts Anonymous) meeting. As Chief Client Relations Officer and Lead House Manager at Stages Waco, he works directly with clients on a daily basis, providing them guidance, structure and accountability while helping them develop the coping skills necessary to achieve long-term sobriety. Seaver has completed coursework at Tarrant County Community College, Texas Tech University, and Schreiner University). In addition to working for Stages, he’s a proud son, brother, uncle and dog-dad.
“My ‘why’ is simple. I want to make a difference. God has allowed me to become a voice for the voiceless. Being able to advocate for other addicts/alcoholics like myself and using my past experiences (good and bad) to help them is the bright spot of my life.”
Favorite Quote
“A man’s greatness is not measured by his ability to rise for one shining moment, it is measured by his capacity to remain standing while mired in darkness.” Steve Richardson
Lora heads up the Stages Transitional Living Women’s House in Lubbock as a live-in House Manager. She brings three years of recovery and a deep passion for helping women pursue their own journey of recovery. Originally from Amarillo, TX, she lived there her entire life where she married her highschool sweetheart – they have four children and six grandchildren. In 2017 she moved to Lubbock to begin a residential treatment program. While there, Lora graduated from the facility’s Mentor Program as a support peer. She continued that supportive role as she transitioned to Gina’s House, an all-female sober living program. Soon, she became a House Manager and Senior Peer Advisor where she offered leadership and support to women entering sober living for the first time. In 2019, Stages was seeking a Women’s House Manager and the Director of Gina’s House personally recommended Lora for the job. In her time at Stages, it’s clear that “Mama Lo” earns respect through her dedication and approachable nature at our women’s house. In 2020, she obtained her Certification for Trauma Support Specialist and wishes to pursue further education in trauma counseling to continue helping women in recovery. In her spare time, Lora enjoys crafts, crocheting, jigsaw puzzles and crosswords.
Matt obtained his bachelor’s degree in Addiction Counseling in 2017 and his master’s in 2020 in the same area of study. In 2020 Stages of Recovery welcomed him as an intern which quickly turned into a part-time then full-time position, assisting with groups and transitional housing at the men’s properties in Lubbock. Matt began his journey in counseling because he wanted to help people struggling with the disease of addiction, by being a role model and helping them realize the potential they have in recovery.
Seeing people succeed in recovery and change their lives for the better fuels Matt to continually offer support and leadership to the recovery community here at Stages.
“I have experienced the joy and peace that comes with sobriety and want to share that and show others that there is a way out of the darkness that is addiction.”
Favorite quotes:
“Pain is certain, Suffering is optional.” Gautama Buddha
“Don’t compare yourself with other people; compare yourself with who you were yesterday.” Jordan Peterson
Dustin is in long-term recovery and has been sober since May of 2011. He is from San Antonio, TX and is married to his lovely wife, Emma. They moved to Lubbock, TX where Dustin attended The Center for Collegiate Recovery Communities at Texas Tech University. Upon Emma’s graduation from Texas Tech in May of 2018, they relocated to Moore, OK, where Dustin graduated in 2020 with his bachelor’s degree in Social Work and recently achieved his master’s degree in Social Work from The University of Oklahoma. Dustin is also the recipient of the National Collegiate Recovery Student of the year award in 2019 for his tireless work building a recovery space on campus for students. Dustin was also the BSW student of the year in 2019 as well as a two-time recipient of the Anne and Henry Zarrow Social Justice Award for 2020-2021. Dustin has sat on numerous boards of directors in the Oklahoma community. His passion, education and ability to help others gain a life of purpose and meaning are just a few reasons why we are excited to have him on our team!
Mechie went through Stages of Recovery 10 years ago with the dream of one day obtaining a degree and providing for his daughter. He had his daughter at five months sober and started working as a janitor at Texas Tech University in 2011. After discharging from Stages of Recovery, Mechie received a scholarship at Texas Tech and The Center for the Study of Addiction and Recovery. Not only did he receive his Bachelor’s degree from Texas Tech, he pursued his Masters in 2014. Mechie has committed his life to helping others and lives by the motto that he doesn’t care about their feelings, he cares about their lives. His humble roots, passion to help others, and commitment to being his best self is what we at Stages of Recovery embody! We are ready to make shock waves in recovery with this guy!
Tommy was raised in Tulia, Texas and is married to his first love, Rosalind. They are volunteers for the state of Texas’ program called “Twogether in Texas”, where engaged couples undergo an eight hour workshop. They dedicate their time as a couple to marriage ministry and outreach in the community. Together they have six children and twelve grandchildren. Tommy has been with Stages of Recovery since 2018. He has a Master’s in Addictions Counseling. He is currently in the process of obtaining his LPC Associate and LCDC licenses. Tommy began his recovery in December 2001. He’s driven to give back to the recovery community after seeing so many friends and family who suffered from addiction lose their lives. His journey hasn’t been easy and if he can help the next man, woman, boy or girl choose a different path than he did, it fills his heart with joy.
Favorite Quote
“The true test of a man’s character is what he does when no one is watching.” John Wooden
Stacy has worked in various positions as psychiatric support staff and administration before going to nursing school. After nursing school, she worked for a Level I Trauma Center in the Emergency Department. She realized how many people suffer from mental health and substance use disorders and felt compelled to return to school to become a PMHNP. In addition to working for Stages, she also has a private practice seeing patients with dual diagnosis. She provides extensive care through evaluation, diagnosis, treatment with medication as well as supportive therapy. Stacy has been in recovery since February 5, 1997. The 12-step rooms in Lubbock and the relationships found in them have been the foundation of her recovery. She grew up in Plainview and lived in Lubbock for many years where she pursued her BSN and MSN at Texas Tech University Health Science Center. Stacy has a deep appreciation for West Texas – it’s part of who she is. She currently lives on a ranch outside of Waco with her husband Larry, of 20 years. They have a daughter and two granddaughters, and a son who is attending Texas Tech University.
“I felt like God was always calling me to work in mental health, but after I got into recovery, I knew. I love my work and I especially love working with college age patients. If I can make a difference in one person’s life, it has all been worth it!
Steve Richardson is a husband, father, and grandfather. He is also a man in long-term recovery and has a son in recovery as well. Through this journey, few would find it difficult to relate to Steve, making him especially adept at developing relationships with clients and their families. Recovery is so central to his life, that at the age of 52, Steve closed a successful consulting firm and returned to school to become a licensed clinical social worker, as well as a licensed chemical dependency counselor. His education includes a BA in Literature from Texas Tech University, a BS in Psychology at Tarleton State University and a MA in Social Work at the University of Southern California. Along with his extensive education, degrees and training, he brings 50+ years of life experience to every individual, family and group session. Steve believes that no one’s illness should dictate the quality of their future and that their pain and struggle are real. Every addict’s life matters and there is always hope. In other words, no one’s future is carved in stone. His certainly wasn’t.
Favorite Quote
“There are only two ways to live your life. One is as though nothing is a miracle. The other is as though everything is a miracle.” Albert Einstein
Stephanie moved from her hometown of San Antonio to Lubbock, TX in 2011 to begin a long journey toward self-growth and healing. She graduated from Texas Tech University with Bachelor degrees in Psychology, and Science in Human Development and Family Studies. After a year of work in the chemical dependency field, Stephanie went on to graduate with a Masters in Couple, Marriage and Family Therapy (with a focus in Addiction in the Family) in 2018. After receiving support from countless loving individuals during her struggle with mental illness, it has been Stephanie’s mission to extend the same level of compassion and care to her clients. She believes counseling is a way for individuals, couples and families to share their experiences and pain, and find ways to transform their darkness into light. Stephanie is especially interested in working with adolescents and adults struggling with addiction and substance abuse, at-risk populations, and couples/families. She works from a systemic perspective with all clients; meaning she gathers information about all areas of an individual’s life to assess needs and the effects that each area may have on the others. Looking through a systemic lens offers the ability for individuals to create lasting transformations through self-awareness about their unmet needs in multiple areas. In her personal life, Stephanie spends most of her time with my husband and their five goofball dogs. She’s a PokemonGo, Disney, and Taylor Swift enthusiast and she enjoys creative outlets including make-up artistry, painting and interior design.
“Mel” is originally from Angeles City, Philippines. He graduated from Lubbock Christian University with a degree in Social Work. One of the newest clinicians to join Stages in 2020. Mel has over 20 years in Residential inpatient services and is known for his willingness to go above and beyond for others. He is skilled in Mindfulness and serves with a true heart of service. Like many, Mel has had many experiences and challenges in his life that have equipped him to keep pushing forward. These experiences allow him to make deep and meaningful connections with those he helps. When working with clients, he champions the mindset that every human needs three things: TO BE HEARD, TO BE SEEN, AND TO HAVE A SENSE OF PURPOSE. Mel’s motto in life is simply to “Be you” and to not allow anyone or anything to deter you from this.
Favorite Quote
“Be like water making its way through cracks. Do not be assertive, but adjust to the object, and you shall find a way around or through it. If nothing within you stays rigid, outward things will disclose themselves. Empty your mind, be formless. shapeless, like water. If you put water into a cup, it becomes the cup. You put water into a bottle and it becomes the bottle. You put it in a teapot, it becomes the teapot. Now, water can flow or it can crash. Be water, my friend.” Bruce Lee
Averie is a graduate from Texas Tech University with her Bachelors of Social Work in 2018 than in 2020 with her Masters of Social Work. Averie has been working within the area of addiction and recovery since August of 2018 when she started her Bachelor of Social Work field practicum with Stages of Recovery. Averie decided to work with addiction and recovery because of her passion for seeing people better themselves. Averie believes everyone can change, and she shows a clear love for being part of the process and empowering individuals along the way. Averie has been in recovery herself since October of 2017. She has two adorable dogs, Rockie and Chewie. In Averie’s free moments, you can catch her spending time with her partner, watching reality TV, or playing video games.
“I love to get in the trenches with the people that I work with, fight with them for their change. I believe anyone, no matter what they have been through, has the ability to overcome.”
Ashley Loveless, Licensed Master Social Worker, earned her Bachelor of Arts and Sciences in Social Work and Spanish from Texas Tech University in 2014. Ashley proceeded to obtain a Master of Social Work from Our Lady of the Lake University in 2017. Ashley has been a licensed and practicing LMSW since 2014 and has worked in many private and non-profit sectors including administrative roles, hospice roles, sexual assault counseling, sex-trafficking rescue/counseling, and mental health. She began her career as a Correctional Mental Health Social Worker at Montford State Psychiatric Prison/Hospital in Lubbock, TX in 2014. She has been employed part-time with Stages of Recovery since February 2019 as a Mental Health Counselor, co-leading early recovery groups and taking on individual clients. Ashley works full-time at Hospice of Lubbock as a medical social worker. Ashley and her husband Paul, have four daughters, Sophie, Harper, Sawyer, and Bowen and a dog named Lincoln. Ashley enjoys traveling, yoga, baking, and adventure.
Lynn has been an LPC for nearly eight years. By volunteering at the Greater Dallas Council on Alcohol and Drug Abuse, she became interested in addiction and recovery. Her practicum in graduate school included working with veterans and women in recovery through art therapy techniques. Lynn is a member of the National Association of Alcoholism and Drug Abuse Counselors and the West Texas Counseling Association. Along with her Marriage and Family Master’s degree, she holds a Master’s degree in art therapy. Lynn’s unique background allows Stage’s clients to introduce and foster creativity throughout their personal recovery. Lynn is a former classroom teacher, grades 1-8. She is certified in all-level art and counseling.
Favorite Quote
“Imagination rules the world.” Napoleon.
Melissa currently works as a Licensed Chemical Dependency Counselor-Intern and as the Administrative Director at Stages of Recovery. Along with working at Stages of Recovery, she works with adolescents in the Parent Empowerment Project. She has worked in the recovery field since 2015, with a focus on substance use disorder and helping families heal. She pursued work in addiction because of her academic, professional, and community involvement, as well as her personal experiences. Melissa’s work has allowed her to dive deeper into the field of addiction and recovery and to expose her genuine love for the betterment of other’s lives. Currently, she is a doctoral student at Northcentral University and pursues her degree as a Doctor of Philosophy in Marriage and Family Therapy. Melissa received her bachelor’s degree in Community, Family, and Addiction Sciences at Texas Tech University and her master’s degree in Couple, Marriage, and Family Therapy at Texas Tech Tech. She was a member of The Center for Collegiate Recovery Communities at Texas Tech University.
“It takes one person to believe in you.”
A Pennsylvania native, Anthony left home when he was 21 during an active addiction – he thought he had it all figured out. Anthony moved from Wyoming to Montana to Colorado. His addiction progressed, causing him to neglect priorities like relationships, rent, and job opportunities. Eventually, Anthony found himself homeless and broken spiritually, emotionally, and physically. Anthony researched a treatment center in the Dallas area that was able to fly him down to Texas. He was a client there for 57 days. While at treatment, Anthony heard of The Door Sober Living and the recovery that Lubbock had to offer. Anthony took a greyhound to Lubbock and in 2012, Anthony stayed at The Door for six months before moving out. Without The Door’s accountability and structure, he fell back into addictive behavior for several months. Anthony checked into the Ranch at Dove Tree, where he stayed for 30 days. Upon successful completion, Anthony returned to The Door Sober Living on May 19, 2013. This time, Anthony signed a one-year agreement and expressed great willingness to maintain sobriety. In July 2014, when a previous house manager moved in with his fiancé, Anthony was asked to step up and take on his duties. This then, Anthony has grown into the Client Relations House Manager. His continued dedication to recovery and belief in the Stages of Recovery program as a whole led to an opportunity in 2017 to become the fourth owner of Stages.
Stephen “Medley” is the founding owner of Stages of Recovery, Inc. and The Door Sober Living Community. A visionary with a passion to help those in recovery, he saw a need in the community and decided to take matters into his own hands. Medley has over twenty years of recovery time. After getting clean at the age of nineteen, he knows firsthand how to show many of our younger clients that it is still possible to have fun in recovery. Medley graduated from Texas Tech University as a member of the Collegiate Recovery Community at the Center for the Study of Addiction and Recovery with a bachelor’s degree in Business Administration. Medley is the leader of the company and an inspiration to all staff members. Medley understands the power of knowing why; why we made poor decisions and the importance of knowing and remembering why we don’t want to make them again.
“I’m passionate about helping individuals realize and reach their dreams by focusing on their WHY.”
Stephen O’Dell has been with Stages of Recovery for over 12 years. He has served in many roles as the company has continued to grow. He is currently one of the owners and the CFO. He also does direct business development and admissions for those in need of services. Stephen’s time with Stages began when he was a client learning how to live his new life in Recovery. He began his journey at the young age of 18 with big dreams and goals. Stages of Recovery provided him with the tools, guidance, and community needed to build a life worth living. Stephen later achieved his bachelor’s and master’s degree in Personal Financial Planning in 2016 and 2017 from Texas Tech University, with the help of a scholarship from the Center for Collegiate Recovery Communities (CRC). He went on to get his CFP® Mark (Certified Financial Planner) in 2018. Stephen’s unique personal and his extensive professional experience makes him a great fit to help you and your family navigate the complicated process of finding help for your loved one in need.
Many people think of Wealth as a monetary value. O’Dell defines Wealth as “The relentless pursuit of a desired lifestyle, and the strategic maintenance of that lifestyle”- Stephen O’Dell. With the help of Stages you and your family can begin to define what your goals are and begin the process of healing together.
Cole and Medley founded The Door Sober Living Community together. Cole is the details behind the program. As Program Director, he conceived and implemented The Door concept and has written multiple grants for this program and others. He is talented at blending the nature of business practices into the field of social services. Cole was born and raised in Lubbock and has been in recovery for over ten years, proving that you can get clean in the same town you live in. He is a proud graduate of the Lubbock County Drug Court program and advocates that Drug Courts work. He holds a Bachelor’s and Master’s Degrees in social work from Texas Tech University. Cole has an inspirational wife, Veronica, and two beautiful children, Eliana and Wyatt. His focus in the company is to make sure that the activities stay true to the spirit of recovery and the mission and vision of the company.
“I’m passionate about guiding people out of their mental sense of lack and into freedom.”
Stephen “Medley” is the founding owner of Stages of Recovery, Inc. and The Door Sober Living Community. A visionary with a passion to help those in recovery, he saw a need in the community and decided to take matters into his own hands. Medley has over twenty years of recovery time. After getting clean at the age of nineteen, he knows firsthand how to show many of our younger clients that it is still possible to have fun in recovery. Medley graduated from Texas Tech University as a member of the Collegiate Recovery Community at the Center for the Study of Addiction and Recovery with a bachelor’s degree in Business Administration. Medley is the leader of the company and an inspiration to all staff members. Medley understands the power of knowing why; why we made poor decisions and the importance of knowing and remembering why we don’t want to make them again.
“I’m passionate about helping individuals realize and reach their dreams by focusing on their WHY.”
