Bianca D. McCall, LMFT (00:01.55)
Welcome to the Nostos brought to you by the Nevada Opioid Center of Excellence at nvopioidcoe.org. I'm your host with the NOS, Bianca D. McCall, asking you to subscribe, to like, and to comment to keep these conversations going. We are Nevada strong and saying no to silence as we fight the good fight to prevent these tragedies experienced by our loved ones, our families, our friends.

and communities impacted by the opioid epidemic. And we're back for season three. Help you help me. And during our last listening session, we addressed the emotional, the cognitive and the overall professional impacts of opioid related crises on those working in the field. And what I love about the NOS platform and the subject matter experts that we are so fortunate enough to work with is that

We beautifully integrate evidence-based frameworks with powerful and profound lived experience. In the kickoff our Help the Helper series, we discuss the invisible injuries of care work, and we added some language and perspective to compassion fatigue, secondary trauma, and moral injuries. And today's guests gave us Be Accountable, and it doesn't have to be Halloween to put your skeletons in the front yard.

Today we're joined by someone I have a deep respect for. Noce Dos, help me welcome Jules Crable, a peer support specialist, a community health worker with NAMI Western Nevada. Jules eats, breathes and lives this work. She's on the front lines in the rural Nevadas and where access is limited and the distance is daunting where sometimes you're the only one showing up. And what stands out about Jules is the way that

She transforms lived experience into genuine connection with the communities that she serves. She's brave and is vulnerable in sharing how she herself has navigated mental health challenges and substance use and suicidality and domestic violence. And instead of making excuses, she's chosen to serve and to create hope for change where it may be hard to find. Jules.

Bianca D. McCall, LMFT (02:24.138)
Welcome to the no-stos. How are you feeling today? And since the listening session, what's been happening in your world besides some gorgeous, unusually warm, but gorgeous spring weather?

Jewels Crable (02:28.11)
Huh.

Jewels Crable (02:34.864)
Hi, Bianca. Thanks so much for having me. I'm feeling good today. I'm happy to be back here with you. I get to spend a bit more time with you. I have just been trying to process everything that I heard from that amazing panel and the amount that I shared, the amount of vulnerability, right? It's one thing to be that vulnerable on a one-to-one phone call with someone or in a small group, but with an

sorry, my cat stepping on the computer, with an audience that large, you know, and I received a text from people that I knew afterwards. And so I've just really been sitting with that and processing that and recognizing the way I feel about having that kind of reach with vulnerability. And for me, it feels kind of like home, you know, it feels like a coming back to.

the real essence of who I am while recognizing everything it's taken to get me to be this person. So it was a really impactful experience for me.

Bianca D. McCall, LMFT (03:42.594)
Yeah, no, I loved that the level of impact and change was reciprocal and it was transferable, right? With regards to courage and for you representing, you were representing kind of the peer workforce, right? And for the folks with lived experiences that are supporting the entire continuum of care, right? For behavioral health services. And so it was such an incredible

incredible session. Your contributions were so uplifting and gave us such a perspective that lived experience and the professional lived experience or the letters behind the name, they have their unique contributions to the field, but it's that lived experience that really helps us to connect with the communities and helps us to relate in a way that

We could see that hope, that change, that health, that the health of wealth and wealth of health is possible. And so what an incredible, incredible session. I'm so excited to take a little deeper dive with you here today. And Jules, you painted a very real picture of what it means to do this work in rural Nevada where people are traveling a hundred plus miles to receive

diagnoses after diagnoses, right? Depreciating hope. And it's the peers on the front lines that are still showing up every day. And when you're carrying that much stress and pressure and weight, right? And you're carrying that much, what helps you stay grounded and connected to the work without losing yourself in it or re-experiencing your own bouts with some some similar lived experiences and trauma?

Jewels Crable (05:39.087)
Yeah, great question. Thank you for that. I think for me, like I mentioned in the listening session, honoring the person's efficacy, their right to choose their path, but also really soaking in the wins and the joys and celebrating. I've got some people on the line that I say, okay, like I know this is a hard day. Also, I'm taking out my pom poms for you because we just got to stop for a moment.

and recognize that even though this is hard right now, you're doing better than you had a year ago when you faced this kind of situation. And so I think also sharing in the joy and not just all of the hardships and the struggles and really celebrating those wins. And then for me personally, I look for joy everywhere, right? Like my dad taught me that happiness is to some degree a choice.

And so even though like on the days I wake up and it's hard, decide I'm going to make today as best as I can. I'm going to find all the joy I can. If it's a caterpillar on a leaf or a sunset, you know, that's kind of what helps create balance for me. And I try to also impart that to the people I work with, right? Like I know things are hard and we can look around and find something that makes us feel connected to this earth, connected to our spirituality, whatever it may be.

and extracting the joy from those moments, I think is something that can serve us all well.

Bianca D. McCall, LMFT (07:12.607)
absolutely. I love that. love that. Looking for joy everywhere, celebrating the wins. And you also, this led into what the conversation during the listening session where you said, you know, try on the days that you can to whatever degree you can, and that's enough. Gosh, I can't tell you how much it blows me away. You know, internally, I think that we all have these thoughts of, you know, am I enough or these questions of am I enough and understanding that.

in our finest moments, it's the realization that yes, you know, I am enough. But to hear somebody else give you permission to take that position, you know, with yourself, that you are enough, that's incredible. It's an incredible, not just skill or talent, but virtue, right? To be able to look yourself in the mirror and be okay with the reflection or what's being reflected back at you. And in a field where

the demands that people have, right? Our demands are much higher than our supply of resources to be able to achieve and close these gaps, right? In terms of services. So when in a field where as a peer support specialist, as a paraprofessional or clinician throughout the continuum of care, when we're in a space where the demands on our energy, on our time, on our resources are often

more than what we have to give, how do we kind of shift culture so that helpers and healers don't feel like we're failing when we're actually doing the best that we can and we're doing some incredible work?

Jewels Crable (08:51.824)
Gosh, wow, if I had the answer to that, I should write a book, like a thorough answer, right? Let's see. I think that it takes a lot of personal work to keep that boundary and to understand that like, I don't actually wear a cape, right? Like I need to remember that. I'm no kind of superhero. Like I said in the listening session, I'm just another quote unquote messed up person.

Bianca D. McCall, LMFT (08:56.149)
the

Jewels Crable (09:22.06)
you know, and I say that towards myself with adoration and deep, radical acceptance, you know, because, while I have a habit of reaching for perfectionism, I, I can't, I won't ever get there. Right. And a hundred percent has to be more than enough from me. And it's, it's kind of also reflecting back the same thing of, you know, I can only do what I can do on the days I can do it. And really from there.

It's up to the other person. It's up to the peer to take that and do with it what they will. The places where it gets to me though, is the lack of resources, the lack of options. When you talk to someone and you're like, know, I quote unquote know exactly what you need. You know, here's the steps, here's the things you should do. And you get online and you look for resources for them. And it's like, well, there's just nothing in your area for that.

and, know, thankfully we now have really integrated this, you know, video conferencing thing in mental health. and still we've got a lot of people who resist that because it's not in person. It's not face to face. They haven't done it. They're not comfortable and they don't feel that they will be perceived properly. there's other people who just hate being on camera. Like this would be so uncomfortable for them.

And so coming to that brick wall, sometimes it feels like between, you know, the person's particulars of what they will and won't engage with at the level of need that they have. And also the lack of resources for the things that they, would engage with. I think that's where I get activated inside and it's not at the person it's at the system. It's at the shortcomings. And so I think, I think that.

Recently, I've been finding myself saying something, excuse me, to people on calls when they're like, I've been trying all these things, I've been doing all this stuff, and I'm not getting to where I thought I would with it. And I'm really trying all these things and nothing's happening. And I keep finding myself saying, I just gotta admit here that you're doing all the right things.

Jewels Crable (11:45.455)
And the issue isn't you. The issue is that we're all stuck in a broken system right now. And I have heard some people just like stop, go silent and take a deep breath because no one ever like in the field, it's like, we don't want to admit that, right? Like we say it to each other, but we don't really want to say it to clients or peers because we're here working, right? We don't want to say we're broken. but we need to recognize that like the weight of that isn't all on their shoulders.

Bianca D. McCall, LMFT (12:10.178)
Mm-hmm.

Jewels Crable (12:14.786)
It's not because they're not doing the things. It's because the system isn't supporting us the way that I think it should.

Bianca D. McCall, LMFT (12:23.103)
Right. man. So speaking of a broken system, you know, I can only imagine, you know, what it's like to be a consumer, a client, a patient in care of the system and to constantly be told that, you know, the system isn't set up for their success. And so, you know, to to balance that, you know, reality, you know, base perspective in in

And with the, this is your moment also to embrace this opportunity to be a champion of your own health and healing. You know, it's so difficult. I can only imagine what that's like for people in today's day and age engaging our systems. You know, there's also, there's some content out on the Netflix platform, which we are not sponsored by Netflix.

but, there's a, there's some content out. I forgot the name of the, I forgot the name of the movie, but it talks about, it talks about senior care services and it's actually based on, and they use Nevada, behavioral healthcare as, as the, orientation for, for this, this content. And, and I started watching it and I couldn't finish it because I got so upset, you know, at how

the older populations were being treated and exploited and things like that within, and this is a movie, this is a depiction, right? But the fact that they were saying Nevada, you know, it really just hit close to home and it forced me to kind of to look at exactly what you're talking about in terms of where we still having challenges, you know, and supporting.

the continuum of care, you know, in our systems. And what you're saying, it makes so much sense. And to me, this is something that I don't want people to miss, right? You're saying that there's an activation inside, right? So if environmentally and externally, there are not enough resources to support our communities and our people that in our care, then I love the fact that we have people like you that are

Bianca D. McCall, LMFT (14:41.581)
empowering folks to activate internal resources while we quickly build the plane in the air is what I've heard quite a bit in a lot of these meetings, right? While we quickly build the plane in the air for the environmental resources, if we are empowering people to activate those internal resources, then that's the best that we can do, right? That's a showing up and empowering people to engage in that personal work.

I love the language radical acceptance, right? And you spoke about this too in the listening session where finding purpose through the pain, you know, and also making the realization that no one can make decisions for someone else to change, right? But it's finding that purpose through the pain. And we talked about this, not turning the pain into something else.

but it's actually confronting, it's acknowledging, it's addressing, there's that radical acceptance, right, in order to transform and find purpose through the pain. You know, how, my question is, is how do you hold the line between, you know, wanting to help and knowing that you can't take the reins for someone else, right, but still showing up for people in those hardest moments, you know? How do you...

How do you hold that line so that you can activate those internal resources and radical acceptance while we build the system as quickly and efficiently as we can on the outside?

Jewels Crable (16:18.062)
Yeah, you know, I think of it makes me think of my own recovery from my addictions. And I realized that it was like I was climbing a ladder. Right. And there were these different rungs on the ladder and there wasn't like one professional person who made me wake up and decide to change my life. Right. It was a stack of these rungs that helped me like climb towards sobriety. And so I

I try to remind myself like I am, I am just one rung on their ladder, right? It's not all me. It shouldn't be on me. And I'm, I'm just a piece of that support for them. and I think that that helps me kind of stay in my lane a bit. and while I like wholeheartedly and in the moment with the person and at the end of the call or the meeting or whatever it is, like I sit with that and with them still energetically for a moment and just.

have to take the time to give that back to them before I move on to the next thing. Because otherwise at the end you're carrying everyone's everything, you know, by the end of the day. And so I try to just like visualize, all right, I'm going to leave that here now, that stays with this person. It is difficult though to keep that balance and to not let it dig in and affect my mental health, you know, and it did.

When I was first interning, I didn't have good boundaries in that way yet. And I cried after a lot of calls. And now I can feel it for them. I can breathe. I can hand it back and recognize that, you know, there's, there's more supports for them if they keep climbing the ladder.

Bianca D. McCall, LMFT (18:06.453)
Yeah. Gosh, and I would imagine, you know, that this is something that you have to do every single day and each individual case or circumstance is going to challenge that, challenge those boundaries, right? And I don't know, I'm thinking about, you know, the professional who's listening, who believes that they have, you know, pretty good boundaries with the work, but

I guess just kind of needs to hear, needs to see an example or use case of what happens when you think you have great boundaries and then you show up and there's a particular incident that just hits you different. And how do you adjust? How do you first go through that process of kind of like self-forgiveness that, I'm human, I'm not wearing the cape, as you said, and then be able to respond.

by reestablishing those boundaries. And I wanna share something personal with you, Jules. I recently had an experience in my family where there was a tragic critical incident involving suicide and involving assault and death. And for me,

in these spaces, my professional lived experience, and I've also got personal lived experience in the area. And for me, thought, you know, I have great boundaries. I have a great support system. I have my own therapist. A therapist is going to therapy, y'all, and all these things. But this particular incident during this particular season of my life and of my career, it forces me to...

to look at, okay, where are my boundaries? It's not so much boundaries with people, but it's boundaries with myself. How much of the work am I taking home? How much of the boundary am I crossing with work-life balance, with checking my emails late at night or responding to emails outside of business hours or on while I'm supposed to be taking time off or on the weekends. So for those professionals out there that feel like, look,

Jewels Crable (20:04.709)
Yeah.

Bianca D. McCall, LMFT (20:24.385)
I've got some experience, I've got some boundaries and usually I'm on when I'm on, but how do I prepare? How do I do self-forgiveness if and when circumstances pop up that throw me off my game a little bit?

Jewels Crable (20:44.686)
Yeah, right. And again, that reflects back to the radical acceptance, right? I think for me, what I've realized is it's easier for me to process that and forgive myself and accept it if I have called it out in the moment. Like if I'm on the line with someone and I feel myself activating and the focus shifting to me in my mind, I like to say it. Like, wow, that's really activating me. And it's kind of

taking me away from you and bringing you back to my own experience. So I just want to call that out with you and make sure, you know, to be transparent about it, because I don't want to make this about me. Your story is important to me. That helps me then process it later because I always feel better when I'm open and transparent with someone. Otherwise I, and also otherwise then if I don't do it, I've realized I stay in my mind about it. I'm then splitting my presence.

instead of being wholly present with the person. After the fact, think reflecting on, of course, right, like continuing our own internal work, why did this activate me? What was my reaction to it? And I think we should all have kind of a game plan, right? Like a safety plan kind of thing for when these moments happen because they're gonna happen to us. And if they don't, I'd...

I'd be concerned about the worker. If they never are impacted in that kind of way, I don't know how much they're really connected with themselves, let alone other people. So I think that just to finish that having a plan in place for people that we turn to and the steps that we'll take for analyzing the moment. And I think also like,

the recognition of modeling, right? I use this a lot for myself that I am trying to embody this vision of a person in recovery. And not in a way that puts a lot of pressure on me in a way that actually relieves the pressure because I don't have to be perfect, right? I don't have to be fully mentally sound all of the time. That's not expected of me in this role. And I love that about the culture of NAMI that we really

Jewels Crable (23:07.106)
support each other's issues. I know I took a kind of a right turn there, but.

Bianca D. McCall, LMFT (23:14.379)
No, well, I think it was the right turn, Jules, and pun intended, and this is why, is because I think what you've done and beautifully done is you've showed, you've identified how peer supports, I believe, can be integrated throughout the continuum of care and even as a support in postvention for our workforce, right? Because you've got professionals at

at different stages and different levels of care that are providing services and the experiences that we go through, what you described as being the embodiment of peer support, of peer services is leveraging that lived experience, being vulnerable in that lived experience and sharing kind of potential and possibilities and pathways to healing. That's something that

that we also need as the workforce, right? And so for that right turn, had my wheels turning on, gosh, this is where peers can really augment our existing systems. And especially when I'm thinking about postvention after critical incidents and how that impacts the entire system. And so since we're in this neighborhood, right, of all that peers are,

and all that peers can be. And really, I think exploiting the fact that all of how peers are being underutilized and perhaps misused in some systems. Okay, I'm gonna start a little controversy out there. Not doing it for the likes, but this is very real. So I wanna ask you about some things that we may all be thinking, but no one really talks about, Jules. So I want you to talk to me about

the peer work itself and how peer support is viewed and supported in Nevada's Behavioral Health Network and what's working with regards to how peers are viewed and supported and what needs more.

Jewels Crable (25:25.776)
Sure, yeah. you know, because I also, because I have a bachelor's in social work, I came into peer work with a little bit of a different perspective and I had to kind of mold that to fit, right? Because I'm gonna hold to my higher ethical standards of social work and I'm going to try and imprint that and infuse that into not just my work as a peer, but into the organization and those that I work with. I think that

Peer work, I love what you said about how this position could be used throughout the continuum care and postvention. I know we speak to a lot of people coming out of a mental health hold who are then returned home. Oftentimes on Fridays, which I don't understand when there's places aren't open, they can't even be setting up their appointments and feel like they're doing something. So we spend a lot of time with people just coming out of those situations.

And I think that because of what we do and because of the lower requirement for degrees and certification that we could be sprinkled everywhere and make a difference. My concern is that because we have that lower requirement of education and that we get paid less that we will be sprinkled into positions in order for companies to save money. And that of course

always will push us, mean, in this work, know, bosses and corporations, businesses are always wanting to move us forward into doing tasks that we aren't really qualified for. And so we need to watch for that. And I don't want peers to start replacing other valuables, valuable forms of helpers, community health workers, because, you know, we do a bit of that searching for resources as a peer.

It's another level as a community health worker and it's a whole nother level as a clinical professional and so I I fear that the more peers get start getting used that they'll be replacing other very valuable and important roles in order to save money and While it's great because it can give places with lower funding an option for support to bring peers in I think that

Jewels Crable (27:50.221)
that we just need to be mindful of that and what the role is. Because again, very valuable, but also I'm not a clinical therapist, you know. And so also internally, even though like I've had some of the schooling for these things, I also need to make sure that I'm not crossing that line. I'm not a social worker in this role. I'm a peer support specialist. And so it's like,

It's like a CBT or DBT. Like I know foundations and practices of that and I can implement those, but I cannot perform CBT or DBT with a client.

Bianca D. McCall, LMFT (28:27.703)
Yeah. What I love about what you said, because in most cases you go to someone and you say, hey, you know, what's working in your space, what's not working in the first thing that we hear is going to be, you you need to pay me more. I need to do more. I need to pay me more. And that certainly in arguably could have been what you came back with, Dules, because, you know, you're right, peer support specialists in terms of the

the fee schedule and the reimbursement rate, it's not that high. And you could have come back with that because, peers are being utilized in spaces where the work or the use cases are, it's basically like the work that other people within the agency don't want to do. And so you could have come back with that fire, right?

What you came back with, I love, is I see peers being sprinkled throughout the continuum of care, yes, but have that come with some training, right? And let's not have it be something that replaces other supports and other services that are necessary for, or that need to be aligned in terms of fidelity of services and care, but train us.

and then partner us, let's have it be a collaboration, so that we can bridge gaps throughout the continuum of care rather than replacing and trying to go for a play on the budget, anytime, mean, you're talking about money, you're talking about the budget, that's above my pay grade on the Nostos, but these are very real issues that I think are impacting how we scale our peer supports and then also community health workers and so forth.

Jewels Crable (29:59.789)
Yes.

Bianca D. McCall, LMFT (30:25.837)
So thank you so much for that thoughtful response. And again, I'm gonna just one more shameless plug. We need peers everywhere throughout the continuum of care, from leadership all the way to direct client services and supports, everywhere. We need peers everywhere. And I'm a huge proponent of education and training.

Jewels Crable (30:37.305)
Yes.

Bianca D. McCall, LMFT (30:52.365)
to be able to empower those peers, not set them up in a system that's still broken, right? In a system that is not set up for success. So I love that. Jules, will you please tell me and the listeners, how would they find you, Jules, for those that are listening and they want to connect and keep the conversations going?

Jewels Crable (31:01.891)
Yes.

Jewels Crable (31:14.69)
Yeah, so I can even email me at jewels at NAMI Western Nevada org. And if there's anything going on out in the rules that are community event wise where you think that it would be good to have pure representation there, I do outreach for NAMI as well. So I love going out to community events, meeting people, making that first impression and then trying to dig them right into.

a mental health conversation is always an interesting thing to try to do, especially out here in rural communities where sometimes they see the table and they turn and walk the other way. But I'd love to join anyone out at any events. So you can reach me at that email or you can reach me through NAMI Western Nevada. Our brick and mortar office is in Carson City. Yeah.

Bianca D. McCall, LMFT (32:08.653)
Awesome, awesome. And I'd love for you to talk more about what goes on with Naomi Weston-Ravatter and then also just kind of your role specifically and kind of what inspires you, motivates you in that role or to be in that

Jewels Crable (32:23.962)
Sure, yeah. So at NAMI Western Nevada, we have two lines that are running. Well, actually, a third one is about to be up and coming, started. So we've got the NAMI warm line where you can call and speak for 20 minutes to appear. Right now it's once a day. We did have some funding reductions, so we've had to cut back our hours on that. But I'm excited and grateful that we were able to keep it going. I know the team worked really hard to keep that line open and really grateful for that.

but we also have the teen text line where teens and young adults can reach in age 14 to 24, can text in and get live support from an actual human being. And there's no awkward silence because it's all through text. And so I love that line. I'm too old to work it, which is fine. I don't understand all the acronyms anyway. And it makes me feel really uncool when I did try working it.

We also will be having a senior support line starting soon that's going to be volunteer run to help impact more the loneliness epidemic and the isolation epidemic that seniors, especially in rural areas, feel. On top of that, we do all kinds of courses. We've got support groups. We've got mental health education. We've got things like the

the hearing lab, the hearing voices lab where we can come out and give a demonstration of what it's like to experience, you know, voices and associated with like schizophrenia. And I think that's really impactful for like workers and police force in order to understand how a different approach might be useful and what a person might be experiencing.

Bianca D. McCall, LMFT (34:01.675)
Yeah.

Jewels Crable (34:13.552)
So we've got so many options for ways to engage. We've got programs for high schools. We're just starting off, we're gonna be giving courses on how to kind of create an elevator pitch for advocating for yourself and whether that's through legislation or like school boards or whatever that looks like for you. So we've got a lot of ways to engage.

We also do our own community outreach events and fundraising events. We do a golf tournament. We do a walk and ride event in VC where now we can actually have like quads and other mountainous vehicles going as well as all of the walkers. So we are growing and just constantly looking at how we can connect with community and what those communities specifically need.

and then introducing them to the options that we have so that they can decide what suits their needs. And then we can supply them with that and help them build it.

Bianca D. McCall, LMFT (35:19.361)
That is so awesome. All of the things that you all are doing. And I see you out there. I see you out there at all the events and don't down your tables. You guys always have the best swag out there. And so one more time, you let people know who and how to get in contact if they want to volunteer? Because some of these initiatives, I would imagine...

those programs are gonna be only as strong as the amount of volunteers that are willing to go out there, get trained and be on the front lines with y'all. So how would a volunteer get in contact if they were interested?

Jewels Crable (35:56.846)
Yes, and thank you so much for asking this. are trying right now to build up our volunteer base again. It took a hit during COVID and has never, we haven't been as strong again in that aspect. So if you go onto namiwesternnevada.org, you can find the volunteer form there and that gets submitted to my guy Liam. And then we can interview, get you set up, get all the onboarding done.

You can call the office. there's a NAMI Western Nevada helpline that you can call to ask any questions about any of our programs or volunteering. And there's so many ways to volunteer. We have everything from like office work to working, you know, maybe the senior line to coming out and helping table or do raffle tables at some of our events. There's a lot of ways to be involved and some you can even do from home.

If you're not able to travel to another county for an event or even with your own, there are ways to help right from your house. So I don't want that to make anyone not want to check it out. We've got lots of ways to get involved. And again, you can email me directly at Jules, J E W E L S at NAMI Western Nevada.org.

Bianca D. McCall, LMFT (37:05.281)
Yeah, I love it.

Bianca D. McCall, LMFT (37:15.191)
Nevada all spelled out? Okay, all right. And we will make sure that all the listeners and anybody who's engaged in the NOS platform has that information as a resource. And we will encourage folks to reach out. Yes, please, let's get the volunteer pool up and let's get more boots on the ground out there, especially for rural Nevada.

Jewels Crable (37:17.166)
Yes.

Jewels Crable (37:36.197)
Yes.

Bianca D. McCall, LMFT (37:40.525)
where resources are, we don't want to be operating from, excuse me, we don't want to be operating for scarcity, that's for sure. So, Jules, now.

Jewels Crable (37:50.393)
Right. And it's an amazing thing to come out to a rural event and see a bunch of people there for a mental health thing and people are smiling and connecting with one another, you know, where it kind of demonstrates that mental health doesn't have to be this scary, dark, heavy thing all the time. Right. It's also about community and support and acceptance. So come out to one of the events and see the smiles and get connected with us.

Bianca D. McCall, LMFT (38:16.653)
I love it. love it. Mental health can be happy, right? A happy event. And I also love, like, it goes back to what you said at the beginning of this is celebrating the wins. And sometimes a part of healing is, you know, each one teach one how to celebrate in a healthy way and how to celebrate wins. You know, we've become very good at acknowledging and then kind of dwelling in, you know, some of the,

know, pitfalls of life, things when bad things happen, you know, we're all pretty good at responding to that, right? But some of us, we have to relearn, we have to reverse engineer and then reteach ourselves how to celebrate the win, how to embrace and experience joy and hold on to that, right? And what better place than out in the rural areas, rural Nevada, celebrating mental health.

with, with, with all of our, all of our Nevadans out there. So thank you so much. And, Jules, I want, want you now to, you know, speak to the one person out there who you hope here's the conversation that we had today that you hope, your message has really gotten ahold of today. What do you say to that one person? And this is your, I always call it the mic drop. I'm, I'm also, I'm.

I'm transitioning into the boom, the boom drop. But this is your boom message. What do you want to say to that one person?

Jewels Crable (39:51.31)
no pressure, right? It's like open, like answering the phone call at the beginning of my internship. what do I say? think the thought I'd like to leave everyone with is that life is clearly going to be hard, right? It's, it's such a part of it. and from those hardships, we grow as people if we engage with them in a positive way. And even if we don't immediately.

If we eventually circle back, address those things within ourselves and learn how to love and heal and forgive ourselves, the impact that that can give us to have on the world, to have on the people around us, it shifts something, I believe. Like I can now, I can see it on people, you know, when they've done.

that internal work and there is a almost a calm, a really grounded, rooted sense in them. And we can all get there if we do the work on ourselves and if we pause and get real with ourselves. And I think that for me, that was the turning point. I mean, I'm a completely different person.

I mean, the core things were there. I was always joyous and kind, right? But the way that I function in the world has shifted so greatly. And it all started with stopping and asking myself, is this really what I want? Is this really who I wanna be? And being really honest about that. And I still do that in small ways in my life, right? Because I've come to the realization I really get to cultivate who I am. And while I can't control everything,

about what impacts who I am, I can control the internal stuff. And as it turns out, it's really the only thing I can control. So as someone who likes to have control, learning to let that go and just instead focusing that inward on myself in a healthy, positive and loving way that offers grace, I think that that's been life changing for me. And I hope that someone else out there hears this.

Jewels Crable (42:11.936)
and takes a moment after this podcast and sits with themselves and gives themselves a moment of love and reflection.

Bianca D. McCall, LMFT (42:21.249)
Yeah, I love it. You have the right to choose your own path and look for joy everywhere. Jules, thank you so much for being here. And more importantly, thank you for the way that you show up in this work every single day. You don't just talk about it, you live it. And the honesty, the grit, the grace that you brought.

All of that into the space, it all matters. And I am very grateful. I appreciate your willingness to share the hard parts and to name what's real and to still choose hope. It's not easy work. And if you're doing it, yeah, of course, you're doing it in places that for people who need it the most, you know? And so I'm really grateful to have you in this conversation. And I'm grateful to everyone listening. Thank you so much.

Jewels Crable (42:58.276)
Thank you. Yeah.

Bianca D. McCall, LMFT (43:13.591)
for tuning in, these conversations continue to be as authentic as the people that are doing the work. And we all deserve to be seen and to be heard. So if something from today's conversation resonated with you, be courageous. Like Jules said, sit with it. And always, we appreciate when you subscribe and when you share it. And let's keep these conversations going. So we'll see you next time on the Nose Dose. Take great care.