Patient Advocacy
Resource ConversationsSupport and Caregiving

Navigating TBI Recovery and Patient Advocacy

When a loved one experiences a traumatic brain injury (TBI), families are suddenly expected to understand a world of medical terminology, treatment decisions, and healthcare systems they may have never encountered before.

In our latest Resource Conversation, we sat down with Kathleen Skeins, BCPA, founder of Advocates For Hope, to talk about caregiver education, patient advocacy, and how families can feel more confident navigating TBI recovery.

Kathleen became a patient advocate after her husband sustained a severe TBI. Today, she works with caregivers to help them understand what is happening, know what questions to ask, and navigate the healthcare system with greater confidence.

You Are Allowed to Ask Questions

One of the biggest takeaways from our conversation was simple: it’s okay to keep asking questions.

When you’re dealing with a TBI, it can sometimes feel like everyone is speaking a different language. Medical terminology, diagnoses, medications, and treatment plans can quickly become overwhelming. Kathleen explained that a patient advocate can help bridge that gap between the medical team and the family.

Families can sometimes accept everything they’re told because they assume the professionals know best or because they don’t know what questions they should be asking. But being curious is an important part of being an advocate.

You don’t have to know the medical terminology. You can ask, “What does that mean?” or “Can you explain that another way?” And if you still don’t understand, ask again.

Kathleen shared that some of the nurses and doctors who cared for her husband actually taught her this. They showed her that it was okay to ask questions and to make sure the doctor answered them.

Another practical tip she shared is to ask, “Who is in charge today?” Hospital teams change, and knowing who is responsible for care that day gives you a clear person to go to when you need an answer.

It can also be helpful to ask that important information be put in writing. Something as simple as, “Can we make sure that’s written down so I can remember it in a few days?” can make a big difference when you’re exhausted and trying to process an overwhelming amount of information.

Find Your Helpers

When you’re in the middle of a medical crisis, finding the people who will truly help you can be difficult.

Kathleen said trust is one of the biggest factors. Pay attention to how people respond to you. Do they listen? Do they stay curious with you? Do they take your questions seriously?

You may not connect with everyone you encounter, and that’s okay. Find the people you connect with and enlist your helpers.

That might be a nurse who takes extra time to explain something, a social worker who helps you understand the next step, a doctor who welcomes your questions, or another professional who makes you feel heard. When you find those people, don’t be afraid to ask them for help advocating for your loved one.

Preparing for Life at Home

Going home after a TBI can feel like a huge milestone—and also a little scary. Before leaving the hospital, Kathleen recommends asking what you should be watching for and what changes should prompt you to call someone.

Know who to contact if something changes, who to call in a hurry, and what information they will need if your loved one requires additional care.

It can also be helpful to create a medical information folder that includes important information such as the initial injury, diagnoses, medications, allergies, and other medical history. Keep a paper copy somewhere accessible. Because TBI can be a hidden disability, having that information available can help EMS and emergency department professionals understand your loved one’s needs.

You can keep a digital backup on your phone, an app, or a thumb drive, but Kathleen emphasized the importance of having information available on paper for EMS and emergency departments.

She also recommends keeping a caregiver go-bag ready and creating one designated place at home for the educational binders, paperwork, and other information you receive throughout recovery. You may not need something right away, but knowing where everything is when you do need it can save a lot of stress.

Another helpful tool can be recording discharge conversations, when permitted, so you can go back and listen to the information later. When you’re overwhelmed, you shouldn’t have to rely on your memory alone to retain every instruction you’re given.

Keep Hope in the Picture

TBI recovery can be unpredictable. You may not be where you hoped you would be, and the road may look very different than you imagined.

Kathleen’s reminder was not to ignore the hard things—but also not to lose sight of hope.

Nobody can predict exactly what is going to happen.

Get to know your loved one again. If they were a strong personality before the injury, that part of them may still be there. If they had challenges before their injury, those challenges may still exist, too. Recovery doesn’t necessarily mean becoming an entirely different person. It can mean learning how to understand and support the person you already love in a new way.

Most importantly, you don’t have to navigate it all alone.

Ask questions. Find your helpers. Write things down. Protect your loved one’s dignity. Prepare for the next step. And give yourself permission to ask for help.

You are part of your loved one’s care team, and your questions matter.

Watch the full Resource Conversation with Kathleen Skeins from Advocates for Hope.

Talk Therapy
Grief and LossPost-Trauma LifeResource ConversationsSupport and Caregiving

How Talk Therapy Can Support Healing After a Motor Vehicle Incident

After a motor vehicle incident, it’s common to feel like your mind and emotions are working against you. You may replay the crash over and over, feel disconnected from yourself, or wonder if what you’re experiencing is “normal.”

For this Resource Conversation, we sat down with Ben Rhinesmith, a licensed Marriage and Family Therapist from Desert Oasis Therapy, to talk about what therapy actually looks like, why it can be so helpful after trauma, and some practical ways to navigate the healing process.

Here are some of the biggest takeaways from our conversation.

Talk therapy is much more than talking to a friend

Many people hesitate to try therapy because they think it’s simply sitting in a room and talking about their problems. While conversation is certainly part of it, therapy is much more intentional.

Therapists use evidence-based approaches to help people understand their experiences, develop healthier emotional and relational habits, and make meaningful changes in their lives.

Ben explained that he often looks at people through several different therapeutic lenses, including:

  • Systems theory, which explores how the relationships and environments around us influence healing.
  • Narrative therapy, which helps people examine the stories they’ve developed about themselves and discover ways to rewrite those stories.
  • Solution-focused therapy, which builds on a person’s existing strengths instead of only focusing on what’s wrong.

The goal isn’t simply to talk about what happened – it’s to help you move toward the life you want.

Therapy doesn’t have to feel heavy all the time

Many people assume therapy is emotionally exhausting every single session.

Ben challenged that idea.

While difficult conversations certainly happen, therapy can also be empowering, encouraging, and even enjoyable. Celebrating progress, recognizing strengths, and finding hope are just as important as processing pain.

Healing isn’t only about surviving difficult moments—it’s also about learning how to experience joy again.

“Is what I’m feeling normal?”

One of the most common questions survivors ask is whether their reactions after a traumatic event are normal.

Ben introduced the idea of common humanity – the understanding that many of the emotional responses following trauma are shared experiences.

After a motor vehicle incident, your entire perception of the world may change. Things that once felt safe may suddenly feel threatening.

Rather than expecting yourself to immediately “get over it,” Ben encourages people to remember that healing comes in waves.

There will be good days. There will be hard days.

The overall direction can still be forward.

Be patient with yourself. Be compassionate with yourself. Healing is rarely a straight line.

Your thoughts are not always the truth

Trauma often brings an overwhelming number of thoughts.

Some are helpful. Some are frightening. Some simply aren’t true.

Ben encourages people not to label thoughts as “good” or “bad.” Having a thought doesn’t mean it’s a fact. If you misspeak, it doesn’t mean you’re unintelligent. If you feel afraid, it doesn’t mean you’re unsafe. Sometimes it simply means your brain is processing something incredibly difficult.

He shared a helpful way to think about it.

Our brains have a fast pathway designed for survival. Imagine seeing a tiger at a watering hole. Your brain immediately says, “Run!” But then a slower pathway kicks in. You realize you’re actually watching the tiger from inside a jeep. The danger wasn’t what it first appeared to be.

After trauma, our first thoughts are often protective – not necessarily accurate.

Sometimes we need to wait for the second, third, or fourth thought before we arrive at the one that truly reflects reality.

When grief feels like it takes over everything

One of Ben’s favorite ways to explain grief is through the image of a jar.

At first, grief feels like it fills your entire life.

Every thought. Every conversation. Every moment.

Over time, something beautiful happens.

The grief doesn’t necessarily get smaller—but your life gets bigger.

Imagine your grief as a marble inside a jar. The marble stays the same size. But the jar continues to grow. As your life expands, there becomes room for friendships, laughter, purpose, hobbies, hope, and new experiences alongside the grief.

The grief is still there. And you are still growing.

Both can exist together.

Look for glimmers, not just triggers

Many survivors become familiar with the idea of triggers – places, sounds, or situations that bring difficult emotions back to the surface.

Ben encourages people to also begin looking for glimmers.

Glimmers are small moments that remind your nervous system that life can still contain goodness.

Watching a sunset. Playing a board game. Going to a movie. Laughing with someone you love. Enjoying a favorite meal. These moments don’t erase the pain. They don’t disrespect what happened.

Instead, they remind us that hope still exists.

Healing isn’t choosing between hard moments and beautiful moments. It’s learning to hold space for both.

Every family member heals differently

When an entire family experiences a traumatic event, everyone creates their own story about what happened.

Each person processes grief differently.

Each person moves through emotions differently.

Each person heals on their own timeline.

No stage is better than another.

No timeline is “correct.”

Giving yourself – and your loved ones – the freedom to heal differently can reduce frustration and increase compassion within the family.

 

Grief is more than the loss of life

We often associate grief with death, but grief is the loss of anything meaningful.

After a motor vehicle incident, people may grieve:

  • Their health
  • Their independence
  • Their sense of safety
  • Their identity
  • Their routines
  • Their future plans

Recognizing these losses helps us understand why healing takes time.

Keep looking until you find the right support

Ben ended our conversation with an encouraging reminder.

You were never meant to go through trauma alone.

Finding the right therapist – or even the right type of therapy – sometimes takes time.

If one therapist isn’t the right fit, don’t give up. If one approach doesn’t connect with you, keep looking. There are people who want to help. There are therapists who care deeply about your healing.

Keep reaching out until you find the support that feels right for you.

Watch the full conversation

Remember: healing isn’t about leaving your trauma behind. It’s about growing a life that’s big enough to hold both the hard and the beautiful.

EMDR
Post-Trauma LifeResource ConversationsSupport and Caregiving

Understanding EMDR: Helping Your Brain Heal After Trauma

After a traumatic experience, many survivors tell us the same thing:

“I know I’m safe… so why does my body still react like I’m not?”

Maybe your heart races when you hear sirens. Maybe being a passenger makes your stomach tighten. Maybe driving past the intersection where everything changed feels impossible. You may understand logically that the danger has passed, but your nervous system hasn’t fully caught up.

In this Resource Conversation, we sat down with Shelley Freeman, a certified EMDR therapist, to talk about one of the most researched trauma therapies available: EMDR (Eye Movement Desensitization and Reprocessing).

Whether you’re a motor vehicle incident survivor, a caregiver, or someone supporting a loved one through recovery, this conversation offers insight into how trauma affects the brain—and how healing is possible.

What is EMDR?

EMDR stands for Eye Movement Desensitization and Reprocessing.

Rather than simply talking about what happened, EMDR helps your brain process experiences that became “stuck” because they overwhelmed your ability to cope at the time.

During EMDR, a therapist uses bilateral stimulation—such as eye movements, alternating taps, or alternating sounds—to engage both sides of the brain while you gently notice thoughts, emotions, body sensations, and memories connected to the traumatic experience.

Shelley explains it as having “one foot in the present and one foot in the memory.”

You’re not being pulled back into the trauma. Instead, you’re staying grounded in the safety of today while allowing your brain to process what happened then.

Trauma Isn’t Just What Happened

One of the most helpful parts of our conversation was Shelley’s reminder that trauma isn’t defined only by the event itself.

Trauma happens when something overwhelms our ability to cope in that moment.

For many motor vehicle incident survivors, that might look like:

  • Feeling anxious before driving.
  • Becoming startled by sirens or screeching brakes.
  • Experiencing panic as a passenger.
  • Feeling tension in your stomach or chest without knowing why.
  • Avoiding certain roads or intersections.
  • Feeling disconnected or “checked out.”

These reactions aren’t signs that you’re weak.

They’re signs that your brain is still trying to protect you.

How is EMDR Different From Traditional Talk Therapy?

Traditional talk therapy often focuses on understanding your thoughts and experiences through conversation.

EMDR includes talking, but it also pays close attention to what your body is experiencing.

Shelley explained that trauma affects multiple parts of the brain:

  • The prefrontal cortex, responsible for reasoning and logical thinking.
  • The limbic system, where emotions are processed.
  • The brainstem, which controls many automatic survival responses.

During a traumatic event, the brain’s logical center often becomes less active while the survival systems take over.

Through bilateral stimulation, EMDR helps these systems begin communicating again so the brain can finally process—or “digest”—what happened instead of remaining stuck in survival mode.

Do You Have to Relive the Trauma?

This is one of the biggest misconceptions about EMDR.

The answer is no.

Shelley emphasized that EMDR is intended to be a gentle process.

Clients remain connected to the present while noticing memories, thoughts, emotions, or body sensations that arise. The therapist helps maintain that sense of safety throughout the session.

The goal isn’t to force yourself to relive the worst moment.

The goal is to help your brain process it so it no longer carries the same emotional charge.

It’s Normal to Feel “Stuck”

Many trauma survivors wonder if they’re doing something wrong because they can’t seem to move forward.

Shelley offered an encouraging reminder:

Our brains naturally move toward healing.

During EMDR, therapists don’t force the process. Instead, they help clients notice whatever comes up without judgment.

Sometimes memories unfold gradually—like gently unraveling a ball of yarn. As the brain processes the experience, new insights, emotions, or healthier beliefs often begin to emerge naturally.

When someone reaches a place where processing feels stuck, therapists have additional techniques—called interweaves—to help the brain continue moving forward in a safe, manageable way.

Healing Isn’t Just for Survivors

One message we especially appreciated was that caregivers need support too.

Watching someone you love experience trauma can be traumatic in itself.

Parents, spouses, family members, and close friends may develop their own fears, anxiety, or overwhelming emotions after witnessing or living through someone else’s medical crisis.

Your experience matters.

Taking care of your own mental health isn’t selfish—it’s an important part of healing for everyone involved.

A Grounding Exercise You Can Practice Today

While EMDR should be done with a trained therapist, Shelley shared a simple mindfulness exercise that anyone can practice.

Start by taking a slow breath in.

Then let your exhale be just a little longer than your inhale.

Return to a comfortable breathing rhythm.

Next, gently notice your five senses:

  • What can you see?
  • What can you hear?
  • What can you feel?
  • What can you smell?
  • What can you taste?

There’s nothing to fix.

Nothing to judge.

Simply notice what is true at this moment.

Grounding exercises like this help remind your nervous system that you are here, now, and safe.

Helping Your Brain Notice the Good

Our brains naturally pay attention to danger—that’s how we’re wired for survival.

Shelley encourages intentionally helping your brain notice moments of safety and joy, too.

One simple practice involves slow butterfly taps (alternating taps across each side of your body) while thinking about something that brings you comfort or happiness—a favorite place, someone you love, a meaningful memory, or even something as simple as your favorite dessert.

As you tap slowly, notice what happens in your body.

Do your shoulders soften?

Does your breathing change?

Does your stomach relax?

You can also practice this during everyday moments.

Someone lets you merge in traffic.

You make it through a drive that once felt impossible.

You hear laughter.

You feel the sun on your face.

Pause.

Notice it.

Let your brain experience that moment of safety.

The more we practice recognizing these moments, the more our nervous systems learn that they exist.

Healing Starts with the Basics

Before we ended our conversation, Shelley offered a simple reminder that many of us need to hear.

Healing doesn’t always begin with something complicated.

Sometimes it begins by asking ourselves:

  • Am I getting enough rest?
  • Am I drinking enough water?
  • Am I nourishing my body?
  • Am I allowing myself moments of joy?
  • Am I making space for play, connection, or movement?

These foundational habits won’t erase trauma, but they create a stronger foundation for healing.

Final Thoughts

Healing after trauma isn’t about pretending the hard things didn’t happen.

It’s about helping your brain and body recognize that while the experience was real, it doesn’t have to define every moment that follows.

If you’ve been feeling stuck after a motor vehicle incident—or if you’re supporting someone who is—know that there are effective, evidence-based therapies available.

You don’t have to navigate healing alone.

At Sandal Blue Foundation, we’re committed to connecting survivors and caregivers with trusted professionals, practical tools, and hope for the road ahead. We hope this conversation is one more resource that helps you move forward—one step at a time.

Brea – Get Support Together
Post-Trauma LifeResource ConversationsSupport and CaregivingYou Are Not Alone

Finding the Right Support When You Don’t Know Where to Start

A Resource Conversation with Brea Berman-Black, Founder of Get Support Together

After a motor vehicle incident, it’s common to know that you need help—but have no idea where to begin.

Maybe you’re looking for a counselor who understands trauma. Maybe your loved one is struggling emotionally after the crash. Maybe you’re overwhelmed by the medical system, insurance, appointments, and trying to hold everything together.

When you’re in survival mode, even knowing what questions to ask can feel impossible.

In this Resource Conversation, we sat down with Brea Berman-Black, founder of Get Support Together, to talk about why finding the right support is often one of the hardest parts of recovery—and how she’s working to change that.

Why Get Support Together Was Created

Before surviving a life-threatening motor vehicle incident herself, Brea spent years advocating for one of her children who was experiencing severe mental health challenges.

Throughout that journey, she encountered countless professionals who genuinely wanted to help—hospital staff, school counselors, law enforcement officers, and healthcare providers.

The problem wasn’t a lack of compassion.

The problem was that many of those trusted professionals simply didn’t know what resources existed outside of their own area of expertise.

“They wanted to help,” Brea shared. “They just didn’t know where to send us.”

After spending years navigating a fragmented system, she realized that families needed something different: one place where they could understand the full continuum of available support.

Then, in 2024, Brea survived her own serious motor vehicle incident and spent more than a year recovering from multiple surgeries and a traumatic brain injury.

That experience reinforced what she already knew.

Whether you’re facing physical recovery, emotional healing, or caring for someone you love, finding the right support shouldn’t be another obstacle.

“You Don’t Know What You Don’t Know.”

One of the most powerful moments in our conversation came when Brea described what crisis actually feels like.

“You don’t know what you don’t know. I’ve never been here before.”

Those words resonate deeply with many motor vehicle incident survivors.

Most people have never had to navigate traumatic injuries, post-traumatic stress, brain injuries, caregiver burnout, or complicated recovery.

When everything feels overwhelming, even highly educated, capable people can freeze.

Family members freeze.

Professionals freeze.

Caregivers freeze.

The challenge isn’t intelligence.

It’s that trauma changes how we process information.

During crisis, reading pages of website text, comparing dozens of providers, or trying to understand unfamiliar treatment options can feel impossible.

What Is Get Support Together?

Get Support Together is building a free mental health access platform designed to help people find the right support based on their unique situation.

Rather than sending people down endless internet searches, the goal is to simplify the process.

Instead of wondering where to start, users will be able to search for resources that fit what they actually need.

That includes:

  • Support groups
  • Therapists and counselors
  • Intensive outpatient programs
  • Crisis resources
  • Community organizations
  • Holistic and wellness services
  • Nature programs
  • Sensory-friendly events
  • Recovery-focused organizations
  • And much more

The platform recognizes that healing isn’t one-size-fits-all.

Sometimes someone needs a support group.

Sometimes they need a therapist.

Sometimes they need immediate crisis intervention.

Sometimes they simply need to know they’re not alone.

Meeting Survivors Where They Are

One thing that makes Get Support Together unique is that it recognizes people don’t search the way professionals think.

People search using the words they’re actually thinking during crisis.

The platform is being built around those real-life experiences.

Eventually, users will be able to search by things like:

  • ZIP code
  • Insurance accepted
  • Free services
  • Treatment approach
  • Faith or religion
  • Pronouns
  • Languages spoken
  • Provider specialties
  • Life circumstances
  • Mental health conditions
  • Treatment modalities

Rather than forcing people to figure out the “correct” clinical language, Get Support Together aims to meet people exactly where they are.

More Than Just a Search Engine

Brea explained that many excellent resources already exist online.

The problem is that when you’re overwhelmed, it’s difficult to process all of that information.

Instead of requiring people to decode complicated websites, Get Support Together provides what she calls the “Cliff Notes.”

The goal isn’t simply to list resources.

It’s to help people quickly understand:

  • What does this provider actually do?
  • Is this treatment right for me?
  • What should I expect?
  • Who is this designed to help?

For someone recovering from a motor vehicle incident—or caring for someone who is—having that clarity can make all the difference.

Finding Someone You Connect With

Healing is deeply personal.

Sometimes the right provider isn’t simply the closest one.

It’s someone whose approach feels safe.

Someone you connect with.

Get Support Together allows providers and organizations to share much more than basic contact information.

Many will be able to include:

  • Introduction videos
  • Photos of their office or treatment space
  • Their treatment philosophy
  • Why they entered this work
  • Areas of specialty
  • Modalities they offer
  • Personal values that influence their care

For example, someone interested in Transcranial Magnetic Stimulation (TMS)—a non-invasive treatment that uses magnetic pulses to stimulate specific areas of the brain and is often used for conditions like depression—will be able to search specifically for providers offering that service.

Others may prefer outdoor therapy, faith-based counseling, peer support groups, or holistic approaches.

The goal is simple:

Find the support that feels right for you.

Building the Continuum of Care

Rather than organizing information only by provider type, Get Support Together is also building “journeys” around specific life experiences and mental health conditions.

For example, someone experiencing a first episode of psychosis could see the full continuum of care—from early intervention and education to treatment programs, support groups, and ongoing recovery resources.

Over time, these pathways will continue expanding to include additional conditions and life circumstances, helping people better understand their options without having to piece everything together themselves.

A National Vision

While the current rollout is focused primarily on Texas, the vision is much bigger.

Get Support Together is building national partnerships and developing what Brea believes will become the country’s only comprehensive national crisis resource directory—a single place where people can quickly find crisis hotlines and urgent support resources.

Because when someone needs help, they shouldn’t have to spend hours searching for it.

A Message for Survivors

One message from Brea stood out above everything else.

We need you here.

There are people who want to help.

There are resources available.

There is hope.

Whether you’re recovering physically, emotionally, or both, you deserve support that fits your needs.

And you deserve to find it without having to navigate the journey alone.

Learn More

Get Support Together is currently in its launch phase, with new providers, organizations, and resources being added regularly. The platform is expected to become fully searchable as it continues expanding throughout 2026.

Searching the website is completely free, and visitors are encouraged to provide feedback so the platform can continue evolving to better meet the needs of survivors, caregivers, and families.

Learn more at GetSupportTogether.org.

Watch the Full Resource Conversation

To hear Brea’s story and learn more about Get Support Together, watch the full Resource Conversation here and on the Sandal Blue Foundation YouTube channel.

Parent to Parent – Self Care
Parent to ParentSupport and Caregiving

Self-Care While Caring for Someone You Love

Parent-to-parent. 
Parent to Parent is a series of honest encouragement from one parent who’s been there to another. These are the reminders, lessons, and practical tips we wish someone had shared with us while navigating our child’s recovery after our motor vehicle incident. 

If you’re reading this from a hospital room, first, I’m so sorry you’re here.

Whether it’s been hours, days, or weeks since the motor vehicle incident, you’re likely living minute to minute. Your focus is on your child. You’re listening to every update from the medical team, watching every monitor, answering phone calls and texts, making decisions you never imagined you’d have to make.
You may feel like you don’t have time to think about yourself.
But here’s something I learned after our family’s crash:
Taking care of yourself is part of taking care of your child.
That doesn’t mean booking a spa day or finding hours of uninterrupted rest. It means giving yourself permission to meet your most basic needs so you can continue showing up for the person who needs you most.
Here are a few gentle reminders.
You don’t have to have everything figured out right now.
Pause for just a moment. Inhale slowly. Exhale fully.
One deep breath won’t change your circumstances, but it can help calm your nervous system enough to take the next step. Sometimes that’s all you need—the next step, not the next month.
Drink some water.
Eat a snack.
Use the restroom.
These may sound obvious, but in the middle of a crisis, they’re often the first things we forget.
Your body is carrying stress in ways you may not even realize. Giving it a little fuel and hydration can help you think more clearly and stay present during long days at the hospital.
When someone asks, “What can I do?” it’s okay to let them.
Ask them to bring dinner.
Have them pick up a phone charger or a sweatshirt.
Let them sit with your child while you step away for a few minutes.
You don’t have to prove how strong you are by doing everything yourself. The people who care about you genuinely want to help—they just may not know how.
If your child’s care team says it’s okay, take a short walk.
Walk down the hallway.
Step outside for fresh air.
Sit in the cafeteria.
Even five minutes away from the constant sounds and activity of the hospital can help you reset before returning to your child’s bedside.
There is no right way to get through this.
Some days you’ll feel strong.
Other days you may cry in the parking garage, forget what someone just told you, or feel completely exhausted.
All of those responses are normal.
You are carrying something incredibly heavy.
Give yourself the same kindness and compassion you would offer another parent sitting beside you.

One More Thing

If no one has told you today, let us be the ones to say it:
You’re doing the best you can and you’re doing great!
Your presence matters more than having the perfect words or knowing exactly what to do. Simply being there with your child is enough.
One breath.
One meal.
One walk down the hallway.
One moment at a time.
And if you’re looking for additional resources, practical tools, or support while navigating life after a motor vehicle incident, we’re here for you!
Looking for your next step? Explore more resources for survivors and caregivers on our blog.
Charity Drive
You Are Not Alone

Helping Survivors Starts With a Community That Cares

Recovery doesn’t happen in isolation.

For survivors of motor vehicle incidents and their families, healing often begins with something much simpler than medical treatment—it begins with knowing someone cares.

Throughout the month of June, Cadence Chiropractic generously dedicated 100% of the proceeds from patient visits to support the work of Sandal Blue Foundation. Every appointment became an opportunity to provide practical resources and encouragement to survivors navigating some of life’s most difficult moments.

At the end of the month, Dr. Marc, staff members and Sandal Blue Foundation) gathered to transform those donations into something tangible: care kits that will soon be placed into the hands of survivors and families who need them most.

Thoughtfully Designed for Different Stages of Recovery

Thanks to the generosity of Cadence Chiropractic and their patients, we assembled:

  • 3 Hospital Care Kits
  • 11 Recovery Kits

Each hospital care kit was carefully packed with items that can make an unexpected hospital stay just a little more manageable, including a blanket, men’s or women’s hygiene kit, notebook, pen, charging accessories, and a reusable bag. While these items may seem simple, they provide comfort and convenience during an incredibly overwhelming time for both survivors and their families.

The recovery kits were designed with a different purpose in mind.

Many survivors experience moments of anxiety, overwhelm, or emotional distress long after leaving the hospital. Each recovery kit includes a grounding guide along with sensory tools that encourage survivors to reconnect with the present moment using each of their five senses.

Inside each kit are intentionally selected items including:

  • A rubbing stone for touch
  • Lotion for smell
  • A clicking fidget toy for sound
  • Mentos for taste
  • A motion bubbler for sight

Each item is paired with simple instructions that help survivors practice grounding techniques they can return to whenever they need them.

Community Partnerships Create Real Impact

One of the things we love most about partnerships like this is seeing how a community can come together to support people they’ve never met.

Every patient who chose Cadence Chiropractic in June became part of something bigger. Together, they helped provide comfort during hospital stays, practical resources for recovery, and reminders that survivors don’t have to navigate healing alone.

To Dr. Marc, the entire team at Cadence Chiropractic, and every patient who made this fundraiser possible—thank you!

Your generosity will continue reaching survivors long after the month of June has ended.

Because when a community chooses to care, healing reaches further.

Trauma Survivors Network
Post-Trauma LifeResource ConversationsSupport and CaregivingYou Are Not Alone

Finding Support After Traumatic Injury

You Don’t Have to Recover Alone

One of the biggest misconceptions about traumatic injury is that once someone leaves the hospital, they are “back to normal.”

For many survivors and their loved ones, discharge is not the end of the journey—it’s the beginning.

The physical healing process often comes with appointments, rehabilitation plans, and follow-up care. But the emotional and mental recovery that follows an injury can be much harder to navigate. Survivors may feel isolated, overwhelmed, anxious, frustrated, or unsure how to adapt to a life that suddenly looks different than it did before.

Family members and caregivers often face their own challenges as they support someone they love while processing their own trauma and stress.

The good news is that no one has to walk that journey alone.

The Importance of Connection After Trauma

The American Trauma Society (ATS) works to improve trauma care at every level—from first responders and healthcare professionals to survivors and families. One of the ways they do this is through the Trauma Survivors Network (TSN), a program designed to provide support, community, education, and connection for people impacted by serious physical injuries.

Traumatic injuries can leave people feeling like no one truly understands what they are experiencing. While friends and family may want to help, they may not know what to say or how to provide support.

Connecting with others who have experienced similar challenges can make a significant difference.

Sometimes the most powerful thing a survivor can hear is:

“I’ve been where you are, and there is life after this.”

Seeing someone who has adapted, rebuilt, and found a new path forward can offer hope during a difficult season.

Adapting to a New Reality

Recovery often involves more than healing physically. It may require adapting to changes in mobility, routines, relationships, work, hobbies, or expectations.

Many survivors describe this process as learning how to navigate a “new normal.”

That adaptation can feel overwhelming when you’re trying to figure it out on your own. Connecting with other survivors and caregivers allows people to learn from those who have already faced similar challenges and discovered ways to move forward.

The goal is not to return to who you were before the injury.

The goal is to learn how to live well within your current reality.

The Power of Peer Support

One of the foundations of trauma recovery support is peer connection.

Many trauma centers throughout the Trauma Survivors Network offer peer visitation programs where trained volunteers—often survivors themselves or caregivers who have walked a similar path—visit patients during their hospital stay.

These visits provide more than information.

They provide hope.

When someone sees a survivor who has faced a similar injury and is now living a meaningful life, it can create a powerful mindset shift. It reminds them that recovery is possible and that their story is still being written.

Support Groups for Survivors and Families

Support groups offer another opportunity to connect with people who understand.

The Trauma Survivors Network hosts several virtual support groups each month and also maintains a directory of local support groups throughout its network. Groups are available for a variety of populations, including:

  • Adult survivors
  • Caregivers and family members
  • Teens and young adults
  • Pediatric injury families

Every support group is a little different, but they all share a common purpose: creating a safe space where people can listen, share, ask questions, and learn from one another.

Participation is flexible. Some people feel ready to share their experiences. Others may prefer to simply listen and learn.

Both are welcome.

The important thing is knowing that support is available when you’re ready.

Finding Resources in Your Community

The Trauma Survivors Network includes more than 300 trauma centers across the United States, Canada, and Australia and provides resources to individuals seeking support from anywhere in the world.

One of the most valuable features available through the network is the ability to search for support close to home.

Visitors can use the TSN website’s map or search function to find participating trauma centers, support groups, educational programs, and local resources available in their area.

Joining a local TSN center can help survivors and families stay informed about support opportunities, educational events, and recovery resources available within their own community.

Resources Beyond Support Groups

In addition to support groups and peer mentoring, the Trauma Survivors Network offers a variety of educational resources designed to help survivors and caregivers navigate recovery.

Resources include:

  • Survivor stories and recovery journeys
  • Educational guides and resource directories
  • The TSN Notebook, a collection of tools and information for recovery
  • Community-led resources developed by survivors for survivors

The network also maintains active social media communities that provide ongoing encouragement, education, and opportunities for engagement.

Programs include:

  • Toolkit Tuesdays, featuring questions and solutions shared by the community
  • Family Fridays, focused on caregiver support and resources
  • Monthly Injury Insights, where survivors answer anonymously submitted questions about recovery

These initiatives help create ongoing opportunities for connection and learning long after someone leaves the hospital.

Recognizing Trauma Survivors

Each May, communities across the country observe National Trauma Awareness Month.

During this month, the Trauma Survivors Network also celebrates National Trauma Survivors Day on the third Wednesday of May.

Events held throughout the country honor survivors, caregivers, first responders, healthcare teams, therapists, home health professionals, and everyone involved in the recovery journey.

These celebrations help raise awareness about the realities of life after injury while recognizing the resilience of those who continue moving forward.

If You’re Struggling, You’re Not Alone

Sometimes people don’t immediately recognize that they need support.

Instead, they may notice they are more emotional than usual. More anxious. More withdrawn. More frustrated. Less interested in things they once enjoyed.

These changes can be signs that the emotional impact of an injury is still unfolding.

Recovery is not only physical.

It’s emotional, mental, social, and relational as well.

Whether you’re a survivor, caregiver, family member, or friend, support is available.

You don’t need to have all the answers before reaching out.

You don’t even need to share your story if you’re not ready.

You can simply listen, explore resources, and connect when the time feels right.

Because no one should have to navigate recovery alone.

Watch the Full Resource Conversation

Want to learn more about the resources, support programs, and survivor connections available through the Trauma Survivors Network?

Watch our full conversation with Abby Beerman, National Trauma Survivors Network Coordinator, as we discuss life after traumatic injury, the importance of peer support, resources for survivors and caregivers, and how to find help in your community.

Whether you’re a survivor, caregiver, family member, or healthcare professional, this conversation offers valuable insight into the recovery journey and the reminder that no one has to navigate it alone.

Learn More

To explore resources, find support groups, locate a Trauma Survivors Network center near you, or learn more about available programs, visit:

www.TraumaSurvivorsNetwork.org

The website offers a searchable directory of trauma centers, educational resources, survivor tools, and opportunities to connect with others who understand the journey of recovery after injury.

Window of Tolerance
Post-Trauma LifeResource Conversations

Understanding Your Window of Tolerance After Trauma

There are moments after trauma when it feels like you are not reacting like yourself.

You are more irritable than usual.
More emotional.
More disconnected.
More exhausted.
More overwhelmed by things that once felt manageable.

And sometimes, the opposite happens.

You stop reacting altogether.

You scroll your phone for hours.
You feel numb.
You disconnect from people.
You move through the day checked out and unfocused, content to let life pass by because engaging with it feels too hard.

According to Keri Jones-Fonnesbeck, Executive Director of Trauma-Informed Utah, both of these experiences are part of being human — especially after trauma.

And understanding them begins with something called the Window of Tolerance.

What Is the Window of Tolerance?

Keri describes the window of tolerance like looking through a clear window.

Inside the window, you are calm, connected, and present.

You can think clearly.
Regulate emotions.
Communicate effectively.
Engage in meaningful conversations.
Show up as your best self.

You have the clearest view of both yourself and the world around you.

But trauma impacts the brain and nervous system. It changes how we regulate emotions, connect with others, and respond to stress. Sometimes we get “kicked out” of that window.

And that is normal.

Not because you are failing.
Not because you are weak.
But because you are human.

Click here to learn more about the Window of Tolerance constructed by Dr. Dan Siegel in 1999.

Above the Window: Fight or Flight

Sometimes being outside the window looks loud.

Big emotions.
Frustration.
Anger.
Panic.
Overwhelm.

This is often the nervous system moving into fight or flight.

Sometimes it is triggered by something external — a loud noise, a stressful interaction, a smell, a memory, a feeling — something that reminds the brain of a time when we were not emotionally or physically safe.

Even when we consciously know we are okay, the body responds as though danger is present.

This is why self-awareness matters so much.

Recognizing:

  • What emotions feel biggest for me?
  • What situations tend to trigger them?
  • What signs show up in my body before things escalate?

These are not questions about judgment.

They are questions about awareness.

Below the Window: Freeze and Shutdown

Other times, being outside the window looks quiet.

You feel numb.
Disconnected.
Unfocused.
Emotionally flat.
Checked out.

Keri explains this as the freeze response, or hypoactivation.

This can look like:

  • Endless scrolling
  • Avoiding decisions
  • Feeling detached
  • Not paying attention
  • Losing motivation
  • Feeling like you “don’t care”

When this happens, the goal is not shame.

The goal is noticing.

Because once we notice, we can begin gently supporting ourselves back toward regulation.

Image Source: OC Psychotherapy Centre, “Window of Tolerance”

Your Window Can Shrink — and Expand

One of the most important reminders from Keri is that the window of tolerance is not fixed.

It is more like an accordion.

It can shrink during periods of stress, trauma, exhaustion, grief, illness, or overwhelm.

And it can expand with support, awareness, practice, and care.

The way we care for ourselves matters.

Have I eaten?
Hydrated?
Slept?
Moved my body?
Connected with someone safe?

How we show up for ourselves impacts how we show up for others.

Healthy people create healthy systems.

And trauma-informed care is about building that understanding into every system humans interact with — healthcare, schools, businesses, nonprofits, agencies, and communities.

Finding Your Way Back Into the Window

The goal is not to stay perfectly regulated all day.

None of us do.

We move in and out of our window constantly.

The key is learning:

  • How to notice it
  • How to respond
  • How to return

Keri emphasizes that there is no one-size-fits-all solution.

The most important thing is finding what works for you.

Often, our senses are the pathway back.

The same senses that can trigger us can also help ground us.

Maybe it is:

  • Ocean sounds
  • Essential oils
  • Deep breathing
  • A drink of cold water
  • Going on a walk
  • Looking at pictures of people you love
  • Calling someone safe
  • Moving your body
  • Squeezing your muscles to create blood flow

The goal is simple:
To remind your nervous system:

I am here.
I am safe.
I am well.
I am okay.

The 5-4-3-2-1 Grounding Exercise

One practical tool Keri shared is the 5-4-3-2-1 grounding exercise.

When you notice yourself outside your window, pause and identify:

  • 5 things you can see
  • 4 things you can touch
  • 3 things you can hear
  • 2 things you can taste
  • 1 thing you can smell

Say them out loud if possible.

The purpose is not perfection.

It is presence.

It is bringing your awareness back into your body and into the current moment.

The “Take 5” Plan

Keri also encourages people to create a simple “Take 5” plan ahead of time.

Start with these questions:

  1. What emotions are most difficult for me?
  2. What situations tend to trigger those emotions?
  3. What signs tell me those emotions are starting to become too big?

Then create a list of five things you can do in five minutes that help calm and regulate your nervous system.

Examples might include:

  1. Looking at pictures of your kids
  2. Taking deep breaths
  3. Listening to ocean sounds
  4. Drinking a Diet Coke
  5. Calling someone you trust

Simple matters.

Small matters.

The point is not creating a perfect wellness plan.

The point is creating a realistic one.

Presence and Patience

Keri referenced the work of Kristen Neff and the idea that self-compassion requires action.

Not just acknowledging that things are hard.
But responding to yourself with care.

Asking:

  • What do I need right now?
  • What would help me feel supported?
  • What would help me feel present?

And then practicing those things consistently.

Not perfectly.
Just consistently.

Because healing is a practice.

You Don’t Have to Do It Alone

One of the most powerful suggestions Keri shared was to involve another person.

Write down your answers.
Share your Take 5 plan with someone you trust.
Ask them to check in with you.

“This is something I’m trying for myself. Can you check in with me this week?”

Sometimes support looks incredibly simple.

And incredibly powerful.

A Reminder for Trauma Survivors

If you are struggling to stay regulated after trauma, it does not mean you are broken.

It means your nervous system has been through something significant.

Awareness matters.
Support matters.
Practice matters.

And so does patience with yourself.

As Keri shared during our conversation:

“You are a gift to you, and we’re so glad that you’re still here.”

Learn more about Trauma-Informed Utah at traumainformedutah.org.

Watch this incredible Resource Conversation with Keri Jones-Fonnesbeck from Trauma Informed Utah

Universe Juice
Post-Trauma LifeResource Conversations

Reuniting Survivors and First Responders Through Universe Juice

After a traumatic motor vehicle incident, there are often people who become part of your story without ever truly becoming part of your life.

The paramedic who held your hand.
The firefighter who cut open the vehicle.
The nurse who stayed beside you in the trauma bay.
The dispatcher who answered the call.

For many survivors and families, those individuals remain unknown — even though they were present during some of the most critical moments of their lives.

Universe Juice exists to change that.

Founded by trauma survivor Lisa Brunetti, Universe Juice is a nonprofit organization devoted to reconnecting survivors and their families with the first responders who cared for them during traumatic incidents. The organization was inspired by Lisa’s own experience after surviving a severe head-on collision with a drunk driver in 2022.

After later meeting some of the first responders involved in her rescue and transport from Boston MedFlight to a Level One Trauma Center, she experienced firsthand how emotional and healing those reunions could be — not only for survivors, but for the responders as well.

For survivors, reunions can offer gratitude, closure, healing, and the opportunity to reconnect pieces of a story that may feel incomplete.

For first responders, it can be one of the rare opportunities to see the outcome of the lives they fought so hard to protect.

How the Reunion Process Works

Universe Juice has created a simple application process for survivors and families interested in reconnecting with responders involved in an incident.

Applications can be completed directly on the Universe Juice website, and individuals are encouraged to include as much information about the incident as possible, including:

  • Date and time of the incident
  • Location
  • Police or accident reports if available
  • Any remembered details about responding agencies, hospitals, or emergency personnel

Applicants do not need to have every detail organized before starting. Even limited information can help begin the process.

Applications can be submitted by survivors themselves or by someone applying on their behalf.  For survivors 17 years of age or younger, the application must be placed by a (custodial) parent or legal guardian.

One important aspect of the organization’s work is that there is no time limit on healing.

Reunions may happen shortly after an incident, years later, or even decades later.

Once an application is received, Universe Juice begins researching the incident to identify which agencies and responders were involved. The organization reaches out to department leaders and teams to determine who may be willing and available to participate in a reunion.

Everything about the process is voluntary and centered around the comfort levels of everyone involved.

Image curtesy of Universe Juice

Creating a Comfortable and Healing Experience

Every reunion is personalized based on what feels most meaningful and supportive to those participating.

Some reunions happen at fire stations. Others take place at hospitals, restaurants, or private locations. Some survivors prefer to know exactly who will attend beforehand, while others choose to keep the experience a surprise.

Universe Juice works with both sides to create a comfortable, personal, and supportive environment.

The organization also recognizes that reunions involving trauma can bring up intense emotions. Protocols are in place to support emotional well-being during reunions, including crisis support team members onsite if needed and private spaces available for anyone who may need a quiet moment.

These reunions are not limited only to incidents where everyone survived.

Families who lost loved ones may also choose to reconnect with first responders as part of their healing process. In many cases, those conversations can provide answers, gratitude, connection, and closure that remain meaningful years later.

Universe Juice
Photo curtesy of Universe Juice

Removing the Burden from Survivors

While some survivors may attempt to locate responders on their own, the process can quickly become overwhelming.

Tracking agencies, locating personnel, coordinating schedules, and organizing communication takes time and emotional energy that many survivors and families simply do not have.

Universe Juice removes that burden.

The organization handles the research, outreach, coordination, and planning involved in creating the reunion experience, allowing survivors and families to focus on healing rather than logistics.

There is no cost for the investigation, reunion planning, and coordination of reunions.  Reasonable costs, at the discretion of Universe Juice, for refreshments provided during reunions will be covered free of charge. If extensive travel or flights are involved, those expenses may need to be covered separately by participants. Alcohol is not covered.

Currently, the only geographic requirement is that the original incident occurred within the United States.

A Different Kind of Healing

Healing after trauma does not always come through surgeries, therapies, or time alone.

Sometimes healing comes through connection.
Through gratitude.
Through finally meeting the people who carried you through the hardest day of your life.

Universe Juice was built by someone who has lived that experience personally and understands the emotional impact these reunions can have on everyone involved.

To learn more, begin an application, or follow reunion stories, visit:
https://www.universejuice.org/ 

Follow on social media:
@UniverseJuiceInc

This is Just the Beginning

This conversation highlights something many trauma survivors and first responders quietly carry for years: unanswered questions, unfinished moments, and people connected by tragedy who never had the opportunity to reconnect.

Universe Juice is creating space for those reunions to happen with care, compassion, and intention.

We are grateful for the work Lisa Brunetti and the Universe Juice team are doing to bring healing, closure, and human connection to both survivors and the first responders who walked through those critical moments beside them.

A sincere thank you to Universe Juice for sponsoring this episode and sharing their mission and helping create meaningful pathways toward healing after trauma.

Resource Conversation YouTube Thumbnails
Post-Trauma LifeResource ConversationsSupport and CaregivingYou Are Not Alone

Personalized Recovery Support After Trauma

Resource Conversation with Matt Kalina from TandemStride

Recovery doesn’t end at discharge.

For many survivors and caregivers, that moment—leaving the hospital—is where a new kind of uncertainty begins. There’s often relief, but also hesitation, fear, and a very real question: what happens now?

This resource conversation with Matt Kalina from TandemStride focuses on that exact transition point, and how personalized, trauma-informed support can help people feel less alone in it.

These conversations are designed to give motor vehicle incident survivors and their caregivers practical tools, guidance, and support as they move through recovery—especially in the spaces where systems often fall short.

A Personal Beginning to the Work

Matt’s connection to this work is deeply personal.

His brother was involved in a pedestrian train accident 14 years ago and became a bilateral amputee at age 23. That experience shaped Matt’s understanding of what recovery can feel like when there is no roadmap—when you are trying to rebuild your life while also trying to understand what that life will even look like.

Later, after a decade of building healthcare technology, Matt kept seeing the same gap repeat itself: even with advances in medicine and systems, trauma survivors were still often left feeling alone after discharge, without clear guidance or connection.

TandemStride was built from that gap.

The Space After the Hospital

One of the most consistent challenges in trauma recovery is the transition from acute care to home.

Hospital discharge is often treated as an endpoint, but for survivors and caregivers, it can feel like the beginning of the hardest part. There is often hesitation, resistance, and uncertainty about what recovery actually looks like day to day.

TandemStride was designed to support that exact transition—helping people move from structured hospital care back into everyday life with more guidance, connection, and support.

The platform is used primarily by survivors with physical traumatic injuries such as spinal cord injuries, amputations, polytrauma, major fractures, burns, gunshot wounds, and violent crimes. Most users join within 7–14 days of discharge, though support is available at any point in recovery.

A Different Kind of Recovery Support

At the core of TandemStride is a simple idea: recovery shouldn’t be something you navigate alone.

The platform uses insights from thousands of trauma survivor journeys to better understand when challenges typically arise—such as mental health changes, substance use risk, or other barriers that can show up later in recovery.

Instead of waiting for those challenges to become crises, TandemStride works to identify patterns early and offer support proactively.

That includes:

  • Connecting survivors with peer mentors (often matched by injury type or age at injury)
  • Helping users find local resources through guided navigation
  • Offering caregiver and survivor-facing tools inside a single platform
  • Supporting both passive and active engagement, depending on what feels manageable

Get the App

TandemStride is available on the App Store and Google Play.

It is free to download and use, with some features varying depending on regional partnerships or programs (such as certain state-based initiatives).

Meeting People Where They Are

When users first open the TandemStride app, they are met with a simple question: What is your biggest challenge right now?

From there, the experience is personalized. The app guides users toward resources based on what they need most in that moment, rather than forcing them through a one-size-fits-all system.

This “choose your own adventure” approach allows survivors to engage in a way that feels right for them—whether that’s actively exploring resources or simply having support available in the background.

Community, Connection, and Not Feeling Alone

A major focus of TandemStride is building connections between survivors who understand what each other is going through.

On May 20th, 2026 – the platform is launching a new Communities feature designed specifically for trauma survivors.

Inside these communities, users can:

  • Check in daily or share updates and milestones
  • Connect with others going through similar experiences
  • Engage through likes, comments, or quiet observation
  • Use AI-supported tools to find local resources
  • Complete optional mental health screeners with guidance

Importantly, users can choose how they engage—there is no pressure to share more than they want to.

Trauma-Informed by Design

A key part of TandemStride’s approach is making sure the platform is safe and adaptable for people in different stages of recovery.

That includes features such as:

  • Content moderation to reduce exposure to triggering material
  • Options to label posts as “high intensity,” with user-controlled viewing
  • The ability to share without receiving advice or feedback
  • Topic filtering so users can control what they see

This design acknowledges something important: recovery is not just physical. Emotional safety matters too.

Small Steps Forward

TandemStride also includes a milestones feature that visually reflects progress over time.

As users engage, their milestone image gradually fills in—starting blank and slowly becoming more complete. It’s a simple but meaningful way to reflect growth, effort, and consistency in recovery.

It also serves as a reminder that progress is often made in small, quiet steps—not just big moments.

A Platform Built by Survivors, for Survivors

At its core, TandemStride is built around lived experience.

It is not just a technology platform—it is an attempt to create something that understands what it feels like to go through a life-altering injury and try to rebuild from there.

The intention is not to replace care teams or support systems, but to extend them—especially into the space where people often feel the most alone.

Why Social Support is Important in Trauma Recovery

A Closing Note

This conversation highlights something that is often overlooked in trauma recovery: the space between hospital and home matters just as much as what happens inside the hospital.

We are grateful to Matt Kalina and the TandemStride team for the work they are doing to bring more structure, connection, and humanity into that space.

A sincere thank you to TandemStride for sponsoring this episode and supporting efforts to make recovery more accessible and less isolating for survivors and caregivers.

Watch our full resource conversation with Matt Kalina from TandemStride about navigating recovery after traumatic injury, finding support after hospital discharge, and building connection through survivor-centered care.