Increased Precautions We're Taking in Response to the Coronavirus
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Sierra by the Sea to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at Sierra by the Sea.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

Answers for My Depressed and Addicted Daughter

This is a good read and mothers of those who struggle with addiction might relate to it. An increasing number of adolescents are being diagnosed with depression, and that drug abuse is a typical way of self-medicating depressed feelings.

I’m not depressed, nor is my spouse. In fact, there’s no known history of depression in my family. Nor does any family member abuse drugs of any kind. Yet my 16 year-old daughter was just diagnosed with clinical depression and cocaine addiction; she’s started taking medication.

How did this happen? Everything I’ve read about depression says that it runs in families, primarily through the female line. Jessamine doesn’t understand it either; she feels like she did something wrong, that’s it’s her own fault. She thinks she’s a “mutant.” What do I tell her? How do I convince her?

I was shocked to learn that this wonderful young girl of mine has been using cocaine since she was 14 years old. She said that this stimulant drug helped her feel less depressed, with more energy to keep up with her schoolwork and social activities. She bought the drug from a high school senior who’s known widely among kids as a “good drug dealer” who will get them anything they want.

Jess has a good doctor; he tells her the truth about her depression and the anti-depressant he recommended for her. On his advice, Jess agreed to see a therapist; he told her that medication can do its job better when combined with therapy to talk about what’s bothering her. He also talked with her about treatment for cocaine addiction. I went with her to her first appointment, but stayed in the waiting area to give her some privacy. Sitting there, I found some brochures about depression and addiction and brought them home to help me learn more about this. To help me figure out how to help her. If I couldn’t shield her against these problems, maybe at least I can help her work through them.

An increasing number of adolescents are being diagnosed with depression, and that drug abuse is a typical way of self-medicating depressed feelings.

Depression’s Connection to Drug Abuse and Addiction

So far, I’ve learned that in the past few years, an increasing number of adolescents are being diagnosed with depression, and that drug abuse is a typical way of self-medicating depressed feelings. It’s about stress, mostly; the stress of having to make extremely competitive grades to get into a good college. Plus the required extra-curricular activities like sports, debate, student government, and academic clubs. Then, there’s the peer pressure to be part of the “right” circle of friends, to date only the most popular guys in school. I didn’t realize, before I read about it, how much pressure life places onto kids these days. My spouse and I have had our problems; we’ve been separated twice and Jess had to deal with this, too. I think we must have made her feel that she had to take sides with one of us. Maybe this depression is partly my fault.

I also read that sometimes depression skips a generation, or just spontaneously appears when there’s no family history at all, like with Jessamine. I understand now that depression is caused by an imbalance in brain chemicals called neurotransmitters. They send messages to the brain about mood, appetite, and sleep; these are all things that are connected with the symptoms of depression. When these chemicals get out of balance, depression is usually the result. Anti-depressants restore the necessary chemical balance to help symptoms ease.

I wonder why Jess also needs therapy if these pills cure depression. Thinking it over, perhaps she also needs help learning how to cope with all the stress in her life. It must be hard for her to talk openly with a parent or a friend, so I’m glad she has someone, even a stranger if that’s what it takes. I read that sometimes a stressful life event can kick brain chemistry out of balance enough to cause depression. A few months ago Jess was way too upset about not making the first-string soccer team, and then breaking up with her boyfriend a week later. She cried every day for nearly a week, and then got very quiet and withdrawn. Was that what triggered this depression? Was her brain chemistry already leaning in that direction, vulnerable to emotional upset to kick them over the edge?

I’m going to ask Jess if the two of us can talk about this with her therapist to finally get some answers to these mysterious questions. I also need to know much more about Jess’s cocaine addiction and how it can be resolved. When we understand more about what causes adolescent depression and addiction, even in kids who have no family history, maybe we can stop blaming ourselves.

I guess the lesson to be learned here is that depression can strike anyone, regardless of age or genetic history. It’s never too early to start learning stress management skills and setting priorities about what’s really important in our lives.

There’s nothing, no one, more important to me than my daughter.

Recovery is fueled by hope and courage and an exploration of the underlying factors such as trauma. Our treatment driven by compassionate and trauma-informed care provides the foundation of recovery and healing.

– Valerie M. Kading, DNP, MBA, MSN, PMHNP-BC, Chief Executive Officer
Marks of Quality Care
These accreditations are an official recognition of our dedication to providing treatment that exceeds the standards and best practices of quality care.
  • American Society of Addiction Medicine (ASAM)
  • California Consortium of Addiction Programs and Professionals (CCAPP)
  • Commission on Accreditation of Rehabilitation Facilities (CARF)