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What's Your Relationship
with Your Finances?
An often-overlooked relationship is the one we have with our finances. As we celebrate the month of love, reflect on whether the relationship you have with your finances supports your long-term goals, or if a shift in that relationship is needed.
When you think about your finances, what’s the first feeling that comes to mind? Is it confidence? Indifference? Or perhaps anxiety? Like any relationship, your relationship with money requires consistent effort and care if you want it to be a fulfilling one. It's also a malleable relationship, meaning that even if you feel overwhelmed by financial stress or detached from your goals right now, you can always change it to one that makes you feel confident about your financial future.
In psychology, a common way professionals assess relationships is through attachment theory. Attachment theory offers a framework for understanding how people form emotional bonds, particularly in early life with caregivers. These attachment styles include anxious, avoidant, and secure. Attachment theory can help us see how we approach all kinds of relationships, including the one we have with money!
First, understand your relationship with money was probably determined early on in life, maybe before you even understood the concept of money. This could be when you were a child seeing your parents or caregivers anxiously struggling to make ends meet, or seeing them spend money without considering long-term goals, etc. These early experiences shape how we interact with money and should be considered when assessing your current relationship with your finances. With that in mind, here’s how each attachment style may manifest in present-day financial behaviors:
Anxious
In the clinical sense, anxious attachment is characterized by a fear of abandonment and rejection. These individuals probably had inconsistent caregivers who were sometimes there and sometimes not. This made it hard for them to trust when things were good that the other shoe wouldn’t soon drop. When applied to finances, this could manifest as someone feeling overwhelmed, constantly worried that anything and everything could derail the progress they’ve made. These individuals often lack confidence in their ability to achieve their financial goals, even when all evidence suggests otherwise. Consumed by worry, they may find themselves paralyzed, unable to make the decisions necessary to reach their goals.
Avoidant
An avoidant attachment style involves a fear of closeness and difficulty trusting others as trusting others involved consistent disappointment in their earlier life. If someone has an avoidant style when it comes to their relationship with money, they may detach themselves from financial planning and long-term goals. If they avoid making goals, then there’s no fear of failure, but there will also never be any progress. These individuals might procrastinate, downplay the importance of financial milestones, or dismiss the need for accountability, all as a means of maintaining control while avoiding the potential disappointment that comes with falling short of their goals.
Secure
Finally, a secure attachment style enables an individual to feel safety, stability, and trust in close relationships. These are the people who had caregivers who offered affection when needed, encouraged independence, and were consistent. In the context of finances, someone with this attachment style approaches their goals with confidence. They trust their ability to make decisions that support their goals. They’re able to be present, engaged, and adaptable as circumstances change without feeling overwhelmed. Rather than fixating on the possibility of failure, they focus on success and the steps needed to achieve it.
Cultivating a Secure Attachment Style
If you feel like your attachment style leans avoidant or anxious at times, don’t worry! As stated previously, these attachment styles are malleable. This means you can change them! To cultivate a more secure attachment with your finances, think about what the behaviors of someone with a secure attachment might be. Some things you may want to consider:
- General Financial Wellness: This includes having a monthly budget, an emergency fund, and a robust savings account. All of these will lay a foundation for you to build towards your bigger goals, but remember growing a “robust savings account” or creating a monthly budget are goals in themselves. So don’t let this first part overwhelm you, break it down into smaller, manageable steps and turn each one into its own goal!
- Maintain Financial Awareness: It’s so easy to check out or lose focus on money. You see your monthly power bill or insurance premium go up, and you think, “Well it’s only $20.” But remember, that’s $240 a year! Push back the resistance that makes you want to ignore things, and instead keep track of bill increases, unnecessary purchases, and anything else that can burn a hole through your wallet. Being aware of these increases is the first step in mitigating them!
- Set Goals: Know what you want to accomplish, because if you neglect to define your goals you will never achieve them. If your goals feel overwhelming, break them up into smaller goals. When you’re setting bigger, long-term goals, consider the power of compound interest. The returns you can gain over time can significantly help you reach those goals. For example, if you know you want to retire one day and your employer has a matching 401(k) plan, perhaps at the very least contribute enough to take full advantage of that match. If you want to send your child off to college one day, look into a 529 plan. If you are starting younger with a few decades before retirement, time is on your side, so take advantage of it.
- Protect Yourself and Your Family: While preparing for the unexpected can be difficult, having a plan in place can help you face these challenges without feeling overwhelmed or shutting down. For this, you may want to consider a life insurance policy that works for you and your family. Life insurance policies have evolved over the last decade and can be better shaped to a policyholder’s needs, these policies can even have riders added to them to help you plan for long-term care. A will and/or estate plan will also help give you peace of mind knowing that if anything were to happen to you, you have taken steps to ensure your family will be taken care of, with your wishes spelled out and legally documented.
- Know Your Triggers: If your attachment style leans anxious or avoidant, understand what triggers that attachment style. You can change your attachment style, but it requires a commitment to remaining present and addressing those maladaptive traits when they pop up. For example, maybe when you receive a bill you put off looking at it until the day before a late fee kicks in. Receiving a bill is the trigger, how can you address that trigger? Maybe you can enroll in automatic payments, or maybe set aside time every so many days to go over your bills, or maybe something entirely different altogether. Addressing your triggers will be something for you to figure out and can widely vary from person to person. The first step for everyone, however, is to face those triggers head-on and look for a solution.
- Seek Help: Changing your attachment style is no small task, but you don’t have to do it alone! Partnering with an experienced financial advisor can make the process more manageable and less overwhelming. An advisor can help you define your goals, break them down into actionable steps, and provide guidance and support along the way!
If you’re looking for support in navigating your financial attachment style or want guidance to maintain a secure mindset, we’re here to help!
Do You Know the Connection
Between Your
Health and Your Wealth
There are a lot of aspects that go into feeling your best. While physical health often comes to mind first, it’s just one piece of the larger puzzle. Mental health and financial health factor into your wellness just as much as your ability to run a mile or touch your toes. When you connect the dots on how these three distinct areas of your life impact your overall wellbeing, you give yourself the opportunity to improve your health in multiple areas at once, potentially creating a ripple effect. With the new year here, this is the perfect time to consider adopting a holistic view of your health, not just to save you money, but potentially save your life.
Our human brains have evolved to promptly respond to stress. This was an adaptive feature for our ancestors to keep them alert and alive, but unfortunately, our biology has not caught up to the fact most of us are no longer hunter-gatherers in the Sahara dealing with predators on a day-to-day basis. And while we are no longer being chased by saber-tooth tigers we still face stressors every day that can influence our safety in society, particularly around money. A bill itself won’t kill you, but the human drive to survive can make us perceive financial stress as a life-or-death situation. In fact, as many as 77% of Americans are anxious about their personal finances, with 58% feeling that their personal finances are controlling their life.
Once we are stressed, we really expose ourselves to a whole host of potential issues, putting both our mental and physical well-being at risk, and nearly half of Americans surveyed say that money negatively impacts their mental health. If left untreated, stress around money can create chronic issues that can take more and more time and resources to solve or mitigate, often causing more financial strain. A money worry can easily become an ongoing anxiety that gets exacerbated with every increasing bill to the point of spiraling. Even more concerning, mental health can manifest into physical ailments. Chronic stress may weaken the immune system's ability to fight disease, with a recent study linking high stress levels to reduced NK-cell activity, cells shown to have the strongest links to fighting certain forms of cancer. This combined with the fact that medical expenses are the leading cause of bankruptcy, can be frightening. But there are actions you can take to support your health!
Mindfulness and social support systems can be your biggest tools in preserving your long-term well-being during times of financial stress, which can include engaging the services of a financial professional. Practicing mindfulness increases metacognition, the awareness of your own thoughts, and decrease rumination, the pattern of thinking negative thoughts. These benefits can help you notice signs of anxiety and depression before they become bigger problems. Mindfulness is typically practiced through meditation and journaling, but any activity that supports your awareness to your body and mind can help you reap the benefits of it!
Additionally, strong social support is linked to improved overall health, reduced stress levels, better mental well-being, and a lower risk of chronic diseases. Social support gives you people to rely on when you need it. This can mean having a friend or counselor to talk to when your thoughts become too negative, having a doctor you trust when you feel unwell, and having a financial advisor to turn to when money becomes overwhelming.
A financial advisor can help you create a plan that addresses not only wealth and investments, but also helps mitigate financial risks from unforeseen adverse health issues. Whether it’s through life insurance, long term care planning, or annuities created to provide income for life, an advisor can work to help keep you afloat in sickness and in health.
Don't let a small money worry today compromise your health and well-being tomorrow. If you need a place to go to for support, be it financial, emotional, or physical, we seek to be a partner in all areas of your life.
Sources:
Navigating
Bipolar Disorder
Bipolar disorder is a commonly misunderstood, sometimes stigmatized, disorder that impacts around 14 million people in America. This disorder is characterized by intense mood swings, oscillating between manic episodes and periods of depression. However, the diagnosis can vary greatly from person to person. If someone is diagnosed with Bipolar I, they typically experience those intense highs, or mania, which will include an increase of energy and disturbed thinking. Whereas someone with bipolar II has shorter, less severe highs (hypomania), but experiences longer periods of depression. Then there are those who have symptoms that don’t fully meet the criteria for mania or major depression, but they still experience ongoing mood swings between periods of emotional highs and lows, potentially lasting for years. These people typically get diagnosed with the milder form of bipolar disorder, cyclothymic disorder. While bipolar conditions vary widely, they share the common thread of affecting how people feel, function, and move in their daily lives.
What causes bipolar disorder?
While the exact cause of bipolar disorder is unknown, it's likely a combination of biological, psychological, social, and environmental factors. Someone’s biology could expose them to bipolar as it does run in the family and can be sourced from a chemical imbalance in the brain. Likewise, someone’s environment can also play a role in their risk of developing bipolar disorder. This could range from sleep disruption to stress. Substance abuse can also play a role in triggering bipolar disorder, as well as trauma or life-altering events.
What are the symptoms of bipolar disorder?
Everyone experiences bipolar differently. As mentioned before, some folks will have more manic episodes (bipolar I), others will experience more depressive episodes (bipolar II), and then there will be those who experience mild versions of both (cyclothymic disorder).
Mania is an abnormally elevated mood, energy, and activity level that significantly impairs daily functioning. It is often characterized by excessive enthusiasm, impulsivity, decreased need for sleep, rapid thoughts or speech, and risky behavior. Signs include:
Excessive happiness, hopefulness, and excitement.
Sudden and severe changes in mood, such as going from being joyful to being angry and hostile.
Restlessness.
Rapid speech and racing thoughts.
Increased energy and less need for sleep.
Increased impulsivity and poor judgment, such as suddenly quitting your job.
Making grand and unattainable plans.
Reckless and risk-taking behavior, such as drug and alcohol misuse and having unsafe or unprotected sex.
Feeling like you’re unusually important, talented, or powerful.
Psychosis — experiencing hallucinations and delusions (in the most severe manic episodes).
Hypomania is the milder form of mania, marked by an elevated mood, energy, and activity levels that are noticeable but do not severely impair daily functioning. It can include feeling unusually energetic and productive, often accomplishing more than usual. Signs include:
Experiencing noticeable changes in mood or behavior that others may find uncharacteristic.
Lacking awareness of mood shifts, even as friends or family point them out.
Potentially transitioning from hypomania to episodes of severe depression.
Finally, a depressive episode is a period of persistent low mood, lack of energy, and loss of interest or pleasure in activities, often accompanied by changes in sleep, appetite, and concentration. The symptoms of depressive episodes in bipolar disorder are the same as those of major depression. They include:
Overwhelming sadness.
Low energy and fatigue.
Lack of motivation.
Feelings of hopelessness or worthlessness.
Loss of enjoyment of things that were once pleasurable for you.
Difficulty concentrating and making decisions.
Uncontrollable crying.
Irritability.
Increased need for sleep.
Insomnia or excessive sleep.
A change in appetite, causing weight loss or gain.
Thoughts of death or suicide/suicidal ideation.
How can I get help for someone with bipolar disorder?
If you or someone you love is navigating bipolar disorder, the first step is education. Take the time to learn about the disorder, potential triggers for an individual, and signs of a manic/depressive episode. Beyond education, treatment will be critical for learning how to manage bipolar disorder. This is why supporting individuals with a bipolar diagnosis requires personalized treatment tailored to their specific symptoms, experiences, and needs.
Finding a treatment program that takes a holistic approach to support those with bipolar disorder can make a huge difference in managing symptoms and navigating life with the diagnosis. At Tranquil Grove Behavioral Health in Raleigh, North Carolina, individuals with bipolar disorder can find the comprehensive care they need to manage their symptoms and improve their quality of life. Offering a range of levels of care, including residential treatment and partial hospitalization programming (PHP), our staff at Tranquil Grove are dedicated to supporting both adolescents aged 11-17 and adults aged 18 and older, regardless of gender. Our holistic approach integrates evidence-based practices like individual therapy, group therapy, experiential therapies, and medication management services, creating a tailored plan to meet each person's unique needs.
Living with bipolar disorder can be challenging, but with the right support system and treatment program, individuals can gain the tools needed to navigate their diagnosis and thrive. Tranquil Grove Behavioral Health is committed to helping people find stability, balance, and hope for a brighter future.
If you or a loved one is struggling with bipolar disorder, help is available—reach out today to take the first step toward healing. You can contact our facility at 500-500-5000 or click below for a no-obligation consultation to learn if our treatment plans could help you or someone you love.
Get Help Today!
As you near retirement you’re probably focused on making sure you have enough income to enjoy the years ahead. While enjoying what you’ve worked hard to build should be a priority, you should also keep in mind that withdrawing the money you've saved in traditional 401(k)s and IRAs can impact your Medicare costs throughout your retirement. Read on to see what having a high income could cost you in Medicare premiums and what strategies could potentially help you keep more money in your pocket and less going to Medicare premiums which are deducted from your Social Security check.
Understanding Medicare
First make sure you understand Medicare, how it's broken up, and what plan you will likely choose. Medicare is sectioned into different parts, each serving a unique role in delivering health care coverage. These parts include Part A, Part B, Part D, and additional coverage options like Medicare Advantage (Part C) and Medigap.
Part A (Hospital Insurance): Covers inpatient hospital stays, skilled nursing facility care, hospice care, and limited home health care. This is normally free for most people who have qualified for Medicare coverage.
Part B (Medical Insurance): Covers doctor visits, outpatient care, home health care, and preventive services like screenings and wellness visits, along with durable medical equipment (e.g., wheelchairs). Part B coverage is the premium that will be deducted from your Social Security check if you don’t choose Medigap or Part C.
Part D (Prescription Drug Coverage): Helps cover the cost of prescription medications, including certain vaccines. You can get Part D as a standalone plan along with Part B or as part of a Medicare Advantage Plan.
Medicare Supplemental Insurance (Medigap): Extra coverage from private insurers to help pay for out-of-pocket costs in Original Medicare, such as copayments and coinsurance. Plans are standardized by letter (e.g., Plan G, Plan K).
Part C (Medicare Advantage Plans): Private, Medicare-approved plans that may bundle Part A, Part B, and often Part D (prescription drug) coverages. Usually limited to providers within the plan’s network. May have different out-of-pocket costs and additional benefits not available in Original Medicare, like vision and hearing coverage.
Comparing Your Choice of Original Medicare with Medicare Advantage
Original Medicare
Includes Part A and Part B.
Option to add Part D for prescription coverage.
Flexibility to see any Medicare-accepting provider in the U.S.
You can also add Medigap for extra coverage on costs not covered by Original Medicare.
Medicare Advantage (Part C)
Private, Medicare-approved plans that bundle Part A, Part B, and often Part D (prescription drug) coverages.
Usually limited to providers within the plan’s network.
May have different out-of-pocket costs and additional benefits not available in Original Medicare, like vision and hearing coverage.
Understanding Modified Adjusted Gross Income (MAGI)
There is one thing that will have a huge impact on your Medicare costs— your modified adjusted gross income (MAGI). Your MAGI is your adjusted gross income (AGI) minus allowable tax deductions and credits. Once you retire, you may be surprised to find that a combination of income from pensions, investment earnings, traditional (non-Roth) IRA withdrawals, and traditional 401(k) withdrawals may land you with a higher MAGI than you realized. While you may no longer be earning a traditional income from working a job, your MAGI will still reflect all of your taxable income.
RMD Impacts
A required minimum distribution (RMD) is the amount you are required to withdraw annually from specific retirement accounts, such as traditional (non-Roth) 401(k)s and traditional Individual Retirement Accounts (IRAs). Starting at age 73, you must take your first RMD by April 1 of the following year, and each subsequent RMD must be taken by December 31 each year after. These mandatory withdrawals are added to your taxable income, minus any allowable deductions or credits.
Higher Medicare Premiums for High Earners
How does retirement income connect to Medicare premium costs? If you have a high income, you will be subject to an income-related monthly adjustment amount (IRMAA) that must be paid in addition to Medicare Part B and Part D premiums, and it’s calculated every year. If the SSA determines you must pay an IRMAA, you’ll receive a notice with the new premium amount and the reason for it.
For 2025, the standard monthly premium is $185 per person per month. In 2025, single filers with 2023 MAGI of more than $106,000 and married couples filing jointly with 2023 MAGI of over $212,000 will pay more. (See Two-Year Lookback below for why we used 2023 MAGI.)
The Part B IRMAA surcharge amounts per person per month for 2025 range from $74.00 to $443.90, while Part D surcharges range from $13.70 to $85.50 depending on income!
Other Impacts
Other income sources can also contribute to an increased MAGI. Capital gains, home sale profits, and even Treasury bill yields contribute to a retiree's MAGI.
Two-Year Lookback
Now that you know what contributes to your MAGI, know that when you go to enroll in Medicare, your MAGI from your tax return two years prior will determine your premiums. This “two-year lookback” rule can catch retirees off-guard if they receive large distributions or gains, increasing their premiums unexpectedly. This is why it's a good idea to start preparing for premium costs as soon as possible, and be strategic about it. The last thing you want is to be settling into retirement and then be hit with a high premium if you can avoid it. Be aware that the two-year lookback is ongoing throughout your retirement, and your premiums may go up in any given year if your income goes up two years prior.
Potential Strategies
By now you know that your Medicare premiums are directly influenced by your modified adjusted gross income (MAGI)—the higher your MAGI, the higher your premiums may be. To help manage this, it helps to work with a retirement planner years before filing for Medicare at age 65, and years before you plan to retire so that a specific retirement income plan can be created for you.
Your advisor will work with you to map out your retirement with a strategy that includes which accounts to draw from and/or which taxable accounts you might want to convert to Roth accounts to potentially save money for the long-term. It all works together!
Planning for Medicare can seem like an overwhelming process. From knowing which retirement accounts to leverage to help keep your MAGI as low as possible, to accounting for that two-year lookback, it can be a lot. That's why the best place to start in your plan is talking to someone knowledgeable about retirement planning.
If you need help getting started in your Medicare planning, we're here to help!
Sources:
https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/parts-of-medicare
https://www.investopedia.com/terms/m/magi.asp
https://www.investopedia.com/terms/r/requiredminimumdistribution.asp
https://www.cms.gov/newsroom/fact-sheets/2025-medicare-parts-b-premiums-and-deductibles
https://www.kiplinger.com/retirement/medicare/what-you-will-pay-for-medicare-in-2025