Most people find it surreal that we’re living in a pandemic. Every day we hear the bleak statistics about where the diagnosed “positive” cases as well as the deaths are ramping up, especially as we face a Fall surge in contagion.
Things we’ve previously taken for granted, like stress-free grocery shopping, visiting friends and family, getting a haircut, going to the movies, boarding a plane for a far away trip, working at our offices, having our children safely at school, etc. are now all matters of life and death. Making these decisions is now more like playing Russian Roulette with our survival.
Many of the couples I see in my practice are driving each other crazy with the lack of personal space, the intrusions into personal time, the increased dependency on each other’s judgment, and the loss of their usual distractions and pleasures, like going out to eat, attending concerts, or going to the gym. My caseload is exploding, even with the uncertainty so many people face about the sustainability of their incomes. Many people are now, eight months into the pandemic, experiencing “Covid Fatigue” and getting riskier with their choices, loosening their vigilance about contagion danger, thinking “What the hell, we’ve gotta live!” Apparently, as people experience these losses the rates of depression and anxiety are up. As many people experience a frightening lack of leadership or governmental truth related to the pandemic, feelings of helplessness, rage and nihilism are prevalent.
So, how can one not only stay alive until hopefully there’s a vaccine widely available, but actually thrive in this dystopian environment? Here are some strategies I’d recommend, finding them personally useful, and observing how my family, friends and clients also benefit from them:
- Pick your battles. Be conscious and selective about where you direct your outrage and frustration. Early on, I found myself confronting mask-less shoppers about their socially irresponsible behavior. I soon realized I was not only fighting a useless fight which might end in injury, but also inviting a full scale stress response in myself. Eventually, before the masks were mandated, I’d contact store managers with either praise for their policies about social distancing and masks, or complaints for their lack of diligence and courage. Also, good or bad reviews on store websites are more powerful than confronting individuals. So, be intentional about where and how you express your frustrations, being mindful about how it might backfire.
- Respect other people’s choices about “safety.” Try to take a more empathic, non judgmental stance about the way others manage their lives amidst Covid. Most people take some calculated risks, like seeing their grandchildren in person rather than via Zoom for possibly years. Other people choose to expand their “pods” to include close friends and extended family. Parents of young children are now generally sending them back to pre-schools. More often now, people are traveling, using AirB&B or even select hotels, knowing there is risk associated with that choice, but finding confinement at home worse. There are many daily decisions we all face about staying alive and managing, so recognize that these choices are personal and not for you to judge. Criticism, voiced or silent, only divides and alienates people.
- Limit your exposure to the news, especially on TV where the visual content can be particularly triggering. If you want to know what’s going on in the world be selective about which programs might be more or less sensationalized, or more focused on solutions. Do not watch the news at night before bedtime. Not only does the blue TV light inhibit melatonin production, which is required for ample sleep, but details about the horrors of the pandemic won’t benefit the purpose of relaxation and calm needed for a restful night. Instead, read a non-arousing book on a device with a “night shade” adjustment, or listen to soothing music, or listen to some guided imagery, like the ones on free apps like “Calm” or “Headspace.” You need proper sleep to face this new Normal with resilience.
- Lean into the pleasures and joys of your relationships. Even if right now you can’t see some of your loved ones in person, stay connected with Zoom, FaceTime, phone calls, photos, texts, and emails. Even snail mail right now is better than losing touch. Avoid isolation as the solution to the constraints of Covid. Explore new things with a partner or spouse. Make it an antidote to the temptation to target them with your Covid issues. Go for walks together, learn a new way of cooking. Be conscious and intentional about expanding your relationship with each other. Remember, your closest connections are your lifeline, especially now, so lean in.
- Do some service for those in need or for some meaningful cause. Go shopping or do errands for an elderly shut-in neighbor. Walk a dog for friends who are overwhelmed with young kids at home. Volunteer at an animal shelter. Mow your neighbor’s lawn. Offer emotional support to someone you know who has lost a loved one to Covid. Get involved with some political action you feel strongly about so you become part of the solution. Get outside your own experience, participate and help others. It will soothe your heart at a time of such uncertainty and loss. You will also experience a sense of “agency” so needed now, making a difference with your effective actions.
- Take up a new hobby. Expand yourself with creativity, especially as you experience so many shrinking options now in Covid life. Learn a new instrument with online lessons. (I’m currently taking guitar lessons, and online ukulele and harmonica lessons!) It will fill your brain with new challenges and pleasures. Take up knitting or woodworking or painting, things that usually require you to be more still at home. Try to create a dedicated space to this new hobby and make it your sanctuary. Create a psychological and physical space for positivity and growth.
- Spend some time each day focusing on what Covid has ironically given you – more time with your kids? More appreciation for those you love? Appreciation for your health or your life? Gratitude for your job? Appreciation for the safety and solace of your home? Less mindless spending? As we now all face death in such a direct and immediate way it can be transformational to be more present in our lives while we have them.
As Mike, a beloved carpenter we’ve recently re-hired says, “I’m just really happy to be on the right side of the grass at this point!”
Here is an excellent CNN Health article which I’m reprinting, because it deals very thoroughly with the potential impact of the Coronavirus pandemic on our mental health. The writer discusses several tools we can all use to offset some of the negative effects of living in lockdown, “hiding from death,” as I think of it.
CNN Health: by Sandee LaMotte
Enforced lockdowns. Isolation from friends and loved ones. Loss of job, income, economic stability.
Grief and loss on so many levels — from missing milestones such as birthdays and graduations to severe illness and death.
Difficult times made worse by the fear of an invisible, deadly enemy who strikes via the very air we breathe.
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Such is the anxiety-ridden reality of living in the age of coronavirus for many people around the world. While some of us may be coping well right now, experts worry our emotional resilience will begin to fray as the threat of Covid-19 drags on.
“We’re living constantly with a level of fear, a heightened state of arousal, much like Vietnam vets and Iraqi vets live with every day,” said trauma counselor Jane Webber, a professor of counselor education at Kean University in New Jersey.
“And our sympathetic nervous system can only stay in that overwhelmed, almost frenetic state for so long before we crash,” said Webber, who counseled survivors and families during 9/11’s tragic aftermath.
“I call it ‘chronic threat response’ — the continued state of being in a hyper-aroused survival mode,” said trauma psychologist Shauna Springer, who has spent a decade working with military veterans suffering from post-traumatic stress disorder, also known as PTSD.
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“Chronic threat response is an escalation of many of the same symptoms associated with post-traumatic stress — sleep problems, floods of anxiety, irritability, difficulties concentrating and a hair-trigger startle response,” Springer said.
What are some of the signs that our coping skills are becoming threadbare and our anxieties may turn dark and more dangerous?
1. Poor sleep
“When nightmares become a regular thing and our sleep quality is consistently bad, that is often the first sign that we may need to take action to improve our mental health,” said Springer, author of a new book called “Warrior: How to Support Those Who Protect Us.”
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Poor sleep is a double-edged sword: Not only does anxiety create poor sleep, a lack of quality sleep can lead to anxiety, stress and depression, a sort of circular impact. The good news is that exercise and practicing good sleep hygiene can often help get us back on track.
2. A focus on bad news
As we shelter in place, a focus on watching alarming media reports on the growth of the virus and the devastation to the economy is another warning flag, according to Springer.
“If we are spending our days soaking in this general anxiety and dread about what may happen, in a sort of foxhole waiting for bad news, that’s another sign that things are getting into a more clinical range,” she said.
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“And there’s the guilt of taking our feelings out on loved ones, which is likely to happen when you’re in close quarters with people for a long time and you haven’t adjusted to that.”
3. Loss of interest and pleasure
An even more serious sign, Springer said, is when we lose the taste for connection to others and stop reaching out to friends and family.
“When we can’t find pleasure in anything and we begin to feel numb rather than connecting with others and doing things we value or want to do with our lives, that’s a sign that we may need help and support, she said.
4. Helplessness or crippling anxiety
If the current threat of Covid-19 has reawakened feelings of helplessness, such as in the face of violence at home, or from a loss of identity and purpose after being fired or furloughed from a job, that can also be a key sign of risk, experts said.
“An overwhelming feeling of helplessness is what often leads to trauma symptoms,” Springer said. “Those of us who’ve been let go from a job can feel as if we’ve lost our identity, due to the absence of the roles and relationships that give our lives meaning, and therefore we feel helpless. We can be at risk.”
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Helplessness can turn to a dark and crippling anxiety, which is another sign that we need help.
“Crippling anxiety is where you feel constantly flooded with feelings of panic and this nameless dread about what may unfold,” Springer said. “You don’t have a sense of a hopeful future. Anxiety creates tunnel vision and it really puts us in a state of fight or flight.
“And when we are in that survival mode for a prolonged period of time, that’s when anxiety goes into a darker phase and it really warrants clinical support,” she said.
5. Thoughts of suicide
Being so hopeless and anxious that we begin to think of ending our life is, of course, a sign that immediate professional help is needed, experts said.
“Military veterans say this is when ‘whispers of our demons’ begin to take over,” Springer said. “When we start to script out a story in our heads of how others won’t miss us or that we’re a burden to those that we love, that is a critical sign that we need to get help immediately.”
What to do to help yourself
Reach out and connect, just not physically. The first thing to do is stay socially connected with friends and loved ones even though you’re physically apart. Technology is a great way for many of us to do that, but some in the family, such as grandparents, may be as adept at using Facebook, Facetime and Zoom, for example.
“Instead of just relying on social media, we can make a list of the 10 or 20 people that we care the most about and put them in our phone on a rotating basis,” Springer said. “We’re going to call one of those people every day.”
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Next, Springer suggested adding more people from our outer ring of friends and associates that we may not be as close to and put those people into that daily call rotation. That’s especially critical if you think those people may be especially isolated right now.
“Reaching out and connecting with people, especially those who are especially isolated, and giving them space to talk about their experience and anxiety during this unprecedented time of anxiety and then sharing our own experience is how we will get through this,” she said. “When we connect, we survive.”
Breathe deeply. In therapy sessions, Webber said, “the thing we teach most is deep breathing. It’s free, it doesn’t cost anything and it really works.”
Here’s how to do it properly, she says: Breathe through the nose, hold it and then exhale very slowly out through your mouth like you’re breathing through a straw.
“And when you breathe slowly out, you improve your whole picture of life and you reduce your nervousness,” Webber said.
Practice gratitude. Science has shown that people who practice gratitude are happier and more optimistic — and you can easily teach yourself how to do it.
“One thing I recommend to everyone in scary times is to write two or three things each day of what you’re grateful for. It shifts your view of the world,” Webber said.
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“I’m grateful for my daughter because she is home with me right now. I’m grateful for my son, the nurse. I’m grateful for my other son who has figured out every possible way of getting food online that there is in the entire county,” she added with a chuckle.
Take control of your mental state. Fight back against anxiety turning darker, experts suggested, by taking control of how you think.
“One of the ways to do that is to take out a sheet of paper, put a line down the middle and on one side write down the things we can’t control right now, and on the other write what we can control,” Springer said. “And then we form a plan of action that allows us to move on those things that we can control.’
This stops us from “soaking in that feeling of helplessness or if you will just be sitting in our foxhole and waiting for more bad news to come,” she said. “We’re actually moving on things that we want to be doing with our lives, even if there are some very challenging circumstances right now.”
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For some people that may not feel possible, especially if they lost a job or were furloughed when the economy came to a screeching halt.
“Losing a job is a seismic stressor, one of the most stressful things that can happen to you,” Springer said. “But you can sit and ponder on your negative situation or you can use the time to learn something new or deepen yourself or gain some skills.”
She points to the many high quality, inexpensive or free training programs on the internet today that can add skills to your profession or even help you transition to something new.
“So people can use this time to build skills and become smarter and stronger and more prepared for when the workforce really kicks back in and full force,” Springer said.
Establish a schedule. Our days and nights are blending together, and many people find themselves working more hours, or if they can’t work, fretting about finances. One way to fight back to is establish a schedule that separates work or job search from family and play time, especially exercise, which is critical for boosting our mental mood. Meditation or mindfulness are also excellent options to schedule into our day, experts said.
“We have to create routines in order to get through this absolutely surrealistic world right now,” Webber said. “Focus on the little things, such as making a lunch in a special way, knitting, crocheting, meditation, mindfulness, yoga or walking or running to do something physical to help us reach a more calm mental state.”
Be careful with media, especially social media. Be sure to limit the amount of time you spend watching the news, especially if you feel it makes you anxious, experts said. That can also apply to social media, said Arthur Evans, the CEO of the American Psychological Association, in a recent interview for the Washington Journal section of CSPAN.
“There is a lot of misinformation on social media,” Evans said. “When you couple that with a lot of contradictory information, it creates more anxiety for people.”
For example, he said, social media is filled with conspiracy theories and other wrong information that “is contradicting what we are hearing from professionals who really know and understand these issues … so limiting the information to reliable sources, sources you can trust, goes a long way in helping manage that stress.”
Crack a smile. It’s long been said that “laughter is the best medicine,” and that applies to the anxiety of our times, experts said.
“Remember, you can’t be anxious and smile at the same time. That’s a physiological thing,” Webber said.
So watch funny movies, listen to comedy routines, ask everyone you talk to on the phone to tell you a joke. Give back to them by doing the same.
Stay optimistic. There are so many unknowns when it comes to this new disease that is terrorizing the world. Will it ease over the warmer summer months? Get better or worse as the world begins to open back up? Even worse, will it return with a vengeance in the fall and winter?
Don’t let those unknowns shake you or take away your optimism, Webber said.
“I consider optimism both healthy and an Achilles heel, because of course, being too optimistic might let you down,” she said. “But if I had the choice, optimism is always better than pessimism. And optimism is always better than realism. If we have hope that the best will come, we might be disappointed, but that hope, I always believe, will get to the person that you love.”
(This CNN article was just forwarded to me by my cousin who is an avid reader, staying afloat in quarantine as a single person through her endless curiosity for information and ideas. I thought the article perfectly captured the dilemmas we all face now in this pandemic, and I couldn’t have covered it any better, so I’m sharing it with you here).
Opinion by Jill Filipovic
Updated 11:11 AM ET, Wed April 29, 2020
Are you losing your mind in quarantine? Because I am losing my mind in quarantine.
It can feel trite, even crude, to talk about our own discomforts, frustrations and longings in the midst of a pandemic that has infected more than three million people worldwide and killed more than 200,000 including nearly 60,000 in the United States, with numbers climbing.
Across the globe, families are grieving friends, family and community members. Husbands, wives, children, parents and partners are saying goodbye via iPad, unable to hold a loved one’s hand in their final moments. It’s a grim, ghastly time.
Those of us who are just stuck in self-isolation, and not hooked up to a respirator or the next-of-kin of someone who is, are the lucky ones. And no, what’s being asked of us is not excessive: We just need to stay home.
So why does this feel so hard?
Around the world, people report feeling stressed, anxious and generally discombobulated by this whole mess. Parents and other caregivers for young children are particularly stretched thin. People have canceled trips, concerts, weddings; new babies are being brought up without the help of extended family or community members; big life milestones like graduations go publicly uncelebrated. We miss the friends and family we can’t see. We miss dinners out, parties in, museums, live music, theater, even the gym.
I miss being able to walk through my neighborhood without the stress of staying six feet away from bikers, joggers, cooped-up children gone wild on scooters, and other pedestrians.
It’s not just working from home. I’ve worked from home for close to a decade, in many different cities and multiple countries. But the general rules of work-from-home life no longer apply. For example: Do something social, or at least that forces you to interact with other human beings, every day, even if that’s just going to the grocery store or the gym. Or: Create a separate dedicated workspace, even if it’s only a particular cushion on your couch; reserve your bed for sleeping (and other recreational activities). Or: Get outside at least once a day.
That’s all harder when your whole family is stuck inside on top of each other; when there are no gyms to go to; when, at least in dense cities, even going for a walk outside is a stressful (and masked) experience.
No, we are not being asked to go to war or survive one. But what we are being asked to do is profoundly antithetical to our natures as human beings; it is profoundly destabilizing and difficult. There is little more human than the desire for connection, touch, stimulation and novelty. This is all so hard because in going without those things, it’s not hyperbole to say we have to find new ways of being — or at least feeling — human.
Esther Perel, a psychotherapist and best-selling author, tells viewers in a brief but compelling video for The New York Times that it’s no wonder we are feeling a sense of grief and anxiety. It’s not just that we’re missing out on travel, dates, or dinners. It’s that we’re also losing the meaning behind all of those things. A date isn’t just a date; it’s the possibility of a romantic future. A trip isn’t just a trip; it’s a new and stimulating experience, a chance to understand oneself in a different context, an opportunity to see things that before you could have only observed through a screen. A dinner out isn’t just a dinner out; it’s a moment of indulgence, pleasure and connection with the person across the table. A longing to hug a friend, a loved one, a far-away child, your mom is more than just “I want a hug” — it’s a primal and fundamental longing for the way touch is so often short-hand for everything we don’t find the words to say.
Even in the midst of catastrophe — war, natural disaster, destruction — human beings continue to forge connections; we perhaps especially forge connections in the most trying of times so we can survive. In the most dire of circumstances — in war zones and refugee camps, in towns leveled by earthquakes and communities pocked by violence — people create art, paint in bright colors, plant seeds. They play music. They feed their beloveds. They tell stories. They fall in love.
The isolation that this pandemic has forced upon us doesn’t prevent all of those things, but it certainly hinders them. In the days after September 11, 2001, New Yorkers defied stay-at-home suggestions to congregate in bars and restaurants; the city teemed with life and energy (and, for once, not with car horns — a little bit of softness in the aftermath of such brutality). That collective gathering was very much a collective middle finger to those who attacked us: No, we are not scared. Yes, we are still here, and guess what? We’re going to live.
What is being asked of us now is not quite so satisfying; it does not meet our need, in a time of anxiety and grief, to come together and seek comfort. To touch each other. To even smile at a stranger — you can’t see a person’s expression behind a mask.
Compared to illness and death, these are small things. Being alive matters more, and so of course we have to continue to live this way for as long as is necessary to keep ourselves and others safe and healthy.
But it’s also OK to grieve the pieces of life that we’re missing, to express the feeling so many of us have that we can’t take it anymore. It’s necessary to understand that missing the fullness of life, including pleasure and connection, doesn’t make us selfish. Feeling destabilized and disoriented or pushed to a breaking point doesn’t make us flaky or weak. It makes us human.
And perverse as it may sound, those of us who are anxious, frustrated and disoriented can be grateful for that exact experience — in disorienting and disconnected times, this reaction is a rational one. It means we’re warm. We love. We’re curious. We seek pleasure, and we revel in it when we experience it. It means we live.