While the outbreak of COVID-19 (Novel Coronavirus) has
created a great physical health concern, it has also created a large mental
health concern as a result of the increased fear and anxiety connected with
it. It is important that along with
taking preventative and precautionary steps to protect ourselves from the infection,
that we take steps to protect out mental health as well.
We have included information and tips for the following
groups:
- General Population
- Individuals Receiving Mental Health Services
- Parents and Caregivers of Children and Caregivers
of Elderly Individuals
- Mental Health Providers and First Responders
General
Population:
Anxiety and fear are normal reactions to stress and danger,
but during a pandemic the levels can spiral out of control. It is important to ensure that you monitor
these levels and track increasing levels of anxiety and fear.
- Normal stress reactions are to be expected with the increasing worry connected to COVID-19. Some normal stress reactions are the following:
- Change in activity levels.
- Decreased efficiency and effectiveness.
- Difficulty communicating.
- Increased sense of humor/gallows humor.
- Irritability, outbursts of anger, frequent arguments.
- Inability to rest, relax, or let down.
- Change in eating habits.
- Change in sleep patterns.
- Increased focus on cleanliness or infection.
When stress and fear interfere with your
ability to do daily tasks and normal reactions become extreme or prolonged,
this should be addressed with outside support and professional help.
- There are several daily items which can serve to
reduce anxiety and fear during the COVID-19 Pandemic and the Shelter in Place
Order.
- Washing hands, using hand sanitizer, carrying
hand sanitizer with you, and social distancing to reduce worry of infection.
- Setting up options for working remotely.
- Setting schedules and prepare for the next 7
days, but being flexible and willing to change plans as needed will help with a
sense of normalcy.
- Reference and research information you read on
social media to prevent increased worry.
- Practice self-care and include items such as: exercise,
healthy eating, time with family, connecting with friends virtually, focusing
on the positive moments.
- Avoid increased alcohol or substance use to
avoid anxiety and stress or to assist with difficulties sleeping.
- If the anxiety and fear become overwhelmingly
strong and prolonged, you feel hopeless, or have thoughts of self-injury or
suicide, seek help immediately by calling the Mental Health Resources, Inc.
Crisis Hotline at 1-800-432-2159 or
the National Suicide Hotline at 1-800-273-TALK
(8255)
- Practicing grounding, mindfulness exercises,
meditation, and relaxation techniques can be helpful.
Individuals
Receiving Mental Health Services
It is important to contact your mental health provider and
schedule a time to speak with them as soon as possible.
- Identify coping skills and mindfulness exercises
which will assist you with reducing anxiety and managing your stress or fear
during difficult times.
- Identify a therapeutic plan to ensure that you
are able to continue mental health services during the crisis. (Referral to a different provider, phone or
tele-video sessions, health home/care coordination services.)
- Request refills of medication to ensure that if
there is a service interruption, medication refills are on hand with your
pharmacy.
- Identify additional support systems. Connecting with support groups, friends, and
family who can provide non-judgmental support can be key in anxiety provoking
times.
- Mental Health Resources, Inc. will be providing
services during all levels of the CODVID-19 crisis via telephone or tele-video for
therapeutic and psychiatric appointments, and crisis services through the MHR
Crisis Line, 1-800-432-2159.
Parents and
Caregivers of Children and Caregivers of Elderly Individuals
Parents and Caregivers will face a special challenge during the
COVID-19 pandemic. It is important to
acknowledge that there are two major types of challenges you will likely face;
addressing your own feelings, and challenges addressing the crisis with those
you care for (elderly, child, mentally disabled)
- Gauge the need and level of information to share
and how to best discuss the changes and events that are occurring. Almost all children as young as grade school
have heard the term Coronavirus or COVID-19 and have heard individuals talk
about the crisis and what is happening in our nation. Children respond more to how a parent shares
information that what is shared and as such making sure that you are prepared,
understanding, and confident when discussing the topic with them is key.
- Use words and terms that are age appropriate and
share the level of information that they need to hear and providing information
that is beyond what is asked for by the children. Don’t give blind reassurance or dismiss the
negative, but avoid oversharing.
- Younger children will be less likely to
understand what is going on or why the changes have occurred. Older children will be more aware how the
world works and be more inclined to seek their own information in the absence
of information provided by caregivers and parents. For the elderly and/or mentally disabled,
assessment of what level of information will be understood will be a case by
case item.
- Set boundaries related to access of information
that is viewed. Unfortunately, in the
age of 24-hour news and social media there is a lot of wrong information online
and this can cause undue anxiety and fear.
Additionally, there is also the need to guard against information
overload and constant updates. Limiting
the amount of time spent online and watching news while being more available
and discussing what any concerns.
- With elderly or mentally handicapped, they may
have a difficult time understanding what is explained. Focus on helping them understand the changes,
not focus on the causes, if mental capacity is an issue, but this is a case by
case issue to be assessed.
- Those in long-term care facilities may feel
isolated, especially if they are used to daily visits from loved ones. Understand that the absence will most likely
increase anxiety and feelings of loneliness, so make accommodations that can
support the mental health of those individuals. Find ways which you can
interact and visit with them by phone or virtually.
- Young children may feel overwhelmed and overly
anxious when expected to not attend school, see friends, play sports, etc. Remember
to remain calm in interactions and not let the stress of the situation to
impact how you react.
- Connected to anxiety, watch for signs of
depression and/or hopelessness. Make sure children and adults you care for know
you are available to talk, and if needed, seek professional help by contacting
the MHR Crisis Line, 1-800-432-2159,
or an outpatient provider.
- Make sure you take time for you. As the caregiver you can only help reduce
anxiety of those you care for by addressing your own anxiety and stress. (See General Population Section.)
Mental Health
Providers and First Responders
As professionals used to high stress jobs and situations we
often forget or pretend that we are not impacted by events such as the current
COVID-19 pandemic. Make sure that you
assess and address your own stress, anxiety, and fear around events.
- Prepare yourself for the impact that dealing
with the anxiety and stress of those you encounter as part of your professional
role will have on you. Prepare yourself
for what you will see, hear, and experience and have plans for how to share and
address these items.
- Make self-care a priority, this includes:
- Physical health: adequate sleep and rest, health
diet and not skipping meals, exercise, and assessment of physical impact for
your body.
- Mental health: making sure to take time away,
maintaining social connections, separating work and home life, peer supports
and peer interactions.
- Work with coworkers, superiors, and supporting
agencies to assist with contingency plans as needed and possible. Options to consider are items such as working
virtually, employing crisis management services, working rotating shifts, and
coordination of support to family members as needed.
- Remember you are human and to seek professional
help if you become overwhelmed by what you experience or vicarious
traumatization. It is crucial that you
protect your own mental health and address your own anxiety, fear, and stress.
