Who is caring for the healthcare workers who care for everyone else? Being a clinician can be stressful as is, but a global pandemic is unprecedented. Clinicians at the front lines are overwhelmed with sicker patients and many healthcare employees lack the proper protective equipment to do their job effectively. A significant proportion of healthcare workers treating COVID-19 patients exposed to COVID-19 experience mental distress, new research shows.
Half of the respondents reported symptoms of depression, almost half reported anxiety, one-third experienced insomnia, and 72% reported psychological distress (source). It’s critical to support your mental health and improve your resilience during this time. This article will provide resources to support those facing insomnia, signs, and symptoms of depression, and anxiety.
Check your sources
Reading inaccurate information is a fantastic way to cause anxiety. Check the sources that you rely on for information regarding the virus because misinformation is widespread (source). The sites you read should rely on experts who publish evidence-based science in journals. Safe sources include sources that protect the public:
- Bullet list
- World health organization COVID-19
- MEDLINE COVID-19
- The national health service for the UK and COVID-19
- FDA COVID-19
If you’re concerned about symptoms that may resemble COVID-19, the CDC provides a symptom checker. Reading false data about COVID-19 can cause undue anxiety. However, it is crucial to avoid information overload. Immersing yourself in negative news regarding the coronavirus frequently can further increase your anxiety.
If you have ever had a rough night, you know how frustrating it can be to toss and turn all night. Digital clocks feel very unforgiving at 4 a.m. As it stands, healthcare workers are known to suffer from insomnia due to workloads and fluctuating shifts. The American Academy of Sleep Medicine issued a position statement regarding the importance of sleep among doctors to decrease physician burnout (source). Stress-related insomnia can cause negative outcomes in your personal and professional life.
Those with mild to moderate insomnia can consider practicing better sleep hygiene. Go to bed at the same time and each morning (even on the weekends). Be consistent. Keep your bedroom dark, quiet, and relaxing. Remove all electronic devices like your television, computer, and smartphone from the bedroom. Eat small meals, avoid caffeine, and alcohol before bedtime. If you work out during the day, you can reduce your stress and improve sleep (source).
Depression & anxiety
Some have diagnoses of depression and anxiety from the past. However, in this confusing time, the coronavirus has affected numerous aspects of life — spiritual, work, and social connection. Feeling anxious or down is normal during this time.
Depression can stem from feeling hopeless in the face of the unknown — when will the coronavirus subside? Depression is more than just having a sad day — it’s a clinical diagnosis for those who experience a persistent feeling of sadness or loss of interest.
Talk to your primary care provider about being tested for Vitamin D deficiency or thyroid conditions. Vitamin D supplementation can decrease symptoms of sadness (source). Patients with autoimmune thyroiditis exhibit an increased risk of depression and anxiety (source). By treating both of those conditions, you may alleviate some of the symptoms.
If you have a clinical diagnosis of depression or anxiety, reach out to your therapist and continue your medicine regimen. However, if you think your sadness or angst are crossing lines that affect your daily life, reach out to a trained professional. Any thoughts of harming yourself should be immediately addressed by calling the suicide hotline.
Resources for anxiety and depression
Both depression and anxiety can be exacerbated by stressful situations and lack of self-care. If you are looking for holistic methods to attempt first, add the following tools in your toolbox to resolve stress.
Try Yoga: Not a yogi? Now is a great time to start. Consider a streaming yoga or mobile apps to get the full experience while social distancing. Yoga has been proven to decrease stress and improve mood (source).
Meditate: Meditation is using mindfulness to calm down. Headspace is providing deals related to COVID-19 to healthcare workers and there are other mobile apps like Calm.
Breathing: Even if yoga isn’t your thing, yoga breathing has incredible benefits. Sit up tall, extend your spine and breathe in and out using only your nose. Extend the inhale and exhale to five counts each. Controlled breathing can relax your mind and body.
Laugh: Read a book or watch a comedy.
Love: Connect with loved ones through video chat or conference.
Get outs: Go for a walk with your dog or stroll in nature and get some natural Vitamin D.
Act: Keep up with your fitness. go for a run or dig out your weights
If you still feel down, make an appointment with a therapist. You aren’t alone — there are many therapists who are doing virtual counseling or socially distancing during this time.
Give yourself the grace to take time for you. Stop being so hard on yourself. If self-care doesn’t happen, then how can you care for others?
Being resilient is important in the face of a crisis. Resilience is one’s coping ability when facing emergencies and returning to pre-crisis status. Psychological resilience means looking at problems as acceptable circumstances or problems that can be changed. There are steps to take to improve your resilience.
- Own that your thought is a thought, and your feeling is a feeling. Avoid struggling against it and just accept it and let it pass. Dealing with tricky thoughts is human.
- Be present at the moment with all five senses. My favorite trick to make a panic attack pass is to force myself to say one thing I can see, one thing I can hear, one thing I can touch, one thing I can smell, and one thing I can touch (i.e., the green leaves fluttering on the branch, the sound of cars down my street, my baby’s head, and my cup of tea).
- Be engaged. Focus on your values and what is important to you.
- Practice gratitude and look for the good things in your life. Be grateful to your body and what it has given to you. Practice gratitude to yourself and your world.
- Treat yourself with compassion. Would you say that to your best friend? Give yourself respect and become more self-aware (source).
Competence is the essence of healthcare. By being professional, skilled, and having the right attitude, you will give patients the confidence to succeed. By feeling confident in your skills, To make sure that you are at the top of your game, take Advanced cardiac life support with pacific ACLS.