We need to hunker down and get through this fall and winter because its not going to be easy, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said last week.
The change in seasons has many mental health experts worried that an already tenuous landscape will worsen. Six months of turmoil and uncertainty have left two out of five Americans with feelings of depression or anxiety, according to a recent CDC study. In Massachusetts, the worst of the pandemic may be behind us for now, but the trauma caused by the virus, social unrest, and economic recession still lingers.
Blue Cross Blue Shield of Massachusetts reported that use of mental health services was up 14 percent from January to July of this year compared to the same period of 2019. A recently published study by a group of researchers from Boston, Providence, and New York City found that symptoms of depression were more than three times as prevalent during the pandemic than before, with an outsized toll exacted on lower-income populations.
When youre treating depression, one of the biggest things you can do is behavioral action, and that means basically getting people to do stuff, said Karestan Koenan, a professor of psychiatric epidemiology at the Harvard T.H. Chan School of Public Health. Telling someone to stay home is exactly the opposite of that. The weather changing will compound that. Well be robbed of some of the ways weve been able to cope.
Even in nonpandemic times, the winter months, with their midafternoon sunsets and paralyzing frosts, can cause seasonal affective disorder (SAD), a form of clinical depression affecting at least 5 percent of American adults. But now, for many people, the cold will also mean a return to the homebound stage of the early pandemic, as flu season and the coronavirus coincide.
On one hand, its like how much worse can it actually get? And on the other, Im telling myself dont ask that question because youll find out just how much worse, said Sarah Shaw, a 38-year-old Roslindale resident.
Shaw has worked in the restaurant industry for two decades, most recently as a server at Democracy Brewing, but the Downtown Crossing brew pub closed in March when the pandemic hit. Shes been out of work ever since.
There is a feeling of hopelessness, Shaw said. Anybody who says they arent feeling anxiety or depression right now is lying to you.
Aside from distinct stressors such as job loss or health concerns, many also report feeling a murky but unshakable sense of uncertainty and apprehension. With the president sparring with scientists over the nature of the virus, contradictory reports about the timing of a vaccine, and the absence of another virus aid deal, the future feels precarious.
Uncertainty has always played a role in pandemics, and the coronavirus is no different. People have a lot of difficulties tolerating uncertainty, said Steven Taylor, a clinical psychologist and author of The Psychology of Pandemics, published last year. When you take away the things that people derive a sense of pleasure or security from and combine that with the mishandling of the pandemic, it is a recipe to depress and demoralize people.
Chris Mastrogiacomo teaches a group of adult students with disabilities at a postsecondary program on the Cape. Hes escaped the stresses of work this summer by spending time on and near the ocean, but he begins in-person instruction in a handful of days. He worries about his students transmitting and falling ill from the virus but also suffering from isolation and instability if theyre forced to stay home. All the while, he still doesnt know where to send his fifth-grade son for remote schooling when he and his wife, also a full-time in-person teacher, are at work.
You could say there is a sense of impending doom, Mastrogiacomo admitted.
Taylor also suggests that the ongoing uncertainty could lead many to adopt a myopic view, living purely on a day-to-day basis rather than with a long-term focus, as a way to cope with financial or psychological stress. And as with all aspects of the pandemic, the brunt of the mental health crisis has disproportionately fallen on the shoulders of already vulnerable populations. The September study by a group of researchers from Boston, Providence, and New York City found that respondents with less than $5,000 in savings were at 50 percent greater risk of experiencing depression symptoms.
But such short-term thinking might be detrimental in the long term. Norman Rosenthal, the South African psychologist who coined the term seasonal affective disorder, said the primary way to avoid feeling down in the winter is to preemptively develop healthy ways to adapt and cope.
Health care providers are expanding access to and increasing reimbursements for virtual mental health services. All the while, mental health experts maintain that the tools daylight walks, artificial lights, healthy eating, regular sleep, and maintaining virtual or distanced social connections traditionally used to combat SAD should also be used to stave off feelings of confinement and isolation.
Mona Vernon has spent the summer on long nature walks with friends. But the Parisian who moved to Boston in the early 1990s had a moment of reckoning the other day when she contemplated the seclusion and suffocation of the winter. She promptly ordered a pair of snowshoes and all seven volumes of In Search of Lost Time, the mammoth novel by the prolific novelist and recluse Marcel Proust.
I panicked. Plan A is Proust. Im hoping he saves me, said the single mother of two. Plan B is snowshoes. I dont even know what snowshoes are, but I think I need them to stay sane this winter.
The Samaritans' 24-7 crisis help line can be reached by calling or texting 877-870-4673. People experiencing a crisis can also call the Disaster Distress Helpline: 1-800-985-5990, or the National Suicide Prevention Lifeline: 1-800-273-8255.
Hanna can be reached at hanna.krueger@globe.com. Follow her on twitter @hannaskrueger.
Go here to read the rest:
Struggles with mental health could get worse as winter looms - The Boston Globe
- Mental Health - June 23rd, 2018 [June 23rd, 2018]
- Mental Health - Harvard Health - July 26th, 2018 [July 26th, 2018]
- Mental Health UK :: Home - July 26th, 2018 [July 26th, 2018]
- Mental Health : NPR - July 26th, 2018 [July 26th, 2018]
- Mental Health | Youth.gov - July 26th, 2018 [July 26th, 2018]
- Mental Health - Orange County, Florida - November 2nd, 2018 [November 2nd, 2018]
- Care Manager - Tarrytown, NY | MHA - November 3rd, 2018 [November 3rd, 2018]
- Home - Henderson Behavioral Health - November 16th, 2018 [November 16th, 2018]
- Adult Mental Health | Georgia Department of Behavioral ... - November 23rd, 2018 [November 23rd, 2018]
- A Digital Home - Mental Health Partners - November 23rd, 2018 [November 23rd, 2018]
- Mental Health | Health & Wellness - November 23rd, 2018 [November 23rd, 2018]
- Mental Health UK - Working together for everyone's mental ... - November 23rd, 2018 [November 23rd, 2018]
- Mental disorder - Wikipedia - December 20th, 2018 [December 20th, 2018]
- Mental Health | NCAA.org - The Official Site of the NCAA - December 26th, 2018 [December 26th, 2018]
- Home - SAMHSA Behavioral Health Treatment Services Locator - December 26th, 2018 [December 26th, 2018]
- Volunteers of America's Mental Health Services | Volunteers ... - December 26th, 2018 [December 26th, 2018]
- Mental Health CSG Justice Center - December 26th, 2018 [December 26th, 2018]
- WHO classifies 'gaming disorder' as mental health condition - CNN - December 26th, 2018 [December 26th, 2018]
- Adult Mental Health - December 26th, 2018 [December 26th, 2018]
- Mental health - Wikipedia - December 27th, 2018 [December 27th, 2018]
- What Is Mental Health? | MentalHealth.gov - December 27th, 2018 [December 27th, 2018]
- New York State Office of Mental Health - December 27th, 2018 [December 27th, 2018]
- Mental Health and Mental Disorders | Healthy People 2020 - January 1st, 2019 [January 1st, 2019]
- Mental Health - CHOC Children's - January 1st, 2019 [January 1st, 2019]
- Mental Health Care | Health.mil - January 1st, 2019 [January 1st, 2019]
- Outpatient Mental Health Facilities programs City of ... - January 2nd, 2019 [January 2nd, 2019]
- Mental and Behavioral Health - AAP.org - February 11th, 2019 [February 11th, 2019]
- Sleep and mental health - Harvard Health - February 11th, 2019 [February 11th, 2019]
- Mental Health: American Diabetes Association - February 11th, 2019 [February 11th, 2019]
- Mental Health Problem Symptoms, Causes and Effects - February 11th, 2019 [February 11th, 2019]
- Promoting Childrens Mental Health - AAP.org - February 11th, 2019 [February 11th, 2019]
- Ten Things You Can Do for Your Mental Health | University ... - February 11th, 2019 [February 11th, 2019]
- Mental Health | MS Department of Mental Health - February 11th, 2019 [February 11th, 2019]
- Mental Health Screening Tools | Screening 2 Supports - February 11th, 2019 [February 11th, 2019]
- What is mental health - February 11th, 2019 [February 11th, 2019]
- MS Department of Mental Health - February 11th, 2019 [February 11th, 2019]
- Mental Health Hotline | 24 Hour Mental Health & Illness Helpline - February 12th, 2019 [February 12th, 2019]
- 50 Mental Health Quotes for Happiness and Success (2019) - February 12th, 2019 [February 12th, 2019]
- Mental illness - Symptoms and causes - Mayo Clinic - February 21st, 2019 [February 21st, 2019]
- Home Page | Department of Mental Health - March 8th, 2019 [March 8th, 2019]
- Mental Disorders: MedlinePlus - March 23rd, 2019 [March 23rd, 2019]
- Mental Health | Healthy People 2020 - March 23rd, 2019 [March 23rd, 2019]
- Health - lds.org - April 13th, 2019 [April 13th, 2019]
- Mental Health | ADA - September 11th, 2019 [September 11th, 2019]
- Faces of Loudoun: Mental Illness Just Means I Need Help Now and Then - Loudoun Now - September 27th, 2019 [September 27th, 2019]
- Youth mental health work more important than ever after tornadoes, shooting - Dayton Daily News - September 27th, 2019 [September 27th, 2019]
- BOMBARDED Part 3: Mental health struggles weigh heavily on LGBTQ+ youth - Keizertimes - September 27th, 2019 [September 27th, 2019]
- The Uses and Abuses of the Term Mental Illness - National Review - September 27th, 2019 [September 27th, 2019]
- Natures Role in Mental Illness: Prevention or Treatment? - Psychology Today - September 27th, 2019 [September 27th, 2019]
- Meghan Markle Says There Is a Global Consciousness Crisis Regarding Mental Health - TownandCountrymag.com - September 27th, 2019 [September 27th, 2019]
- Letter from the Editor: Michigans mental health crisis is affecting all of us. Something must be done - MLive.com - September 27th, 2019 [September 27th, 2019]
- Voices For Mental Health: Clodagh, on how Ireland has changed its perspective on mental health #NowWereTalking - hotpress.com - September 27th, 2019 [September 27th, 2019]
- Timberlake Jr. High teacher's focus on mental health earns her Idaho Teacher of the Year award - KXLY Spokane - September 27th, 2019 [September 27th, 2019]
- New rule could leave tens of thousands in Michigan without their mental-health counselor - MLive.com - September 27th, 2019 [September 27th, 2019]
- Lawmakers and law enforcement officials push for more mental health beds in northwest Wisconsin - WEAU - September 27th, 2019 [September 27th, 2019]
- One Way to Think About Mental Health: Zero-Proof Cocktails - Houstonia Magazine - September 27th, 2019 [September 27th, 2019]
- Evaluating Jumaane Williams' proposal to reform mental health crisis response - City & State - September 27th, 2019 [September 27th, 2019]
- How to talk to children about their mental health - TODAY - September 27th, 2019 [September 27th, 2019]
- NC bill aimed at providing more mental health resources in schools - WSOC Charlotte - September 27th, 2019 [September 27th, 2019]
- Northeastern University researcher studies the use of social robots in mental health and well-being research - News@Northeastern - September 27th, 2019 [September 27th, 2019]
- 'The way universities are run is making us ill': inside the student mental health crisis - The Guardian - September 27th, 2019 [September 27th, 2019]
- TC's Greg Epstein and Kate Clark talk mental health startups and the 'Cult of the Founder' - TechCrunch - September 27th, 2019 [September 27th, 2019]
- Key resources: Shining light on mental health in New Hampshire - WMUR Manchester - September 27th, 2019 [September 27th, 2019]
- Mental-health issues hit home for lots of Michigan families. Including mine. - MLive.com - September 27th, 2019 [September 27th, 2019]
- Voices For Mental Health: Kano, on telling his truth - hotpress.com - October 3rd, 2019 [October 3rd, 2019]
- See which Michigan counties have highest, lowest ratio of mental-health providers - MLive.com - October 3rd, 2019 [October 3rd, 2019]
- The Politician: why the Netflix show is being criticised by mental health charities - iNews - October 3rd, 2019 [October 3rd, 2019]
- In survey of working women in Japan with mental health issues, a third blame harassment at work - The Japan Times - October 3rd, 2019 [October 3rd, 2019]
- Brexit is affecting our mental health, warn doctors - cosmopolitan.com - October 3rd, 2019 [October 3rd, 2019]
- Odd Socks Day helps to tackle stigma and discrimination around mental health - The Sector - October 3rd, 2019 [October 3rd, 2019]
- Statehouse Online: Rep. Puppolo advocates for mental health and education funding - WWLP.com - October 3rd, 2019 [October 3rd, 2019]
- Living By The Coast May Be Better For Your Mental Health, Study Finds - CBS Boston - October 3rd, 2019 [October 3rd, 2019]
- Jumaane Williams: De Blasio and McCray have failed on mental health crisis - New York Post - October 3rd, 2019 [October 3rd, 2019]
- Family of accused Woodfield Mall driver says his mental health is to blame, not terrorism - WGN TV Chicago - October 3rd, 2019 [October 3rd, 2019]
- Supes Haney And Ronen Unveil Sweeping Mental Health Bill, Mayor Is Quick To Oppose It - SFist - October 3rd, 2019 [October 3rd, 2019]
- Discord in SF City Hall over ambitious mental health system overhaul - Mission Local - October 3rd, 2019 [October 3rd, 2019]
- Your Mental Health and Your Work - Harvard Business Review - October 3rd, 2019 [October 3rd, 2019]
- Mental health and the court system - WCBI - October 3rd, 2019 [October 3rd, 2019]
- Artists to work on mural downtown in support of mental health - pacificsandiego.com - October 3rd, 2019 [October 3rd, 2019]
- Providence St. Patrick Hospital How to know if you have a mental illness? - KPAX-TV - October 3rd, 2019 [October 3rd, 2019]