Mental Health During the Holidays: Five Tips to Ease the Struggle
The holiday season is often a time of year for social activities, holiday shopping, and quality time with loved ones. This year, however, COVID-19 threatens to make those activities more difficult.
Keeping up with activities, staying positive and — especially in 2020 — safely socializing can be overwhelming.
In addition, 40% of U.S. adults face a mental health or substance use challenge, making a complicated holiday season even more difficult time for many people. Regardless of whether you are living with a mental health challenge or know someone who is, you can take steps to prepare for the holidays and prioritize your mental health in the coming weeks.
Use these tips to get started:
Manage your expectations. Remember that this year is different and may not feel like the holiday season we are used to. Whether you are sharing a meal over Zoom or sending well wishes to family across the country, managing your expectations for yourself and others will help you stay positive. Give yourself and those around you some grace – none of us have been through a time like this before, and we’re all trying to balance staying safe with feeling “normal.”
Pull back when you need to. If, at any point, you feel overwhelmed or anxious, know that it’s perfectly fine to take a step back. Healthy boundaries are necessary for your mental health. Practicing self-care can also help soothe feelings of anxiety or stress. Take a walk, watch a funny movie, or meditate.
Reach out to loved ones. In times like this, living in a digital age can feel like a saving grace. Stay connected with your loved ones via text, social media, video or phone. Make yourself available for those you cannot see in person and offer your support to loved ones who may be struggling — a simple text or email can make a difference.
Monitor your moods. The “holiday blues” are real, so it is important to stay in tune with how you’re feeling. It can be easy to put others before yourself during the holiday season but remember that how you’re feeling matters too. Practicing mindfulness, journaling, or even rating how you feel every day can help you better understand your emotions. Pay attention to what makes you happy and incorporate it into your daily life. And remember: It’s OK to not be OK, and you’re not alone.
Ask for help. If the holidays become more than you can handle, don’t be afraid to reach out and ask for help. Talk to a loved one, trusted peer, or even your primary care physician about how you’re feeling. If you notice a family member or loved one having a difficult time, encourage them to seek help too.
Even though this year’s holiday season may not look like it has in the past, you can still make it special and comfortable by prioritizing your mental health and well-being. Take it one day at a time and #BetheDifference for yourself.
Have a wonderful holiday season this year with Mental Health First Aid. Happy Holidays!
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Pandemic Pet Therapy: What's So Special About A Critter Friend?
Karen McCullough never wanted a dog. "It would have tied me down, and I had a great, very busy life," she says.
Her career as a keynote speaker at conferences has taken her across the U.S., Canada and Mexico. "My job is to get everybody engaged, excited and ready to network," she says.
McCullough loved the travel — "cool hotels and not worrying about having anything at home," she says. "I don't even have any live plants in the house." As she sailed into 2020, she expected her best year yet.
Then "BOOM" — everything stopped, including conventions and conferences. The pandemic "took my life away," she says.
Living alone in Houston, she started feeling the stress — anxious and worried about money. On top of that, she couldn't see her three grandkids who live nearby. "I'm such an extrovert and it's just been crazy and hard."
The surprising solution, for McCullough and many other Americans in 2020, was often furry, with four feet: a pet dog or cat.
First, her son and his wife adopted a puppy. McCullough decided to do the same, quietly hoping that if she got a puppy, the grandkids "would want to come and visit me in the front yard." On Labor Day, 8-week-old Rosie, a Wheaten terrier, arrived.
Rosie opened a new world to McCullough — within just a few blocks. Strangers became new friends. "I know all my neighbors now," she says. "We have a routine and she gets me out there; we walk three times a day!"
The loneliness that had started to sink McCullough as the pandemic wore on is gone. "Rosie has been like this magnet; she's attracting me to people and it's good."
And there's some science to back up McCullough's feelings. Research from Australia finds the "pet factor" does bring people together in helpful ways: Pet owners are more likely to get to know people, form friendships and get the social support humans need.
Psychologist Lori Kogan, a professor of veterinary medicine at Colorado State University and chair of the Human-Animal Interaction Section of the American Psychological Association, has been cataloging stories like McCullough's during the pandemic.
Kogan and colleagues from Washington State University, University of San Francisco and Palo Alto University did two anonymous online surveys via social media to current pet owners — one regarding cats and another asking about dogs. The surveys asked participants to share their thoughts, experiences and concerns amid the pandemic.
They found a significant number of people reported feeling they have less social support from friends and family now than before COVID-19 spread across the U.S. For many, their pets have played a critical role in helping reduce feelings of depression, anxiety, isolation and loneliness in these tough months.
Pets, Kogan says, are "a respite from the difficulties of life" and provide their human companions "an outlet to give." And while relationships with friends and family can be fraught, she says, "relationships with animals are simple."
Here are more stories of pet owners discovering animal companions can be the unsung therapists of these difficult times:
Get up and get moving: Dr. Gregory Brown and Kai
Dr. Gregory Brown is a psychiatrist in Austin, Texas, and a spokesperson for the American Psychiatric Association. Brown says he has been seeing an increase in anxiety, insomnia and depression among patients he has counseled in the past six months. "People are definitely dealing with economic stressors, a hard time with money, and with just being idle" — not getting out of the house much.
A dog "nudging at your foot or barking because they want to go for a walk" can be a real motivation every day to get out and get moving, he says. And that's good emotionally as well as physically. "We know physical activity can help reduce depression."
Though Brown says he's a fairly active guy, he found the reduced structure of these pandemic days meant he was getting to bed a bit later, getting up a bit later and sometimes letting his exercise schedule slide.
Then, about a month ago, he and his wife decided to adopt a 10-month old golden retriever/lab mix named Kai. Now, every day starts with her wake-up bark around 6:30 a.m., returning some sense of structure to their lives.
And Brown says that he spends at least some time outside daily, jogging and walking and that helps make the days seem "a bit more normal."
"She's just been a joy to be around when she's not busy eating up my wife's favorite pair of shoes," he says.
Breaking through the isolation: Karol Kullberg and Molly
As a psychiatric social worker in Rockville, Md., Karol Kullberg has spent most of her work life in a small room, listening to patients face to face — work she finds rewarding and fulfilling, she says. When the pandemic hit, she was able to work from home — a blessing in some ways, but not others. Offering therapy online, via telehealth appointments, has been convenient, Kulberg says, but she also finds it isolating and somewhat alienating.
"It's intensely stressful — I think for everyone," she says. "Certainly for patients as well as therapists, who weren't particularly technologically adept or even comfortable using Zoom or other platforms."
Reading patients' facial expressions and body language can be more difficult she says, and without colleagues to talk to in between therapeutic sessions, "you're very aware that you are suddenly working in a vacuum." Kullberg doesn't say she's lonely. She says it's more like being "profoundly alone."
By the end of March when it became clear that staying at home would be the norm for quite a while, she decided to adopt a dog.
Enter Molly, a 5-year-old terrier mix who "came right into my home, was perfectly well-behaved, perfectly housebroken, and even welcomed my cat — who didn't return the favor."
For Kullberg, Molly was "like getting something you didn't know you missed; you forgot how wonderful it was to have something you didn't notice until all of a sudden it's there again."
She finds Molly an extremely comforting presence, "like having somebody's arm around your shoulder without having to say anything. Sort of like a dance partner you don't have to teach; they just figure it out."
Today, Kullberg says she no longer feels alone. "I get up in the morning and Molly curls up in her bed and we go to work."
A source of joy amid grief: Peggy Pacy & Emmet
"My glorious chow chow mix died at the end of January and I was heartbroken" says Peggy Pacy, who initially planned to let some time pass before getting another dog. But, "a heart needs to love," she says, "and I started looking."
At the end of February she adopted a large and fluffy Great Pyrenees mix — she named him Emmet. It was just before lockdown in Washington, D.C., where Pacy lives and works as an independent producer of commercials. Emmet arrived "just in time" says Pacy, who lives alone. "No question, it's very easy to go down the dark path in the world we're in today."
Early on in the pandemic, the first three minutes of every morning would start with a "mild panic" she says. But then a "giant white paw lands on my shoulder and I wonder if it is possible to literally feel serotonin," she says, referring to one of the neurotransmitters thought to help stabilize mood.
Emmet spends much of his time chasing flies, unearthing clothing Pacy had forgotten she owned, and making friends with neighborhood kids — just watching him is diverting, she says. "All day long the kids drop by and yell for Emmet."
Even in times of despair, Emmet makes a difference. "I'm standing in my front hall, lost in thought ... wondering if I will ever work again, if my small business loan will be approved, if I will have to sell my house. And then, gazing in the direction of my couch, Emmet decides that a long slow back flip to the floor is in order." His antics pierce the grief and remind her to stay in the moment, she says — " be grateful for what I have."
Pacy has a Post-it on her door that says: "I have health insurance; my cabinets are full of food; I have a home; I have Emmet. This makes me happy."
A new focus to replace anxiety: Devin Green and Taco
Devin Green, a small business consultant and life coach, who lives in Portland, Maine, started looking for a dog to adopt in May. After many false starts, a close friend helped her find the dog of her dreams, a miniature goldendoodle (a cross between a golden retriever and a small poodle).
Taco has "changed my life in ways I never expected," says Green. As he grows, his puppy fur is getting replaced by adult dog fur which can get matted. So Green brushes him nightly, giving — and recieving — needed physical touch. "If I'm having a bad day, he's very warm and snuggly."
She sometimes struggles with anxiety, she says, and soothing the pup's needs helped her get beyond that. "I'm consumed with him more than the worries in my mind," she says. "My brain space is now taken up by something far more productive than it used to be."
Green says she used to panic a little if she didn't have plans for the day, but Taco has introduced her to the neighborhood and helped her feel more a part of the community. Every morning, they walk to the nearby fire station — a big loop, Green says. "The fire station is his favorite place."
Taco runs inside and "loves on all the firefighters and they love him back. I had never even spoken to any of them before but now we're all buddies."
Choosing the right pet for you: advice from the "falcon whisperer"
As executive director of the Abu Dhabi Falcon Hospital in the United Arab Emirates, veterinarian Dr. Margit Gabriele Muller is known as her nation's "falcon whisperer." But her love for animals is thoroughly inclusive. She is the author of a new book, Your Pet, Your Pill: 101 Inspirational Stories About How Pets Can Lead You to a Happy, Healthy and Successful Life.
A falcon wouldn't be the right choice for everyone, Muller notes. "Falcons are good for people who can be extremely dedicated, adhere to strict time schedules and have a great understanding of the falcons' special needs and requirements," she says, noting that dogs, too demand the right kind of human companion.
"It's of utmost importance to find the right pet according to the person's personality, as well as personal circumstances and environment," she says. "This means if you don't have much time and you live in a very small apartment, a dog is not suitable for your lifestyle, and a cat, bird, rabbit or fish would be better for you."
All pets — dogs, cats, fish, rabbits, birds, snakes and, yes, falcons — can help people overcome numerous emotional and physical challenges, Muller says. And certainly during the global pandemic, when people are feeling locked down, isolated and lacking in human connection, pets can make a world of difference.
Just playing with a pet for five minutes or petting the animal for five minutes can reduce blood pressure and increase hormones associated with contentment research suggests.
Oxytocin, sometimes called the "bonding hormone" or "cuddle hormone," is often released with a gentle touch. And it's not just humans who benefit from increased oxytocin levels — dogs do too.
When you develop a bond with an animal companion, Muller says, you often get someone who "loves you unconditionally, who is there for you 24 hours a day, who doesn't mind how you look today," she says. "They are just there to love you and this brings a tremendous benefit for the entire family."
Withdrawn kids may particularly benefit. One family, she says, told her their son was always on the computer or iPad before they brought home a pet. Now he doesn't stop talking — about the pet.
"Once you plant that seed in children and they love animals and learn how to care for them, they learn responsibility," she says — skills that will prove incredibly valuable as they grow up.
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Kids Are Anxious And Scared During The Pandemic. Here's How Parents Can Help
For the kids in our lives, the last nine months have been many things. Scary — because an invisible, unknown illness was suddenly spreading across the globe. Maybe even fun, when the possibility of school closing felt like a snow day. But for many, that novelty has given way to frustration and sadness — even depression and anxiety. Just like adults, kids are wondering: Will I get sick? Will someone I love die?
It's a lot for kids and parents to handle. So we talked to the experts and came away with five tips for how you can help your kids through this.
Make sure your kids wear their masks
"Kids generally don't get very sick from this virus," says Dr. Ashish Jha, dean of the Brown University School of Public Health. But, he says, they can still play a part in making sure others don't get sick by wearing their masks and social distancing.
It might take a little imagination. If you have younger kids, you can explain the spread of the coronavirus by comparing their mouths to a bottle of bug spray. Weird, yes — but it's one way for young ones to visualize the tiny droplets they spread, even when they aren't sick. If they wear a mask, it helps keep those droplets in.
If you've got older kids or teenagers, take this a step further: Encourage them to spread the word. Practice what they might say if they're with friends at the park and someone takes their mask off. Maybe your 13-year-old has been waiting months to see Grandma and could say, "I need to keep my Grandma safe, so do you mind putting your mask on?"
Rehearse it with your kids so the conversation goes smoothly.
Practice positive thinking and mindfulness
In a recent report, researchers interviewed 46 teenagers in California and found that the teens reported a huge sense of loss — similar to the stages of grief. Most of the teens were sleeping badly because of lack of activity and lots of screen time.
Kids of all ages — as well as their parents — can probably relate.
In addition to the obvious prescription — trade in some of that screen time for physical exercise — try some brain exercises too, like replacing negative thoughts with positive ones. You might try saying a few things you're grateful for each night before dinner or before bed. There's evidence behind that: Gratitude boosts your immune system, lowers blood pressure and motivates us to practice healthy habits. It may feel awkward or cheesy, but practicing mindfulness and positivity very consciously can help kids and parents too.
It's also important to watch for signs of something more serious too.
"Depression in teenagers sometimes looks like a prickly porcupine. Everybody rubs them the wrong way," adolescent psychologist Lisa Damour says. Don't take it personally; just keep offering them a listening ear.
Meet tough moments with empathy
There will be times when feelings bubble up. Meltdowns will happen. In those moments, wellness guide Frannie Williams says, take a moment to put yourself in your child's shoes. If they're acting like it's the end of the world, well it might be because their world has turned upside down this year.
She says that to help kids calm down, parents have to calm down too. Once she was working with a 5-year-old who was struggling. Williams began taking deep breaths, and "Out of nowhere, I noticed that she was mimicking me," Williams remembers. "She was modeling me. She started taking these big belly deep breaths."
Rosemarie Truglio, senior vice president of curriculum and content at Sesame Workshop, says kids learn a lot about dealing with adversity by watching adults. "And they're seeing how we are reacting to setbacks, mistakes and challenges," Truglio explains. "So this is a big message for adults, because our actions are speaking a lot louder than our words."
Find new ways of connecting with people
Your kids are almost certainly missing out on some socializing — with friends and extended family. Get creative about making time for reestablishing some of those lost connections. It will help your children, it will help you and it will likely help the people you're reconnecting with.
Joy Osofsky, a professor at Louisiana State University School of Medicine in New Orleans, says her grandkids, who live outside the U.S., call her every morning on their way to school so they can play online games together. It's time that both Osofsky and her grandkids have come to cherish.
Get more safe physical contact
Damour says that kids, even teens, are likely missing out on lots of the physical contact they normally get — contact that can't be replicated over Zoom or WhatsApp. Keep that in mind, and don't hold back on the physical affection — the hugs, the pillow fights, the hair ruffles, all of it.
