Johns Hopkins Medicine Archives

October 22, 2020 By Admin

COVID-19 Means Higher Stress and Emotion Dysregulation

COVID-19 Brings Higher Stress and Emotion Dysregulation

The Book of Job notes “Man is born unto troubles as the sparks fly upward.”

Current stress surveys indicate Americans are stressed out due to COVID-19 concerns, work stress (money needs), imbalance in life-work experience, and lack of support (social, emotional, financial). The 2020 American Psychological Association national survey of stress in America indicates similar finding. Stress is getting the best of us! Of special concern are the physical, emotional (psychological), and behavioral implication of such high levels of stress reactivity. Higher stress reactivity is particularly recorded in families; stress is also related to educational concerns, basic needs, health care services, and missing out on major developmental milestones of children and youth. In 2019 Americans were experiencing stress levels noted at the 4.9 level; in 2020 that number rose to 5.9. Now 74% of respondent noted their stress dealt with fears and concerns about coronavirus; this same number had concerns about how the government was responding to this mega-crisis. Additionally, 71% of respondents noted that managing their child’s education was a major source of increased stress. The concerns and stress do not appear to be highly related to political party affiliations: 63% of Republicans, 67% of Independents, and 73% of Democrats were worried/stressed about coronavirus concerns. Stress appears to be impacting more so on people of color. Hispanic adults noted stress levels between 8 and 10 regarding the virus. When one compares the levels of stress for people of color with whites, there is no doubt people of color are suffering more – having higher levels of stress reactivity: fear of getting the virus 71% vs. 59%; meeting basic needs 61% vs, 47%; and, access to health care services 59% vs. 46%. For more information Stress in America 2020 may be found at www.apa.org.

Another important reality is COVID-19 fatigue. Johns Hopkins Medicine has published a helpful article about dealing with this reality. The federal government, state governments, hospitals, healthcare workers, patients, and the general public may be suffering from COVID-19 fatigue. This condition is similar to burnout under high stress conditions. Important outcomes may be habituation to death, emotional exhaustion, strong fears, auto-pilot routines, reduced energy of health care providers, and increased errors in care. This pandemic is surely one of the most serious challenges this nation (and the world) have faced. It does not appear that the crisis will end soon.

If you are experiencing serious stress reactivity, you might want to practice the following self-care strategies. Eat well, sleep well, and exercise well as much as is possible for you. Staying connected to loved ones and friends is also highly important. Use mindfulness skills to be in the present moment; realize it will change due to impermanence. Note it will change either for the better or worse. It may also be helpful to make formal plans to DO positive activities, no matter how small. Get out into nature; if you cannot do this regarding forests and mountains, at least spend more time outdoors. Regular daily walking is a good idea. Doing good things to help others is also a way to feel better about yourself; in hard times, it is not easy to feel good about yourself. Learn and practice various tried-and-true breathing techniques (usually from meditation, yoga, athletics, etc.). If you are in fact doing some of these self-care practices, but you still feel overwhelmed, defeated, anxious, depressed – it may be best to see professional for psychological help. Before you decide to work with a mental health provider, do a search about them, their practice, and their ethics.

For more information refer to Hanlon, P. (Summer, 2020). COVID-19 means different approach to stress in American surveys. New England Psychologist (Fall, 2020). pp. 4 and 7.

https://psych.ly/covidfatigue.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton Sangha

Author of Mindful Happiness

Mindfulness Training From The Eleanor R. Liebman Center for Secular Meditation in Monkton,Vermont The Problem: Many people become stuck in the suffering of their past, and they continue to re-experience an event in the futile hope to better understand it, or to find an escape from it. Many of the same people become fixated fearfully […]

Loss, Grief and Suffering in America By Anthony R. Quintiliani, Ph.D., LADC Other than our nation’s suffering during The Civil War, The Great Depression, and World War II this past year has been one of the most stress-filled, fear-filled times in our history. Here is a list of the reasons behind it all: the COVID-19 […]

Buddhist Thought on Joy and Suffering 1) You actually DO have some control over your emotional destiny. 2) The core “conceptual” view of reality is that your inner emotional experience – especially negative afflictive emotional states related to people, places and things you REACT to – are perceived as totally true. 3) In a non-conceptual […]

Concentration, Contentment, and Loving Kindness I have written various entries on concentration meditations in prior posts. Yes, concentration meditation is beyond pure mindfulness meditation. Here I will present briefly two other forms of meditation that are quite intentional and also beyond mindfulness: contentment and loving kindness meditations. Let’s begin with intentional meditation of contentment. Contentment […]

The “I AM THAT” Meditation Elena Brower’s new book, Practice You: A Journal (Sounds True, 2017) has many thoughtful suggestions on how to connect with the true inner self, and – more importantly – how to improve your self-views and the experience of your deep inner self. Below I have modified her presentation of the “I Am […]

Mindfulness Practices for Expanding Acceptance Mindfulness and contemplation can be great allies in our struggle to better understand each other. This is especially true when it comes to matters of interpersonal relationships and highly significant relationships. It is also important in diversity, or as some now refer to it – variation in human beings. Variation may […]

COVID-19 Brings Higher Stress and Emotion Dysregulation The Book of Job notes “Man is born unto troubles as the sparks fly upward.” Current stress surveys indicate Americans are stressed out due to COVID-19 concerns, work stress (money needs), imbalance in life-work experience, and lack of support (social, emotional, financial). The 2020 American Psychological Association national survey […]

Quintiliani’s Brief Life Experience Screening Years ago, when I received a rather large number of managed care referrals for adolescent “treatment failures” and their families, I soon realized that typical screening, assessment and therapy was NOT working well. I tried so, so hard to reach these young people – all experiencing extreme psychological suffering with […]

Psychoanalytic Gems – Even More D. W. Winnicott has made significant clinical contributions to both building therapeutic alliance and maintaining a positive, helpful focus in psychotherapy. Below I have noted various approaches to use in your therapy. Use of these “gems” requires considerable knowledge and skill by the therapist. Here is the list: Respect the […]

Very “SAD” Facts about the Addictions Field A recent issue of the Addictions Professional presented very disturbing news about how clinicians in the field are doing. NOT WELL! Addictions clinicians treat people with addictions but mainly people with co-occurring disorders – addictions with trauma, depression, anxiety and/or eating disorders. Often there is also a co-occurring medical […]

A Primary Source of Unhappiness Self-medication to reduce or avoid pain and suffering is a major unhelpful habit in the United States. It is a desperate human effort to reduce pain and suffering in physical and psychological experiences. Therefore, we humans may be hard-wired for it. When we suffer and do not utilize effective wise […]

Inner Workings of Self-Medication Process To continue our discussion about the self-medication process we will first turn to the human brain. The human brain is the most complex system known to science. Here, my comments will be basic. Self-medication often has roots in the quality of our earliest childhood experiences (attachment and object relations with […]

Relapse Prevention Plans – The Basics T. T. Gorski, Anthony R. Quintiliani, Ph.D., LADC The following information about how to develop effective relapse prevention plans has been paraphrased from the Work of Terrence T. Gorski. It is highly practical and a concrete way to develop your skills in relapse prevention interventions. Intermediate (Marlatt and Gordon) […]

Anahata – Heart Chakra Meditation Practice Rumi noted that to reach the sky we must use our hearts. The Heart Chakra is a very popular focus of meditation practice. Here we will simply review some characteristics and then move on to a meditation practice. Specific characteristics: Green color, YAM sound (say at least three times […]

“Ignorance” of Requirements Could End Your Clinical Career Recently various insurance, Medicaid, and Medicare fraud cases have been in the national headlines. Although these fraud cases grab headlines, the truth is that many clinically licensed helpers still do not understand clinical/legal documentation requirements. In Buddhism, “ignorance” gets in our way; we never approach true liberation […]

Using Creativity in Clinical Supervision Effective clinical supervision is a combination of hearable direction about clinical practice, gentle-direct leadership, clinical “Know-How,” evidence-based skills, complex psychodynamics, and the willingness to work with others on their developmental processes. There are risks involved. I have provided clinical supervision and consultation to other clinicians for 43 years without a […]

Introducing Your Clients to Brief Meditations Psychotherapists often ask about ways to introduce mindfulness and meditation to clients. There are other posts on this Blog that offer basic introductory information on both content and process. Here I will simply introduce you to four brief, basic meditations for clients suffering from anxiety and/or depression, along with […]

Reminders for Your Psychological and Physical Health If you desire to be more compassionate with others and with yourself, remember the following. Be certain to ACT on the following. 1) Life is complete only with joy/happiness, neutral experiences, and suffering/pain. These are the realities of human existence. These are the conditions of human life. Make […]

Helping Professions and Emotional Balance Helping professions must practice to achieve emotional balance. Working conditions for the helping professions have become more and more difficult over time, especially with the advent of so called “helpful technologies” and ever-increasing governmental/funding requirements for documentation. When I started in the (behavioral health) field of clinical psychology and addictions […]

Trauma Informed Care – The Absolute Basics This post aims at providing a very basic introduction to Trauma Informed Care. Advanced versions of this information are available from the author. So what is Trauma Informed Care (hereafter TIC)? Below I have listed rationales of need and core characteristics of TIC in organizations. Why We Need […]