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

Behaviors People Display When in Groups After more than 35 years of facilitating hundreds of classes, workshops, family therapy sessions, group therapy sessions, and work project groups it has become clear that we do some strange things when we participate in groups. It appears to me that many of these in-group functions serve both ego […]

“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 […]

Mindful Movement as Part of Practice Mindful movement is an accepted part of regular practice. Such practices as walking meditation, more vigorous yoga asanas, qi gong, and tail chi are all part of this respected mindfulness tradition. Here I will introduce you to a very simple pre-meditation movement sequence. Hope you practice it very soon. […]

Mindfulness and Concentration – Experience Differences In this post I will explain some basic differences between mindfulness and concentration, both of which are required for effective meditation practice. This will be the first of three posts dealing with what mindfulness and concentration are, how to experience them briefly in a body-based activity, and how to […]

Beads: Significance in Spiritual and Religious Practices The significance of religious and spiritual practices in the world is enormous. Christian, Muslim, Hindu, and Buddhist practitioners make up the overwhelming majority of the world’s population. The CIA estimates are that Christians (33%), Muslims (23%), Hindus (14%) and Buddhist (7%) make up the majority of religious followers. […]

Interoceptive Practices for Generic Tai Chi & Chi Kung Postures By Anthony R. Quintiliani, Ph.D. From The Eleanor R. Liebman Center for the Study of Secular Meditation in Monkton, Vermont These practices will require either knowledge of Tai Chi/Chi Kung postures or following pictures of the same postures. Be prepared before you begin to practice. […]

Mindful Happiness Book Review The Awakened Introvert: Practical Mindfulness skills… By Arnie, Kozak, Ph.D. Dr. Kozak begins his book noting the processes of mind that often cause people to suffer. Critical judging, unhelpful story telling, over-attending to past suffering or losses and angst about possible future realities (the brain’s default mode), and auto-pilot inattention to important […]

Self-Help in Mind-Body Medicine In this brief post we will review several specific ways that may improve your psychological and physical health. The post will be short, sweet, and simple to encourage participation. Here it is. Affirmation – “I am learning to love myself just the way I am.” Repeat this mantra sub vocally over […]

I Have Questions Our spiritual traditions have many sources of powerful spiritual origination: Shiva, Buddha, Jesus, Saint Francis to note just a few. The Roman thinker Seneca noted that our most feared day is our last on earth, but this is also the beginning of our eternity. As a practicing Buddhist, a secular meditation teacher, […]

Mindfulness Expands the Art of Journal Writing T. Merton, J. Kerouc, I. Progoff, J. Upton, and others have helped to expand the art or journal writing practice. This type of practice can become your mindfulness practice. You will need to write on a daily basis (even if briefly), and you will need to be highly […]

Building Emotional Resilience On a personal note, right now I am suffering. Its April 15th and I have a terrible viral infection (sore throat, chest congestion, and fever). I feel weak and miserable. Perhaps all that frigid air we endured in New England this Winter also kept infectious “stuff” under control for a while. However, […]

Intervention Skills to Calm Your Anxiety It is estimated that approximately 40,000,000 American suffer from an anxiety disorders, especially generalize anxiety and panic disorder. Sometimes general “talk therapy” fails to help improve your condition; you may need cognitive-behavioral therapy with research-based mindfulness skills or dialectical behavior therapy. CBT, MBSR, ACT and DBT are the evidence-based, […]

Winnicott’s Ideas – Best Possible Clinical Alliance To develop and maintain a strong clinical alliance it is best to follow some of the well-known clinical advice on this topic. Rogers, Kohut, Winnicott and many others have suggested just how to do so. Here are some general clinical recommendations for enhancing the clinical alliance. Develop authentic […]

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 […]

Happiness #5 – Last Post on Characteristics This will be my last post for a while on the important topic of happiness. Here I will hit a few highlights about simple joy and lasting inner experiences of true happiness. Simple Joy – We experience simple joy in simple experiences, small sometimes subtle events in our […]

Self-Care to Reduce Compassion Fatigue First let’s begin with what some people do to counteract the stressors of living in a hurried,“over-technologized” world. Technically, “technologize” is not a popularly accepted word, but it is a sad reality. We live in a time when texting while driving may become the new addiction-based cause for many, many […]

Practice: Mindful Actions to Improve YOUR Self-Esteem Improving Your Awareness with Practice Remain mindfully aware of the content and meta-cognition regarding the “speaking” of your inner, self-conscious critic. Note what trends appear in the conversation. Remain mindfully aware of the reactions your mind and body experience regarding the activity of your inner self-critic in dealing […]

Overcoming the Hindrances of Ill-Will and Aversion Although regular daily practice and sincerely following of The Eight-Fold Path in one’s life may be the best ways to overcome various hindrances, there may be some additional practical suggestions to consider on the path. We will begin our discussion with common human pain and suffering; we will […]

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 […]

Supervision and Self-Care in Trauma Therapy Today there is an ever-increasing demand for effective trauma therapy. Our American clinical history on this matter leaves much to be desired. John N. Briere and Cheryl B. Lanktree offer important suggestions on how to use clinical supervision and self-care in your clinical work with clients suffering from serious […]