Long-Term Social Distancing May Be Traumatic. Here Is What To Expect And What To Do

Passover, Easter and Ramadan are occasions that typically bring families together to pray, reflect and celebrate - fellowship needed, perhaps, now more than ever - will look different this year as the coronavirus pandemic continues.

The loss of those traditions is added to a growing list of losses that North Americans are facing as they endure at least another month of social distancing and with it an extended departure from routines, habits, social circles and normalcy.

The protracted disruption to life as it was, mental health experts say, could bring feelings of anger, depression, anxiety and even grief.

"There is literal grief like losing loved ones," said Dr. Vaile Wright, the American Psychology Association's director of clinical research. "But there is a grief of experiences that we are losing right now. There can feel like there is a lot of loss right now, a loss of freedom, a lot of things we took for granted."

The next few months may take a toll on the nation's mental health, experts say, but it is possible to mitigate the stress.

North Americans' collective trauma

Extended isolation and stress from the pandemic can affect everyone differently, said Dr. Dana Garfin, a health psychologist.

It could put strain on families, send children home to abusive situations, make those living alone feel isolated and threaten people's sense of purpose by keeping them from work, Garfin said.

And those experiencing financial insecurity in the midst of the pandemic have an added stress that is difficult to resolve, said Dr. Baruch Fischhoff, a psychologist at Carnegie Mellon University.

Despite those differences, the experience of staying home together through a pandemic can be considered a collective trauma, said Garfin, who studies collective traumas such as hurricanes, terrorist attacks and earthquakes.

Collective traumas start at some point of impact and then ripple out to loved ones of the afflicted, witnesses to the devastation and people whose lives are disrupted.

In this case, many Americans fall into one or more of those categories. People in quarantine show signs of confusion, depression and anger, Garfin said.

"We necessarily run much of our lives by habit," said Fischhoff. "We know what we have for breakfast, we know how to prepare the kids for school, and that enables us to get through the day reasonably well."

But now that many North Americans aren't waking up and going to school and work, it can be difficult to know how to restructure even the most rote daily habits that won't be coming back for weeks yet.

What life might look like on the other side of coronavirus

How long the pandemic and the isolation continue will dictate how severe the effects are on people's mental health, Garfin said.

Prolonged exposure to the traumas of coronavirus can activate the fight or flight response, which over time can cause cardiovascular problems, anxiety, depression and PTSD, Garfin said. And the extended isolation can contribute to fear, anxiety, headaches, muscle tension and difficulty concentrating, said Wright.

For some groups, like health care workers, those in the media and people in newly deemed "essential jobs," the end result may be guilt, grief and PTSD, said Wright.

But, Wright and Garfin agreed, humans are resilient.

Some may forget everything they just went through and go back to their daily lives when it is all over, Wright said, but many can come out of this with stronger relationships and a better perspective on what is important.

How to get through it

The future is uncertain, but life will be different for at least the next month and that knowledge can be the first step to making this new, temporary reality as good as it can be.

Now that it is clear the change is for more than a couple of weeks, it is important to create a new routine - one that includes showering, getting dressed and maintaining family meals -- not treating the time as an extended snow day or spring vacation, Wright said.

There is an opportunity for people to develop new habits around the disruption, which can relieve the stress of feeling like starting from scratch every day, Fischhoff said.

And all three say it is important to use social media to be social, not to feed the anxiety that conflicting coronavirus information on the platform stokes.

They also agree that this experience is difficult, and it is important to acknowledge that and not be too critical of what one could have done before or could be doing now.

"I think that we need to recognize that this is totally unprecedented, and we really are just doing the best we can - and that's OK," Wright said. And for people doing the best they can but struggling to work, study or care for their families, virtual mental health resources may be a crucial next step.

And for those who are lonely and isolated, Garfin suggests reframing for a feeling of community within that experience.

"We aren't in our houses alone, we are doing something for each other for our community," Garfin said. "It's a shared effort, something that we are all a part of and something we are all contributing to."
"It's going to be difficult, but it's not permanent."

By Madeline Holcombe, CNN       Thu April 9, 2020

source: www.cnn.com

Take A Breath:
How The Simple Act Of Meditative Breathing
Helps Us Cope

A global pandemic causes so much worry, concern and fear. There's the pressure of suddenly being a homeschooling parent and trying to create structure around newfound chaos in your home.

A lot of us are adjusting to working from home, all while tending to worries about the state of the world. Maybe you fret over the health of aging parents or feel anxious over the ever-changing news cycle.

Psychological stress can damper your overall health, affecting your ability to remain resilient in the face of challenges. It can also thwart a strong immune system, which is needed to keep from getting sick.

"Living through a pandemic can be scary," said CNN Chief Medical Correspondent Dr. Sanjay Gupta in the March 18 episode of CNN's "Coronavirus: Fact vs. Fiction" podcast.

The good news: Meditation is one tool that can help our immune systems functioning optimally, according to a recent study.

One of the easiest ways to reduce stress is by simply focusing your attention on your breath, according to Harvard Medical School, since it's a form of beginner level meditation that anyone can do.

Alternative medicine advocate Dr. Deepak Chopra, in Dr. Gupta's podcast episode titled "Pandemic Panic," walks us through how to do a breathing meditation to ease our stress, thus calming our minds.

Breathing through the stress of a pandemic

According to Harvard Medical School, breathing meditation requires either sitting comfortably, standing or walking in a setting with minimal distractions. Many people prefer to sit.

If you're sitting, focus first on your posture: You should sit with your spine erect.

As you become aware of the space you're in and sit comfortably, observe your breath without manipulating it for a few seconds, Chopra suggests.

Then, slow your breath down by inhaling deeply to the count of six.

Pause for two seconds.

Exhale to the count of four. Then repeat this six-two-four breathing method for two minutes.

"Then, when you're done with that, bring your awareness into your body and wherever there seems to be any discomfort, just bring the awareness there without manipulating it," Chopra said. "Awareness by itself heals. Awareness without conceptual intervention restores self-regulation."

"The goal is really to breathe from your diaphragm," as opposed to shallow breaths from your chest, said Vaile Wright, a psychologist and director of clinical research and quality at the American Psychological Association.

"And the way to know whether you're doing that or not, or a trick at least, is to place your hand just below your ribs on your stomach." When you inhale you should feel your body expanding, then contracting when you inhale.

If the initial peace is interrupted by your thoughts, the meditation isn't a failure. Though breathing meditations are simple to begin with, they can take practice before you're able to maintain focus for an extended period of time, Wright said. Just acknowledge the thought and try to let it go.

You don't have to concentrate on any format, but some people find that adding some sort of mantra or visualization to it helps, Wright said.

"For example, when you're breathing in, telling yourself [in your head that] you're breathing in love. When you're exhaling, telling yourself you're exhaling anxiety. Or, breathing in positive energy, exhaling negative energy or visualizing negative energy coming out of your mouth and out of your body."

Chopra starts his day with three or four intentions: "I'm going to maintain a joyful, energetic body today; a loving and compassionate heart today; a reflective and quiet and creative and centered mind today; and lightness of being and laughter today, whatever it takes."

By doing these intentions, you can start to feel better, he said.

Modern technology offers up apps and smart watches that can help guide you through a meditation if you have trouble staying focused.

"Slow your breath, your thoughts will slow down as well," Chopra said.

try this for 2 - 5 minutes

Benefits for your overall health

Breathing meditations can contribute to a state of mindfulness by bringing your focus to one thing and only thing only - your breath, Wright said.

"The goal of that is to draw your attention away from maybe worry thoughts you're having or sort of the catastrophic thoughts or maybe depressing thoughts about feeling alone," she added. When you're focusing, those thoughts can be pushed aside, helping you to control your emotions.

Mindfulness has been found to influence two stress pathways in the brain, altering brain structure and activity in regions that regulate attention and emotion, according to the American Psychological Association.

In a 2015 review of studies on the effects of mindfulness-based stress reduction and mindfulness-based cognitive therapy (MBCT), researchers found that people who received this therapy were less likely to respond to stressful situations with negative thoughts or unhelpful emotional reactions.

Those participants were also more likely to focus on the present moment and less likely to experience ruminating thoughts.

Breathing meditations can also reduce muscle tension and your heart rate, which are signs of stress, Wright said.

Carrying yourself through a hard time

Breathing meditations are another tool you can add to your coping toolkit, which may also include journaling, baking or virtually connecting with others.

"What's great about breathing is you can do it anywhere," Wright said. "If music is your way of relaxing, what happens when you don't have access to it? You always have access to your breathing, so in that sense [breathing meditations] are really portable and very accessible. We really need a variety of different coping skills in order to get through particularly unprecedented situations like this one."

Mindfulness may not make everything go away, Wright said, but it can bring you to a "calmer state so that you're better able to deal with all the stress that's going on."

By Kristen Rogers, CNN      Fri March 27, 2020

source: www.cnn.com