Connect with us
  • Advertisement
  • Published

    on

    The COVID-19 pandemic has quickly and drastically changed day-to-day life in the U.S., causing fear and anxiety. Loyola Medicine clinical psychologists Elizabeth Simmons, PsyD, and Laura Wool, PsyD, provide tips for coping and staying positive during this time, as well as resources for securing additional help and care, in two, new Loyola Medicine videos: “Practical tips for staying positive during COVID-19” and “Coping during COVID-19.”

    Simmons and Wool say it’s important to allow yourself to feel anxiety and fear during this stressful and unprecedented time. While “nobody likes to feel anxious or scared,” says Wool, it’s important to “work on inviting those feelings in,” while also realizing that those feelings can coexist with other, more positive feelings.

    “You can feel anxious and have fun with your kids,” says Simmons. “You can feel uncertain about what’s coming next and find comfort in playing with your dog or going out for a walk with your dog. You don’t need to get rid of that anxiety in order to also feel joy, happiness and calm.”

    Tips for staying positive

    To help maintain an emotional balance, Simmons and Wool recommend:

    • Choosing activities that make you feel good. These can include “calling a friend, taking a walk, listening to music, reading a book, engaging in a craft,” says Wool.
    • Checking the facts. “At a time like this, when we really don’t know what’s coming next,” says Simmons, “it’s important to check the facts,” or “decatastrophizing,” keeping a check on our thoughts and focusing on the information that we have access to “and what it’s telling us.”
    • Focusing on what you do have control over. “When people are feeling a loss of control, focusing on what you do have control over can be very helpful,” says Wool. For example, “following the strong recommendation right now to socially distance yourself can feel very empowering.”
    • Maintaining a regular sleep/wake cycle and daily routine. “We take for granted that we have these built-in routines in our lifestyle in terms of getting up in the morning and getting dressed,” says Simmons. It’s important to continue to wake up and go to bed at the same times every day.
    • Taking walks and getting outside. “Make sure that you’re not too sedentary,” say Wool. Get up, take walks and “try to get outside for 10 minutes every day.”
    • Practicing simple breathing exercises to stay calm. “Simple breathing exercises where you count your breaths, and pause between each inhale and exhale, can help slow things down and help calm anxiety.”
    • Watching what you eat. Make sure that you are eating plenty of fruits and vegetables, and that you are not eating too many processed foods, says Wool.
    • Maintaining social connections by phone and video. “We know that body language facilities a lot of the connection we experience socially,” says Simmons. “The more you can see people’s faces, the more you can see people smiling, the more that will combat the loneliness factor” of this pandemic.
    • Taking a moment to be mindful. “Mindfulness helps you stay in the present moment,” says Wool. She said there are apps, such as Headspace, Insight Timer, and Calm that can help with mindfulness.

    When coping is difficult or impossible

    Simmons and Wool explain that for some individuals, the stress of COVID-19 may result in prolonged or acute feelings of depression and/or anxiety, which may require additional resources and/or immediate professional help.

    “When you notice that for a significant period of time, let’s say at least two weeks, that you are starting to just feel down or depressed all day every day, or you’re noticing that the anxiety is at a level that is really starting to impair your sleep and your appetite—you’re sleeping less or sleeping more, or eating less or eating more,” says Wool. Or, “you are starting to feel hopeless, having thoughts of suicide, or noticing an increase in substance use, “that would be a time to either reach out to a local hotline or to reach out to your primary care provider for a referral.”

    If you have a plan or intent to harm yourself, or others, please call 911, says Wool and Simmons.

    Additional resources

    • Disaster Distress Helpline: Call 1-800-985-5990 or text TalkWithUs to 66746
    • National Suicide Prevention Lifeline: Call 800-273-8255 or Chat with Lifeline
    • Crisis Textline: Text TALK to 741741

    To make an in-person or telehealth appointment with a psychologist, or for more information, contact Loyola Medicine at 1-888-584-7888 or visit www.loyolamedicine.org/psychology.

    To learn more about Loyola Medicine, visit loyolamedicine.org.

    About Loyola Medicine and Trinity Health

    Loyola Medicine, a member of Trinity Health, is a quaternary care system based in Chicago’s western suburbs that includes Loyola University Medical Center (LUMC)Gottlieb Memorial HospitalMacNeal Hospital and convenient locations offering primary and specialty care services from more than 1,800 physicians throughout Cook, Will and DuPage counties. LUMC is a 547-licensed-bed hospital in Maywood that includes the William G. & Mary A. Ryan Center for Heart & Vascular Medicine, the Cardinal Bernardin Cancer Center, a Level 1 trauma center, Illinois’s largest burn center, a certified comprehensive stroke center and a children’s hospital.

    Having delivered compassionate care for more than 50 years, Loyola also trains the next generation of caregivers through its academic affiliation with Loyola University Chicago’s Stritch School of Medicine and Marcella Niehoff School of Nursing. Gottlieb is a 247-licensed-bed community hospital in Melrose Park with 180 physician offices, an adult day care program, the Gottlieb Center for Fitness, the Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research facility at the Marjorie G. Weinberg Cancer Center.

    MacNeal Hospital is a 374-licensed-bed teaching hospital in Berwyn with advanced inpatient and outpatient medical, surgical and psychiatric services, including acute rehabilitation, an inpatient skilled nursing facility and a 68-bed behavioral health program and community clinics. MacNeal has provided quality, patient-centered care to the near west suburbs since 1919. For more information, visit loyolamedicine.org.

    Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 92 hospitals, as well as 106 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2 million visits annually. Based in Livonia, Mich., and with annual operating revenues of $19.3 billion and assets of $27 billion, the organization returns $1.2 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 129,000 colleagues, including about 7,500 employed physicians and clinicians.

    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime

    SWHELPER is a news, information, resources, and entertainment website related to social good, social work, and social justice. To submit news and press releases email contact@swhelper.org

    Global

    Trigger Warning: A Chinese Father Saved More Than 300 People at Nanjing Yangtze River Bridge

    Published

    on

    “I understand these people. I know they are tired of living here. They have had difficulties. They have no one to help them.” – Chen Si

    Since the Nanjing Yangtze River Bridge was first built in 1968, an estimated 2,000 people have died from suicide involving the bridge. According to data from 1995-99, in China’s first national survey in 2002, death from suicide accounted for 3.6 percent of the country’s total deaths. During that period of time, 287,000 Chinese people died from suicide every year, putting the average suicide rate at 23 per 100,000 people.

    Chen Si, also known as The Angel of Nanjing, has been patrolling this bridge every Saturday for more than 20 years and has managed to save more than 300 people from death by suicide. He is a 52-year-old father from Nanjing, the capital of Jiangsu province of the People’s Republic of China. Following the loss of a close relative to suicide, Chen Si has taken up this cause because someone needs to.

    A Long History

    The relationship between mental illness and suicide is controversial in China. Those who follow traditional Chinese philosophy are not encouraged to express their feelings, nor are they encouraged to expect their environment to change to suit their needs. Therefore, intense misery and feelings of despair may go unrecognized, and suicidal symptoms are not easily detected by Chinese medical professionals. In fact, many doctors working in rural areas do not understand the symptoms of depression and often receive low salaries, which discourages more doctors from entering the mental-health field.

    Gender Differences

    According to the World Health Organization (WHO) statistics, China’s suicide rate in the 1990s was 20 per 100,000 people. In the 1990s, female suicides were higher than male suicides by a factor of three. While China remains one of the few countries with a higher suicide rate among women than men, recent data shows that these disparities have evened out. In 2016, suicide rates among Chinese men and women came up almost even at 9.1 per 100,000 men and 10.3 per 100,000 women. Overall, China’s suicide rate in 2016 was 9.7 per 100,000 people, which was among the lowest globally.

    A 2002 survey also revealed that 88 percent of females who died from suicide used agricultural pesticides or rat poison. Although China initially eliminated highly toxic pesticides to improve the safety of its farm produce, the elimination also had a substantial impact on the reduction of deaths from suicide among women. Research shows that men tend to attempt suicide through violent means such as hanging, whereas women tend to attempt suicide with medication. Overall, most studies indicate a decline in suicide rates among all gender and regional categories in China. The studies also recommended targeted suicide prevention programs, particularly for people in rural areas.

    Shifting Tide

    Women’s freedom, urbanization, and decreased access to toxic pesticides are key reasons behind the decline in suicide rates. According to Jing Jun, a professor at Tsinghua University in Beijing, “female independence has saved a lot of women.” The founding of New China in 1949 in combination with the opening-up policy in the late 1970s and the continuous growth of China’s economy has led to more equitable opportunities for women. Additionally, urbanization removed certain social constraints leading to more freedom for women. For instance, escaping an abusive partner or household may be easier in a city than in a small village.

    Despite a decline in death by suicide rates in China, this is an area that we should pay more attention to. Chen Si acts as an angel, but he cannot do this work alone. He hopes that officials consider building a net across the Nanjing Yangtze River Bridge to prevent deaths by suicide. 

    Resources Available

    The Crisis Intervention Centre, the first of its kind in China, was established by Nanjing Brain Hospital to provide psychological advice and support to Chinese people. The Centre also has a hotline, which can be reached at 862583712977.

    The Lifeline Shanghai at (400) 821 1215 is a free, confidential, and anonymous support service that is open 365 days a year from 10am-10pm GMT+8. 

    Facebook and other social media platforms also offer many virtual support groups for individuals experiencing hardship. The National Suicide Prevention Lifeline at 1-800-273-8255 is a 27/4, free and confidential resource to support people in distress, prevention, or in an active crisis. Users should utilize the translate function on these web pages to adjust for language barriers, if necessary.

    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime
    Continue Reading

    Mental Health

    Can I Ask My Therapist About My Diagnosis?

    Published

    on

    “I don’t know if I did the right thing. Maybe I shouldn’t have.”

    Power differentials are present within the helping profession and may cause the helpee to feel inferior to the helper, particularly in a client-therapist relationship. Oftentimes, clients are in a position where they feel reliant on guidance from their therapist. If there is a significant power imbalance, clients may be hesitant to ask questions and unsure of their role in the reciprocal helping relationship.

    On a Reddit social media post, a female client with obsessive-compulsive disorder (OCD) posed this question: “Can I ask my therapist about my diagnosis?” The client has been working with her therapist who is a psychiatrist. The relationship between the therapist and client is fairly new. During one of their sessions, the therapist mentioned that the client might be autistic but they were unsure. The client was previously tested as a child, but the results did not confirm autism or autistic traits. Because the therapist has not confirmed the client’s diagnosis, the lack of uncertainty is creating terrible chaos in the client’s head, as she would like to know if she is or is not autistic. The client is thinking about repeating this question in her next session but is unsure whether it would be rude, pointless, or wrong. Unsure whether or not her therapist is capable of diagnosing autism, the client has tried to persuade her therapist into revealing a diagnosis, but the therapist redirected the conversation.

    This is something I’ve brought up with reluctant therapists as well. I understand the reasons they may not want to disclose that info to a client, but at a certain point it’s like if you had to go to the doctor every week to get an MRI and they just told you they’re just concerned with working on your symptoms.” – u/HyaAlphard

    Informed Consent

    An article on Informed Consent written by Annette Johns discusses how the Canadian Association of Social Workers (CASW) Code of Ethics (2005) defines informed consent as “a voluntary agreement reached by a capable client based on information about foreseeable risks and benefits associated with the agreement.” Social workers have an ethical responsibility to seek informed consent from their clients at the beginning of the therapist-client relationship. Clients also have the right to refuse or withdraw consent and to have an opportunity to ask questions.

    It is also important for clients to be engaged in the decision-making processes throughout the duration of the therapist-client relationship. In fact, informed consent and full transparency are integral to the relationship between a client and therapist and ensures the client’s right to self-determination, autonomy, dignity, and confidentiality. Social workers should use clear and understandable language to inform clients of the purpose, risks, limits, and reasonable alternatives to services.

    Receiving a Diagnosis

    Clients should be a part of the decision about whether to be assessed for a diagnosis. If the client is willing, the therapist has a responsibility to disclose the advantages and disadvantages of receiving a diagnosis. One advantage is that receiving a diagnosis can be comforting to clients who have been struggling with symptoms. Some clients find relief and feelings of validation when they can put a name to it, as well as decreased guilt, shame, and feelings of isolation. Receiving a diagnosis can also open up resources for the client and strengthen the relationship between the therapist and the client. However, clients should also be informed that diagnoses can stick with people, following them to and beyond adulthood even if they were misdiagnosed.

    Suggested Questions to Ask

    The client should feel comfortable to ask their therapist questions and express their needs throughout the duration of the therapist-client relationship. When the therapist suggests a “working diagnosis,” it should also be understood that the client is the most important member of the diagnostic process and has the right to obtain clarity by asking questions, taking notes, and being actively involved. Although the questions below are based in the medical profession, they are relevant to all clients. Out of seven questions posed by Helene Epstein, here are four relatable key questions:

    What kind of test(s) will I have?

    It is important for the client to know what kind of tests the therapist plans to administer. There are many different types of tests and ways to identify the source of a client’s concern.

     Why do you think I need this test?

    It is important for the client to understand why their therapist is even recommending the test in the first place, as not every test is essential, and some may be invasive or expensive. The client has the right to ask whether there’s an alternative, if it is costly, or if the test is necessary.

    What do I need to do to prepare for this test?

    While not every test requires specific planning, some might. If this is not communicated in advance, the client may have to reschedule.

    When will I get the results?

    Depending on the test and other extenuating factors, waiting times for results may vary. Clients should consult with their therapist for more details.

    Clients have the right to be fully informed and fully engaged. Although asking questions may seem rude or wrong, it is not. It is important for clients to be informed about decisions being made on their behalf.

    Start with these questions and see if they help give you the answers you need. It’s important you use your voice in client-therapist relationships and prioritize your needs. At the end of the day, the treatment your seeking is for you, so do what feels right.

    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime
    Continue Reading

    Health

    Trigger Warning: Holistic Public Policy Can Save Lives From Suicide

    Published

    on

    At the age of 17, I lost my older brother, David, to suicide. As a gay man in his early 20s, David struggled with mental health conditions and social isolation. His loss affected my family, his friends, and me forever. It was then that I decided to dedicate my life to suicide prevention.

    His loss, and the loss of so many others, makes the 2020 data showing that the suicide rate in the United States has increased by 1.4 percent even more upsetting. Michigan’s suicide rate has increased by over 33 percent since 1999, and among young people ages 10 to 24, the rate has climbed by 56 percent since 2007, making it the second leading cause of death for that age group.

    Despite these sobering statistics, I’m confident that we can prevent suicide.

    In the past couple of years, Michigan has taken great steps toward suicide prevention and mental health promotion. In a past legislative session, Senate Bill 228 established the State Suicide Prevention Commission, and House Bill 4051 established a statewide mental health crisis line. The passage of each of these bills highlights our legislators’ commitment to saving lives – but there is more we can do.

    We need a holistic set of public policies that works to promote well-being and ensure safety across all contexts in which our young people live, learn, and play.

    For example, in 2019 Sen. Curtis Hertel, Jr. introduced Senate Bill 532 to mandate suicide prevention instruction for K-12 students and professional development training for public school teachers and staff. As of the start of 2020, Michigan was one of only 15 states that encourages such training but does not require it. In comparison, 18 states mandate suicide prevention training but do not specify if it must be annual. Whereas 13 states have mandated annual suicide prevention training for school personnel.

    In addition to training, 22 states also mandate comprehensive school policies on implementing suicide prevention education, responding to students in crisis, and handling suicide deaths. Again, Michigan has no such mandated policies.

    The American Foundation for Suicide Prevention (AFSP), in partnership with The Trevor Project, the American School Counselor Association, and the National Association of School Psychologists has developed a Model School District Policy on suicide prevention. The document outlines policies and best practices that school districts can follow to protect the health and safety of all students.

    Outside of the school, numerous other policies can help save young lives. For example, while federally mandated, Michigan is among a staggering number of states that currently have no laws guaranteeing mental health parity — the assurance that insurance companies will cover mental health care in the same way they cover physical health care.

    In addition, 20 states now have laws banning conversion therapy – the practice of counseling or psychotherapy that attempts to change one’s sexual orientation or gender identity. The negative effects of such practices are well documented and include increased suicide risk, decreased self-esteem and well-being, disrupted healthy identity development, and increased social isolation. As it stands, Michigan only partially bans conversion therapy for minors, along with four other states. In total, 20 states ban the practice for minors outright, 3 are still settling the issue in court, and 22 states have no policy or mandate regarding the practice.

    As a researcher, advocate, and brother, I know we need policies that are proactive rather than reactive, address multiple contexts, and dismantle the stigma around suicide. We can and must do more to save lives and bring hope to those affected by suicide.

    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime
    Continue Reading

    Trending

    DON’T MISS OUT!
    Subscribe To Newsletter
    Get access to free webinars, premimum content, exclusive offers and discounts delivered straight to your email inbox.
    Start My Free Subscription
    Give it a try, you can unsubscribe anytime.
    close-link


    Good Things When You Subscribe

    Subscribe
    close-link
    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime
    Close