CBT

Mental Health and Covid-19

A journalist friend recently emailed me some questions for a piece he is writing on mental health and Covid-19. He wanted to explore the importance of positivity during quarantine. I thought I’d share his questions and my answers here.

image.png

Why is it important to stay optimistic during difficult times? 

 Well I’m not sure that it is important to focus solely on optimism. In fact I think that approach may backfire as it doesn’t leave room for all the other emotions that may be present.

We know that these are strange and unprecedented times, which means we don’t have a blueprint for how to navigate them. 

There is a lot of unknowns and human beings are by and large uncomfortable with uncertainty.

Some psychotherapists have likened this experience as a time of collective and individual grief. 

We may be grieving normalcy, we may be grieving the ability to plan ahead and or grieving for an unknown future.

 I’m not sure whether it is important to only focus on optimism as a way of coping with this experience.

 Many people are confused and overwhelmed by contrasting emotions. They may feel angry one moment and sad the next; they may have moments of acceptance followed by anxiety and denial. 

 I think what is important is giving ourselves permission to experience and express all emotions without shame or expectations. 

Afterall it is only through knowing and accepting our emotions that we can begin to find some peace with them.

 In saying this it’s important to point out that not everyone expresses emotions in the same way and not everyone is ready to express them at the same time. 

Some may benefit from talking to a friend or a therapist right away while others may be better able to access their emotions through creativity like making music, dancing or drawing before being able to talk through their experiences.

 What are some healthy ways of coping with negative thoughts?

 In cognitive behavioural therapy we learn to look at the difference between helpful or unhelpful thoughts and to look for distortions and rigidity in thought patterns. 

Look for whether thoughts seem black and white, all or nothing, catastrophizing or fortune telling. Ask yourself what evidence you have for or against a thought. 

Think of yourself as going to court with that thought. Then you might try seeing what it’s like to give yourself an alternative or a more balanced thought to see how that might feel better.

 Trance work like hypnosis can also be helpful in processing some emotions or triggers that may not be readily accessible through talking or conscious exploration alone.

 What are some mental health tips for surviving this isolation phase?

 I would say to become curious about the things that used to bring you joy. What used to help you feel good and what elements of those experiences do you still have access to today? 

If it was a fitness or yoga class with a friend maybe you plan to use an app at the same time and chat about it afterwards. If it was a certain restaurant perhaps finding ways of cooking similar dishes at home. If it was your regular appointments at the salon, maybe ways of having a spa experience at home. Finding some small ways of maintaining routines you used to find comfort in.

 Another important tip is that we are all increasingly relying on the internet to feel connected but that recent studies show a direct correlation between our happiness levels and internet use. One particular study has shown over 4 hours a day on social media can have very negative impact on our health and wellbeing.

Obviously it is difficult to curb our use during this period of time, but my suggestion would be to check in with ourselves about what we are seeking when we reach for our devices and whether that need is actually being met online and whether it could be better met offline.

Steps to Manage Anxious Thoughts

worried image.png

A wonderful part of being a human being is our ability to think into the future and reflect on the past. This incredible ability allows us to learn from our experiences and to prepare for our futures. One problem with this wonderful adaptive ability, is that some of us are so good at it, that we become primed to overestimate the possibility of terrible outcomes and to minimizing our abilities to respond. Being vigilant about danger and not taking safety for granted would have been paramount for our ancestors but this level of vigilance may be out of place in our modern world. Our day to day conveniences should afford us the ability to trust more in our abilities to respond and adapt to unexpected scenarios and to alleviate our need to predict the possibilities of danger. Unfortunately for many of us our brains continue to be wired for predicting disasters and we can get stuck in a loop of anxious thinking. Fortunately our brains are wonderful and flexible and we can help free ourselves from these unhelpful thinking traps.

Here are a few steps you can take to help free yourself from chronic worry.

Are you predicting possible outcomes, or are you fortune telling?

You may be worried about a routine medical exam, the state of your relationship, that friend you haven't seen in a while or how your boss feels about your performance. If you find yourself skipping from one anxious thought to the other, try writing these worries down and rating the likelihood of these things actually happening.

Best Case Scenario/ Worst Case scenario

Come up with all the different ways that your worries could manifest, and write them down. Give yourself a moment to think up all the possible outcomes including the best case scenarios.

Increasing your ability to think of both positive and negative outcomes widens your perspective and allows you to ponder on all the different ways (positive and negative) that things may pan out. 

Go to court with your thoughts! Find evidence FOR and AGAINST your thoughts.

Our mind tends to focus more on the possibility of negative outcomes as a way of protecting us from danger. Through years of evolutions we have become wired to account for danger rather than expect safety. It is what helped us evolve as a species but it is also what contributes to our busy and over worried brains.

The problem is that our negative predictions could be based on limited information or a biased perspective. Give yourself a moment to bring forward evidence for and against each worried thought so you can weigh the outcomes and see each thought a little more clearly.

What are the costs and benefits of worrying?

See if you can think back on all the worrying you have done in the past and how many of those worries were correct. How many times have you been wrong? How has your worrying helped you?

Are you benefiting in some way from worrying? Is there a possible outcome to your worrying or does it keep you from moving into action?

Remember your resilience and ability to respond.

Think back on all the times you have been able to respond to surprising or unpredictable events in the past. Take time to consider how you may not be able to prepare for every possible scenario but how you may be able to trust yourself to handle anything that comes your way. Help strengthen trust in youself by thinking of all the past experiences that used to worry you but that you have since overcome.

What would you tell a friend in the same situation?

It is often easier to see strength in others than to see it in ourselves. Can you take a moment to treat yourself like a friend you love and admire. What kind of support would you give this worried friend? How would you help them see their own strength?