Category Archives: Mental Health

Mental Health Tips for Clinicians During COVID-19

In the difficult time of the novel coronavirus outbreak, the healthcare industry and its dedicated professionals are working around the clock to treat patients and prevent the further spread of the infection. As the first line of defense against the disease, physicians must maintain not only their physical health by practicing current safety practices, but also protect their mental health despite rising stress levels, long work hours, and prevailing uncertainty. In an effort to ease the psychosocial symptoms accompanying the epidemic, a recent article published in Medical Economics outlines several suggestions for physicians and other care providers to help them cope during this extremely demanding period.

Manage Stress Levels 

Managing stress levels and psychological wellbeing is as essential during this time as ever. High-pressure conditions have been directly tied to negative effects on physical health; increased cortisol production has a well-established relationship with decreased immune system functioning. Although health care providers are likely to be experiencing severe levels of stress at this time, simple coping techniques can provide relief. To help alleviate stress, professionals are encouraged to ensure a healthy diet, adequate sleep, and the use of relaxation techniques – all of which can help clinicians cope with the increased demands of their jobs at this time while having positive effects on their overall wellbeing.

Prioritize Basic Needs

As mentioned above, ensuring adequate rest during work hours or between shifts as well as eating sufficient amounts of healthy food are basic necessities for coping in a time of emergency. Other positive strategies include engaging in physical activity when possible and staying in close contact with family and friends. Clinicians are urged to avoid employing adverse coping mechanisms, such as tobacco, alcohol, or other drug use as these can worsen mental and physical health in the long term and make the current situation more difficult to handle.

Stay Connected

During a period of required social distancing and isolation, it is vital to maintain contact with family, friends, and colleagues to ensure access to social support. Staying connecting throughout the day has never been easier with digital technologies facilitating constant contact and allowing people to remain in touch despite physical distancing.

As it may be difficult for healthcare providers to see their loved ones or maintain physical contact for fear of spreading the infection, it is crucial to call, FaceTime, message, and reach out in other ways. It is also important to ensure diverse forms of communication are being used – that do not solely rely on written words – to connect with individuals with intellectual, cognitive, and psychosocial disabilities, especially if you are a team leader or manager in a healthcare facility.

Work Together

Ensuring good quality communication across staff members can facilitate working together during this time. Individuals in managerial positions are encouraged to support the mental health of medical professionals in any way they can. This should include rotating workers from high-stress to lower-stress functions to ensure they can get adequate rest. Inexperienced workers should be paired with more experienced employees to help provide support, monitor stress, and reinforce safety procedures. Further, healthcare providers should be encouraged to take breaks, while flexible schedules should be implemented for workers who are directly or indirectly impacted by the COVID-19 infection.

Promote Access to Support Services

Team leaders and managers of healthcare facilities are asked to ensure their staff has access to mental health and psychosocial support services, not only during these difficult times but at all other times as well. While individuals in leadership positions can and should provide positive role models for self-care strategies to help mitigate stress, they are not immune to the psychological toll of the COVID-19 outbreak. It is important to remember that these individuals are also be experiencing increased levels of stress and feelings of pressure, requiring access to support services as well.

Educating medical professionals on how to provide basic emotional support to affected people and each other using psychological first aid is a necessary step. Some strategies include speaking and acting calmly, creating connections and building relationships, as well as encouraging mindfulness via proven relaxation techniques. A more comprehensive guide to psychological first aid can be found here.

Beyond combating the coronavirus outbreak, a current priority is ensuring the physical safety and mental health of healthcare providers worldwide. Managing stress, connecting with others, and making sure to prioritize basic needs in this emergency situation can help drive positive outcomes for both providers and their patients, who need the support of the healthcare workforce more than ever.

The Biggest Wellness Trends of 2020

Last year, the rise of cannabidiol (CBD), intermittent fasting, meditation, and many other health and wellness trends dominated the $4 trillion global wellness industry. As this segment of the market continues to grow rapidly, technologic advances, emerging clinical findings, and shifting priorities are likely to influence burgeoning wellness trends for the coming year. Recently, experts from across the world gathered to forecast the biggest health trends that will take over the global wellness industry in 2020 as part of the Global Wellness Summit (GWS).

Alongside a focus on fixing disrupted circadian rhythms and mental health-promoting devices, the most significant projected trends for the forthcoming year are outlined below:

Circadian Health Optimization

According to one of the world’s leading experts on circadian health and associate professor of medicine at Harvard University Dr. Steven Lockley: “The absolute key to healthy sleep and circadian rhythms is stable, regularly-timed daily light and dark exposure—our natural daily time cues.”

Today, humans have incredibly disrupted circadian rhythms as a result of increased screen time and travel, rising stress levels, and a 24/7 culture. Current research suggests that circadian rhythms influence a variety of bodily functions ranging from hormonal fluctuations to body temperature regulation. Most importantly, they can significantly influence sleep patterns, impacting productivity and health.

As part of the solution, the concept of circadian rhythm optimization centers around adjusting the daily schedule, dietary patterns, and environmental cues to sync up with the body’s internal clock. Experts at the Global Wellness Summit predict an increased amount of people shifting their work schedules in accordance with their chronotypes, which The Sleep Foundation describes as the natural pattern by which people sleep and wake best, in an effort to optimize performance and productivity.

“Given that most of our body systems express circadian rhythms, ensuring proper alignment of our internal circadian clocks,” Dr. Lockley further explains, “starting with the management of lighting, will have major impacts on human health.”

Mental Health Technology 

The National Institute of Mental Health estimates that over 42% of 46.6 million adults with mental illness in the United States received mental health treatment in 2017. In addition, the growing patient base of Millennials is more likely to address mental health concerns than previous generations, with about 70% saying they feel comfortable seeking help. Wellness technology companies have begun to capitalize on this increased acceptance and technological advancements by developing digital therapeutic products and services.

Tech-savvy individuals are increasingly using virtual therapy apps – such as TalkSpace and BetterHelp – and digital support groups to combat modern-day issues including burnout, loneliness, depression, and anxiety. The behavioral health software market is now projected to reach $2.31 billion by 2022 and as we shift toward a more holistic approach to wellbeing, will likely continue growing.

As part of this rising trend, mental wellness wearables are growing in popularity with the introduction of meditation headsets that measure heart and breathing rates and wearable biosensors that monitor physiological signals throughout the day. These devices aim to improve stress levels, sleep patterns, and daily habits based on biologic metrics directly obtained throughout the day. For example, Sentio Solutions recently announced a new product, Feel, which is an emotion-sensing wristband with integrated biosensors which measure users’ physiological signals. Paired with an accompanying cognitive-behavioral therapy (CBT) app, it aims to help those suffering from anxiety and depression by offering on-demand support.

However, many of these technologies are still in the early stages of clinical trials and require further investigation before they can be released.

Japanese Wellness 

In 2017, Japan had the largest per capita ratio of centenarians in the world with 67,824 people aged 100 and above. The country is known for the longevity of its population, with up to 50% of Japanese citizens born in 2007 expected to reach the age of 107. Japanese culture promotes ways to ensure long, fulfilled lives with a growing emphasis on a sense of community and work-life balance. As a result, the world is turning to Japan for longevity tips leading to the popularization of “J-wellness”, or Japanese-inspired wellness.

The practice prioritizes connecting to nature, including forest bathing which can have a beneficial effect on both mental and physical health by reducing blood pressure, stress hormones, anxiety, and depression levels. In addition, Japanese government officials emphasize social community wellness through policy measures and innovations tailored to aging societies. This includes neighborhood facilities designed for generational mingling and stress assessment programs conducted to improve work-life balance and emotional wellbeing.

Fertility Healthcare

The growing de-stigmatization of infertility and reproductive health has opened the dialogue and increased awareness of these prevalent issues, encouraging more companies to offer fertility treatments – such as in-vitro fertilization and egg freezing- as benefits to their employees. Fertility healthcare is projected to rise to the top of wellness trends to support the 12 out of 100 couples in the United State struggling to become pregnant, per data from the U.S. Department of Health and Human Services.

Current fertility benefits do not cover all procedures and reproductive assistance technologies tend to be expensive with a single round of IVF averaging above $20,000. According to the GWS report, fertility clinics are forecasted to democratize and simplify access to care, alongside innovative fertility-focused wearable technology and smartphone apps that help educate individuals and monitor important fertility metrics. Furthermore, a growing number of fertility start-ups such as KindBody, which received $10 million in investor funding last year, are beginning to infiltrate the space. Current data indicate that the femtech sector could reach a market size of $50 billion within the next five years.

Continuous research initiatives and emerging technological advancements are spurring the global wellness industry at a 12.8% compound annual growth rate. In 2020, the wellness economy will be more accessible to the average consumer than ever before, making the above trends increasingly relevant in the practice setting. Physicians should be equipped with the latest clinical knowledge to better educate patients on the potential risks and benefits of these emerging solutions and ensure their health and safety.

Thyroid Awareness Month: The Connection Between Thyroid Disease and Mental Health

The end of January marks the conclusion of Thyroid Awareness Month, which aims to spread awareness of the thyroid conditions affecting over 20 million Americans. At present, many individuals live with undetected thyroid disease – up to 60% of patients are unaware of their condition. While the underlying causes of thyroid disease remain largely unknown, preventative measures are necessary, such as the routine evaluation of the thyroid to ensure early detection and diminish the risk of severe comorbidities.

Thyroid conditions can affect people of all ages, however, they affect women significantly more often than men. Symptoms of hyperthyroidism include restlessness, inability to focus, anxiety, weight loss, and tachycardia: all of which can be alleviated with appropriate treatment methods. However, emerging research reveals a connection between thyroid disease and the development of mental health conditions – which are not easily mitigated with treatment of thyroid dysfunction.

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