health intervention if indicated. Health care systems will need to address the stress on individual providers and on general operations by monitoring reactions and performance, altering assignments and schedules, modifying expectations, and creating mechanisms to offer psychosocial support as needed. Given that most Covid-19 cases will be identified and treated in health care settings by workers with little to no mental health training, it is imperative that assessment and intervention for psychosocial concerns be administered in those settings. Ideally, the integration of mental health considerations into Co- vid-19 care will be addressed at the organizational level through state and local planning; mechanisms for identifying, referring, and treating severe psychosocial consequences; and ensuring the capacity for consulting with specialists. Education and training regarding psychosocial issues should
be provided to health system leaders, first responders, and health care professionals. The mental health and emergency manage- ment communities should work together to identify, develop, and disseminate evidence-based resources related to disaster mental health, mental health triage and referral, needs of special populations, and death notification and bereavement care. Risk- communication efforts should anticipate the complexities of emerging issues such as prevention directives, vaccine avail- ability and acceptability, and needed evidence-based interven- tions relevant to pandemics and should address a range of psy- chosocial concerns. Mental health professionals can help craft messages to be delivered by trusted leaders. The Covid-19 pandemic has alarming implications for indi- vidual and collective health and emotional and social function- ing. In addition to providing medical care, already stretched health care providers have an important role in monitoring
Solutions to problems that develop inside of your body do not come from sources outside of the body.
Migraines
Autoimmune Conditions Digestive Disorders Immune Deficiencies Neurological Problems
> Get up and go to bed at similar times every day. > Keep up with personal hygiene. > Eat healthy meals at regular times. > Exercise regularly. > Allocate time for working and time for resting. > Make time for doing things you enjoy.
The brainstem regulates internal function; if compromised, the body breaks down and conditions gradually develop
Find the cause; find the solution
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• Minimize newsfeeds. Try to reduce how much you watch, read or listen to news that makes you feel anxious or distressed. Seek the latest information at specific times of the day, once or twice a day if needed.
• Social contact is important. If your movements are re- stricted, keep in regular contact with people close to you by telephone and online channels.
• Alcohol and drug use. Limit the amount of alcohol you drink or don’t drink alcohol at all. Don’t start drinking alcohol if you have not drunk alcohol before. Avoid using alcohol and drugs as a way of dealing with fear, anxiety, boredom and social isolation.
psychosocial needs and delivering psychosocial support to their patients, health care providers, and the public — activities that should be integrated into general pandemic health care.
The above was published in the April 13, 2020 edition of the New England Journal of Medicine. Its content is from the Depart- ment of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City (B.P.); and the Altshuler Center for Education and Research, Metrocare Services, and the Division of Trauma and Disaster, Department of Psychiatry, University of Texas Southwestern Medical Center — both in Dallas (C.S.N.).
Below are mental health tips from the World Health Organization T
o reduce the number of people infected with COVID-19, more and more of us are making huge changes to our daily routines.
The new realities of working from home, temporary unem-
ployment, home-schooling of children, and lack of physical contact with other family members, friends and colleagues take time to get used to. Adapting to lifestyle changes such as these, and managing the fear of contracting the virus and worry about people close to us who are particularly vulnerable, are challeng- ing for all of us. They can be particularly difficult for people with mental health conditions. Fortunately, there are lots of things that we can do to look
after our own mental health and to help others who may need some extra support and care. Here are tips and advice that we hope you will find useful.
• Keep informed. Listen to advice and recommendations from your national and local authorities. Follow trusted news channels, such as local and national TV and radio, and keep up-to-date with the latest news from @WHO on social media.
• Have a routine. Keep up with daily routines as far as pos- sible, or make new ones.
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