How to Deal with Pandemic Stress During Omicron

We are in the second year of this pandemic. Can you believe that it has been two years since COVID took over our lives and the world? This may be a difficult time for you and you may be experiencing pandemic stress – please know that you are not alone. Recent studies show that 47% of people reported feeling stressed amongst other difficult emotions.

We are living through a worldwide pandemic – who would have ever thought this would have happened? Sometimes, it feels like we are living in a chapter of a history textbook. The positive side of that perspective is that, just like we have read in history textbooks, different generations of people survived challenging times and eventually moved ahead to a new chapter. The world’s future is unknown for now; we need to take things day by day. This, however, doesn’t invalidate any of the stress you may be feeling. This article can help you deal with this stress and hopefully make you feel a little bit safer in these challenging times.

What the Pandemic Has Done to the World:

Unfortunately, it may be hard to remember a time before COVID. It has affected so many parts of our day and has changed how we live our lives. It can be jarring when you look back at old pictures and see how you used to live. There may be many times when you look back on a photo and think to yourself, “I can’t believe I wasn’t wearing a mask!” We are now very accustomed to wearing masks and keeping our distance from people. 

Let’s Explore Some of the Other Ways the Pandemic Has Affected This World: 

Distanced Us from Other People and Increased Isolation 

pandemic stress

The phrase “six feet apart” has infiltrated our lives. You may see this phrase on signs, placemats on the floor, or instructions. The distance you may feel is not only shown in this measurement; it is also evident in our lives in many different ways. The pandemic might have distanced you from the people you love. 

You may not see your friends or family often in fear of getting sick. You may be fearful that you will expose your older relatives and, for example, haven’t seen your grandma in over a year. COVID has promoted significant isolation in people. People report feeling lonely and scared during these times. Especially with remote work and school, it is hard to meet people nowadays. Kids who go to school online may feel isolated from their friends and find it hard to make connections. 

If you work remotely, you may have never even met your co-workers! It is all very isolating and makes it hard for us as social beings to navigate this world.

Created a Division in Our Society

This world feels divided in so many ways already, and the pandemic has only made it worse. You may know people who have strong beliefs on how to handle the pandemic – you either disagree or agree with them. People’s differing beliefs and actions during this pandemic have caused strife amongst us. You may have a friend that doesn’t believe in wearing a mask or getting vaccinated, and you may think the complete opposite. These vast differences cause people to argue, lose touch, and could even ruin their relationship altogether. In a study from 2021, 88% of Americans reported feeling like their nation was divided, even more than before the pandemic.

Made us Fear Doing Mundane Tasks 

It’s crazy to think that we could go to the store or go to the movies without even a second thought a few years ago. Now to do such mundane tasks, there is a lingering thought of, “Will I get sick when I go out?”

People are fearful when doing things that would have seemed so simple before 2020. Some people have become afraid of leaving their house because even the slightest task may make them fearful of getting sick. Agoraphobia might occur in people with this constant stress. These people fear that something terrible will happen to them when they are not in the comfort and security of their own homes.

Prevented Us From Living Our Lives

People who enjoy concerts, festivals, or packed events might feel like they cannot safely do that anymore. If you consider yourself adventurous, you might struggle a lot during this pandemic. Concerts have been delayed or canceled, traveling seems impossible, and you may fear going to crowded spaces because of COVID. Many people, especially teens or people in their early twenties, fear that they are wasting their “golden years.” It can be hard to feel like you aren’t missing out on important milestones when this pandemic is taking over.

Cause Immeasurable Loss in Our Lives 

The pandemic may have created loss in your life in many ways. People have become unemployed from the pandemic and have been laid off. So many places like hospitals and schools are understaffed. This causes people who work at these understaffed places to take on an increased workload and face immense stress. This stress can cause burnout and people to question if they can even do their job anymore. It feels like they have to choose between making a living or ensuring their wellbeing.

The pandemic may have also taken loved ones from you. COVID may have affected your loved ones and caused them to pass away. This loss may be challenging for you to deal with and makes you extremely upset during these times. Even if COVID has not taken a close loved one from you, it has likely affected so many people you know. 

Ways to Deal with Pandemic Stress 

First, Check-in With Yourself Daily

It can be hard to navigate immense pandemic stress and challenging times. Make sure that you check in with yourself and see how you feel each day. Some days, you may feel more hopeful and happy in life, and there may be other times when you feel discouraged and sad. 

Know that your emotions are valid, and you should embrace them instead of ignoring them. Try journaling about how you feel and making a note of which days are harder than others. When you have a bad day, you can look back on the days that you were happy and find hope that you will feel this way again. 

Second, Do Things That Make You Happy

self care

If you check in with yourself and feel upset, try to do something that’ll make you happy. Think about what you enjoy doing. You may enjoy watching a particular show or movie. There may be an album that always brings a smile to your face or gives you a sense of calmness. A hobby can be a great way to release your thoughts and immerse yourself in a creative project.

Another way you can make yourself happy and avoid pandemic stress is by reaching out to people. Social support and finding someone that you can rely on is a healthy way to deal with stress during the pain.

Third, Lean on social support

As mentioned in the prior section, social support is critical during this time. In an age where people feel very isolated and alone, it is essential to rely on people you can trust. You may be fearful of seeing others and feel more comfortable at home, but this does not have to prevent you from socializing. Try implementing Zoom or FaceTime calls with people. You can text your friends and send each other fun videos or pictures.

There are also apps where you can meet people and make new connections. Another way to do so is by joining a new club or class. If you don’t want to go in person, many organizations meet online and do virtual meetings.

Fourth, Turn to Mindfulness in Times of Stress

Mindfulness helps people find peace when experiencing pandemic stress or anxiety. You can practice mindfulness by:

  • Doing a guided meditation video 
  • Practicing yoga or stretching 
  • Completing a breathing exercise
  • Taking part in a guided imagery exercise

Mindfulness can also be practiced through accepting your situation. Living through COVID is not ideal and can be very difficult. However, learning to accept these times and this period of your life can help you find peace. Once you feel calmer, you can focus on ways to improve your situation.

Fifth, Encourage Yourself to Get Through Pandemic Stress

Remember: You have survived 100% of your worst days! Remember this when you feel down. Even in the worst moments of your life, you have been able to push through and be where you are today. You have resilience and strength living in you! Try to remind yourself that these times will pass, and you will feel hope and optimism once more. 

Ways to Encourage Yourself:

  •  Recite positive affirmations; positive affirmations can help you feel good about yourself and life. These affirmations are ways to attract things you want in your life and promote positivity inside of you. 
    • You can say: I am…calm, safe, happy with the connections I have in my life, going towards the right direction, facing my fears, etc.
  • Get inspired by people from the past: you can encourage yourself by thinking about the past generations. There have been many periods in history that were hard for people to deal with, for example, the Great Depression. You may have grandparents or great-grandparents that lived through this time. This was a time when people were very sad and absent of hope. Seeing people get through these challenging times can motivate you to do the same. 
    • If you are fortunate enough to have some of these relatives alive still, go to them for advice or guidance
    • Remember that we are resilient, and humans can adapt to way more than you think. Rely on strength from your ancestors, and remember that they are rooting you on!

Sixty, Don’t Do Things that Make You Uncomfortable

There have been many ups and downs during this pandemic. When there is a surge in cases, you may feel even more stress than usual. This can cause you to avoid going out to crowded places or doing certain activities. Check-in with yourself, as mentioned before, and see how you are feeling. If you feel like you don’t feel safe and a specific plan would cause you anxiety, don’t feel obligated to do it. If someone is peer pressuring you to do something that makes you uncomfortable, that is not okay! Listen to your intuition and honor your comfort level. Your boundaries matter, and you deserve to feel safe! If you decide to go out, try to be safe by wearing your mask and keeping your distance. 

Seventh, Consider Going to Therapy for Pandemic Stress

Unfortunately, many people are experiencing depression and pandemic stress during these years. You do not deserve to struggle alone! A therapist can help you get through these times, provide support, and guide you in finding hope once again. Our team of therapists would love to help you! Our team will help you with depression, anxiety, self-esteem, and any other problems you may be facing. 

Mindfulness Meditation For Anxiety And Depression 用正念冥想减轻焦虑和抑郁

这个视频是一个中文的放松练习,正念冥想(mindfulness meditation)。做一做试试看会不会帮你放松自己。

在日常生活中,我们可能会因为工作劳累而喘不过气; 人际交往中有时紧张的总想退缩;脑子里总是有各种各样的想法冒出来,让人睡不好觉却赶都赶不走;还有时候陷入一种负面情绪里面,感觉怎么也走不出来。你不是一个人,我们很多人或多或少都会这样。

什么是正念冥想(What is Mindfulness Meditation)

正念(Mindfulness),是一种注意力高度集中的状态。比如说,当我们在读书、学习或者做一件很感兴趣的事情时,我们会非常专注而忘记了时间的流逝,甚至不会意识到周围环境里都发生了什么。

如果我们处在正念的状态中,精神上和身体上是非常平和、放松的。因此,正念的积极作用让其被广泛应用在心理咨询领域。经过研究显示,正念活动对缓解焦虑和抑郁有非常有效的作用

正念相关的活动有哪些?(Types of Mindfulness)

正念活动的种类有很多。除了我们今天将要讲到的正念冥想,其他还有:

这些都是舒缓压力和放松自我的好方法。你可能会觉得,这些正念活动在我们东方文化当中是很常见的,它是如何在西方科学里成为心理治疗的常用方法呢?

其实,正念一词源自于佛教文化,而且心理学同佛教文化两者的理论、概念中有许多不谋而合的地方:两者都注重减少人的痛苦,提升人的幸福感。两者都强调成长的重要性。两者都认为人应对万物有怜悯心并保持积极的态度.

正念冥想是什么?(What is Mindfulness Meditation)

正念冥想是众多正念活动当中最具有代表性的一种。常见的形式有:呼吸练习,引导想象,以及其他可以放松大脑和身体并减小压力的练习。正念冥想是正念活动当中被广泛应用且被科研证实有效的心理治疗方法。

冥想追求的是把注意力集中在当下,暂时摒弃大脑中对任何事物的评判和解释。意识到当下这一刻所发生的事,并用开放的心态去接纳它。而不是加以评判,抱怨,或者改变

正念冥想的作用(How does Mindfulness Help?)

科学研究证明,正念能帮助我们改善心理、情绪、身体、脑认知、注意力和精神整体健康水平,帮助我们回归自我,看清自我,化解自己生命的负能量。正念冥想对于许多心理问题都有很好的治疗效果。这包括:

  • 焦虑(anxiety)
  • 紧张(fear)
  • 抑郁(depression)
  • 失眠(insomnia)
  • 压力过大(stress)
  • 情绪失控(emotion regulation)
  • 过度紧张引起的高血压、糖尿病(hyertension & diabetes)

除此之外,正念冥想还有其他作用,例如:提升专注度,降低工作压力,提升情绪管理水平、自我觉察、睡眠质量,以及帮助控制糖尿病等。

初学者如何开始练习正念冥想 (How to Practice Mindfulness Meditation as a Beginner?)

1. 在准备做冥想的时候,无论坐在地上,沙发上或者是床上,找到一个让自己舒服和放松的姿势是非常重要的。

2. 其次,一定要给自己几分钟的时间。冥想练习的时长因人而异。但对于初学者,我们建议您安静的享受冥想5到10分钟即可。这样的时长足以起到放松大脑的作用。

3. 冥想练习中,将注意力放在自己的呼吸上是快速放松的重要方法。我们可以试着关注自己呼气和吸气的动作,自己呼吸时身体的起伏,以及鼻间流动的气息等。

mindfulness meditation

初学者练习冥想可能遇到的问题 (Overcome Difficulties in Practicing Mindfulness)

1. 初学者在做冥想的时候可能会不习惯这种放松形式。如果在练习过程中无法集中注意力,无法正确的调整呼吸都是可以理解的。

2. 其他的问题比如练习让自己变得更加紧张,大脑无法停止思考,大脑始终有很多想法也是可能遇到的情况。这时,对自己耐心一点。无法闭上眼睛放松,我们可以选择睁开眼睛,自然的注视一个方向。

3. 大脑如果无法停止思考也没有关系。正念冥想的目的并不是让大脑停止思考,我们的思维也不会因为冥想练习而瞬间停止工作。

练习冥想的真正目的是帮助我们意识到是什么想法在困扰我们。进而让我们逐渐的整理大脑中的思维,让他们从混乱变得有序而清晰

当你面对抑郁、焦虑、压力过大、负面情绪时,请联系我们,我们的心理治疗师可以引导你练习冥想,减轻压力,放松自我,重新找回轻松的自我。

Special thanks to the contribution of psychotherapist  Xiaojing Wei, LMSW.

How to Fight Depression Without Medication?

fight depression

When we all have to use self isolation to protect our health during this quarantine time,  depression is reported to occur at a higher rate. What does depression feel like? It usually affects our daily functioning and manifests through thoughts, behaviors, mood, and physical symptoms

  • In mood, you may feel sad, agitated, lonely, helpless, and hopeless;
  • In behaviors, you may withdraw and isolate yourself, easily throw temper tantrum, tend to use alcohol or drugs;
  • Physically, you could have sleep and appetite issues, easily feel tired, have low energy level, feel “lazy”, numb, sluggish, and loss of interest.
  • In terms of thinking, your concentration and memory may even be affected. You tend to have negative thoughts like “I’m a failure”, “I am useless”, “No one likes me”.

How to fight depression without medication? Many people found this tool GRAPES helpful to boost motivation and alleviate depression.  GRAPES stands for the following acronyms:

  • Gentle with Yourself
  • Relaxation
  • Accomplishment
  • Pleasure
  • Exercise
  • Social

GENTLE with yourself – Use self compassion

Gentle with yourself, simply put, is to improve self compassion. When you are hard on yourself and use those negative thoughts to judge, criticize, and blame yourself,  it is important to remember, you will not be so harsh to a friend. Therefore, to fight depression without medication, it is essential to remind yourself to change the way you talk to yourself to that  you talk to a friend. You will notice the different tone and choice of words. Such difference can help you to use positive self affirmations such as:

  • I am kind.
  • I love myself!
  • I am beautiful inside and out.
  • I am proud of who I am!
  • This is no easy job but I made it!
  • I will achieve my goals!
  • I deserve to be appreciated!

RELAXATION – Mindfulness Meditation Practice

To fight depression without medication, relaxation is a very important tool. You can practice relaxation almost anywhere. Take breathing exercise for example, paying attention to your inhale and exhale can give you both emotional and physical release. Deep breathing increases circulation, releases endorphins, and relaxes muscles. When you use relaxation to create a mindful moment, you are able to pay attention to what you are experiencing right here and right now. This way, your negative thinking turn its direction when you do not have to focus on the depression negative spiral. You are immersed in the moment, reconnect with your inner strength, and feel the peace and tranquility.

Relaxation is to use mindfulness for depression to calm your central nervous system, clear your mind, and recharge your body. Relaxation may also be taking a nap, reading a good book, taking a shower or a bubble bath, practicing yoga, swimming and feeling the water, enjoying your favorite music, cuddling with your pet, taking care of your plant, sewing, making your tea, slowly having coffee, preparing a meal, having some snacks, or simply sitting under the sun and feeling sunshine warming up your body. You may find some Apps such as HeadSpace and Calm helpful with a few minutes of relaxation exercise every day. Many YouTube videos can also guide you to practice meditation and mindfulness.

ACCOMPLISHMENT – Use an Activity Schedule

Accomplishment does not have to be as big as you walk on the moon or won Nobel Prize. It may be as small as you planned to walk outside and you actually did it. Having a daily routine is essential to fight depression naturally. Making lists or write down a daily activity schedule can allow you to visualize what tasks you actually have to do for that day or week. Even better, you can cross them off! Research shows that by checking something off a list, the brain produces dopamine, the happy hormone, to reduce depression. This could make you feel good with more energy and want to do more. A list can also be made via a mental health or motivation app on your smart phone. Even if it’s ‘brush teeth’ or ‘have a shower’, you’ll start to feel better once you’ve crossed it off.

Set small goals and reward yourself when you accomplish them. When depression drains your motivation, you have to work to create new incentive to replace what existed naturally before your mental health deteriorated. This starts with small and achievable goal setting. For example, your goal could be cleaning out your closet. If you succeed in that, reward yourself by cooking your favorite meal or watching an episode of the latest TV show. This process of small accomplishments and rewards will help restore your motivation. 

PLEASURE – Focus on your Hobbies

Depression may feel like depriving fun out of your life. What you used to enjoy doing may not sound appealing any more. Pleasure is about having fun and joy again. Encouraging yourself to plan something fun to do is a good start. Many activities can bring you pleasure, Dancing, listening to music, coloring, gardening, watching a YouTube channel, reading, eating gourmet food, having sex, cuddling a pet, and enjoying a hobby. Music for example, has been found to reduce symptoms of depression in many research studies. It can boost your mood and make you more aware of your emotions overall. This is said to be done as music releases dopamine, a chemical which increases pleasure. 

EXERCISE – Natural Antidepressant

Exercise as a treatment for depression has been highly recommended because research evidence has shown enough support that beating depression with exercise proves viable. Combining exercise with antidepressant medication is also considered an evidence-based treatment. Exercise does not have to be at the gym, especially during the COVID pandemic when gyms are mostly closed. It is simply “get moving” when you can keep social distance. This could be from the bedroom to the living room, going for a run, or taking a walk outside, whatever you feel you are capable of doing.

When you struggle with depression, one of the biggest challenges is not wanting to move from your cozy cocoon called bed. You have made it your safe haven where you feel comfy and safe but staying there will only demotivate you more. If you can encourage yourself to go outside, the fresh air clear your mind and reset your brain a little. If outside is too much, tell yourself to sit in a different room and open a window. 

SOCIAL – Reduce Isolation

Human beings are social animals and isolation could cause depression. With the continuation of the Coronavirus pandemic, it is not your choice to self isolate, but you might be feeling the social isolation or withdrawal, which can make anyone feel demotivated and depressed. How to prevent a depression spiral while quarantined? This is high time that you use those apps to stay connected, FaceTime, Zoom, Google Hangout, Skype, WhatsApp, you name it. Using FaceTime to connect with a friend or loved one can instantly make you feel less alone. You don’t need to talk about anything important, just a simple chitchat with someone you care about will make you feel more at ease.

When you try all the above strategies and still find it difficult to manage your depression, there is still a great option of talking to a therapist. Our depression specialists use evidence-based therapy approach like cognitive behavioral therapy (CBT) and mindfulness to help you to understand triggers of your depression, manage stress, improve awareness of your thoughts, behaviors, and feelings, and learn coping skills to reduce depression effectively. Call us free for 15 minutes to schedule your online therapy sessions.

Special thanks to the contribution of Alexandra Jame

COVID-19 Virtue Support Group

Many months have passed since we started social distancing, yet the feelings of uncertainty, hardship, and grief continue. Feeling stressed, lonely, isolated, and/or frustrated? It is hard not to when you cannot socialize with your family and friends, when you lost your loved ones from COVID and sadness often wakes you up at night, when you have to face issues of work, family, relationships, and mental health.

We are here for you. Our COVID-19 Virtue Support Group is a source to help you to thrive in this particular tough time! We are here to listen, to support, encourage, and provide guidance. Our group is a safe and confidential place for you to find people with common experiences and concerns, to help each other to form a community, and to have a better understanding with knowledge and skills.

Our virtue group takes advantage of online services via Zoom, makes it convenient for you to be in a comfortable place such as your home, office, car, or a private place wherever you are. Zoom is a free app that is HIPAA compliant and promises your confidentiality. You can use your computer, laptop, tablet, or your phone to connect with our group.

Starting August 15th, the group will meet every Saturday from 3:30pm-4:30pm. Our therapists Baiqian Zhang and Sally Chen will co-facilitate the group. If you are interested, please fill out our Google form. If you have any questions, feel free to contact our group facilitator Baiqian at bz1044@nyu.edu

Body Dysmorphic Disorder Signs, Causes, And Treatment

body dysmorphic disorder

Body dysmorphic disorder (BDD) is preoccupation with the belief that your body or appearance are unattractive, ugly, abnormal or deformed. You feel embarrassed, ashamed, anxious, and depressed about your “flaws”.  You may seek multiple plastic surgeries but still feel dissatisfied to the point that you may even try to hide your appearance or avoid social interactions. Sounds familiar? About 1 in every 50 people may suffer from BDD. Some celebrities may suffer from Body Dysmorphic Disorder. The questions is, do I have body dysmorphic disorder?

Signs of Body Dysmorphic Disorder

  • Excessively concerned or distressed by appearance flaws that others such as friends, family, or doctors tell you are minor or nonexistent;
  • Strongly believe that you have a defect in your appearance that makes you ugly or deformed;
  • Appearance concerns interfere with your work, study, social life, or daily functioning;
  • Believe that others take special notice of your appearance in a negative way or mock you;
  • Have had multiple plastic surgeries or procedures but still feel unsatisfied with your appearance;
  • Believe that having cosmetic procedures will transform your life or fix all of your problems;
  • Avoid social situations。

The most common features and areas people tend to fixate about include:

  • Face, such as nose, eyes, lips, wrinkles, freckles, acne and other blemishes
  • Hair, such as appearance, thinning and baldness
  • Breast size
  • Buttock size
  • Skin and vein appearance
  • Muscle size and tone, or muscle dysmorphia
  • Genitalia

Causes of Body Dysmorphic Disorder

It’s unknown what causes body dysmorphic disorder. Like many other mental health conditions, body dysmorphic disorder may result from a combination of issues. Recent research has suggested that these factors could include

Body Dysmorphic Disorder Treatment

How to treat body dysmorphic disorder? Treatment depends on your symptoms, age, general health, and severity of the condition. Treatment for BDD may include psychotherapy or medications. The best treatment is a combination of the two. Research shows that the sooner treatment begins, the better the chance for controlling symptoms and recovering.

CBT for body dysmorphic disorder

Cognitive behavioral therapy (CBT) is the most effective talk therapy. CBT is to learn how to replace negative thoughts and cognitive distortions with rational thoughts.

ACT for Body Dysmorphic Disorder

ACT, or Acceptance Commitment Therapy, focuses on tolerating thoughts and symptoms, rather than trying to change, dispute, and generate alternative interpretations to problems. Acceptance based exposure therapy has shown clinically significant improvement in symptoms reductions. ACT also increased distress tolerance and self-acceptance 

Mindfulness-Based therapy for Body Dysmorphic Disorder

Mindfulness involves the awareness of being in the present moment, acceptance without judgment, and self-compassion. 

Dr. June and her team work closely with clients to help them to reduce stress and improve acceptance. If Body Dysmorphic Disorder affects you or your loved ones, give us a call for 15 minutes free. We will work with you as a team to help you in this healing journey.