This week's ABS Household Impacts of COVID-19 Survey found around one in five Australians expected it would take over a year before life returns to normal while one in 11 people think life will never return to normal. Little wonder one in seven reported their mental health as fair or poor, double what it was a decade ago. In addition half the number of men as women are seeking help.
But even in the second wave this is not new and the mental health impacts of COVID-19 are a worldwide phenomenon. Here is some expert advice, from Professor Linda Carlson on some pointers that might take the edge off anxiety and stress:
These stats are not surprising, because a pandemic is a perfect "anxiety stew." It has all the ingredients that go into causing worry even in people who are not typically anxiety-prone. These include: uncontrollability, uncertainty and high consequence.
Besides following public health guidelines, there is little any one individual can do to control the spread of the virus or the magnitude of the pandemic. How this will unfold locally and around the world is highly uncertain, and there is no shortage of speculation (much of it not based on evidence). Humans dislike uncertainty and tend to "fill-in-the-blanks" in situations like this, which often results in highly improbable worst-case scenarios. Finally, the consequences of not getting it right are high: you or family members contracting the virus, potential sickness and untold deaths worldwide.
Add to this job loss and financial strain, social isolation and loneliness, close contact that may lead to arguments or abuse, stress of working from home while being responsible for childcare and home-schooling, and worrying about far away or elderly family members. It is no wonder there are reports of escalating mental health problems. In these circumstances we need to look out for one another and do what we can to ease the burden. It's a tough situation, but there are actions individuals can take to cope with the circumstances and ease the suffering.
1. Be kind to yourself (and others)
Living through this pandemic is tough. Many of us have not been in this situation before. We have no rules or experience or role models to turn to. We are making things up as we go along. You may be feeling lost, confused, anxious and worried. So is everyone else. These are all totally normal emotions. Allow yourself these feelings, have compassion and patience for your own struggles.
Don't try to push away your difficult feelings or force yourself to "think positive," which is not a healthy coping mechanism, as it denies the reality of your current experience. All emotions are OK, even the tough ones, and trying to stuff them down and replace them with "positive thinking" is an impossible and unhealthy task.
2. Manage your feelings
The uncontrollability, uncertainty and potentially high consequences of COVID-19 can cause anxiety even in people who aren't prone to it.
Find a safe and controlled way to acknowledge and express your difficult emotions, for example by writing them in a journal or letter, talking to a friend, getting exercise or practising yoga or meditation. If your symptoms are severe and interfering with your ability to function, contact a mental health professional. Above all, think about how you would respond to a friend in this situation, and apply that same compassion and advice to yourself; then turn it towards others.
3. Be realistic, lower your expectations
It is not realistic to think you can do it all: homeschool your kids; work full-time from home; maintain a perfect (clean, orderly) household; and take care of yourself and others. The drawbacks of perfectionism are well known.
Instead, try prioritizing one or two things, and let the others slide a little. Leave the teaching to the teachers and focus on parenting. Take time out for self-care. Remind yourself not to worry if you let work projects slide a little, the laundry and dishes pile up for a while or the kids get a little extra screen time. You'll get to it all when you can. Focus on your high priority items and don't expect too much of yourself.
4. Make the best of the situation
Here you need to distinguish between things you can control and things you cannot. In particular, you are totally in control of your response to the situation. Accepting the uncertainties of the future, while at the same time identifying areas in your life you can control is a good place to start.
Can you go out for a walk in the fresh air and sunshine? Then do that every day. If your kids are around more now without school and other activities, can you try to involve them in household chores and teach them how to cook and do laundry? Are you able to catch up on sleep a bit? Our society is so chronically sleep-deprived, this is a great opportunity to get some needed rest, and the benefits are myriad.
Can you think of ways to help others in your neighbourhood? Volunteer whatever skills you have if time permits; volunteers are happier and may even live longer.
5. Keep your routines
Catching up on sleep is great, but it would be better not to sleep until noon every day. Keep your schedules and routines much as they were before, with modifications to suit your new routine. Have set times to work, set times for meals, activities and a relatively regular bedtime. Don't drink much more alcohol than usual, and cut back if you're having more than a couple of drinks per day.
6. Keep physical - not social - distance from others
Stay in touch with family and friends while practising physical distancing.
It's easy to become socially isolated when we are advised to keep away from others, especially for people who live alone. Make a special effort to keep in touch with family, friends and colleagues though email, FaceTime, video conferencing and plain old phone calls. Make appointments with your friends to meet for a call just as you would for in-person get-togethers. Have Zoom parties and share some food or drinks with your friends and catch up on a regular basis. The health benefits of social support are many.
7. Stick to reliable sources for the facts (and skip the dross)
Pick one or two sources of information that you trust, such as (DHHS) or reliable news sources. If social media makes you feel anxious and angry, avoid the threat of "social contagion" and take a break. There are many negative side-effects of social media consumption, so consider limiting your scrolling time to 20 minutes or so, once or twice a day, or skip the social media altogether.
We can learn a lot from slowing down and taking care of one another. Once this passes, take the opportunity to carefully consider what you really want to add back into your life. Maybe this slower pace isn't such a bad thing. Maybe getting back to "full speed ahead" is not the best choice for you or for our society. Before diving right back in as society begins to reopen, we need to mindfully contemplate what life lessons we can take away from this extraordinary time.
Linda E. Carlson, Professor, Department of Oncology, University of Calgary.
There are a range of helplines available;
Beyondblue: Depression, anxiety and related disorders; 1300 22 4636; 24 hours/7 days
Lifeline: Crisis support, suicide prevention and mental health support services. 13 11 14,24 hours/7 days
SANE: For people affected by complex mental health issues. 1800 187 263 10am - 10pm weekdays.
Kids HelpLine; Telephone counselling service for people aged between 5 and 25 / 24-hour service. 1800 55 1800. 24 hours/7days
headspace; For people aged 12-25. 1800 650 890 Telephone: 10pm to 1am, Online counselling: 1pm to 1am
Parentline; Parents and carers with children to 18 years, 13 22 89 8 am-midnight/7 days