Brains under Covid fire — what to do?

It’s been 76 years since the end of the last time a global catastrophe profoundly impacted every corner of Planet Earth. That was the end of World War II.

For the first time since then, the entire world is under threat. This time, by a common enemy in Covid-19. And this time that foe is attacking every tiny corner of the Third Rock from the Sun.

It’s no wonder so many of us are stressed and fatigued. Never before has it been more important to be mindful of our mental health.

I spoke to Dr. Angela Grace to get her take on this. Dr. Grace is a Calgary-based Registered Psychologist and, like all of her colleagues, she’s been busier than ever during this Covid year.

“There are some times through Covid that I’m a front-line worker for front-line workers and I’m noticing myself getting exhausted,” she said. “We’re all human and we’re meant to go through a range of experiences and a range of emotions, but even myself, this is what I do for work, but I am still impacted.”

If mental health pros feel stress, nobody should be ashamed to accept that they feel it, too. But what to do? And how do you determine if stress is ‘manageable’ or if you are beginning to go to a dark and dangerous place?

“To me, the difference is your ability to bounce back,” said Dr. Grace. “What I do is look at what is the consistency and longevity of the complaints, of the concerns, of the emotions of the feelings.  I even watch it in myself. If I had a really crappy day can I have a hot bath and get a good sleep and meditate in the morning and am I going to feel better? Or, am I still feeling terrible about everything?”

Time is key here.

Dr. Grace said she and her colleagues look at length of time when assessing stress levels.

“If it’s a few days or a few days a month when you go into a slump and you know how to pull yourself out of it, that’s emotional resilience, that’s good self care, that’s good honouring of your feelings and experiences,” she said. “But if it goes on and on for a couple weeks, a couple months, if you can’t seem to pull yourself out of the slump or don’t have the resources to help with that, then it’s definitely time to reach out for professional help.”

When I hear Dr. Grace speak, I realize that caring for our mental health is a lot like nurturing a beloved car (only a million times more important, of course :-)). Sometimes your ride needs major work. Most of the time regular tune ups keep it ship shape. And it always needs a little TLC.

We’re no different.

“Sometimes it’s a friend we need, sometimes it’s a colleague we need, sometimes it’s a family member that we need,” she said. “And sometimes it’s somebody completely outside of our lives who we can spill our guts to and have that outside perspective and just know our secrets are safe. And our deeper inner feelings that we’re afraid of being judged on by family and friends are going to be taken care of.

“Sometimes we need that skilled outside observer because we’re too close to the situation. We’re too close to what’s happening. We can’t see things objectively. We can’t hold on to a higher hope. We don’t have the skills to get out of it without that outside voice.”

But too many of us see asking for help – whether from friends or professionals – as a sign of weakness. Others don’t believe that real help is out there.

“There’s still a stigma about mental health that we should be able to ‘snap out of it,’” said Dr. Grace.

That’s a mistake.

 Dr. Grace said that caring for our mental health is critical to a complete life.

“We always need to be doing things to boost our mental health, just like with our physical bodies,” she said.

Often, we can do this at the same time.

“One of the known prevention factors for depression and relieving anxiety is a good amount of exercise. So, weightlifting, getting some cardio, getting your body moving,” said Dr. Grace.

This is another way that Covid in combination with the recent cold weather has taken a bite out of us.

“I’m fortunate that I’m a yoga instructor and a dancer. I can dance and do yoga in my house and I’m fine with that,” she said. “But for the people who need that socializing at the gym, who need that routine of getting into the water for a swim, there is none. That is going to take a toll on people.”

That’s why Spring 2021 is going to be so important, literally opening the door for us to get out and active more often. It’s not just getting out, either. It’s getting the suns’ rays shining directly on us.

“We need that light for our circadian rhythm,” said Dr. Grace.

Circadian rhythms are physical, mental, and behavioral changes that follow a 24-hour cycle. These natural processes respond primarily to light and dark and affect most living things, including animals, plants, and microbes.  This includes us.

“This is one of the hardest seasons. We’ve just got to get through the next few weeks until the sun comes out again and spring comes,” said Dr. Grace

But there is an option if you can’t get out in the sun and for those long nights and dark days of winter.  They are special ‘sun’ lights designed for people with seasonal effectiveness disorder. She shines hers on her first thing in the morning for 20 to 30 minutes.

The other Covid challenge is that many of our outside stress relievers are shut down. This limits all of us and the options that Dr. Grace and her colleagues can suggest to patients. So, we can’t go do that hobby, like making pottery, we can’t go have coffee with a friend to debrief and unwind. These aren’t just ‘nice to haves.’ These activities are key to our on-going mental health, she said.

There’s another thing.  Even some of the tools that are helping us get by through Covid are causing us stress.

“There really is such a thing as ‘Zoom fatigue’ where our brains can’t handle that much screen time,” said Dr. Grace. “I actually find it more tiring to do sessions by Zoom that I do in person because you just don’t’ get the same sense.”

She found that she needed to cut back the number of sessions she does a week to counteract this.  It’s not just the screen time, either.

“I’ve also felt the stresses of kids home from school, husband working from home, my grandma passed away in November. I’ve got my own stuff to deal with and I can’t get over extended and truly be there for other people in the best way if I’m not well,” said Dr. Grace.  “And I know a lot of my colleagues who I’ve spoken to recently have said the same thing. They’re closing the doors to new people for a couple of months because they’re full and overwhelmed. Just like our doctors and our nurses and our front-line workers, we’re not robots. We can’t give, give, give without that replenishment.”

What’s true for the professionals is true for all of us. Balance is always important, but especially now. Pushing ourselves too hard is a mistake.

“One of the biggest things is we need to notice our levels of fatigue and honor our need to rest,” she said.

Dr. Grace suggests trying to use the period as a time of growth.

“How can I turn it around into ‘how can I understand myself and humanity and how the world works just a little bit better,’” she said.  “With some more hope, humility, letting go of the things you can’t control and turning it in to something that can be meaningful.”

But this can’t be accomplished by just sitting and meditating and being in a peaceful state.  She said that you’ve got to feel the outrage, you can’t be benign with your feelings or try to sugar coat what’s going on around you. Again, working this through with friends and colleagues can help. It can also be great to talk to professionals who are trained to help you unpack your feelings.

For help finding a psychologist you can do what I did for this piece and connect with the Psychologists Association of Alberta. Their website is: www.psychologistsassociation.ab.ca

They have tools on the sight that can help understand what their members’ offer and guide you in choosing the right fit for you.

“It’s always a good idea to have your go-to therapist that knows you and can be that voice that says ‘hey, maybe you are in a real slump right now and we need to get some more resources and help in place,’” said Dr. Grace.

But she notes that not every situation is the same. If how you are feeling seems severe, go to the hospital, they’ll do an assessment there and lead you to the right support.

Back to the idea of finding the positive, the growth opportunity in a time of stress and turmoil, Dr. Grace points to Kazimierz Dabrowski’s theory of positive disintegration.

In 1967, the Polish psychologist, psychiatrist, and physician observed that adults go through a second adolescence. But this time, instead of their bodies going through pain full, dramatic changes and re-emerging as adults, in the second adolescence it is a person’s soul and belief system that have to fall apart to be transformed.

 “It’s at this point that we can completely disintegrate and go into severe mental health issues, addictions, destroying families,” said Dr. Grace. “Or, we can turn this into a positive disintegration where we re-evaluate what’s important to us, re-evaluate our values, come into alignment with who we really are and what really gives our life meaning and so the disintegration becomes positive. “

For me, my stroke may have taken me through this disintegration. Looking back, I feel like it did and that I came out of it on the positive side. For many people, Covid may be the trigger for this disintegration.

With all that’s going on these days it’s easy to focus on just keeping your head above water. But keeping it dry isn’t good enough, you need to keep it healthy.

If you want to reach out to Dr. Grace, you can connect though her website: www.heartcenteredcounselling.com

Yoga, milestones & books…

Oh, BTW, I took to yoga after my stroke. It was the first thing I’d found since my karate days that took my head right out of whatever had been stressing it since I’d had to stop practicing karate.  Now one of my daughter’s, Kristina, is a certified yoga instructor. If you want ton try an on-line class, check out her website at: https://kristinaseefeldt.cloudstudios.com

Another thing – this coming Monday, March 15, marks 11 years since my brain sizzle. It’s my first strokeversery with a book done and in the can, with the hunt on for a publisher, so that’s cool. I always get some weird vibes on that day, though.

While I’m on about the book, the five publishers who were looking at it in December are still looking. Or, at least they haven’t said that they’ve stopped looking. One additional one asked to take a peek and quickly said ‘no thanks.’ It’s nice to have top publishers interested. I’ve had some good feedback, as well. That eases the sting of a ‘no thanks’.

Who knows, maybe my next blog will lead with details on a new book deal?!

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Technology & research are key helpings of brain food

I always talk, think and write about being back to normal. After a stroke, that’s what a fella wants. Normal = good. You want to blend in. At least for me, there’s still a fear that somebody will notice a slight hesitation in my speech or catch me struggling to retrieve a memory. If a regular Joe or Jane forgets a name it’s just a sign of a busy life. If someone whose brain has been sizzled does the same, could it be a sign that they aren’t firing on all cylinders? Are they damaged goods? Are they capable? Do they require pity? Arggg! I imagine it’s much the same for folks who’ve suffered other assaults on their minds. The fact is though, that you’re never the same after your brain has been blitzkrieged. The difference can be in how you feel, how you function or both. It doesn’t mean that you’re not capable. But it might mean that you need some help or tools to do what you used to do. Imagine if a mind like Stephen Hawkings was trapped inside his disability? What if he was born in a time and place where sharing his mind with the world wasn’t possible? Or if his part of the world had been cut off from the possibilities that helped set his brain free? I fear that that could be happening today. I’m actually pretty sure that it is. I’m certainly not in Hawking’s league. But whatever I have to offer would be largely muted without the help of technology. As I’ve written before, even the healed Tim Seefeldt’s reading speed is just over 50 words per minute. An average person reads at between 150 and 190 words per minute. You can’t do the work I’ve done through my career without being able to read and write. And, you sure can’t write without being able to read. Or to find a cheat. It doesn’t take a mind like Hawking’s to figure out that I’d be up the creek without a little help. More than a little. My equalizer is software originally designed for kids with learning disabilities called WordQ. WordQ literally allows me to keep up to the rest of you in reading the reams of material that comes across my computer each day. It allows me to edit my own writing to make sure that it’s up to snuff. I use it to edit and review everything I spit out, with the exception of very short emails. Bottom line is, without it, I don’t make a living the way I’ve been trained to make a living and I’m in a spot of bother when it comes to paying the bills. And, there’s no book (BTW, agents/publishers I’m still waiting to hear from you!) and there’s no blog. Beyond the practical, a large part of me would be gone without being able to write. Technology is a game changer for many of us in regular day to day life. And it can be especially critical for those of us who’ve suffered a few bumps along the way.  It’s not just high tech tools that can help heal damage and improve brain function for the unbroken, either. I’d also like to be a clearing house of ideas for stuff that’s working for folks whether it’s some form of physical exercise or meditation.  Personally, I wouldn’t have gotten anywhere without the spiritual piece. And today, a big part of my day to day is yoga. My downward facing dog looks more like a rat, but it’s helped me a lot, from shoulders to toes and between the ears. The thing is, there’s so much out there and things change so quickly that it’s virtually impossible to keep up to speed without help. And to separate the good, the bad and the ugly. So, in that spirit, here are a few things readers have mentioned. What do you think? Some American readers have noted the work done by Bioness Inc. Their electrical stimulation devices are being used to help people with arm and leg mobility issues. Their stuff is aimed at helping folks with foot drop or hand paralysis as a result of stroke, multiple sclerosis, traumatic brain injury, incomplete spinal cord injury or cerebral palsy. I’d love to hear from more folks who’ve used this and to see if there are other tools targeting these issues. I’ve also heard from readers who’ve read about potential benefits of hyperbaric oxygen therapy for those suffering ischaemic strokes. This one’s right out of left field for me. Are there any professional readers who can shed some light? Let’s try to work as a clearing house of sorts for some of the stuff that’s out there for stroke survivors and those suffering other brain trauma. Also for brain health. The way I understand it, it’s never too late to start trying to make the ole ticker work better. As well, the thinking that the clock was ticking after a stroke and that you could only make improvements within a short window of time is now, I believe, considered bunk. I’ll be waiting to hear from you. Meantime, I’m also waiting to hear from a concussion expert. I’m expecting some pretty interesting stuff to share with you on this front soon. -30-