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Coping with the Other Impact of COVID-19 … Mental Health Challenges



           Mental breakdowns. Do -                        only them. The entire   a pathway to resilience.            nity of support. Humans need connec-
         mestic violence. Sub stance                      population had become      So how do we build this “resilience?”   tion - kindness creates a better environ-
         abuse. Crippling depression                      traumatized. Loss of    Through the other two “Rs” - “Routine”   ment overall. This is particularly salient
         and anxiety.                                     focus, sleep problems,   and “Relationships.”               for parents, as children can be influenced
           From a psychiatric stand-                      depression, and anxiety    A good routine can help anyone   by turbulence at home. And at the end of
         point our current challenges                     symptoms were wide-     through a time like this. Many are stuck   the day, aren’t relationships what our
         go far beyond coronavirus.                       spread. Aren’t there some   at home working (or not working), and   lives are made of? We flourish when we
         Of course, COVID-19 is a big                     striking parallels between   the same goes with kids. Online learning   keep good relationships with our fami-
         deal, but what will be left in                   then and now?           requires discipline, setting aside time for   lies, our friends, our partners, our peers,
         its wake? We must also be                         Trauma is devastating   work and study. It’s even true if you have   and, of course, ourselves. The apprecia-
         focused on the pandemic’s                        for those experiencing it;   to go back to the office or the kids are   tion of these relationships can give us the
         mental health impact.                            some people develop     headed back to class - a routine of get-  strength to handle any crisis.
           Research claims that so      BY ARTHUR         post-traumatic stress dis-  ting ready in the morning or washing   Remember, crises can end up bringing
         far, over half of U.S. adults   BREGMAN, MD      order or PTSD. Psycho -  your hands after coming home may keep   out the best in people. By managing a
         have been affected psycho-                       logical damage from trau-  you both safe and sane!          routine and caring for our relationships,
         logically because of this pan-                   ma can affect our lives   Daily structure fosters a sense of pur-  we set the stage for personal resilience
         demic. Stress, anxiety, and overall confu-  and the lives around us, feeling like an   pose which is always supportive of men-  that can help us learn from our circum-
         sion are rampant through our communi-  insurmountable challenge.         tal health. Using time management and a   stances and become stronger. We know
         ties as the virus continues to spread.   The good news is that it’s quite possi-  little creativity, this is a practice that can   the tools for the job - don’t let these
         How can we better understand this trou-  ble to overcome trauma using what I like   easily be done at home. As a routine   uncertain times set us off track!
         bling consequence of COVID-19?      to call the “Three R’s.” It may sound a bit   crystallizes, we relax into new patterns.   Dr. Arthur Bregman is a Miami physi-
           The source of our collective anxiety is   simplistic but there is substance in these   Familiarity, in this way, brings comfort.   cian who specializes in child and adoles-
         actually trauma which we experience on   three ingredients.                Relationships are both an ingredient   cent psychiatry and treats patients of all
         a mass level. Similar feelings of helpless-  The first and biggest “R” is   towards resilience and an end-goal in   ages. An early adopter of telemedicine,
         ness and depression were prevalent after   “resilience.” Resilience is essentially   themselves. Being patient, kind, and   Dr. Bregman “sees” patients from South
         the Spanish Flu pandemic from 1918 to   “bouncing back” from challenges with a   compassionate during a crisis can pro-  Florida and across the country. In addi-
         1920. Many people died and lost loved   problem-solving attitude, and a positive   vide us with an emotional foundation. It   tion to his private practice, he is a clini-
         ones while so many others survived but   disposition. Cultivation of it is like a vac-  has long been recognized in psychologi-  cal professor at The University of Miami
         lost their livelihoods. The result was a   cine for your mental health in tough   cal circles that altruism feels good for the   Miller School of Medicine’s Department
         mental health pandemic after the flu out-  times. Some people have a natural capac-  one giving.             of Psychiatry and served as the Chief of
         break. Survivors of the disease itself suf-  ity for it and others may have to work at   Being at our best for loved ones and   Psychiatry for Nicklaus Children’s
         fered mental health issues, but it wasn’t   it, but I’m convinced everyone can create   those around us builds a strong commu-  Hospital for more than a decade.




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        South Florida Hospital News                                                              southfloridahospitalnews.com                                                      September 2020                          27
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