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PSYCHOLOGICAL                                                                                             ISSUE No. 1896
                             PSYCHOLOGICAL
                                                                                                                                        ISSUE No. 1856
                               PERSPECTIVES
                                PERSPECTIVES                                                                                            JAVANAN
                                                                                                                                        JAVANAN
                               Dr. Alan A.
                              Modarressi                            LOGICAL PERSPECTIVES
                                Clinical and               A SOCIOCULTURAL AND MIND AND BODY OUTLOOK
                             Neuro-Psychologyst
                                                           In this column, we examine the mental health issues in the context
                                                         of social, culture, and physiological concerns of the Iranian community

                    POST PANDEMIC DEPRESSION                                                                        Treatment options may include the
                                                                                                                    following:
                                                                                                                      Lifestyle changes: Making posi-
                                    How COVID-19 Impacted Depressive Symptoms                                       tive changes to one's lifestyle can
                                                                                                                    have a significant impact on mental
                        Overview                                                                                    well-being.  This  may  include  en-
                    he impact of the pandemic on                                                                    gaging in regular physical activity,
                    mental health has been docu-                                                                    maintaining a balanced diet, get-
               Tmented by a vast amount of                                                                          ting enough sleep, meditating, and
               research. Many people experiencing                                                                   avoiding excessive alcohol or drug
               symptoms of depression, anxiety,                                                                     use.
               and PTSD. Research  shows that,                                                                        Therapy. Engaging in therapy,
               factors such as immune response,                                                                     such as cognitive-behavioral thera-
               gut-biome disruption, and psycho-                                                                    py (CBT) or talk therapy, can effec-
               logical stress contribute to depres-                                                                 tively manage depression. A thera-
               sion following COVID-19. Treating                                                                    pist can help individuals identify
               depression after COVID-19 may                                                                        and change negative thought pat-
               require lifestyle changes, therapy,                                                                  terns, develop coping strategies, and
               medication, herbal supplements,                                                                      provide emotional support.
               and building support systems. The                                                                      Medication: In addition to treating
               duration of depression following                                                                     the underlying symptoms of COV-
               COVID-19 varies among individu-                                                                      ID-19, you may also be prescribed
               als, and further research is needed                                                                  antidepressant medication if your
               to fully understand the long-term   tem triggers the production of cyto-  It’s normal to feel down when   depression is more severe. Antide-
               effects of the pandemic on mental   kines and chemokines that promote   your  normal  routine  changes  or  if   pressants work by balancing certain
               health.                           inflammation,  including T-helper-2   you are not feeling well. Usually, a   chemicals in the brain that are asso-
                 Check now if you may be eligible   cell-secreted cytokines. Higher lev-  low mood improves as your health   ciated with mood regulation.
               for COVID-19 treatment.           els of these cytokines have been   does, which can take a few days   Herbal Supplements. Some herbal
                 Throughout the pandemic, a sig-  linked to more severe COVID-19   or weeks. Common signs of a low   supplements are effective in treating
               nificant number of adults have ex-  cases and can lead to various psy-  mood can include the following   depression, such as St. John's wort.
               perienced symptoms of anxiety and   chiatric disorders, including depres-  feelings:                 It can be used to treat mild and even
               depression.  In  early  2021,  around   sion.  These high levels of cytokines   Sadness,  Anxiety, Worry, Tired-  moderate depression. Doses and in-
               4 in 10 adults reported such symp-  may also be responsible for other   ness, Low self-esteem, Frustration,   gredients can vary in over-the-coun-
               toms. As the pandemic progressed,   symptoms related to the brain, such   Anger, and Sense of hopelessness.   ter St. John's wort products, so it’s
               the prevalence of these symptoms   as brain fog and sensory disorders.   However, if the low mood persists   wise to talk to a doctor about pre-
               gradually decreased to approximate-  Gut-biome disruption. COVID-19   and doesn't go away, it could be a   scriptive strength and ensure it will
               ly 3 in 10 adults.  In addition, many   can potentially impact the variety   sign of depression. In addition to   not interfere with other medications.
               people hospitalized with severe   of bacteria and other microorgan-  the symptoms mentioned above, de-  Support systems: Building a solid
               COVID-19 experienced mental       isms residing in the gut. This is sig-  pression may involve the following:   support network is crucial in man-
               health issues such as post-traumatic   nificant because these gut microbes   A low mood that lasts for 2 weeks   aging depression. This can involve
               stress disorder (PTSD), depression,   produce neurotransmitters such as   or more; Loss of pleasure in activi-  reaching out to friends, family, or
               anxiety, insomnia, and obsessive-  serotonin and dopamine, essential   ties once enjoyed; Fatigue or lack of   support groups for emotional sup-
               compulsive symptoms.  The risk    for regulating mood.  Therefore,   energy; Difficulty concentrating on   port and understanding. Sharing
               of developing depression remains   any alterations in the gut microbiota   everyday tasks; Changes in appetite,   experiences and feelings with others
               high up to a year after recovery. Re-  caused by COVID-19 could con-  such as overeating or loss of appe-  who may be going through similar
               searchers believe that COVID-19   tribute to the development of certain   tite; Changes in sleep patterns, such   challenges can provide a sense of
               can impact mental health in a few   neuropsychiatric conditions.    as sleeping more or having trouble   community and reassurance.
               major ways:                        Psychological factors. Isolation,   sleeping; Having thoughts of sui-  Your treatment approach may
                 The body's immune response to   fear of infecting others, and the   cide or self-harm; If you have any   vary  depending  on  individual  cir-
               the virus itself such as disruption of   stigma associated with a COVID-19   of these symptoms, it’s essential to   cumstances and the severity of your
               the gut biome                     infection can also contribute to de-  seek professional help right away.  depression. Seeking guidance from
                 Psychological  stress  associated   pression among survivors. In ad-  Treating depression after CO-  a healthcare professional, such as a
               with the infection and pandemic im-  dition, many people lost their jobs,   VID requires a comprehensive ap-  therapist or psychiatrist, is essential
               mune response.  When COVID-19     which also led to symptoms of anxi-  proach that addresses the condition's   in determining the most appropriate
               enters your body, your immune sys-  ety and depression.            physical and psychological aspects.   treatment plan.

                        DANESH FOROUGHI, PH.D.                                           Alan Modarressi, PhD, QME
                        Licensed Clinical Psychologist, PSY13680                                Licensed Clinical Psychologist
                Licensed Marriage, Family & Child Psychotherapist, MFC23455                       Qualified Medical Evaluator
                    Certified National Board of Addiction Examiners #4974                       Certified Psychophsychologist
                              Tel: (310) 940-3642                                   Diplomat, American Academy of Pain Management
                   15720 Ventura Blvd., Second Fl. #224 Encino CA 91436             (818) 501-6080            (562) 861-7226

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