Fear and Anxiety About Covid-19 Epidemic

The COVID-19 may bring mental stress to people. Fear and anxiety about new diseases and what might happen can be overwhelming and trigger strong emotions in adults and children. Some public health measures, such as maintaining social distancing, can make people feel isolated and lonely, and increase stress and anxiety. However, these measures are necessary to reduce the spread of COVID-19. Responding to stress in a healthy way will make you, your loved ones, and your community stronger.

Stress during an infectious disease outbreak can sometimes cause the following:

Fear and worry about the health, financial situation or job of oneself and their loved ones, or losing support services on which they depend.
Changes in sleeping or eating habits.
Difficulty falling asleep or concentrating.
Chronic health problems worsen.
Mental health deteriorates.
Increase the use of tobacco and/or alcohol and other drugs.

Take care of your mental health
During the current global epidemic, you may feel increased stress. Fear and anxiety can be overwhelming and trigger strong emotions.

People who may respond more strongly to the pressure of a crisis include:

People with a higher risk of serious illness due to COVID-19 (for example, the elderly and people of all ages with certain underlying diseases).
Children and teenagers.
People who take care of family members or loved ones.
Frontline workers, such as health care providers and first responders.
Necessary workers engaged in the food industry.
People with current mental health problems.
People who use drugs or have drug use disorders.
People who are unemployed, have reduced working hours, or undergo other major changes in their occupations.
People with disabilities or developmental delays.
People who are socially isolated from others, including those living alone and those living in rural or remote areas.
People belonging to certain racial and minority ethnic groups.
People who cannot obtain information in their primary language.
People who live in a concentrated (collective) environment.
Take care of you and your community
Taking care of friends and family is a way to relieve stress, but you must also take care of yourself. Helping others cope with stress, such as providing social support, can also make your community stronger. During the period of social distancing, people can still maintain social connections and take care of their mental health. Telephone or video chat can help you establish social connections with your loved ones and reduce feelings of loneliness and isolation.

Healthy ways to cope with stress
Learn what to do if you are sick and worried about COVID-19. Please contact a health professional before starting any COVID-19 self-treatment.
Know where and how to get treatment and other support services and resources, including counseling or treatment (in person or through telehealth services).
Take care of your emotional health. Taking care of your emotional health helps you to think clearly and respond to the urgent need to protect yourself and your family.
Relax by watching, reading or listening to news reports (including news on social media). Hearing about the epidemic repeatedly can be upsetting.
Take care of the body.
Take a deep breath, stretch your body, or meditate on the external icon.
Try a healthy, balanced diet.
Exercise regularly.
Ensure adequate sleep.
Avoid excessive alcohol and drug use.
Take time to relax. Try to do other things you like.
Keep in touch with others. Talk to someone you trust about your worries and feelings.
Keep in touch with your community or religious organization. When taking social distancing measures, consider contacting via the Internet, social media, telephone or email.
Knowing the facts helps relieve stress
Knowing the facts about COVID-19 and preventing the spread of rumors can help reduce stress and stigma. Knowing the risks faced by yourself and those you care about can help you connect with others and reduce the pressure of an outbreak.

Take care of your mental health
Mental health is an important part of overall health and well-being. It affects our thinking, feeling and behavior. It can also affect the way we handle stress, our relationships with others, and our choices in emergency situations.

In an emergency, people with existing mental health problems or substance use disorders may be particularly vulnerable. Mental health problems (such as depression, anxiety, bipolar disorder, or schizophrenia) affect people’s thinking, feeling, emotions, or behavior, and affect their ability to interact with others and their daily functions. These conditions may be situational (short-term) or long-term (chronic). Patients with existing mental health problems should continue to receive treatment and be aware of new or worsening symptoms. If you think you are experiencing new or more serious symptoms, call your healthcare provider.

If stress interferes with your daily activities for several days, please call your healthcare provider. Some free and confidential resources can also help you or your loved ones get in touch with experienced and well-trained consultants in your area.

Seek help immediately in a crisis

Dial 911
Disaster relief hotline external icon: dial or send a text message to 1-800-985-5990 (in Spanish, press 2).
National Suicide Prevention Hotline external icon: dial 1-800-273-TALK (8255) in English, 1-888-628-9454 in Spanish, or use the life crisis chat external icon.
National Domestic Violence Hotline external icon: 1-800-799-7233 or send SMS LOVEIS to 22522
National Child Abuse Hotline external icon: 1-800-4AChild (1-800-422-4453) or send SMS to 1-800-422-4453
National Sexual Assault Hotline external icon: 1-800-656-HOPE (4673) or online chat external icon
Elderly care locator external icon: 1-800-677-1116 Phone description for the hearing impaired external icon
Veterans Crisis Line external icon: 1-800-273-TALK (8255) or crisis chat external icon or send SMS to 8388255
Find a healthcare provider or treatment for substance abuse and mental health

SAMHSA National Service Hotline external icon: 1-800-662-HELP (4357) and telephone for the hearing impaired: 1-800-487-4889
Treatment service location system website external icon
Interactive map of specific medical centers that meet federal requirements external icon

Different life experiences can affect a person’s suicide risk. For example, people who have experienced violence, including child abuse, bullying, or sexual violence are at higher risk of suicide. It is reported that feelings of isolation, depression, anxiety, and other emotional or financial stresses increase the risk of suicide. In a crisis like a global pandemic, people may be more prone to these feelings.

However, there are some ways to prevent suicidal thoughts and behaviors. For example, support from family and community, or feeling connected with others, and access to face-to-face or virtual consultation or treatment can help eliminate suicidal thoughts and behaviors, especially during crises such as COVID-19.

These emotional reactions may include:

Complex emotions, including relief emotions.
Fear, worry about the health of yourself and your loved ones.
The stress caused by the experience of having COVID-19 and self-monitoring or being monitored by others.
Sadness, anger or depression because a friend or relative is afraid of being infected by you, even if you have been proven to be able to stay with other people.
Guilt of being unable to work or educate children due to COVID-19
Even if you have COVID-19, you still have to worry about getting infected or getting sick again.
Other changes in emotional or mental health status.
If children or someone they know has COVID-19, even if they are getting better now and can be with others again, the children may feel upset or have other strong emotions.​​​​​​​

Improve mental health during the new coronavirus pneumonia epidemic
Cognitive behavioral therapy (CBT) strategies
Cognitive behavioral therapy (CBT) is a general term covering a wide range of evidence-based cognitive and behavioral psychotherapy, which involves
And a series of techniques and strategies to help solve the unhelpful thinking in many psychological problems (including depression and anxiety)
Think and act. Thousands of scientific experiments have supported CBT as an effective method for treating a range of psychological problems. World cognition and behavior
The Treatment Alliance (WCCBT) is a global alliance of CBT organizations dedicated to spreading this treatment.
In this era of unprecedented global concern about the impact of the new crown pneumonia, we provide the following suggestions and resources in the CBT field
source. There are various internet-based CBT projects, websites and self-help books (available as e-books) to help you identify
And deal with different types of unhelpful thinking patterns and behaviors. The suggestions and resources provided here are not complete and do not mean praise
At the same time, it is provided only as some examples of the many suggestions and resources you might find helpful.
It is normal to feel worried and anxious: lack of predictability and lack of control are two factors related to stress and anxiety.
Key factor. Regarding the COVID-19 virus, we still have many things we don’t know about. Therefore, we feel about its impact and spread.
Worry, anxiety, and worry are understandable and normal reactions. Even if you take active steps to respond to these reactions,
Also accept and confirm these reactions of yourself and others.
Challenge those unhelpful ideas and maintain a balanced perspective
When stress is high, people often fall into unhelpful thinking, such as making negative predictions about the current or future situation.
Measure, focus on the negative side, predict the worst or pessimistic thoughts. Usually, people also worry that their worries will hurt
You, or think that the process of worrying is good, can protect them. These ideas are of no avail and will increase anxiety over time
consider. Being flexible, balanced and optimistic about the current situation can help you relieve stress. At this time have negative thoughts
Law and fear are natural. At the same time, we must have a balanced perspective, don’t plan for the worst, and be optimistic in the long run.
A good attitude can help you reduce anxiety and stress. We have survived a world crisis, and this epidemic will eventually pass
go with.
Engage in beneficial behavior
When we face danger, anxiety and worry are natural and adaptive responses. The purpose of worry is to help mobilize us
Take appropriate action to face the danger. Unhelpful worries stay in our minds and drain our energy. Take action
Protect yourself and do some beneficial behaviors to help relieve pain.

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