COVID 19 - A Panic-Inducing Pandemic
The outbreak of the coronavirus aka COVID-19 and the sweeping measures taken to contain its spread, has sparked collective panic that appears to be spreading faster than the virus itself. As details of the outbreak and the efforts underway to control continue to unfold, it is important to focus on what we can do to manage the mounting fear and anxiety.
Fear and Anxiety
Where fear is the emotional reaction we have to an immediate threat, anxiety refers to the anticipation of a future concern. While we can reasonably expect at some point things to return to normal. The uncertainty surrounding the pandemic and the measures taken to get it under control may trigger symptoms of anxiety such as:
Rapid heart rate, difficulty breathing
Restlessness, irritability and difficulty relaxing
Constant worry; rumination
Impaired concentration
Difficulty falling and/or staying asleep
Anxiety, Not Just Related to Health
You may be anxious, worried or concerned about many different things including:
Your health status
Health of loved ones
Job security, job loss
Finances; compensation
Border closures; stranded relatives
Mental health management
Food and supply shortages
Safety anti-Asian discrimination
Distrust of leadership
Impact on children
Social distancing effects; ‘cabin fever’
8 Helpful Tips for Managing Pandemic Panic and Anxiety
Anxiety is both a normal and necessary reactions to COVID-19. In healthy doses anxiety will motivate us to do our part to keep the risk of transmission low. Fear and anxiety prompt us to act in service of our safety and survival.
Uncertainty and loss of control lie at the heart of anxiety. Shifting the focus back to what is within your control is a powerful place to start:
1. Limit Media Exposure
Balance the need to stay informed with excessive exposure to COVID-19 media coverage. Watching all day coverage, channel surfing and information seeking is counterproductive as it increases levels of anxiety
Get daily updates from one or two credible sources. Limit viewing time and frequency to keep anxiety levels manageable.
Arrange with a trusted friend of family member to provide you with updates as needed if COVID 19 media coverage triggers feelings of anxiety, panic or depression.
Limit social media use. Conspiracy theories, rumors and misinformation abound on social media. Developing a strategy for how you will use social media during this time can be helpful. Disable alerts etc.
2. Get Informed
COVID-19 is new strain of coronavirus not previously identified in humans. Keeping updated about the outbreak and the ongoing efforts to deal with impact can help to counter misinformation. For updated information about COVID-19 including symptoms, risk factors, testing and more visit these official websites
City of Toronto Response to COVID-19 (Toronto)
Public Health Service Canada (Canada)
The World Health Organization (International)
Centers for Disease Control and Prevention (United States)
3. Focus on Personal Responsibility
Amidst all of the fear, changes and uncertainty surrounding COVID-19 it is important to remember that we are all in this together. Each person has a part to play in slowing the spread of the virus.
With that in mind remember to:
Practice Hand Hygiene
Wash hands for a minimum of 20 seconds using soap and water.
Use hand sanitizers with 60-65% alcohol content
Sneeze or cough into your elbow, upper sleeve or a tissue (discard immediately and wash hands)
Avoid touching your face especially your nose, mouth eyes
Keep surfaces clean by disinfecting or using soap and water
Practice Social Distancing
To slow the rate of transmission, public health officials emphasize the need to limit our social interactions and maintain physical distance. You are are urged to:
Stay at home as much as possible
Limit, postpone or cancel non-essential gatherings of more than 10 people
Maintain six-feet of distance (2 meters) from others when out
Avoid non-essential trips in the community like travel or shopping
Work from home if possible, conduct virtual meetings
Self-Isolate
If you:
Are sick (with any illness)
Recently traveled outside Canada
Have had close contact with someone with COVID-19 symptoms
Develop a fever, cough, have trouble breathing or other related symptoms
Use the COVID-19 self-assessment tool developed by the Government of Ontario to determine next steps
Contact Telehealth Ontario if you develop symptoms at 1-866-797-0000
4. Manage, Worry, Anxiety & Panic Symptoms
Experiment with different ways to get your anxiety under control: Start to
Tackle triggers
Take note of things that increase anxiety (e.g. time on social media, news reports, catastrophizing conversations) and make a plan to minimize or avoid exposure where possible
Counter catastrophizing
Catastrophizing happens when our minds imagine worse case scenarios or fixate on negative outcomes. Here are some suggestions for changing catastrophic thinking:
Counter fear with facts
(e.g. “Most people who get COVID-19 will make a fully recovery'”) Click here for the facts on COVID-19.
Use balanced and believable self-talk
Use helpful techniques like - Catch it, Check it, Change it!
Resist Rumination
Rumination happens when we the same thought repeats in our minds
Determine if your thoughts are about problems that need immediate solutions or are hypothetical or what if scenarios
Use techniques such as thought stopping and thought replacement
Put Panic on Pause
Proper breathing can slow down feelings of panic including:
Belly breathing (aka abdominal breathing)
Work with worry
Practice postponing worry - when a worrisome thought pops up make a choice to deal with it later
Designate time-limited worry period
Develop believable and balanced self-statements
Keep a Worry Time Journal
Maintain Mindfulness
Manage the moment
Observe and describe what is happening in real time
Use mindfulness apps (e.g. Headspace)
5) Structure Self-Care
Whether you have lots of unstructured time or find yourself busier than ever, managing anxiety effectively requires a commitment to regular practice. If you have self-care practices that works use them, if not, here are self-care suggestions to get you started:
Physical Self-Care
Strengthen your immune systems by doing things to:
Stay active: Take daily walks, cycling, jogging and other solitary outdoor activities. Do aerobics, get on your home treadmill or exercise bike Check out youtube for home fitness ideas.
Improve sleep habits: Limit day time napping, avoid using stimulants like alcohol or coffee close to bed, limit COVID 19 media exposure before bed. Click here for more ideas on sleep hygiene
Eat a balanced diet: Limit junk food, avoid or limit caffeine as it tends to make anxiety worse
Avoid self-medicating with drugs, tobacco or alcohol
Take multivitamins - Consult with your doctor or pharmacist about taking vitamins like Vitamin D to keep immune system strong.
Emotional/Mental Self-Care
Find enjoyable activities for your mind and your mood: Create a playlist of inspirational music, watch a comedy, take on online class, try a new recipe or listen to a podcast, collect hopeful quotes, play a board game, do yoga, record thoughts and feelings in a personal, couples or family journal. Click here for a list of pleasurable activities
Establish a routine: Where possible, maintain regular routines with for sleeping ad eating. Use a planner or timetable to help build structure into your day.
Use existing strengths : Consider how strengths like adaptability, leadership, optimism and compassion can facilitate coping
Spiritual Self-Care
Feed your spirit through practices like: yoga, daily prayer, self-reflection, meditation, spending time in nature,a daily gratitude practice
Use spiritual or religious practices (e.g reading the Bible) to find deeper meaning
6) Stay Connected
Having a strong social network is an important part of maintaining good mental health. Take time to:
Reach out remotely: Use text, email, phone, social media or video conferencing options such as Zoom or Skype to maintain contact with friends and family including those in care facilities or awaiting repatriation to Canada. Use a planner to schedule calls, texts etc
Offer assistance to neighbours: Where possible, provide virtual wellness checks or practical support (e.g.purchasing groceries, picking up prescriptions, childcare) to neighbours who work in health-care, are elderly, disabled or under quarantine.
Bond with loved ones: Arrange regular family meetings to share thoughts and feelings; generate ideas on healthy coping, completing chores, Designate one night for family fun activities like movie night; playing board games, cooking etc
Show care when you share: Share inspirational stories, quotes and ideas for managing the challenges of social distancing on your social media platforms
Have an online Netflix party: Host movies nights and viewing parties with the Netflix Party app
Invite a colleague to a video chat lunch date
7) Plan, Prepare, Problem-Solve
Planning and preparation can help to mitigate the effects of anxiety. During periods of social distancing you may worry about what will happen if you: run out of money, food, or household supplies, have complex health issues unrelated to COVID-19, need to be quarantined or live with someone who is violent or abusive. Visit the official government of Canada official website for pandemic preparedness and other important information. Be proactive and plan for the logistics of:
Grocery shopping
Medical visits
Filling prescriptions
Quarantine of self, loved ones
Income replacement
Bill payments
8) Seek Additional Help
Online therapy
Mental health apps
Online mental health resources
Professional Help for Pandemic Panic
If you are experiencing worry, panic, anxiety or other mental health challenges we encourage you to reach out today at 416-292-3157. Our therapists are extensively trained in anxiety and depression management. In addition, one of our registered psychotherapist worked as a hospital based social worker during the SARS outbreak in 2003.