Mental illness during COVID

1. Speaker
Mrs. Rama Shukla
Assistant Professor
LNCP,Bhopal (M.P.)
The COVID-19 Pandemic's Mental Health Impact: Identifying
Your Needs and Finding Solutions to Depression
Organized by
Pharmaज्ञानमं
NATIONAL WEBINAR
ON

2.  INTRODUCTION TO IMPORTANCE OF MENTAL HEALTH
 MENTAL HEALTH AND COVID -19
 COVID Vs STRESS
 WHAT CAN WE INFLUENCE?
 OVERVIEW OF SYMPTOMS OF DEPRESSION
 CHEMICAL IMBALANCES
 SIGNS AND SYMPTOMS OF CLINICAL DEPRESSION
 CYCLE OF DEPRESSION
 WFH NEGATIVE RESPONSE REPORTS
 COMMON PROBLEMS FACED BY PEOPLE IN (%) 2020
 PANDEMIC CAUSE SPIKE IN ANXIETY AND DEPRESSION 2020
 DIAGNOSIS,TEST AND EVALUATION
 EFFECTS OF TRAINING ON DISEASE OR PATIENT WITH DISEASE
 HOW TO DEAL WITH STRESS IN A HEALTHY WAY
 INDIVIDUAL APPROACHES TO MANAGE STRESS
 HELPING CHILDREN COPE
 CASES
 DEPRESSION TREATMENTS/MEDICATION
 CONCLUSION
CONTENTS

5. Why is Mental Health is Important?

6. Mental Health & COVID-19…
 Depression is a "whole-body" illness, involving your body,
mood, and thoughts.
 As the Coronavirus pandemic rapidly sweeps across the
world, it is inducing a considerable degree of fear, worry and
concern in the population at large and among certain groups in
particular, such as older adults, care providers and people with
underlying health conditions.
 Especially Quarantine and its effects on many people’s
usual activities, routines or livelihoods – levels of loneliness,
depression, harmful alcohol and drug use, and self-harm or
suicidal behavior are also expected to rise.

9. COVID 19 Vs STRESS
The COVID-19 pandemic has had a major effect on our lives. Many of us
are facing challenges that can be stressful, overwhelming, and cause
strong emotions in adults and children.
Stress can cause :
Feelings of fear, anger, sadness, worry, numbness, or frustration.
Changes in appetite, energy, desires, and interests.
Difficulty concentrating and making decisions.
Difficulty sleeping or nightmares.
Physical reactions, such as headaches, body pains, stomach problems,
and skin rashes.
Worsening of chronic health problems & mental health condition
Increased use of tobacco, alcohol, and other substances.

11. • Changes in Thinking
• Changes in feeling
• Changes in Behavior
• Changes in Physical Well-being.
SYMPTOMS
OF
DEPRESSIONS/STRESS

13. Signs and Symptoms of Clinical Depression
Physical:
• Sleep disturbances-insomnia, oversleeping, waking up early.
• Changes in appetite or eating: much more or much less.
• Decreased energy, fatigue.
• Headaches, stomachaches, digestive problems unexplained.
Behavioral/Attitude:
• Loss of interest or pleasure in activities that were once enjoyed, such as
going out
with friends, hobbies, sports, etc.
• Difficulty concentrating, remembering, or making decisions.
• Neglecting responsibilities or personal appearance.
Emotional:
• Persistent sad or "empty" mood, lasting two or more weeks.
• Crying "for no reason“.
• Feeling hopeless, helpless, guilty or worthless.
• Feeling irritable, agitated or anxious.
• Thoughts of death or suicide.

18. DIAGNOSIS, TESTS AND EVALUATION
Depression
 See a doctor
 Rule out all other possibilities
 Physical examination, interview, and/or lab tests
can be used.
 Complete history of symptoms.
Anxiety
 See a doctor
 Interview to discus health history to rule out all other
possibilities.
 If symptoms are positive patient will be referred to
psychiatrist or psychologist for special diagnosing.
 Diagnosis is based on duration and intensity of symptoms.

19. Effects of training on disease or patient with disease…
• Improved mood
• Improved self-concept
• Improved work behavior
• Decreased depression
and anxiety
• Improved social networks

20.  Break large tasks into small ones, set some priorities, and do what you can as
you can.
 Try to be with other people and to confide in someone; it is usually better than
being alone and secretive.
 Participate in activities that may make you feel better.
 Mild exercise, watch movie, a ballgame, or participating in religious, social, or
other activities may help.
Expect your mood to improve gradually, not immediately. Feeling better takes
time.
 It is advisable to postpone important decisions until the depression has lifted.
Before deciding to make a significant transition—change jobs, get married or
divorced—discuss it with others who know you well and have a more objective
view of your situation.
How to Deal with Stress in a Healthy Way

21. Exercise :
• People of all ages are walking, riding bicycles, attending aerobic
classes, practicing yoga, swimming, playing tennis.
Diet :
• Diet plays indirect role in stress management. Foods with high
sugar content stimulate or prolong the stress response and high-
cholesterol foods adversely affect blood chemistry.
Take breaks from watching, reading, or listening to news stories,
including those on social media. It’s good to be informed, but
hearing about the pandemic constantly can be upsetting. Consider
limiting news to just a couple times a day and disconnecting from
phone, tv, and computer screens for a while.
INDIVIDUAL APPROACHES TO MANAGING
STRESS

22. Opening up :
• We all experience traumatic events in life. A healthy response to
these moments or periods of personal crisis is to confide in others.
Individuals who wrote once a week about traumatic events had
healthier outlooks and lower absenteeism.
Take care of your body:
Take deep breaths, stretch, or meditate external icon.
Get plenty of sleep.
Avoid excessive alcohol, tobacco, and substance use.
Continue with routine preventive measures (such as vaccinations, cancer
screenings, etc.) as recommended by your healthcare provider.
Get vaccinated with a COVID-19 vaccine when available.
Make time to unwind: Try to do some other activities you enjoy.
Connect with your community- or faith-based organizations: While
social distancing measures are in place, try connecting online, through social
media, or by phone or mail.
INDIVIDUAL APPROACHES TO MANAGING
STRESS

23.  Professional help:
• Sometimes people have problem coping on their own and
they seek professional help or clinical counseling. People who
want this kind of help can choose among psychological
counseling, career counseling, financial and family counseling,
physical therapy, medical treatment, surgical intervention and
stress debriefing.
Remember, positive thinking will replace the negative thinking that is
part of the depression and will disappear as your depression
responds to treatment.

24. Helping Children Cope
Not all children and teens respond to stress in the same
way.
Some common changes to watch for include:
Excessive crying or irritation in younger children.
Returning to behaviors they have outgrown (for example,
toileting accidents or bedwetting).
Excessive worry or sadness.
Unhealthy eating or sleeping habits.
Irritability and “acting out” behaviors in teens.
Poor school performance or avoiding school.
Difficulties with attention and concentration.
Avoidance of activities enjoyed in the past.
Unexplained headaches or body pain.
Use of alcohol, tobacco, or other drugs.

39. The newest and most popular types of antidepressant
medications include:
•Fluoxetine (Prozac)
•Citalopram(Celexa)
•Sertraline (Zoloft)
•Paroxetine (Paxil)
•Escitalopram (Lexapro)
•Fluvoxamine (Luvox)
Serotonin and norepinephrine re-uptake inhibitors (SNRIs)
are similar to SSRIs and include:
•Venlafaxine (Effexor)
•Duloxetine (Cymbalta)
Everyone reacts differently. There is no one-size-fits-all approach
to medications.
DEPRESSSION TREATMENT /MEDICATIONS

40. CONCLUSION
•Having your mental health treated can also improve your productivity,
allowing you to focus on daily tasks and give you the motivation to get things
done in a timely manner. Improving your mental health can even extend your
life expectancy.
•WHO projects that by 2020 depression will be the second-leading cause of
disability worldwide. What's probably more surprising, is that despite these
facts we still either fail voice out our concerns due to the social stigma attached
to it or lack awareness about the illness itself.
• In 2019, WHO launched the WHO Special Initiative for Mental Health (2019-
2023): Universal Health Coverage for Mental Health to ensure access to quality
and affordable care for mental health conditions in 12 priority countries to 100
million more people.

41. REFERENCES
 https://www.who.int/mental_health/en/
 https://www.indiatimes.com/health/healthyliving/you-may-
be-depressed-and-not-even-know-it-as-india-is-one-of-the-
worst-hit-by-depression-says-who-275139.html
 https://www.livemint.com/news/india/lockdown-boosted-
family-life-but-india-s-young-face-anxiety-wfh-fatigue-
11609506992201.html
 https://www.webmd.com/depression/guide/causes-
depression

42. END OF WEBINAR…
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