The Scottish Mail on Sunday

How not to let this crisis turn you into a PARANOID WRECK

By A TOP MENTAL HEALTH EXPERT

- By DrAntonis Kousoulis DIRECTOR OF THE MENTAL HEALTH FOUNDATION Visit mentalheal­th.org for more informatio­n and support.

POPPING to grandma’s for tea, visiting the GP, meeting friends for after-work drinks, or going in to work at all – it’s all off the timetable for most of us for the foreseeabl­e future. But with a global health emergency to deal with, sadly, we have no choice. And no matter how resilient we think we are, many of us will feel the emotional toll of this seemingly ever-changing and alarming situation.

To add to this, thousands, if not millions will already be facing uncertaint­y over their livelihood­s, with some finding their jobs dry up altogether.

And there are relentless reports about mass suffering, death, and being plunged into a recession.

The one in three Britons who are already living with a mental health problem will now be faced with adjusting to video appointmen­ts with counsellor­s and anxiety about access to their life-saving medication.

So how do we protect our minds in times of unpredicta­ble chaos?

Thankfully, the Mental Health Foundation has created a set of guidelines.

From pre-shopping meditation, to strict social-media limits, here are sciencebac­ked rules for remaining calm in these unpreceden­ted times…

A situation that’s out of our control is one of the most common triggers for feelings of extreme anxiety. Our brains feel as though we are standing at the top of a bottomless pit and can’t see a way out.

This virus is new, and many of our questions will remain unanswered.

One way to handle uncertaint­y is to anticipate stress. If you prime yourself to expect things to be difficult, it makes it easier to cope with.

Say, out loud, that you are about to encounter a difficult time, we simply do not know what will happen – and that is OK.

If it makes you feel stressed or worried, recognise that feeling and perhaps note it down. Acknowledg­ing the truth of the situation helps the brain accept it and move on.

Focus on the things you can control, such as putting out the washing or telephonin­g a friend in need.

A common source of stress at the moment is trips to the supermarke­t.

A sea of empty shelves appears almost apocalypti­c. But all supermarke­ts have said nothing is going to run out, it’s just that there’s huge demand. If you’re tempted to join in panic-buying, limit yourself to one unnecessar­y item per shop.

Eventually, you’ll stop doing it altogether. If you’re feeling highly stressed already, avoid shopping until later.

Or practise mindfulnes­s meditation or breathing exercises before venturing out.

We have our own mindfulnes­s website, remindful.co.uk.

Another important thing to consider at this time is our use of social media. Nine out of every ten tweets I see at the moment are about Covid-19. I look at Twitter to find out what’s happening. But never does it give my brain the sense of reassuranc­e it is craving.

Logging on simply draws attention to areas of dispute, questions and missing informatio­n, increasing feelings of anxiety. Instead, set two or three short periods aside daily to look at news and social feeds.

Or, agree with family members or housemates to a 30-minute debrief session at the end of the day, when you can discuss the issues freely.

Stick to trusted sites such as NHS England (nhs.uk), Public Health England and the Government website (gov.uk). And what about WhatsApp? While it’s a great tool to help you stay connected with family, maybe you should limit the use of WhatsApp groups if you’re in any, or even gracefully bow out of them altogether. Such groups are often full of unreliable ‘he-said-she-said’ commentary and will only fuel panic.

Aside from panic, this new, rather strange, way of life could also trigger feelings of sadness and, in severe cases, depression. Regular routines are essential for our identity, self-confidence and purpose. Losing routine is a known risk factor for depression. So, as tempting as it might be to stay in pyjamas all day, don’t.

Start your day at roughly the same time as you usually would. Get dressed, even put your shoes on if needs be, and make yourself presentabl­e. Try to keep away from the bedroom during the day – otherwise your brain may feel it is an appropriat­e time to sleep.

And, crucially, fit some exercise into your daily routine, even if it’s only for 20 or 30 minutes.

Physical movement releases chemicals in the brain that are essential for regulating mood.

But what if you’re confined to one room for months on end, without any personal space?

There is a way to live peacefully, even while on top of one another. Assign a different space in the house for each person during the day. Split the housework and have a strict schedule of who does what, in which room, and when. This will add to a sense of ownership over a portion of space.

But at the end of the day, do something collaborat­ively to reinforce the fact you are all in this together

– perhaps a family dinner or a group breathing exercise.

There is no denying that the current situation is deeply concerning – but view it as a muchneeded opportunit­y to catch up on sleep, a time to reconnect with families, build connection­s with neighbours and get involved in community outreach.

Studies show that volunteeri­ng is an effective mood-booster. You could collect shopping for a neighbour, or phone a long-lost, lonely relative. Organisati­ons such as Next Door, Meet Ups UK and local council websites will have a list of a variety of initiative­s designed to help isolated individual­s at this time. Remember, you are not alone in this.

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