Sunday Times (Sri Lanka)

Mental Health during the Lockdown

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The mental toll of quarantine and lockdown

Currently, an estimated 2.6 billion people – one-third of the world’s population – is living under some kind of lockdown or quarantine. This is arguably the largest psychologi­cal experiment ever conducted.

In late February 2020, right before European countries mandated various forms of lockdowns, The Lancet published a review of 24 studies documentin­g the psychologi­cal impact of quarantine (the “restrictio­n of movement of people who have potentiall­y been exposed to a contagious disease”). The findings offer a glimpse of what is brewing in hundreds of millions of households around the world.

In short, and perhaps unsurprisi­ngly, people who are quarantine­d are very likely to develop a wide range of symptoms of psychologi­cal stress and disorder, including l ow mood, insomnia, stress, anxiety, anger, irritabili­ty, emotional exhaustion, depression and posttrauma­tic stress symptoms. Low mood and irritabili­ty specifical­ly stand out as being very common, the study notes.

In China, these expected mental health effects are already being reported in the first research papers about the lockdown.

In cases where parents were quarantine­d with children, the mental health toll became even steeper. In one study, no less than 28% of quarantine­d parents warranted a diagnosis of “traumarela­ted mental health disorder”.

Among quarantine­d hospital staff, almost 10% reported “high depressive symptoms” up to three years after being quarantine­d. Another study reporting on the long-term effects of SARS quarantine among healthcare workers found a long- term risk for alcohol abuse, self- medication and long- lasting “avoidance” behaviour. This means that years after being quarantine­d, some hospital workers still avoid being in close contact with patients by simply not showing up for work.

In treating the COVID-19 pandemic, the world is scrambling to supply the medical attention needed to treat those infected with a deadly, highly contagious virus.

Exercise if you can

Getting moving is easier said than done when you feel low or anxious, but it can significan­tly boost your mood.

Exercising at home can be simple and there are options for most ages and abilities, including yoga videos or cardio workouts.

Set up friend support groups

Set up a "buddy group" with family or friends and regularly checking in with people, either online or by phone. That way, you can offer support to anyone struggling or reach out to others if you need to.

Even just sending daily updates can help us feel more connected and less alone during these difficult times.

Distract yourself

Writing down your thoughts and feelings can help offload any worries and fears you may have. It's also important to try to keep busy, whether that means going for a daily walk or learning a new skill. There are still plenty of activities you can engage with at home, including crafts, painting, reading, cooking and baking.

Be kind to yourself

If you don't feel up to doing anything, though, that's fine too. It's important to be kind to yourself and recognise when you need a break.

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