First Step Fighting Depression and Anxiety Seek Mental Health Help

Most people may need counseling especially these days due to the Covid-19 outbreak. Including me. One-third of the people suffering from brain injuries, like mine, develop major depression. Depression may be precipitated by genetics, circumstances, illnesses or unforeseeable and uncontrollable events. For example, the current world pandemic affects our mental health in ways we could never have imagined.

Anxiety, too, is at an all time high worldwide. We are scared of going to school and work and contracting Covid-19, or staying home for safety and falling behind. We fear our ability to pay mortgages, medical bills, rents. We worry about losing our homes, our businesses, our loved ones, about finding jobs or keeping jobs.

We are cracking up.

US cases of depression tripled from 8.5% before Covid to 27.8% now.
One in three people in the States are anxious or depressed.

Statistics in Switzerland, rated the top place in world to live for the quality of life, are alarming. Adults suffering from mental health issues before Covid were 3% and that number climbed to 18% in November 2020. Today, one out three people under the age of 24 suffer from depression or anxiety.

“The person who needs help is often times the last to realize it,” says my husband who encouraged me to get professional help after my accident and brain surgery.

If you know someone who is struggling encourage them to seek help or even better help them find it.

A good therapist can’t give you the magic solution, but they can help you find coping strategies and the right tools to move forward. They can help YOU create an action plan and locate resources — the right medications, support groups, community services or books to read to help you. They can motivate, cheerlead, validate your feelings, listen without judging, and help restore hope.

But the first step is admitting you need assistance. We never waver when we need to seek medical health for broken bones, cancer, or illness, but we balk when it comes to caring for our mental health. There is a stigma to admitting your brain is suffering, but like any of the organ can go haywire.

Would it encourage you to take action if you knew that nine people in my hard-working, high-functioning, “normal” family have at one time or other sought professional mental health care in the form of a psychiatric, psychologist or counselor? None of us are crazy.

The cause of mental illnesses are varied as the kinds. They can be caused by brain disease, genetics, chemical imbalances, injuries, PTSD, CBT (i.e.getting one’s bells rung one too many times on the football fields, hockey rings, soccer pitches.)

But due to Covid-19, no time in modern history have the levels of depression and anxiety been greater.

“The distress in the pandemic probably stems from people’s limited social interactions, tensions among families in lockdown together and fear of illness,” says psychiatrist Marcella Rietschel at the Central Institute for Mental Health in Mannheim, Germany.

The finding that women are more likely to experience psychological distress than men is consistent with other global studies that have shown that anxiety and depression are more common in women.
“The lower social status of women and less preferential access to healthcare compared to men could potentially be responsible for the exaggerated adverse psycho-social impact on women,” the researchers suggest.
Mental health professionals can help, but the work must be done by the individual.

Here is some steps that helped me:

  • Walk. Go outside. Be in nature.
  • Call a mom, daughter, sister, friend, another female.
  • Make a to do list. Set a goal. Start a project.
  • Declutter one shelf, one drawer, one cupboard.
  • Make that difficult decision to seek professional help, many provide services on line through Syke or on the phone.
  • Escape - watch Netflix. Read fiction. Look at old photographs.
  • Learn something new.
  • Share your story.

End the stigma. Stop suffering in silence.

Covid Fallout- Will We Ever See Our Kids Again?

As Covid rises around the globe, and holiday plans are derailed again, we wonder when we will be reunited with loved ones, but for expats living abroad, the pain of separation is magnified by distance. I ache to be with my family so much it feels like a limb is missing.

When the French talk about missing people, they say “Il me manque”, which means, “I miss him”. But literally translated, it’s “he is missing to me”, as though a crucial part of you has been removed. It has.

When my Norwegian ancestors left their fjords to sail across the seas in search of a better life in America, they knew they would never see their families again. As a young girl, my mom’s father always promised her he would take her back to the fjords when she was an adult. Unfortunately, they never made the trip. He died suddenly of cancer when she was only 18.

I have been lucky. I made countless flights across the Pond between Europe and USA to keep my American ties strong not only for me but also for my children. Yet when I first stepped on that Air France flight 40 years ago, my biggest anxiety was not  about playing basketball in France, a country where I knew no one and spoke not a word of the language, but the fear that I might not be able to come back to the US and see my loved ones again.

I have always been able to make the trip home until now when a global pandemic changed our lives in ways we never imagined possible. Now my adult children live there; we are stuck here.
Our situation is not unique.

When I saw my Swiss neighbor, she lamented, -“I don’t know when we will see our kids again. Our son is in Thailand, one daughter is in Canada, her twin in Paris. Their younger brother was expecting his first child this summer and they were all coming to Switzerland to celebrate the event – that reunion is postponed indefinitely.

My German friend Maria, who lives just across the border in France, has one daughter in Belgium, another in Scotland, a son in England and husband in Somaliland. They are separated by Covid between continents.

Even families living in the same country are unable to plan reunions due to risks.
Parents are separated from kids, grandparents from grandchildren, siblings from siblings. My best friend, a former xpat moved back to North Carolina, but her 3 daughters live in Minnesota, Massachusetts and South Carolina. She talks to me about renting an RV, so she could go see them keeping a safe distance in separate living quarters.

My former student, now teaching at the International school of Geneva, has a brother living in Canada, a sister in Australia and her mom in South Africa. Home was whatever continent she and her family could meet up on their destination holidays.

As expats the world is our world, but today that kind of global gathering is out of the question.

Rules between and within countries regarding Covid change daily. In the summer no flights from Europe were allowed to land on US soil. For the moment, we can land, but there are no direct flights. There are few options available and each one has constraints. On our usual Delta/KLM flight there is a risk for a 10 day quarantine in Amsterdam. As a U.S. citizen I would be allowed in the country, but my French husband would require a special visa. And then we aren’t sure if or when we could get back to Switzerland.

When will be able to plan trips again?

We wait and wonder and worry as the number of cases of infection reach alarming rates across Europe and the U.S. Our hearts ache with longing for things we once took for granted…sharing a meal, sitting around reminiscing, embracing in a hug.

In the meantime“Ils me manquent.”They are missing to me.” Pieces of my soul vanished.

I am grieving the loss.

As Coronavirus Sweeps Europe Public Heeds Medical Experts

coronavirus outbreakIn Switzerland when we first heard reports of the coronavirus in China, we only half listened, but when our neighbor Italy announced outbreaks, we were all ears.

The close proximity and community spread of a life threatening virus has Europeans on edge. Most citizens held their fears in check until the Italian outbreak, then within hours illness knocked on our doorstep. Our anxiety stepped up a notch.

coronavirus outbreak

figures valid as March 6, 2020

Surrounded by Italy, Austria, Germany, and France, hundreds of thousands of people cross our borders daily to work in Switzerland. At my former work place, the International School of Geneva, 140 different nations are represented, many of whom live across the French border. Exposure is inevitable.

Suddenly news flashed across Europe in different languages as nations grappled with how to best handle the crisis and contain outbreaks. For the first time ever, Switzerland immediately cancelled its world famous Geneva International Motor Show and forbid public events of more than 1000 spectators including popular soccer and hockey games. France limited gatherings to less than 5000. Both countries immediately shut down schools and shops where clusters of coronavirus broke out. Leaders of European countries reacted quickly, calmly and sensibly.

Meanwhile across the Atlantic, Trump’s initial reaction was to minimize its impact. At his campaign rally in South Carolina, he proclaimed that the coronavirus was the new “Democratic hoax”. By promoting “fake news,” he only added to public confusion and mistrust.

COVID 19 is so new, much remains unknown: incubation period is uncertain and asymptomatic patients become silent carriers. Countries close borders, quarantine citizens, and try to curb public panic.

Medical experts have trouble understanding and predicting outcomes. Even so, international researchers are moving forward so quickly that vaccine might be possible within 12 to 18 months instead of 10 to15 years.

With medical personnel overworked in every country and the public’s anxiety rising, we need to get the facts straight. Worldwide public health and safety should be paramount on any leader’s agenda especially a leader as powerful as the US President.

Fortunately the highly respected Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Disease, is now serving as a member of the White House coronavirus task force to provide facts and clarify misconceptions.

Global health experts like our friend, Dr. Jonathan Quick, former chair of Global Health Council and long term collaborator of theWorld Health Organization (WHO) have been solicited by news agencies around the world such as ABC .

In The Guardian, he offers valuable insights, proposes feasible solutions and provides hope for the future.

The End of EpidemicsHis book, The End of Epidemics published in 2018, predicted the present day scenario.

“Jonathan Quick offers a compelling plan to prevent worldwide infectious outbreaks. The End of Epidemics and is essential reading for those who might be affected by a future pandemic―that is, just about everyone.”―Sandeep Jauhar, bestselling author of Heart: A History

As the WHO scrambles to predict outcomes, produce tests and develop vaccines, we need to listen to the voices of those who know best.

For a world leader to put a personal spin on such a deadly and disruptive global crisis for political leverage is dangerous. Political differences must be put aside, scientific knowledge must be shared and transparency between countries must prevail to contain a world epidemic with such dire consequences.

Regardless if we live in the Americas, Africa, Asia, Europe, the Middle East or Australia it behooves us all to remember pandemics don’t discriminate.

It is in humanity’s best interest to adhere to the collective advice of the world’s best scientific minds.

no borders for coronavirus