Post covid mental health observations from a clinician & from someone who had it 2 months ago: I feel like there is a lot that's getting missed 'cause we're perpetually stressed but there are some observations I've made with those who made a full recovery-irrespective of severity
Emotional lulls - so many unexplained emotional lulls. The best way for me to describe an emotional lull is disinterest in activities but also in socialising,communication fatigue, feeling blank in the head or overstimulation, random mood episodes. Someone called it a 'funk'.
Difficulty maintaining focus, a sense of heaviness while waking up in the morning, difficulty with falling asleep or sleeping a lot. Having a mix of good emotional days and then terrible days and feeling confused about why this is happening.
It seems like a dragged exhaustion that went from physical to emotional & has fully enmeshed.Random memories from the past coming up,circumstantial distress feeling more draining than usual; like a wave of exhaustion that never left but patients taught themselves to survive.
Yes, a lot of this could be general pandemic induced stress too; but my observation is from looking at people pre and post covid, especially in the second wave. Their psychological health has taken a sharp dip post recovery and the only variable is that they had COVID.
So symptomatic,asymptomatic,irrespective of severity,if you know someone who recovered in the last couple of months & have noticed behavioural changes, please try & be patient with them. It doesn't make sense to you or to them.For eg: reading texts from people is tough for me now
Could be anything - they aren't responding to texts,not completing work,look like they don't enjoy things,crying randomly,feeling numb,not communicating etc.Anything that seems atypical to who they are. Please try to be kind in how you communicate & factor in post COVID recovery.

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More from @roocheetah

29 Dec 20
Things I have learnt after having 4 burnouts this year: Burnout is caused by prolonged stress exposure + extreme exhaustion. The 1st burnout I had showed up as symptoms similar to COVID - body fatigue, fever, dry cough coupled with difficulty concentrating and extreme irritation
Showed up out of nowhere and knocked me out for 5 days. After 5 days, I felt much better, like my physical and emotional energy had returned to some degree. Thing is, I could do NOTHING for the 5 days so my body got the rest it had been asking for, for months.
So I learnt that doing nothing and refraining from stimulation could be useful and I started assigning one work day a month where I'd do nothing - no structure, nothing organised, nothing to look forward to.
Read 14 tweets
2 Jul 20
When u put the onus of ‘mental fitness’ on the individual,u snatch responsibility from the oppressive hierarchies that contribute to their mental health stressors,make them vulnerable to violence + reduce their access to resources.Stop listening to influencers acting like experts
Since nothing pisses me off more than misinformation about mental health and the romanticisation of mental wellness, I’m going to take some time to bust some myths by this influencer. Firstly, if these are ‘truths’, I’d like to see citation backing the claims.
‘Feeling depressed’ is not some individually created choice. It’s a response. Feelings are responses that your body has, so is stress. These responses are influenced by environmental factors, relationships, other stressors, even diet + sleep and more.
Read 12 tweets
4 May 20
If you know teenagers within your family/other circles, I encourage you to talk to them. Talk to them about their stressors, struggles, relationships, sex, school, college, build a relationship with them. Try. Reassure them that they have a safe space for honest communication.
I am talking about this for all gender and sexual identities. Violence is a structural issue and vulnerability to violence is much higher with the hyperconnectedness that the internet allows for, these days.
Cis gendered boys are conditioned into believing that being violent in language and behaviour is an exercise of dominance and a display of power, and rape culture creates a very helpful environment for this to become an ideological belief.
Read 13 tweets
26 Mar 20
As a 27 year old, who is considered high risk for COVID19, living with 60 something year old parents who are also high risk, the one thing that has started helping me manage my anxiety is safety planning, preparing myself & making sure I look after myself.
I have asthma, which is usually managed, but when it flares, it is horrifying. I’ve been educating myself more and more about how COVID19 risk factors are higher for people with asthma. It’s scary to look at the information, so I do it in pieces. I read some, take time to process
I’ve been disciplined with my preventative inhaler & I keep my rescue inhaler with me at all times, I keep the number of the nearest testing centre on my phone, I’ve made an action plan for which doctor to call first to confirm symptoms, tried to understand procedure for testing
Read 7 tweets
17 Mar 20
Warning signs for symptoms of anxiety in a time of enforced social isolation: feeling a flood of rapid thoughts,increased heart rate, feeling breathless or shallow breathing, feeling a sense of ‘doom’,concerns with sleep and appetite, difficulties with regulating emotions (contd)
... thinking of all the worst case scenarios, nightmares, difficulties with focus and concentration, difficulty in completing tasks, feeling obsessive about thoughts related to worst case scenarios + more.
Things you can do: Prepare a list of easy to do coping activities that will keep you engaged for a while,pay attention to your body-every feeling response starts first in the body.This can help in recognise when the 1st symptom of anxiety kicks in & help in the regulation process
Read 14 tweets
15 Mar 20
Warning signs for symptoms of a depressive episode in enforced social isolation : feeling fatigued, demotivated, sleeping too much or too little, low mood, foggy memory, feeling lonely, having thoughts about feeling unloved/unwanted, difficulty maintaining hygiene.
Things you can do: Prepare for this, just like you would for any other health risk. Make a list of coping strategies that work and keep it handy, encorporate a routine to your day as much as possible - consistency helps (contd)..
... make it a priority to check in with your mood, appetite, sleep at the beginning and end of every day - make a note in a journal if it helps to keep track. Let your social support system know so you can reach out to them if need be & they can check in too. (Contd)...
Read 5 tweets

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