Shielding my kids from danger is a fundamental instinct; tolerating risk for them is hard emotional work.

Fear is necessary for our survival. It can also do harm.

My latest for @TheAtlantic 👇👇👇

bit.ly/3yEMjf3
For people who thought that the pandemic was ending, @CDCDirector's July 27 televised statement was like the scene late in *A Nightmare on Elm Street* when Freddy Krueger’s claw reaches up from within Glen’s bed and pulls him in.
Children were assumed to be at low risk of serious illness from coronavirus. Although the evidence calls for prudence, not panic—even as the Delta variant spreads—many parents will struggle to keep fear from racing ahead of the data.
I do not dismiss the continuing danger that COVID-19 presents to kids. The ongoing devastation to children, families, and communities is vast.
...but fear can do harm. Being constantly wired like this nevertheless carries a cost: Rational thought is hijacked. Our risk tolerance goes down. Our instinct to protect shifts into overdrive. We default to primitive thought patterns including black-and-white thinking.
Fixating on a single threat to children’s health can keep us from recognizing their broad human needs. I too can be a victim of my own mental gymnastics. (Just ask my kids.)
Reclaiming rational thought amid ongoing uncertainty can be vexingly difficult, yet it is crucial for our health.
When my patients ask me whether a given activity is safe, I usually tell them the answer isn’t a firm yes or no. Absolutism itself can do harm.
Health stems from allowing fear to protect us from dying but not allowing it to prevent us from living.
...victory over COVID-19 will require accepting our perilous reality, releasing ourselves from the impossible task of eradicating danger, and relishing the sometimes-immeasurable reward that comes from tolerating risk. /fin

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More from @drlucymcbride

30 Jun
Now is the time to redefine burnout as the mental and physical fallout from accumulated stress in any sphere of life, whether that’s work, parenting, caregiving, or managing chronic illness.

My latest in the @TheAtlantic:

theatlantic.com/ideas/archive/…
Burnout is usually reserved to describe *work-related* phenomena: exhaustion, feelings of negativism, and reduced professional efficacy.

But what if simply being human carries occupational risk?
The symptoms of burnout have become medical. The work of living through a pandemic has been making us sick. To muster the energy for reentry into non-pandemic life, people need more than a vaccine and a vacation.
Read 5 tweets
28 Jun
At this watershed moment in the pandemic, the challenge right now is to recalibrate fear — to quiet fear when the facts don’t support it, and to redirect worry to areas where our health and well-being are *actually* at risk.
That said, let’s acknowledge the universality of fear. It’s entirely normal to be afraid when faced with a threat like COVID-19. After all, fear is normal and part of being human. It helps us survive — to run from the proverbial tiger in the wild.
There was (and always is) a time for fear. Anxiety serves us. Fear = survival. But when the proverbial “tiger on the loose” has been caged, it’s time to release ourselves from unnecessary fear. Risk is everywhere; but anxiety out of proportion to facts can make us sick
Read 7 tweets
30 Apr 20
Today we are talking about the good, the interesting, and the upshot among the recent #coronavirus-related news. THE GOOD: Hope is alive! A promising vaccine is coming out of Oxford University. 1/13
Fingers/toes crossed it continues to look good in human studies+ can be out for use this fall. The @US_FDA will likely approve emergency use of Remdesivir (drug typically used to treat HIV) which has shown favorable results in #COVID__19 patients but warrants further study. 2/13
Labrador retrievers are being studied as a “canine surveillance” corps (aka virus “sniffers”). @MichelleObama called me last night (it was a Robocall, but still) to announce that DC residents with symptoms can now get FREE #COVID__19 testing though a DC hotline. 3/13
Read 13 tweets
16 Apr 20
Hello and welcome to Day 4 of COVID 301—your daily dose of facts and guidance on the NOW and “now WHAT?” of #COVID19. Today we are learning about massive and widespread testing. 1/18
Currently there are two main types of tests: 1. The NASAL swab for the presence of ACTIVE virus. The goal is to help diagnose a patient currently sick with #Covid_19 or
a symptom-free person as a carrier of the virus. 2/18
The @US_FDA approved a SALIVA version of this test this week, and it may help reduce risk to the test administrator. nytimes.com/aponline/2020/… 3/18
Read 18 tweets

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