POTD:  An Uninvited Guest (Wellness Friday)

POTD:  An Uninvited Guest (Wellness Friday)

an uninvited guest

settles in the valley of my heart

makes a home within my chest

and refuses to depart

 

the mountains of my lungs

are crumbling down beneath his weight

as he pollutes the peace once there

with oppression and hate

 

there are waves of emotions

that pound against my veins

lost in a whirl of wind

as they rage in a hurricane

 

the currents get rough

and I find myself lost at sea

within a jagged ocean as vast

as the emptiness I flee

 

my nights have grown longer

as I struggle to fall asleep

my days have blurred together

and my body has grown weak

 

tracks run over my wrist

as the departing train voices its last call

is it better to feel pain

than to feel nothing at all?

 

emotions cloud my thoughts

smoke fogs up my mind

they tell me I’m not good enough

that I’m not worth it to the Divine

 

my faith is shaking

I can’t find who I am

I am enchained by anxiety

as desolation takes command

 

saltwater shakes my core

and spills over the rims of my eyes

as the ocean drowns me

I succumb to numbness inside

 

I frantically glance into the distance

and find His lighthouse shining from miles away

guiding me home

from tides that make me stray

 

He shows me the universe;

constellations trace my skin

and even when I’m breaking,

my galaxies shine from stardust within

 

He shows me the dawn;

as it breaks, so do I

but there’s a beauty in my breaking

as red and gold paint the morning sky

 

To Him I am worth more

than this world entirely

and that’s all I need to overcome

my haunting thoughts of mortality

 

an honorable guest

has settled in the valley of my heart

He illuminates it with hope and light

in places I’ve broken apart

 

-SS Barkat

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It's World Mental Health Day tomorrow!

One in five adults suffer from a mental illness each year within the United States. More Americans struggle with depression than they do with coronary heart disease, cancer, and HIV/AIDS2. Unfortunately, stigmas founded on misunderstandings of mental illnesses are common. Some may inappropriately label the lack of energy that a depressed individual struggles with as laziness. In turn, those that are suffering turn away from getting the professional help that they need from fear of what people may say.

The “uninvited guest” in this poem refers to depression. The poem’s title aims to demonstrate that depression is just as real as any other physical disease that one may have. It isn’t a state that those suffering choose to be in; rather, depression appears uninvited and begins to govern the mind and body of the victim. Overall, the purpose of this poem is to share the complex nature of depression, the thoughts that may plague the minds of those that are depressed, and ways in which we can all look at the signs around us to remember our self worth in times that we feel lost and hopeless.

By sharing experiences and having open and honest conversations about mental health, we can become a step closer to shattering stigmas and improving access to treatment and services as a community of health care workers.

Have a friend who needs help?; Give them a hug, a pat on the back. Let them cry on your shoulder or your lap. Don't underestimate the power of simple things.

 Ask for help when it gets too much:

National Suicide Hotline: 1-800-273-8255

NYC Well: 1-888-NYC-WELL or Text "WELL" to 65173

In-house: Erica Hutchinson, Ph.D.

Office: (718) 283-8174

Work Cell: (347) 996-6090

 

Have a great weekend and stay well,

TR Adam

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5 Tricks to Help with your Wellness

A survey of 1,257 healthcare workers across 24 hospitals in China taking care of COVID-19 patients showed that 50% of the healthcare workers had symptoms of depression and anxiety, 72% indicated acute distress, and 34% indicated insomnia (Lai et. al, 2020).

As Emergency providers, we already work a stressful job and COVID-19 definitely added to the stress!

Here are 5 evidence-based techniques shown to decrease the development of symptoms of depression and anxiety:

1) Mindfulness Meditation:

This is a broad term referring to meditative processes to help ground individuals in the present.

Practice mindfulness during stressful situations through box breathing: inhale for 4 seconds hold for 4 seconds, exhale for 4 seconds. This activates parasympathetic nervous system and decreases cortisol.

Popular phone apps "Headspace" and "Calm" are great resources to use.

2) Exercise:

Exercise for 150 minutes per week which can be done in 10-minute increments, best if spread over the week.

Exercise has similar effects to antidepressants by increasing sensitivity to norepinephrine, serotonin, and neurotrophic factors.

3) Limit superficial social media, deepen digital social connections:

Superficial use of social media has been associated with deleterious effects on mental health. Set a limit on social media of no more than 30 minutes a day.

Instead, video chat or call your family or friends.

Establish a buddy system and do daily check-ins with each other.

4) Diet:
A healthy diet affects all aspects of health including mental health. Studies support the Mediterranean diet which limits highly processed foods and red meat and instead favors vegetables, fruits, nuts, seeds, fish, and whole grains.

5) Therapy and Counseling:

Engage in mental health resources through peer support or through a mental health professional. Also unofficially "check in" with yourself.

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Finding Wellness in Nature

This is my own personal image of Blue Mountain Lake from Castle Rock Trailhead in the Adirondacks last September.

This is my own personal image of Blue Mountain Lake from Castle Rock Trailhead in the Adirondacks last September.

Working in the ER is tough, and hopefully sometime in the next week, we can all spend some quality time outdoors. Today’s POTD is on finding Wellness in nature.

This study published in Nature on June 13, 2019 is titled “Spending at least 120 minutes a week in nature is associated with good health and wellbeing”.

Here’s a summary:

The authors studied the association between recreational nature contact in the last seven days and self-reported health and well-being.

They ascertained data from nearly 20,000 participants in the Monitor of Engagement with the Natural Environment Survey, a UK survey that tries to capture time spent in the natural environment.

The likelihood of reporting good health or high well-being was statistically significant with > 120 minutes of outdoor engagement compared to no nature contact. It can be either 120 minutes at a time or several shorter blocks each week, it did not matter.

The peak benefit was around 200-300 minutes per week of recreational nature contact.

 

Hopefully one day when we finally defeat COVID, we’ll have the freedom to once again travel freely. In the meantime, why not hit up a local park, wander around the city, or for a hike? Socially distancing of course. Here’s one website I’ve been using extensively since medical school:

https://hikethehudsonvalley.com/the-hikes/

 

Sources

https://www.nature.com/articles/s41598-019-44097-3

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