Making Mental Health a Priority in 2024
Grace Weatherby
/ Categories: WELLNESS, 2023

Making Mental Health a Priority in 2024

While ‘get in better shape’ is often at the top of many New Year’s resolution lists, there is good reason to consider giving ‘get in a better headspace’ equal billing in 2024.

According to the American Psychological Association, more than a quarter (27%) of U.S. adults say that stress has an impact on the quality of their daily life.

Commit to daily self-care

As the New Year begins, make time for doing one thing you love every day. Even just 10 minutes of doing one thing just for you—from taking a walk and reading to knitting or sitting quietly—can boost your mood and give you a valuable sense of control.

Build and keep connections

Spending time with others creates a sense of belonging that can help you cope with stress. Getting together with friends, people at a house of worship, or even through community volunteering, connecting with others helps make us feel valued and supported.  

Get active

Because there is a recognized connection between physical and mental health, it’s worth considering adding regular exercise to your list of mental health must-dos. Being physically active can:

  • Improve mood
  • Help with emotion regulation
  • Improve sleep
  • Increase focus and attention
  • Reduce risk for depression and anxiety

Keep on top of your physical health

Staying healthy can improve your emotional well-being. Be sure to keep up with regular health appointments and screening. If you are due, get vaccinated. Try to keep to a regular sleep schedule—this benefits your mind and body—and eat a balanced diet low in fats, salts and sugars. (For tips on healthy eating on a budget, click here.)

Spend time outdoors

Spending time outside connecting with nature has been shown to lower the level of cortisol, a stress hormone. While 10 minutes outdoors produces the effect, 20-30 minutes is associated with the biggest drop in cortisol levels.

Get out of your comfort zone

Trying new things and going new places is a great way to expand on your ability to deal with change while building your life experiences, skills, and self-knowledge. You don’t need to go bungee jumping; maybe try a new food, visit a museum you’ve never been to, or go hear a band you know nothing about.

Don’t be afraid to say ‘no’

Sometimes the easiest way to reduce stress is to not take on more than you can handle—or to stop doing things that don’t bring you joy. There’s no shame in not cranking out two dozen cupcakes for the bookfair just because you did it last year. Or to taking a pass on that coffee date with the friend who only dumps their emotional baggage on you and never asks how you are. And if you’re one of those people who simply hates to say ‘no,’ remember that when you say ‘no’ to others, you’re say ‘yes’ to yourself.

Of course, you don’t need to tackle all these things the first week of the year (talk about stressful) but do try to do at least one to begin with and then try more as your stress levels drop. Even small changes can have a huge impact on your mental health and happiness.

 

Allison Niemi, MD, is a family medicine physician based at the SVMC Pownal Campus

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Emergency Department: Open, Ready, Safe. 

The last 3 months have been a uniquely challenging experience in the SVMC Emergency Department (ED) and emergency departments and hospitals all over the country and the world. I am very proud of all our staff has done and continues to do to ensure safe care for patients during this era of COVID-19. We are grateful that cases of COVID-19 in our area have been the lowest in the U.S. and have decreased even further over the past several weeks. We are also heartened to see that patients who had been avoiding the ED are now confident to return to get the care they need.

It may be surprising to hear that over the past few months, the sickest patients we have seen in the ER have not had COVID-19. Many people have refrained from seeking care for serious medical problems due to the fear of being exposed to the virus, assuming that the hospital was not a safe place to be and not recognizing the seriousness of their symptoms. The most challenging moments of the past several months have involved critically ill patients who tried to stay away for far too long due to fear of being exposed to COVID-19. We have had many sad moments trying to care for those who waited until it was too late for us to help with conditions that could have been easily treated if presented sooner.

One might expect that the greatest challenges related to the pandemic were those needed to adapt our facilities and procedures and the work of caring for sick COVID-19 patients. SVMC is fortunate to have built a strong foundation of safety and infection-prevention methods over many years, which made this transition much easier. Still, when it became apparent that we were going to see COVID-19 cases coming through our doors, we implemented many COVID-specific changes very quickly.

From day one our staff have all been fully trained to use protective equipment effectively, to focus on cleaning and disinfecting, and to move patients safely through the new areas created to keep them safe. We also spaced the waiting room chairs to allow for plenty of distance and initiated drive-by testing to keep potentially contagious people outside and away from other patients.

We immediately increased our standard of protective equipment we use. For example, all staff who relate with patients now wear both a mask and protective shield, which is a proven and effective strategy to prevent transmission. Those staff who work with patients with respiratory or other contagious symptoms also wear a gown and advanced respirators developed in cooperation with Mack Molding in Arlington. They look strange, but they help us deliver care safely.

We also quickly built special spaces and units in the hospital to treat and segregate patients with respiratory symptoms who might be contagious from those with other routine medical problems. Outpatients with symptoms that could be related to COVID-19 are directed to a spacious area called the Respiratory Evaluation Center. There they can be taken to a safe treatment space called a negative-pressure room without encountering any patients who are using the ED for other reasons or any staff who are not fully equipped with protective gear. There are similar, safe, negative-pressure units for those who require treatment in the ED or hospital.

Our hard work paid off. We have treated a number of COVID-19 patients in our ED and, as far as we know, not a single staff member was sickened in relation to their work here, and no patients have contracted COVID-19 while under our care. With our current procedures and drastically declining COVID numbers, we are confident that we can continue that trend. Furthermore, SVMC recently received a perfect score on a rigorous survey specifically designed to judge our ability to prevent transmission of COVID-19. At this time our ED is safer than just about any other public place you could go.

My goal in writing today is to communicate that SVMC’s Emergency Department is open, ready, and safe. If you need emergency care, we are here and we can care for you safely. Please do not defer emergency care until it is too late for us to help. While many symptoms can represent a serious medical problem, the most concerning are chest pain, difficulty breathing, fast heart rate, confusion, high fever, intense headache, drooping face, dehydration, or weakness. Of course, with any other symptom you feel indicates a serious problem, come in right away or call 9-1-1.

For us, spending time with patients and connecting on a personal level is the best part of our jobs. We take pride in our life-saving role in our communities and the work we have been able to do during the pandemic, but we cannot help if you do not come in. Please don’t hesitate to get the care you need when you need it.

Adam Cohen, MD, is a board-certified emergency medicine physician at Southwestern Vermont Medical Center. He also serves as the chair of the Department of Emergency Medicine and the medical director of SVMC’s Emergency Department.

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