The Holiday Blues
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/ Categories: WELLNESS, 2022

The Holiday Blues

The holidays can overwhelm. Social commitments, financial pressures, tension among family members, and routine-disrupting events can leave us feeling exhausted. Those who are struggling with grief or without social connections often choose to isolate and can feel resentful of the season. Furthermore, people often feel pressured to create a perfect story-book experience for their families.

An important factor to avoid the holiday blues is to take control over what you would like your holiday to be. Choose to forgo traditions that may be overwhelming and become comfortable with deciding what you can realistically make, give, buy, and handle. Allow yourself to decide which events to attend and be unapologetic about building in time for self-care activities that help you to reduce stress. 

Layering Stressors
The holidays can also be a time when some of our most stressful experiences seem to be amplified. If you have experienced any traumatic events in the last several months—such as the death of a loved one, divorce, loss of housing, major illness, or job loss—you may be at greater risk for mental health conditions. Depression, anxiety, and substance use disorder are some of the more common mental health issues resulting from trauma. Recognizing the signs and symptoms early can make all the difference in lessening the symptoms and promoting early recovery. The pandemic, while becoming a more normal part of life, also had a major effect on our collective and individual wellbeing. Its repercussions are still playing out, especially during the holidays.

Seasonal Affective Disorder
This time of year, some people experience Seasonal Affective Disorder (SAD). It affects approximately 5 percent of people, and it goes beyond the holiday blues. In fact, SAD is characterized as
“major depressive disorder with a seasonal pattern.” Symptoms of depression, regardless of when it occurs, include feelings of sadness, emptiness, and hopelessness; angry outbursts or irritability; loss of interest in things that typically bring joy; disrupted sleep, and many more.

Depression
If symptoms of depression remain, even after the days brighten and warm up, you could be struggling with depression. Depression affects nearly 20 percent of people over the course of a lifetime and symptoms can vary from person to person.

What to Do
If you feel you might have SAD or depression, you should speak with a counselor for proven treatments that can help. Locally, you can call 802-442-5491 or talk to your primary care provider.

If a friend, family member, or acquaintance has begun showing signs of withdrawal, including decreasing interactions with others, discontinuing their favorite activities, or increasing their use of alcohol or other drugs, it’s important to reach out and ask them about how they are doing. You don’t need to be a physician or mental health counselor to make a difference. Letting them know you are concerned and willing to help, as well as providing resources, is often the first step to reaching mental wellness.

Katie Aiken is a Blueprint Spoke Clinician with United Counseling Service in Bennington.

 

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5 Questions with the Chair of the Department of Surgery

Malcolm Paine, MD, of SVMC OB/GYN, serves as the chair of the Department of Surgery. We asked him five questions about COVID-19 and how it feels to deliver care right now.

SVMC: What would you like to share with patients at this time?
MP: First, on behalf of the Department of Surgery, I would like to acknowledge how tough it has been for our community members who have been affected by this pandemic. We see such tremendous strength in those who have been ill or lost loved ones to illness and in those who are working hard to get by without a job or while homeschooling their children. We are proud to be part of this community, whose careful social distancing efforts have prevented an unmanageable surge.

We are grateful, too, that as restrictions loosen, we can get back to seeing patients and providing care in a timely way. On the surface, the care may look or feel a little different—everyone will be wearing masks, for instance—but once we get accustomed to the changes, we hope that you will recognize the same level of personalized care we all enjoyed before COVID-19.

SVMC: What are the potential risks associated with postponing care?
MP: There are many types of surgery that can be delayed for a short time, often without any negative repercussions . However, surgery is often for situations that cause pain, and delaying the procedure can result in that pain getting worse or not getting better. Sometimes, there are situations where a minor surgery, if delayed, can turn into a more major or emergency surgery, and the patient can become very sick.

SVMC: In general, what additional precautions have been put in place to ensure that care is safe?
MP:
We are absolutely committed to the safety of our patients, staff, and the community. We know how important it is for patients to be able to know and trust that we have their safety in mind at all times. We always want to use the best science and advice from the State to guide our practices. We have put several new measures in place.

We screen all patients and advocates who come to the hospital to make sure they do not have a fever or possible symptoms of COVID-19. All staff also undergo daily screening for fever and symptoms to make sure those looking after patients are healthy. We are also testing all patients with planned surgical procedures for COVID-19. This is performed as an outpatient test at no cost to the patient and increases our confidence that we are not putting patients or staff at increased risk. Patients with a scheduled surgery are encouraged to call ahead if they are feeling unwell, and after surgery, patients will be asked to check for fever for 14 days to make sure they stay healthy.

SVMC: How would patients be notified if COVID risk increased rapidly?
MP:
There is always the chance that there may be a new "surge." In that case, a directive to stop elective procedures would likely come from the State. We may also decide, as a hospital, to stop these procedures in order to keep everyone safe. In that case, we would call the patients to let them know that their scheduled case is delayed until the risk decreases.

SVMC: How would you estimate the risk of contracting COVID-19 at the hospital right now?
MP:
We are tracking these numbers on a daily basis. With all of these safety measures in place and due to the very low numbers of cases we are seeing in this area at the present time, we estimate this risk is extremely low.

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