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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Resuming Regular Care

So many important medical appointments were booked for March and April and canceled during the height of the pandemic. Now we are beginning to refocus on the fact that skipping appointments, even if you are feeling well now, could become harmful.

One important group of patients that we are eager to see are those with serious chronic conditions. These diseases require patients to see their primary care provider or a specialist at least once a year and sometimes far more frequently than that. Those with heart failure, kidney disease, diabetes, high blood pressure, and chronic obstructive pulmonary disease, for instance, all require regular contact with your provider.

Another group of patients we'd like to see are those with new medical concerns. We know that new medical concerns don't stop during a pandemic. Some conditions, like depression and anxiety, are far more prevalent during a pandemic than before. In many cases, new conditions are easiest to treat when patients first notice symptoms, and delaying care for these conditions can be dangerous.

Even regular care for those who are healthy is as important as ever. Other diseases—cancer in particular—haven't gone away. So, if you would normally be getting a screening such as a colonoscopy or mammogram, it's time to schedule an appointment. Many cancers can be detected and treated early with better outcomes. We can only expect those good results, if people are screened.

For children, regular vaccines are very important. If a big portion of the population neglects to get important childhood vaccines on schedule, we may be susceptible to outbreaks of measles or whooping cough.

There are many steps we have taken to improve safety for those seeking medical care. The first one is the availability of telemedicine. If the condition you are seeking treatment for does not require diagnostics or a physical exam, your provider can meet you virtually using any Internet-enabled device or over the phone. See details here.

If you do need to come to the office, you will notice check-ins at entrances, where staff check patients and visitors for respiratory symptoms and ensure that all are masked. You'll also notice efforts to space the waiting rooms to improve social distancing.

So how do you get the care you need?

  • If you have a primary care provider, call in to see what you may have missed during the pandemic. Did you miss an appointment to manage a chronic condition? Also share any new health concerns you have and check that you and your family members are up to date on all of your screenings and vaccinations.
  • If you don’t have a regular doctor, it makes sense to get one now. Locally, call the find-a-provider line at 802-447-5007 for a directory of practices that are accepting new patients.
  • Those with time-sensitive medical needs can use ExpressCare, a walk-in clinic, on the hospital campus in Bennington. Be sure to call ahead to 802-440-4077 if you have respiratory symptoms.
  • For Emergency Care, always come directly to the SVMC Emergency Department.

Most off all, we want our patients to know that we are here for them. There is no longer a need to delay medical care, whether for known conditions, new concerns, or preventive care. In every step we take, we are protecting patients against COVID-19 and helping patients with all of their other medical needs, too.

Bob Schwartz, MD, is associate medical director of Dartmouth- Hitchcock Putnam Physicians at Southwestern Vermont Medical Center in Bennington and a family medicine physician at SVMC Northshire Campus in Manchester.

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