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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COVID-19 Vaccine for Those Pregnant or Nursing

Here are the facts you need to know to make a good decision about whether or not to recieve the COVID-19 vaccine: 

  • During the COVID-19 pandemic we found out that pregnant women with COVID-19 disease are more likely to get a very severe infection.  According to the Society for Maternal Fetal Medicine, they are three times more likely to have to go to an intensive care unit, two to three times more likely to need advanced life support and a breathing tube, and sadly, they have a small increased risk of death due to COVID-19. They may have worse pregnancy outcomes, such as pregnancy loss, stillbirth, and preterm birth. It is difficult to know yet whether COVID infection causes these outcomes or whether they happened at the same time by chance.
  • Similarly, COVID-19 can cause chronic inflammation, which could decrease fertility in both men and women.
  • The Federal Drug Administration (FDA) has provided Emergency Use Authorization for the COVID-19 vaccine. It is recommended for everyone over the age of 16 who has not had an allergic reaction to the ingredients in the vaccine. Research has shown that the COVID-19 vaccine is 95% effective in preventing COVID-19 as soon as 28 days after the booster vaccine. These agencies directed all their effort to this work, day and night, which is how the vaccine was approved for use so quickly. No steps were skipped. 
  • It is not possible to get COVID infection from the vaccine. The virus is not in the vaccine.  It is like the flu shot, which exposes the body to something that looks like the part of the virus, so our bodies do the natural process of making antibodies to protect against disease. 
  • Many people have minor side effects, like tiredness, fever, muscle pain, headache, and pain where the shot was given. They could last a few days.  A few people feel very unwell. Having symptoms is a sign that the vaccine is working, and antibodies are being made.
  • Pregnant women were not allowed to be part of the research, which is very common for medical research trials. There were no reports of negative outcomes among the trial participants who became pregnant during the trial.
  • The vaccine does use a new technology called mRNA.  Two shots are required 3 weeks apart. Scientists believe that the mRNA can’t get into the placenta or the breast milk. The same kind of technology made vaccine against Ebola disease.  It has been given to pregnant and breastfeeding women.  No problems for mom or baby were found from this vaccine.
  • The vaccine does not cause birth defects or infertility. While the spike proteins on the virus and those found on the cells of the placenta are similar, they do not share enough amino acid sequences for the immune system to become confused.
  • The vaccine should also be offered to those who are breastfeeding/lactating. Like pregnant individuals, those who were breastfeeding were not included in the clinical trials for the vaccine. According to the Society for Maternal Fetal Medicine, the benefits of vaccination outweigh the very small safety concerns, and you do not have to stop breastfeeding because you get the vaccine.

Experts trusted by your providers recommend strongly that pregnant women be encouraged to get the vaccine.  We can’t tell you whether to get the shot, but we trust that you will make the right decision for you and your baby. Here are some points to consider as you decide:

  • How many people are getting sick with COVID-19 in your community?
  • What is your personal risk of getting COVID-19 based on your job or other exposures?
  • What is your risk of getting very sick with COVID-19, and what is the possible harm to your baby? What other medical conditions could increase this risk? Diabetes, being overweight, having lung, kidney, heart or immune illnesses or taking medicine that depresses immune function ( like chemotherapy, methotrexate, prednisone). 
  • Consider how well the vaccine is reported to work. These vaccines work exceedingly well!
  • What are the risks to other people in your household if you get sick, especially if you are living with people at risk for serious illness, like the elderly.
  • How do you feel about the lack of scientific evidence about the vaccine’s safety and effectiveness for pregnant women?
  • How do you feel you would manage the reported side effects of the vaccine?

If you do get the vaccine:

  • Pregnant women who experience fever, either as a result of COVID-19 infector or following vaccination, should take acetaminophen (Tylenol) to treat fever, since a very high fever can harm a baby. A fever is far more likely as a result of COVID-19 infection than it is from vaccination.
  • Your health professional will give you information about enrolling in the V-Safe After Vaccination Health Checker. You can provide feedback on how the vaccine experience went for up to a week following your vaccination and get help with any concerns that may arise.

If you have questions, please ask your OB/GYN.

Whatever you choose, be sure to continue with the important prevention steps like avoiding visits with those outside your household, masking and distancing when in public, and washing your hands frequently.

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