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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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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