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Ways to ward off the festive blues

The festive season comes with so many expectations – magical moments, picture-perfect family time – that we could easily neglect our emotional health as we try to live up to them.

Surrounded by tinsel, lights, family and festive cheer, it’s hard for some to imagine that anyone could feel lonely. Sadly, in the midst of this magical time, many people suffer their greatest periods of sadness and isolation. In fact, psychologists theorise that it is precisely the emphasis on family and togetherness, paired with the extended time off from work, that highlights feelings of loneliness.

Clinical psychologist Roz Veitch explains that, for most of the year, we may be able to distract ourselves with work or visits to friends, but with everyone focused on their own families during the festive period, a sense of loneliness may hit home. Past trauma around the holidays or the pressure to have a perfect festive season may escalate already fragile mental health.

What can you do if you are feeling isolated, lonely or depressed at this time of year?

Plan ahead

“People should look at how they felt over the festive season in previous years and aim to plan ahead. For instance, if being alone in your home feels bad, why not reach out to friends or colleagues who may be in a similar position and plan something together?” says Veitch.

She stresses that the solutions will be different for each person, but that looking at past experiences may offer some clues as to how you will feel, and what you can do to avoid it this year.

Change the story in your head

Feelings of isolation are often magnified by dwelling on them. Try not to spend time laser focused on the things you are missing out on, but rather think about what you can achieve.

“Why not imagine it as a time for spoiling yourself? Run a bubble bath, make a delicious meal, go for a walk in a park, watch your favourite movie and reflect on the successes of the past year?” suggests Veitch. “Having a whole day to ourselves is so rare that it’s possible you may start looking forward to the opportunity.”

Don’t drink alcohol

Having a drink may feel like a solution, but once you come down, it will only heighten the feelings of depression. This happens because alcohol is a depressant that alters the chemical balance in your brain, leading you to feel more alone than ever before.

Volunteer to help others

It’s important to realise that you are not actually alone: many other people are also struggling during the holidays. Offering to volunteer with charities or religious organisations that are geared towards helping people at Christmas can give your day both focus and purpose.

“It can be incredibly life-affirming to help others, which – together with the sense of community that comes from assisting others in need – is often enough to lift people out of their dark places,” says Veitch.

Reach out

Just letting someone know how you are feeling can be a great relief. Tell those around you that you will be alone over the holidays and try to schedule a phone call with a friend or family member to give you something to look forward to. If that isn’t an option, the South African Depression and Anxiety Group can help with a counsellor’s contact details.

References

Sign up for a stress-free festive season

This is a wonderful time to be with family, have a break, and enjoy tasty food and good company. But somehow things often end up less jolly and more ‘just-let-it-be-January.’

Why is this time of year so often accompanied by skyrocketing stress, anxiety and exhaustion? For one, we can feel overwhelmed with the extra social engagements. Plus, at big gatherings we might have to face people with whom we don’t necessarily see ‘eye-to-eye.’ It’s also easy to overindulge and spend money as if we’ve won the lottery (knowing full well our accounts are redder than Rudolph the Reindeer’s nose).

If you’re wondering how to have a great year-end without all this angst, read on.

Be best friends with boundaries 

The festive season is a time of giving, but sometimes we give so much (time, energy, money) that we can no longer look after ourselves. Feel like you have to partake in all the family events or get gifts for everyone? Worried about being saddled with all the meal prep? Setting boundaries will help you navigate these stressful situations.

In a nutshell, says American research professor and author of Dare to Lead, BrenĂ© Brown, “A ‘boundary’ is simply what’s ok and what’s not ok.” And that’s something you decide for yourself. Identify what’s important to you over the festive season and what your limits are, then set boundaries from there. Work out in advance what you are comfortable with in terms of:

  • Where you spend your time
  • Who and what you prioritise
  • How much money you spend
  • What and how much you eat and drink
  • Which holiday traditions you keep

It’s important to let go of guilt. Remember, having boundaries doesn’t mean that you don’t care about others. Healthy boundaries enable you to care for others and yourself.

Defuse festive season stress further with these strategies:

  1. Gift wisely. Festive gifting sounds fun but can be emotionally draining and cause serious financial strain. Does everyone really need an individual gift? A way around this is for each person to draw one name and buy only that person a gift of a certain value. Parents could club together to get teachers gift vouchers, while families could buy gifts for the children only. Try a gift-list app to help you keep track of spending, like Christmas Gift List Tracker for iPhone or Christmas Gift List for Android.
  2. Jingle all the way (to the bank). Hosting a fancy dinner, splurging on a holiday, a night on the town or a shopping spree can make a dent in your financial freedom. Set a budget before you get sucked into all the holly jolly. Find ways to stick to your budget. For example, rather than catering the get-together in full, ask everyone to bring a dish and drinks. Take your evening-out budget in cash and, once that’s spent, it’s time to go home.
  3. ’Tis the season to be healthy. The temptation to overindulge is real. But you don’t have to forgo your seasonal delights – just make sure the rest of what you eat that day is healthy. Avoid skipping meals “to make up for the splurge” and stick to small portions of the treats. Leave the sherry for Santa and choose refreshing mocktails. And get moving with a walk on the beach or a game of frisbee. There’s a strong link between exercise and stress reduction.
  4. Be summer safe. With our year-end weather being sunny side up, it’s important to take steps so you don’t end up with heat exhaustion or even permanent skin damage. Keep hydrated (with water, that is – alcohol makes you more dehydrated) and follow the Australian slogan of “Slip-Slop-Slap”: slip on a shirt, slop on sunscreen, and slap on a hat. Avoid the sun at the hottest times of the day (10h00–15h00).

So, set those boundaries and stick to them – it’s the best gift you can give yourself and everyone around you.

Quiz: Check your festive season stress levels

References

How do you treat Multiple Sclerosis

Multiple sclerosis (MS) is a condition that can affect the brain and spinal cord. It’s a lifelong condition that can cause problems with vision, arm or leg movement, sensation or balance. Eventually, some nerves are destroyed while others are left damaged.

Symptoms and their severity depend on the amount of nerve damage that has occurred and which nerves have been affected.

Common symptoms include:

  • Struggling with coordination and balance, causing difficultly in walking.
  • When nerves are damaged, communication from the brain slows. This can cause slurred speech.
  • Vision problems and eye pain.

Treatment will depend on the specific symptoms and difficulties you have, which include:

  • Short courses of steroid medicine
  • Specific treatments for individual MS symptoms.
  • Treatment to reduce the number of relapses using medicines called disease-modifying therapies.

Disease-modifying drugs

Disease-modifying medications can reduce the frequency and severity of MS episodes, or relapses.

They also control the extent of damage to nerve fibres and reduce disease symptoms.

The main benefits are

  • Fewer relapses
  • Less severe relapses
  • Reduced build-up of disability which develops when you can’t recover completely from relapses.

There are currently several drugs to treat MS. These come in the form of injectables, infusions, and oral treatments.

Treatment for relapses

Ending a relapse as quickly as possible benefits both body and mind. Relapse treatment includes:

Corticosteroids: Often used to ease inflammation and reduce the severity of MS attacks.

Corticosteroids used to treat MS include methylprednisolone (intravenous) and prednisone (oral).

Inflammation is a key feature of MS relapses, which leads to other symptoms of MS, like fatigue, weakness and pain.

If corticosteroids don’t provide relief for relapses, or if intravenous treatments can’t be used, there are other treatments, which include :

ACTH (H.P. Acthar Gel): ACTH is an injection into your muscle or under your skin. It works by prompting the adrenal cortex glands (located on top of each kidney) to secrete the hormones cortisol, corticosterone, and aldosterone. These hormones reduce the level of inflammation in your body.

Plasmapheresis: Is a process that involves removing whole blood from your body and filtering it to remove antibodies that may be attacking your nervous system. The “cleansed” blood is then given back to you as a transfusion.

Intravenous immunoglobulin (IVIG): This treatment is an injection that helps to boost your immune system.

Many therapies aiming to treat progressive MS are currently being researched.

Controlling the symptoms

Your doctor may recommend treatments for and/or medication for muscle stiffness and spasms, depression and bladder problems. You will also be taught exercises that will help you stay active.

Make lifestyle changes

  • Keep a regular sleep schedule and make sure your bedroom is cool, dark, and screen-free.
  • Staying active builds bones and strengthens muscles. It keeps depression at bay and helps you sleep better.
  • Reduce your stress. Stress worsens your symptoms. Find something you enjoy that helps control the ups and downs, whether it’s through meditation, reading, journaling, or catching up with friends and family.
  • Stay cool in a well ventilated room. Wear loose, breathable clothes outside. A rise in body temperature can make your symptoms worse.

References

Do you have an anxiety disorder?

Being worried is absolutely normal, especially when you’re about to take on a big task like exams or rushing to find that lecture room on time.

On the other hand, if your worrying causes constant stress, impacts on your social life, and interferes with classes and work, you may need to seek help.

If that’s the case, it’s important to know that millions of people suffer with social anxiety disorder. You’re really not alone. It’s equally common in men and women. If left unchecked, it can drive people into a chronic state of nervousness and fear.

Normal anxiety

Anxiety is a normal reaction to danger. It’s your body’s automatic fight-or-flight response that’s triggered when you feel threatened, under pressure, or facing a stressful situation.

The difference between normal anxiety and an anxiety disorder is between the source and the intensity of the experience. At the low end of the intensity range, anxiety is normal and adaptive. At the high end of the range, anxiety can become uncontrollable and may result in you not being able to adjust appropriately to an environment or situation.

What is an anxiety disorder?

When your anxiety is constant or overwhelming and interferes with your relationships and daily activities.

Signs and symptoms of anxiety disorder

  • Irritability
  • Feeling like your mind’s gone blank.
  • Anticipating the worst.
  • Feeling tense and jumpy.
  • Watching for signs of danger.
  • Feelings of apprehension (anxiety or fear that something bad or unpleasant will happen).
  • Trouble concentrating.

Anxiety is more than just a feeling. As a product of the body’s fight-or-flight response, it also involves a range of physical symptoms:

  • Sweating
  • A pounding heart.
  • Dizziness
  • Headaches
  • An upset stomach.
  • Frequent urination or diarrhoea.
  • Shortness of breath.
  • Muscle tension or twitches.
  • Shaking or trembling.
  • Insomnia

How to cope better

  • Get active. Physical activity boosts your feel-good hormones. Join a sports club, or go to the gym. Take a break and go for a walk. Make it a priority to move frequently.
  • Don’t skip meals. Eat a clean and balanced diet. Keep the caffeine to a minimum and go easy on sugary drinks. Caffeine can trigger anxiety and panic attacks.
  • Stay away from alcohol and drugs. These substances can aggravate anxiety and make your feelings worse.
  • Don’t aim for perfection. Give everything your best shot instead of trying to do things perfectly in one go. Everything will take time, be proud in the little you do, to get close to your end goal.
  • Learn some relaxation techniques. Take a deep breath and count to 10. Stepping back from your problems will help you clear your head. Meditate, get a soothing massage and listen to relaxing music.
  • Don’t beat yourself up! Think about your situation and remind yourself of all the positives, or all the certainties. It may be hard to spot them at first, but making yourself more aware of what you DO have, and what you CAN trust, can help shift the balance.
  • Call a friend. Don’t bottle up your emotions. Reach out to your roommate, partner, family, or a counsellor when you’re feeling overwhelmed. If all else fails, get out a notepad and write out your feelings. It’s amazing how small things start to look when they’re out of your head and down in black and white.
  • Figure out your anxiety triggers. Take notes or write in a journal when you’re feeling anxious or stressed, and then look for patterns. Some triggers can be avoided, and for others, you can learn some coping strategies.

If you’re still finding it hard to get your anxiety under control, speak to one of our doctors. You may need therapeutic or medical treatment. Don’t suffer in silence!

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