Wednesday, 16 September 2020

Coping with Covid-19 and pain associated depression


 

When Pain + Stress = Depression

It’s been shown that ongoing pain can lead to depression. Add stress (as has happened during Covid-19) and life can become very miserable. Bloemfontein-based psychiatrist, Dr. Fanie Meyer, warns that when this happens and is not treated, BDFN or Brain-Derived Neurotrophic Factor become blocked, and the brain literally begins to shrink.  

Is this is reversible?

Depression and Covid-19 are friends. Even Pollyanna’s and the most resilient optimists are beginning to wilt under the pressure of non-pharmaceutical interventions (wearing a mask, hand washing, and social distancing), job losses and economic meltdown. Add stress hormones, and these can block proteins that help the brain to grow and develop new connections that feed nerve cells to the brain and spinal cord. This is BDFN.

Living with pain can begin with unresolved physical and emotional childhood traumas. Over the years, these can become exaggerated, especially when they’re ignored or treatment is unsuccessful. Pain issues can resurface when there’s unresolved stress. Pain also goes hand-in-hand with surgery and even the aftermath of childbirth. It can begin with work and sport-related overuse of joints and muscles. Pain is associated with many chronic illnesses like fibromyalgia and is the trophy of old age.

As if pain, stress and depression are not enough to deal with, other problems like sleep issues (too much or too little), nausea and appetite changes leading to weight gain or loss, compromised immunity – which means getting sick more often – IBS or irritable bowel syndrome (constipation and diarrhea) and brain dysfunction – forgetfulness and memory loss – are often added to the mix.

The good news is that there IS something you can do about this. 

How to get started:

Pain and depression:

·        See a doctor. You are likely to be prescribed antidepressants, and other medications for annoying discomforts like constipation or insomnia

·        Be patient because it takes at least three months before you will see results

·        Keep a pain-score-chart to monitor pain levels, grading 1 for minimal pain to 10 for severe pain. This will help to monitor your progress.

Manage your stress:

·           Only use social media platforms and information you can trust

·           Find your ‘power-person’ or mentor

·           Get help from an occupational therapist/pastor/psychologist/reflexologist and other complementary interventions like yoga, hypnosis or acupuncture

·           Don’t neglect yourself – when you look good you feel great

·           Get at least 7 hours of sleep every night

·           Never underestimate the power of prayer and meditation.

 

Improve your BDNF levels by:

Eating healthy, avoiding synthetic sugar and taking Omega 3 supplements

Have a daily routine: make sure you’re eating, sleeping, working and giving yourself

time off regularly throughout the day

Spend time outdoors in the sunshine

Listen to music

Use heat and Panado to keep your pain under control

Take all medications as prescribed

Stimulate your brain cells – playing cards, sudoku, crosswords, scrabble, quizzes, reading and writing

Make time for your children, family and friends.