The Power of Coping Skills and Non-pharmacological Techniques

The obvious about using coping tools and non-pharmacological techniques for mood issues or behavioral concerns is that the person receiving these are not faced with experiencing many side effects with the potential to cause more problems when taking medications instead. For example, if I'm anxious and I take an anti-anxiety medication, sure I might feel less anxious, however, I may also become unproductive that day, sleep more than usual, and then feel irritable and even more anxious as it wears off. Reason being, I haven't actually dealt with what caused my anxiety in the first place! Now, in the event the person is taking medications, even reaching for coping tools or the caregiver using non-pharmacological approaches will reduce the amount of or chances for side effects if PRN, or as needed, medication was being used on top of their routine medication regimen.

However, there are two other bonuses to regularly using coping tools and non-pharmacological techniques:

1. It...

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The Prescribing Cascade

"I'm having difficulty sleeping, doc." Robert's physician prescribed a sleeping aide so Robert can sleep better at the long-term care facility he resides. Then, Robert starts to feel irritable in the morning when he awakes. Subsequently, he is prescribed an anti-anxiety medication to take in the morning and as needed. Roberts starts taking the anti-anxiety medication and then starts to feel more sleepy during the day, less productive and motivated, groggy, and having difficulty concentrating. He's isolating more in his room and not spending time doing the things he used to like to do. And because he is sleeping more during the day, he isn't sleeping much at night, even though he continues to take the sleep aide that his physician prescribed. He lets his physician know that he has been sleeping more than usual, not as sociable as he used to be, is having difficulty concentrating, and unmotivated. His physician then prescribes Robert an anti-depressant...When does it stop?!

A side...

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The COVID Trauma Through My Eyes: A Look into the Temporary Stay-at-Home Parent

It’s been a solid 13 weeks since the insurance company I work for sent us home to work remotely due to the pandemic. I thought, “Holy cow, this is a dream come true!! Roll out of bed and just log on to my computer to work, wear pajamas all day, have no one breathing down my neck, this will be a cake walk.”  As they say, ‘the grass is always greener on the other side.’ Or is it?

My wife works in corporate healthcare and quickly her flexibility was gone. She was pulled to the front lines to help as other workers got sick or absent due to fears of catching the Coronavirus.

Now she is gone 12 hours a day working in a COVID unit at a nursing home. It's scary enough that she could contract the virus, get sick and die, but also bring it home, possibly infecting myself or our two children (4 and 5 years old). That’s pretty stressful in itself as we all live in the same home, touch the same door handles, eat at the same table, and sleep in the same...

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The Next Pandemic: Post-Traumatic Stress

From the beeping of machines to patients gasping for air, from seeing your loved one for the last time on FaceTime to making funeral arrangements, from working in your office at work to filling your full-time hours at home while homeschooling your children, from socializing in your community groups to being isolated at home, from working on the frontlines to then developing symptoms and isolating from your family, from going to regular Tuesday BINGO group to being in your room all the time in a nursing home  and watching through the window young kids playing in their pool across the street, this pandemic has affected all of us in some way. All of our experiences might be different but what is common is the realization that this has been a traumatic, trying time etched in all of our minds. 

I believe our next pandemic will be suffering from post-traumatic stress.

Trauma is experienced differently from one person to the next. Someone may be coping well while another may feel...

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