COVID-19 and how to manage your mental health

27 March 2020 | Story Carla Bernardo. Read time 7 min.
Common mental health issues have been reported by people in lockdown, quarantine and/or isolation across the world. <strong>Photo</strong> <a href="https://www.pexels.com/photo/woman-wearing-white-face-mask-3987215/" target="_blank">Pexels</a>.
Common mental health issues have been reported by people in lockdown, quarantine and/or isolation across the world. Photo Pexels.

As a result of the global outbreak of COVID-19, many are struggling to adjust to what will be our “new normal” for the foreseeable future: social distancing (or social solidarity), self-isolation, quarantine and, following President Cyril Ramaphosa’s recent address, a 21-day nationwide lockdown.

If all of this is making you worry, feel anxious or down – you are not alone. You are certainly not without advice from experts from the University of Cape Town (UCT) on how to manage these experiences, particularly anxiety and depression.

“Broadly speaking, everyone needs to protect their mental health during this time,” said Associate Professor Kevin GF Thomas, the head of UCT’s Department of Psychology.

Thomas’s training is in clinical psychology and his specialisation is in neuropsychology. His research is focused primarily on modifiable causes of cognitive impairment and dysfunction, such as stress, anxiety and trauma, as well as disrupted sleep.

According to Thomas, those already experiencing mental health struggles – of whatever kind – may find that these struggles are exacerbated by the inability to attend face-to-face psychotherapy sessions, exercise regularly and engage in needed social contact, among other things.

A nationwide lockdown came into effect at midnight on Thursday, 26 March. Photo Pexels.

“I will give three specific examples of some common mental health issues people in lockdown, quarantine and/or isolation have been reporting across the world,” Thomas said.

The first is depression.

Those prone to depressive episodes may be deprived of needed protections against low mood, protections such as exercise and social contact. Being isolated might feed their tendencies toward rumination, and reading about the effects of COVID-19 across the world may increase their sense of negativity about their present circumstances and prospects.

The second example is generalised anxiety disorder.

“Those diagnosed with this disorder tend to worry excessively about world affairs, their health, the health of family members, and so on,” explained Thomas.

While in the current circumstances these worries may appear to be appropriate at first, if they are not checked by some positive reframing of the situation – such as the lockdown may be inconvenient in the short term, but in the long term it is proven effective at slowing infection rates – then there can be a spiralling of negativity and increased anxiety.

The third example is post-traumatic stress disorder.

“Some people might find themselves confined in spaces with individuals who have inflicted violence, abuse or neglect upon them,” said Thomas. “This confinement can trigger memories of those prior negative episodes and can reawaken previously dormant traumatic episodes.”

Expert advice

To help manage the mental health struggles people might be facing during this time, Thomas shares some advice.

Lockdown, social distancing, isolation and quarantine does not mean that all social contact must cease. We are fortunate to live in an age where social media allows us to remain in touch with friends and family members who are physically distant from us.

“I would therefore advise judicious use of social media as a means to protect mental health.”

The lockdown does not mean that all social contact must end; however, it’s not wise to “furiously” scroll through social media in search of COVID-19 information. Photo Pexels.

The keyword in the previous sentence is “judicious”. It’s not wise to furiously scroll through social media in search of COVID-19 information – an endless loop of bad news over which you have no control is a recipe for increasing stress and anxiety. Thomas therefore recommends limiting news intake to discrete, and brief, periods such as 30 minutes in the morning and/or 30 minutes in the evening.

Structure your days. People who are used to externally imposed structures on their daily activities, for example students and corporate workers, might find themselves wondering how best to spend their time. That sort of uncertainty can lead to increased levels of stress and anxiety. Have a period you dedicate to work tasks, make mealtimes as special as you can, take time to exercise, and celebrate mini-anniversaries (“One week into lockdown! Only two more weeks to go!”).

Be aware of how your relationships with others are being affected by the lockdown. Family ties, even the strongest ones, can fray when people are forced to spend whole days and weeks around one another with no breaks. Schedule some time when you can be alone, with a book or a podcast or something else that makes you happy and takes you out of your immediate family orbit. Parents of young children might want to schedule times when one of them is with the kids while the other works, and to then switch after a few hours.

Sleep is very important for emotion regulation. Photo Pexels.

Sleep regularly. Healthy sleep is important for emotion regulation, so it’s important to maintain your normal sleep habits. Do not use your bed for work or daytime reading – try to limit it to your regular night-time activities.

Finally, maintain contact with your mental health professional as much as possible. Some therapists are fine with Skype, Zoom or WhatsApp sessions. Others are okay with email check-ins and some might be okay with phone sessions.

“It is best to ask about this as far ahead of time as possible to make sure that your therapist is available to you in some form,” said Thomas.

If you cannot have contact with your regular therapist, there are some free online and telephone counselling services he suggests, such as the South African Depression and Anxiety Group, the Centre for Interactive Mental Health Solutions and 7 Cups of Tea.

Please note that there are paid offerings for the latter two, but there are free sessions as well. 7 Cups of Tea offers free peer-to-peer “emotional support”.

Thomas has no professional or personal interests in any of these organisations.

Who can I contact with queries about COVID-19?

National Department of Health WhatsApp service 060 012 3456 (WhatsApp “Hi” for access to relevant information)

National Institute for Communicable Diseases (NICD) hotline 0800 029 999

Student Wellness Service

  • 021 650 5620 (office hours)
  • 021 650 1271 (after hours)
  • 021 650 5685 (staff only)

Independent Counselling and Advisory Services (ICAS)

The all-new ICAS On-the-Go app lets you chat live with an ICAS counsellor, giving you and your family access to 24/7/365 health and wellness info.

  • Please call me: *134*905#
  • Email uct@icas.co.za
  • Telephonic counselling 080 111 3945

UCT Coronavirus Disease 2019 web page: bit.ly/UCTCovid-19


Creative Commons License This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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UCT’s response to COVID-19

COVID-19 is a global pandemic that caused President Cyril Ramaphosa to declare a national disaster in South Africa on 15 March and implement a national lockdown from 26 March.

UCT is taking the threat of infection in our university community extremely seriously, and this page will be updated regularly with the latest COVID-19 information.

Frequently asked questions

 

Daily updates


Friday, 16 October 10:05, 16 October 2020
Wednesday, 14 October 12:50, 14 October 2020
Tuesday, 22 September 14:10, 22 September 2020
Friday, 11 September 10:05, 11 September 2020
Monday, 31 August 12:20, 31 August 2020
Wednesday, 12 August 10:20, 12 August 2020
Friday, 7 August 11:24, 7 August 2020
Thursday, 6 August 18:26, 6 August 2020
Monday, 27 July 14:00, 27 July 2020
Wednesday, 15 July 09:30, 15 July 2020
Monday, 13 July 14:25, 13 July 2020
Monday, 6 July 16:20, 6 July 2020
Thursday, 25 June 10:15, 25 June 2020
Tuesday, 23 June 12:30, 23 June 2020
Thursday, 18 June 17:35, 18 June 2020
Wednesday, 17 June 10:45, 17 June 2020
Tuesday, 2 June 12:20, 2 June 2020
Friday, 29 May 09:25, 29 May 2020
Monday, 25 May 14:00, 25 May 2020
Thursday, 21 May 12:00, 21 May 2020
Wednesday, 6 May 10:00, 6 May 2020
Tuesday, 5 May 17:05, 5 May 2020
Thursday, 30 April 17:10, 30 April 2020
Tuesday, 28 April 10:30, 28 April 2020
Friday, 24 April 09:35, 24 April 2020
Thursday, 23 April 17:00, 23 April 2020
Wednesday, 22 April 14:25, 22 April 2020
Monday, 20 April 17:45, 20 April 2020
Friday, 17 April 12:30, 17 April 2020
Thursday, 16 April 09:45, 16 April 2020
Tuesday, 14 April 11:30, 14 April 2020
Thursday, 9 April 09:00, 9 April 2020
Wednesday, 8 April 15:40, 8 April 2020
Wednesday, 1 April 15:50, 1 April 2020
Friday, 27 March 11:40, 27 March 2020
Thursday, 26 March 18:30, 26 March 2020
Tuesday, 24 March 15:40, 24 March 2020
Monday, 23 March 15:40, 23 March 2020
Friday, 20 March 16:00, 20 March 2020
Thursday, 19 March 09:15, 19 March 2020
Wednesday, 18 March 16:00, 18 March 2020
Tuesday, 17 March 12:50, 17 March 2020
Monday, 16 March 17:15, 16 March 2020

Campus communications


Online staff assembly and other updates 15:09, 30 September 2020
Fee adjustments and other updates 15:21, 16 September 2020
Call for proposals: TLC2020 10:15, 26 August 2020
SAULM survey and other updates 15:30, 5 August 2020
COVID-19 cases and other updates 15:26, 5 August 2020
New UCT Council and other updates 15:12, 15 July 2020
Upcoming UCT virtual events 09:30, 15 July 2020
Pre-paid data for UCT students 14:25, 22 April 2020
Update for postgraduate students 12:55, 20 April 2020

Resources

Video messages from the Department of Medicine

Getting credible, evidence-based, accessible information and recommendations relating to COVID-19

The Department of Medicine at the University of Cape Town and Groote Schuur Hospital, are producing educational video material for use on digital platforms and in multiple languages. The information contained in these videos is authenticated and endorsed by the team of experts based in the Department of Medicine. Many of the recommendations are based on current best evidence and are aligned to provincial, national and international guidelines. For more information on UCT’s Department of Medicine, please visit the website.


To watch more videos like these, visit the Department of Medicine’s YouTube channel.

Useful information from UCT

External resources


News and opinions


Statements and media releases


Media releases



Read more  

Statements from Government



 
 

In an email to the UCT community, Vice-Chancellor Professor Mamokgethi Phakeng said:
“COVID-19, caused by the virus SARS-CoV-2, is a rapidly changing epidemic. [...] Information [...] will be updated as and when new information becomes available.”

 

We are continuing to monitor the situation and we will be updating the UCT community regularly – as and when there are further updates. If you are concerned or need more information, students can contact the Student Wellness Service on 021 650 5620 or 021 650 1271 (after hours), while staff can contact 021 650 5685.

 

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