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Coping with Social Isolation and Fear
During the Covid 19 Pandemic
 The struggle is real.
 Coronavirus threat
 Financial instability
 Job security
 Mental health
 Juggling demands of home & work
Here We Are
 Give yourself grace.
 Notice the feeling.
Self Compassion
Setting
Intentions
Tools in the
Moment
Managing the Mind
 Paying attention with purpose.
 What we are doing that is helpful and unhelpful
 Going to the Mental Gym
 Redirect focus to the present moment
 Let Go. Relax. Return.
 Gently start again.
 Discipline is a caring way of protecting us from unhealthy habits.
Self care. (e.g. routine, limits, boundaries, schedule)
Managing the Mind
Noticing (self-awareness)
 What does it look like for me?
 Talk it over with trusted (safe) supportive others to
create a concrete plan.
 Learn more and flush out what the picture might look
like if you arrived at one of your “What If” scenarios.
 Can be helpful in settling anxiety.
 Others are here to support and guide you.
STRATEGY: “What If?”… “Then What?”
 Those at risk for complications from Covid 19 include
cancer survivors
 Hospitals have strict protocols in place to protect
patients, family members and staff.
 Detailed guidelines for diagnosing and treating all
vulnerable patients.
 What helps you trust your team?
 What would be helpful as you work to tolerate
medical uncertainty?
Cancer Survivor Lens
 Basic personal hygiene:
 Washing hands
 Not touching your face
 Keep distance from others - Stay home
 Make a list of questions for your oncology team
 Continuation of treatment – clinical trial
 Follow up protocol – timing
 Explore options for getting your medications
 Can medications be sent to you?
 Is there a specific (new) procedure for picking things up?
Cancer Survivor Lens
Where do you have control?
 What personal attributes helped you through other
difficult times?
 What is different about today than times of cancer related
isolation?
 What have you done to feel prepared or grounded in the
past?
 What would your most encouraging, supportive and
empowering loved ones say to you, about YOU ability to
cope?
Survivor Narrative
 Uncertainty is one of the more
difficult emotions.
 Our minds go to great
lengths to gain control in
the face of uncertainty.
Desperately Seeking Control
 This hour. This day.
 Trust in future self efficacy to keep functioning along
the way.
 When you arrive in each new present moment… you
are not alone.
 Others are here to support you and guide you.
STRATEGY: One Day At A Time
 Learning to tolerate uncomfortable emotions gives us
flexibility.
 Get curious. Allows you a third person perspective.
 Separate the Feeling from You.
 Responsive vs. Reactive.
 Control may look like turning your attention
elsewhere.
Just Be.
 Anchor your worry OUTSIDE of your worry.
 Turn your attention.
 Project
 Creative Expression: Music, Art, Cooking…
 Physical Activity
 Nature
 Connect with others.
STRATEGY: Control. Alt. Delete.
 Isolation puts you more at risk for anxiety &
depression.
 Be mindful of indulging in coronavirus story telling.
 Creative ways of connecting:
 Read a book/watch a show together
 Marco Polo
 Share pics from the day
Staying Connected
 Monitor your consumption of news.
 Become self-aware of when you are NOT aware. “Oh,
goodness I am here again?” “Wow, look at the time!”
 Set notifications – take back control.
 Determine what you need and when you’ve hit your
limit
 What is the purpose? The goal?
 Check your physical experience.
Jay Michealson, 10% Happier
Educating (and caring for)Yourself
 Finding joy
 Balancing worry with hope
 Acknowledging suffering alongside healing
 Noting thoughts: Past, Present and Future.
Balance
• Rested
• Nourished
• Hydrated
• Connected
• Acknowledged
• Tired
• Hungry
• Sick
• Emotional
Setting up for Success
 To feel tired is understandable. There is energy involved in
mentally monitoring yourself.
 Experiment with how much time you need to recharge?
 Give thought to how you end each day – what feels
comforting to you?
 Reflection
 Escape
 Gratitude
 Connection
 Comfort
 Impermanence is your best friend – each hard moment
changes.
This is effort
Strategies for Coping with COVID-19 Fear and Social Isolation

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Strategies for Coping with COVID-19 Fear and Social Isolation

  • 1. Coping with Social Isolation and Fear During the Covid 19 Pandemic
  • 2.  The struggle is real.  Coronavirus threat  Financial instability  Job security  Mental health  Juggling demands of home & work Here We Are
  • 3.  Give yourself grace.  Notice the feeling. Self Compassion
  • 5.  Paying attention with purpose.  What we are doing that is helpful and unhelpful  Going to the Mental Gym  Redirect focus to the present moment  Let Go. Relax. Return.  Gently start again.  Discipline is a caring way of protecting us from unhealthy habits. Self care. (e.g. routine, limits, boundaries, schedule) Managing the Mind
  • 6. Noticing (self-awareness)  What does it look like for me?
  • 7.  Talk it over with trusted (safe) supportive others to create a concrete plan.  Learn more and flush out what the picture might look like if you arrived at one of your “What If” scenarios.  Can be helpful in settling anxiety.  Others are here to support and guide you. STRATEGY: “What If?”… “Then What?”
  • 8.  Those at risk for complications from Covid 19 include cancer survivors  Hospitals have strict protocols in place to protect patients, family members and staff.  Detailed guidelines for diagnosing and treating all vulnerable patients.  What helps you trust your team?  What would be helpful as you work to tolerate medical uncertainty? Cancer Survivor Lens
  • 9.  Basic personal hygiene:  Washing hands  Not touching your face  Keep distance from others - Stay home  Make a list of questions for your oncology team  Continuation of treatment – clinical trial  Follow up protocol – timing  Explore options for getting your medications  Can medications be sent to you?  Is there a specific (new) procedure for picking things up? Cancer Survivor Lens Where do you have control?
  • 10.  What personal attributes helped you through other difficult times?  What is different about today than times of cancer related isolation?  What have you done to feel prepared or grounded in the past?  What would your most encouraging, supportive and empowering loved ones say to you, about YOU ability to cope? Survivor Narrative
  • 11.  Uncertainty is one of the more difficult emotions.  Our minds go to great lengths to gain control in the face of uncertainty. Desperately Seeking Control
  • 12.  This hour. This day.  Trust in future self efficacy to keep functioning along the way.  When you arrive in each new present moment… you are not alone.  Others are here to support you and guide you. STRATEGY: One Day At A Time
  • 13.  Learning to tolerate uncomfortable emotions gives us flexibility.  Get curious. Allows you a third person perspective.  Separate the Feeling from You.  Responsive vs. Reactive.  Control may look like turning your attention elsewhere. Just Be.
  • 14.  Anchor your worry OUTSIDE of your worry.  Turn your attention.  Project  Creative Expression: Music, Art, Cooking…  Physical Activity  Nature  Connect with others. STRATEGY: Control. Alt. Delete.
  • 15.  Isolation puts you more at risk for anxiety & depression.  Be mindful of indulging in coronavirus story telling.  Creative ways of connecting:  Read a book/watch a show together  Marco Polo  Share pics from the day Staying Connected
  • 16.  Monitor your consumption of news.  Become self-aware of when you are NOT aware. “Oh, goodness I am here again?” “Wow, look at the time!”  Set notifications – take back control.  Determine what you need and when you’ve hit your limit  What is the purpose? The goal?  Check your physical experience. Jay Michealson, 10% Happier Educating (and caring for)Yourself
  • 17.  Finding joy  Balancing worry with hope  Acknowledging suffering alongside healing  Noting thoughts: Past, Present and Future. Balance
  • 18. • Rested • Nourished • Hydrated • Connected • Acknowledged • Tired • Hungry • Sick • Emotional Setting up for Success
  • 19.  To feel tired is understandable. There is energy involved in mentally monitoring yourself.  Experiment with how much time you need to recharge?  Give thought to how you end each day – what feels comforting to you?  Reflection  Escape  Gratitude  Connection  Comfort  Impermanence is your best friend – each hard moment changes. This is effort

Editor's Notes

  1. I realize you are all sitting at your desk with varying roles and responsibilities. These circumstances are impacting all of us and that stress shows up in many ways. Difficult NOT to have things on the calendar to look forward to, losses and more unexpected interruptions. What are you experiencing right now? What one thing you think you should stop doing to make you feel better? So, when you find yourself lost…or irritable… or emotional…
  2. When you notice the feeling. Name it. You create a little distance between yourself and the feeling you are experiencing. In this space, can you plug in self care…
  3. Getting in touch with your inner wisdom and resilience.
  4. Building calm compassion & self awareness help us do our best under stress and lower our chances of reacing from fear/panic. Back in the driver’s seat. Thoughts are in a feedback loop. Indecisive. Scattered. Hazy. Fast/Slow. Feelings: Overwhelmed, Vulnerable, Disconnected, Hot, Irritable, Impulsive, Frantic, Pressured, Scared, Neglected, Panic Body: Lethargic, Buzzy, Heartrate, Stomach knots, muscle tension, headaches, digestion
  5. Many times anxiety presents itself in the form of What Ifs… Sometimes coping with anxiety means walking down the path of worry. Consider your biggest What Ifs and ask, Then What? Creating a concrete plan can be helpful in settling the anxiety. Focus on what is reasonably within your control. Also helps to illuminate the disparity in the here and now. Can help you see your NOW more clearly.
  6. Know your risk. Gather specific information. Feel prepared.
  7. Turn this behaviors into opportunities to practice mindfulness Notice washing your hands – touch, sound Make not touching your face into a game… notice, resist, build muscles for tolerating discomfort Your medical team is working to make decisions weighing the risks of Covid 19 and the importance of your cancer treatment (some can be delayed, some can not) Ask all your questions about your health, side effect management and treatment Be honest about your worry and fears – (turn attention - trust) What concrete information helps you to trust? What would be helpful to you as you work to tolerate uncertainty?
  8. Protective. Effort to keep you safe. Uncertainty is inevitable. Futile attempts to gain control leave us more exhausted, anxious and drained. Drain you of time, energy and resources – don’t have enough to cope with what would otherwise have been manageable. Within your Control: Know how to reduce the risk of infection. Outside your Control: Working to figure out how inaccurate the statistics are or who in your area is exposed/infected.
  9. Important to keep in mind that we each have different styles of coping. We have to have a plan for… or what about when…. Can become TOO MUCH for some people. They do better with, in this hour. Etc.
  10. When we strengthen our ability to tolerate difficult emotions we become more skilled at allowing them to co-exist in the background as we attend to other things. When we can separate the feeling from being the feeling we can allow regain control
  11. It may be unrealistic to completely wash away all the rumble of discomfort right now. Can you work to find islands of calm or strategies to help you stay engaged despite the noise of uncertainty in the background. To see the cup as half empty or half full is missing the point. The cup… is refillable. Take each moment at a time.