Mental Health Archive

Traumatic events, whether global or in a person’s own life, can take a toll on mental health. How can you reduce your stress and regain your emotional composure after going through a difficult time?

Prehabilitation aims to increase your strength and health before, not after, a medical procedure.

Rehabilitation can help get you up on your feet again after surgery or a physical setback. But some surgeons are increasingly turning to an innovative approach called prehabilitation in hopes of easing that recovery in the first place.

Prehabilitation, commonly called prehab, is an individualized medical program designed to help people — often those who are older or frail — better withstand and bounce back from an anticipated physically stressful event, such as surgery, says Dr. Julie K. Silver, an associate professor and associate chair of the Department of Physical Medicine and Rehabilitation at Harvard Medical School.

Reduce your stress levels and maintain a sense of normalcy during and after traumatic events.

For most Americans, 2020 has already been a rough year — and it's not even half over. A pandemic, natural disasters, economic decline, and, for many, the loss of a job have taken a toll on their mental health.

"Stress is particularly acute when you're experiencing a situation that is outside of your control," says Dr. Kerry Ressler, professor of psychiatry at Harvard Medical School. "You may feel stuck, frozen, or helpless." After a traumatic period, even when things settle down, it can be difficult to move on and regain a sense of normalcy.

What you do before procedures can help get the best results.

If you're planning a complex medical procedure or surgery, you'll hear a lot about the steps you'll need to take afterward to speed up recovery and reduce complications. But it's equally important to focus on your health beforehand, too.

"Preparing both your body and mind before an invasive medical procedure can help you better manage and overcome the many stresses you encounter," says Dr. Julie Silver, associate chair for the department of Physical Medicine and Rehabilitation at Harvard Medical School. "If you are healthier and stronger going in, you have a much higher chance of avoiding setbacks."

News briefs

Taking a warm bath helps soothe aching joints, wash away stress, and promote sleep. Now, a study published online March 24, 2020, by the journal Heart suggests that daily hot baths are also associated with better heart health. Researchers analyzed self-reported health and lifestyle information from more than 30,000 middle-aged people in Japan. Participants responded to a questionnaire at the start of the study and were then followed for about 20 years. Compared with people who didn't take a tub bath more than twice a week, people who took a daily warm or hot bath had a 28% lower risk of cardiovascular disease and a 26% lower risk of stroke. The study is only observational and doesn't prove that daily tub bathing staves off heart problems. But previous research has shown that the effects of tub bathing on the body are similar to those of exercise. Use caution, however: taking baths in very hot water is also tied to sudden death due to overheating, confusion, or drowning. If you're going to take a bath, keep the temperature comfortable and don't risk overheating. Finally, this study says nothing about the possible cardiovascular benefits of hot showers.

Image: © JohnnyGreig/Getty Images

These popular pets have been linked to a range of heart-related benefits.

Seeing a dog's wagging tail and furry face can be heartwarming. But living with and caring for a dog may be heart-protecting — and might even help you live longer, according to a growing body of research.

The latest findings include two articles published last year in Circulation: Cardiovascular Quality and Outcomes. One pooled findings from 10 studies involving a total of 3.8 million people who were followed between one and 22 years. Dog owners were 31% less likely to die from a heart attack, stroke, or other cardiovascular condition than people who didn't own dogs. A separate study, which followed more than 335,000 heart attack and stroke survivors over 12 years, found that having a dog was linked to a 21% lower risk of death from any cause.

Many women making the transition to menopause have trouble sleeping. Several strategies can help you get the rest you need.

If you're a woman of a certain age and you often find yourself staring at the ceiling in the middle of the night, you're not alone. The years leading up to menopause and the period that immediately follows are the times that women are most likely to report problems sleeping, according to the National Sleep Foundation. Many different conditions that are common in this stage of life — including hot flashes, obstructive sleep apnea, and mood disorders such as depression or anxiety — can cause sleep problems.

Lack of sleep is more than just a nuisance. "We now understand that high-quality sleep is absolutely vital to good health," says Dr. JoAnn E. Manson, the Michael and Lee Bell Professor of Women's Health at Harvard Medical School. This means that seeking care should be a priority if you are experiencing problems.

When you were a child and your mother told you to go play outside, it wasn’t just because she needed some child-free time. Inspired by a Japanese practice, forest therapy is an immersion in nature that has been shown to have positive effects on health.

Collaborative care is a team-based model of integrated psychiatric and primary care that can treat mental illnesses in the primary care setting. Providing this patient-centered care in the primary care setting improves access to mental health care and reduces stigma.

No single treatment—whether it's an antidepressant drug or a style of talk therapy—can ease depression in every case. However, research suggests you will improve your chances of getting relief if you combine drugs and therapy. One report that pooled findings from 25 studies found that adding psychotherapy to drug treatment was more helpful than medication alone in treating major depression. Earlier research suggested that one reason therapy and medication may complement each other is that they have different effects on the brain.

In addition to relieving depression, combination therapy may help ward off recurrences. A classic three-year study reported in JAMA tracked recurrences of major depression in about 200 people ages 60 or older. Of those who received monthly interpersonal therapy and who also took an antidepressant medication, 80% avoided a recurrence. In contrast, the same could be said for only 57% of those who received the drug alone, 36% of those given just interpersonal therapy, and a mere 10% in the placebo group.