Mind & Mood Archive

In the journals

Need help staying positive during trying times? Live more in the moment, but also focus on how to cope with future stresses. This advice comes from a study published online March 25, 2020, by Personality and Individual Differences.

Researchers explored two factors in how people handle stress: mindfulness and proactive coping. Mindfulness is when people live in the moment rather than dwelling on the past or worrying about the future. Proactive coping is when people make efforts to reduce the effect stress has on them.

Before taking pills for a temporary situation, consider the risks.

You might think that using an antidepressant temporarily could help you weather a challenging time, such as a period of grief, extreme stress, or serious illness. But you shouldn't just jump into taking an antidepressant, cautions Dr. Jane Erb, psychiatric director of the Behavioral Health Integration in Primary Care Program at Harvard-affiliated Brigham and Women's Hospital.

"There's no evidence that taking an antidepressant in the short term will help or that it will prevent longer-term consequences of stress, such as post-traumatic stress disorder," she says.

An analysis of multiple studies looking at the relationship between high blood pressure and cognitive health –– abilities like thinking, memory, and attention –– found that older people who lower high blood pressure are slightly less likely to develop cognitive impairment or dementia.

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.

Everyone has the occasional "senior moment." Maybe you've gone into the kitchen and can't remember why, or can't recall a familiar name during a conversation. Memory lapses can occur at any age, but aging alone is generally not a cause of cognitive decline. When significant memory loss occurs among older people, it is generally not due to aging but to organic disorders, brain injury, or neurological illness.

Studies have shown that you can help prevent cognitive decline and reduce the risk of dementia with some basic good health habits:

If you or someone else suspects early signs of memory loss, here's how you can find out if there's a problem.

There's no cure for dementia, and you cannot substantially reverse its effects, but there are ways to possibly slow its progression. But first, you need to know if you — or a loved one — may have a memory disorder. "Unfortunately, there is not one single test that confirms dementia while you are alive," says Dr. Julie Brody Magid, clinical director of the Harvard-affiliated McLean Hospital Memory Disorders Assessment Clinic. "The testing process is multilayered and takes many things into consideration. Going through this evaluation may help identify memory problems before they get worse."

Know the symptoms

Symptoms of dementia include memory loss, problem-solving difficulties, and language issues. Behavior and emotions also can be affected. Symptoms are often subtle early on, and then get progressively worse. They can increasingly interfere with daily life tasks, like remembering to attend appointments, take medication, or pay bills. People also may have trouble preparing meals or driving safely.

There are several ways to manage anxiety on your own, but it's important to recognize when to get professional help.

Nowadays, simply tuning in to the daily news is likely to be stressful. Add on the stresses of daily life — such as handling work demands or adjusting to retirement, dealing with family issues, coping with illness, or caregiving — and you may begin to greet each day with apprehension and worry. In other words, you can become anxious.

"Some degree of anxiety is normal and even necessary," says Dr. Ann Epstein, a psychiatrist at Harvard-affiliated Cambridge Health Alliance and medical editor of the Harvard Special Health Report Coping with Anxiety and Stress. "Anxiety signals us that something is awry or might need our attention. However, you don't want the response to become exaggerated or to dominate your life," she says. Good coping mechanisms for stress and anxiety can help you stay healthy during turbulent times.

Memory slips are aggravating, frustrating, and sometimes worrisome. When they happen more than they should, they can trigger fears of looming dementia or Alzheimer’s disease. But there are some treatable causes of forgetfulness.

Health anxiety can interfere with your life, but it's highly treatable.

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You spend hours on the Internet researching health information. When you get a scratchy throat you automatically think cancer — not a cold. And even when medical tests come back showing that you're healthy, it doesn't make you feel better. In the back of your mind you still feel like something is wrong.

If this sounds like you or a loved one, it may be health anxiety.