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Managing the new normal: Actively help your family weather the pandemic

More than six months into the pandemic, it’s clear that we are going to be living with it for some time, and that expectations of life soon returning to normal are not realistic. This is a good time to assess the adjustments we’ve made and see how we can make different choices to get ourselves and our families through the challenge.

Limiting COVID chaos during the school year

As the school year begins, plans for how learning will happen are in flux, and may change rapidly. With so much uncertainty, parents will want to limit confusion and create as much structure as they can for their children in this difficult situation.

Tips to defuse a meltdown

Shifting your thinking and practicing deep breathing can help when you're stuck in an intense emotional moment.

At some point, we've all gotten stuck in a "meltdown" moment — an overwhelming feeling of anger or stress that was difficult to shake off. "Feeling overwhelmed makes it harder to identify ways to get unstuck; the options seem limited, which can create a sense of hopelessness or despair. Additionally, negative memories may come to mind more readily, and we may filter out useful ways of viewing the situation at hand," says Abby Altman, an associate psychologist at Harvard-affiliated Brigham and Women's Hospital.

But there are ways to shift your focus and break out of extremely emotional moments. Take note of the following tips so you can put them to work if a meltdown strikes.

Chronic pain linked to higher risk of heart attack and stroke

Research we're watching

People with chronic pain may be more likely to have a heart attack or stroke than those without chronic pain, according to a study published online May 7, 2020, by the journal Pain Medicine.

From 2001 to 2005, researchers identified 17,614 Taiwanese people who had used pain relievers for at least three months. The most common causes of pain were spinal disorders, arthritis, and headaches; the pain relievers included both over-the-counter drugs and prescription opioids. For the comparison group, researchers used 35,228 people without chronic pain who were matched by age and sex to those in the first group.

Minding your memory

Not all memory issues are cause for concern. Here is how to manage those annoying everyday lapses.

Everyone experiences the occasional "senior moment" as they age. You may misplace everyday items, fail to recall the name of someone you just met, or forget to do something. While these memory slips can be embarrassing and stressful, they usually don't mean that you are on a path to dementia.

"Some degree of memory lapses is a normal part of aging," says Lydia Cho, a neuropsychologist with Harvard-affiliated McLean Hospital. "You can't expect to hold on to all information you've gathered throughout your life, whether it was long ago or recent. It's not realistic or adaptive."

Women's group recommends more screenings for anxiety

Research we're watching

A national coalition of women's health organizations recommends screening all adolescent girls (ages 13 and older) and adult women for anxiety. The goal is to improve detection and treatment for this common condition. The Women's Preventive Services Initiative (WPSI) recommends screening to look for all types of anxiety disorders, such as panic disorder, social anxiety disorder, and generalized anxiety disorder, in addition to depression screenings, which are already recommended for adults, says the WPSI. It would be up to individual clinicians to determine how often to do the screenings and to refer women and girls for follow-up examinations and screening.

Image: fizkes/Getty Images

The mental side of cardiac rehab

If you have experienced a heart attack or undergone a heart procedure, don't neglect your mental health during recovery.

Recovery from a heart attack, heart failure, angioplasty, or heart surgery — what doctors call heart events — can be stressful. Depending on your condition, it may also involve cardiac rehabilitation. This medically supervised program focuses on exercise, diet, and lifestyle changes. While the primary focus is to help you physically, you also need to address your mental and emotional health.

"It's normal to have some anxiety and stress after a heart attack or heart surgery," says Dr. Christopher Celano, assistant professor of psychiatry at Harvard-affiliated Massachusetts General Hospital. "But how long these feelings linger, and whether they are also associated with symptoms of depression, can affect your rehab recovery success and potentially increase your risk of future problems."

Music to your brain

Listening to music or playing an instrument engages multiple parts of your brain — and can help your mood and memory.

Music has the ability to soothe, energize, and even to improve your memory. And tapping into its power is as simple as turning on your radio.

Whether your choice is jazz, classical, rock 'n' roll, or hip-hop, music has unique effects on the brain, says Dr. Andrew Budson, a lecturer in neurology at Harvard Medical School and chief of cognitive and behavioral neurology at the VA Boston Healthcare System. And you can reap benefits whether you are playing a musical instrument or just kicking back and listening to some tunes.

Should we screen all adolescent girls and women for anxiety?

A national organization that evaluates research and makes recommendations for women's preventive health care is supporting screening all adolescent girls and women for anxiety disorders. While this idea has merit, there are also risks involved in screening that should be considered, and the benefits should be weighed against potential harms.

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