Psychologist Elaine Rodino’s Tips on those Holiday Blues

Published in RINewsToday.com on December 19, 2022

It is a visible sign of the approach of Christmas.  Houses are decorated with colorful Christmas lights with wreaths with red ribbons hung on the front doors of homes throughout the community. But planned gatherings next weekend with family and friends may not bring the joyful feelings and closeness you might expect, rather. isolation and loneliness. 

Increased demands of family obligations during the upcoming holidays, from last minute shopping trips for gifts, baking and cooking, cleaning, to hosting parties, getting your Christmas cards in the mail, and even unrealistic expectations can oftentimes produce extra stresses, feelings of anxiety, isolation and depression.  

During her 43-year career as a licensed practicing psychologist in Los Angeles and at State College, Pennsylvania, Elaine Rodino, Ph.D., a fellow and former president of the American of the American Psychological Association’s division of psychologists in independent practice, has had a longstanding interest in the holiday blues and has helped many of her patients cope with this issue over the years. 

No formal condition but it’s a “real” condition

During an interview on Speaking of Psychology, the flagship podcast of the American Psychological Association (APA), Psychologist Dr. Elaine Rodino noted that there’s no formal diagnosis of holiday blues, but it is a real condition. “It’s a condition that usually appears around the holidays and then fades away sometime in January,” she says.

According to Rodino, feelings can vary. To some people it’s a feeling of malaise, tiredness and they just can’t get to things. For others it’s the “traditional bah-humbug attitude,” she said, noting that “they hate the holidays and just can’t wait until they are over.”   

In counseling sessions during holidays, Rodino says conversations always come up as to how the patient will “get through the holidays, what they’re doing, what the stresses are, and how they’re going to deal with getting together with the family.”

Rodino, who has been quoted on the topic over the years by the LA TimesChicago TribuneNew York TimesBoston GlobeWebMD, and many magazines, offers these tips to cope with the stresses and anxiety triggered by the upcoming holidays.

Be conscious of your spending especially this year with soaring inflation and high interest rates. “Especially large families where each person usually gives to every other person there can be a plan to have a grab-bag of names and buy only for the person whose name you pick out of the bag. I have heard of this plan working well in a number of families and groups,” says Rodino.

Rodino suggests that if you know of a person who had a loss this year or has recently become single, it’s good to invite them to join you and your family for any holiday events or dinners. “People who are alone can take the initiative to create a gathering of others and have a potluck party.  This can be planned for Christmas or New Year’s, too,” she says.

“COVID is not totally gone and this year the flu and RSV are creating illnesses and hospitals are near capacity in many places. Continue to take precautions,” adds Rodino.  “I suggest that people get their immunizations for COVID and flu.  It may not prevent you from getting sick, but it will most likely be a milder case,” she notes.

“Don’t be intimated if you want to wear a mask. Just because you may feel like the only person wearing a mask, if that’s what you feel is safe, wear that mask,” recommends Rodino. “I’ve known people who say they knew they should have kept their mask on, but no one else was wearing one,” she says.

Don’t talk politics if everyone’s not on the same political page

Rodino warns that in family gatherings unless everyone is on the same page, politically, try not to bring up politics or issues that are politically split. “The slightest mention of one of these topics could seem okay at first, but then can slowly escalate to high levels of debate and arguments,” she says.

It is important to be very aware that some people may be recently sober, says Rodino. “If someone declines a drink of eggnog, etc. do not insist.  Likewise, if you are newly sober you may want to party with other sober friends,” she suggests. 

“Some people may also have eating disorders and may also be triggered by insistence that they try a certain dessert, or have seconds,” adds Rodino. 

Take care of your self-care during this time of year. “Consider taking time for yourself.  Take a break from shopping and all things related to the holidays. A walk, a warm bath, a massage, or even just reading a book can do wonders to renew your energy,” she notes.

Become aware of your own expectations and that of others as to what you “should” be doing for the holidays. “Take time to figure out what you really want to do, who you want to spend time with, what you want to buy. You don’t need to follow traditions that no longer have meaning for you. You can start your new ways of celebrating the holidays. That may even include leaving town and going on a vacation,” she says.   

Rodino says, “Why not spend some time reviewing your plans for the holidays, and make wise decisions now, so you can really have Happy Holidays.”

To listen to APA’s Blog with Dr. Elaine Rodino speaking about holiday blues, go to https://www.apa.org/news/podcasts/speaking-of-psychology/holiday-blues.

Don’t Drop Your Guard Against COVID, Flu, and RSV

Published in RINewsToday on December 12, 2022

COVID 19 cases across the nation are fewer in number than this time last year. But health care experts say that the Covid-19 is here to stay.

A new poll released by the Washington, DC-based American Psychiatric Association (APA), the nation’s oldest medical association, shows that while nearly a third of Americans report that while they anticipate being more stressed out this holiday season than last year, they are less worried about spreading or contracting COVID at a festive family gathering. Researchers say the findings, reported in the Dec. 2022 Healthy Minds Monthly Poll, reported they were more worried about affording holiday gifts. The APA’s study was conducted online by Morning Consult from Nov. 9-14, 2022, among 2,209 U.S. adults, with a margin of error of plus or minus 2 percentage points.

Holiday Worries, Less Concern about COVID Pandemic  

According to the poll’s findings, 31% of adults say they expect to feel more stressed this upcoming holiday season compared to last. This is an increase of 9 percentage points since 2021. Potential drivers of holiday stress include worries like affording holiday gifts (50%) and meals (39%) and finding and securing holiday gifts (37%). Younger adults and those making less than $50,000 are more likely to worry about affording the holidays, say the researchers.

Compared to 2021, adults are less worried this holiday season about spreading (35% in 2021 versus 25% in 2022) or contracting (38% in 2021 versus 26% in 2022) COVID-19 at a holiday gathering, noted the researchers. Adults are also less worried about spending time with family who have different views about COVID-19 (30% in 2021 versus 18% in 2022),” they say.

“This is a busy time of year for many people, and it’s common to put a lot of expectations on ourselves during the holidays,” said APA President Rebecca W. Brendel, M.D., J.D in a Dec. 1st statement announcing the study’s findings. “We can all benefit by enjoying moments that bring meaning and belonging, but those times are different for each of us. It’s also okay to opt out of some or all events if they bring more stress or distress than joy. There is no one right way to spend the holiday time of year,” she said.

On the positive side, the researchers added, “the plurality of adults (47%) say they are most looking forward to seeing family and friends this holiday season, of the options tested. That varied by age: Older adults (45-64: 50%, 65+: 63%) are more likely than younger adults (18-34: 37%, 35-44: 36%) to say so. A fifth of American adults (21%) said they were most looking forward to eating good food.”

The researchers noted that parents (39%) are more likely than non-parents (27%) to say they anticipate experiencing more stress this holiday season compared to last year. “Young adults and Democrats are more likely to worry about discussing politics and spending time with family with different viewpoints about COVID-19 during the holidays,” they say.

“While Americans are looking forward to seeing family this year, it’s important to remain vigilant about COVID-19, the flu and RSV,” warns APA CEO and Medical Director Saul Levin, M.D., M.P.A. “We are in a different situation than in 2020 or even 2021, but it’s still important to take precautions and stay home if you are sick,” she said.

Beware of the “Tripledemic”  

 With the Christmas holidays just weeks away, older adults must now not let their guard down about protecting themselves against a “tripledemic” of COVID, flu and RSV, says Nick Landekic, a retired scientist and biotechnology entrepreneur who is a contributor to RINewsToday. 

“COVID is now a pandemic of older people,” warns Landekic in a Dec. 9 article in the state-wide news blog. “With the year-end holidays upon us and infection rates rising across the country, the stark new reality is COVID is now a pandemic of older people,” he says.

“Right now, is a particularly risky time with a ‘tripledemic’ of COVID, flu, and RSV, with almost the entire country at ‘high’ or ‘very high’ levels of infection. Hospitalizations and deaths are both up sharply over the past two weeks, with deaths increasing as well,” says Landekic.

According to Landekic, the most accurate predictor of ending up hospitalized or dying from COVID is age. “Older people are thousands of times more likely to die of infection than younger persons,” he says, noting that the statistics bear this out. “Ninety percent of COVID deaths are now among those over 65. Over 300 Americans continue to die of COVID every day, and nearly 1,000 just on December 7 – a rate of over 100,000 a year – and most of them are over 65,” he says.

(COVID is now a pandemic of older people – Nick Landekic: https://rinewstoday.com/covid-is-now-a-pandemic-of-older-people-nick-landekic)

“You don’t want to get sick from one of these viral  infections and miss visiting with family and friends during the Christmas and New Year holidays, says Michael Fine, MD, author and chief health strategist for the City of Central Falls, adding that  “we’re in a “tripledemic” of COVID, flu and RSV (filling the nation’s pediatric hospitals). “It’s the worst flu year we’ve seen in recent memory,” he says, noting that “it has come early and hit hard.”

Dodging the Bullet 

During the upcoming holidays, Fine says it is easy to protect yourself against the “tripledemic” to prevent infection.  He recommends the importance of getting a bivalent COVID booster  if you haven’t had a booster during the last four months.

“You want to be extra careful two weeks before attending holiday gatherings,” says Fine, a family physician who contributes on health and medical issues (as well as short stories) for RINewsToday and is the former Director of the Rhode Island Department of Health.  Specifically, wear masks in stores and avoid restaurants and bars for about two weeks before a gathering or planned travel. “I don’t think many are eating outside at this point,” he quips.

“Wearing a mask in an airport terminal is important when traveling to family gatherings,” says Fine.  While there is good air infiltration in the air, it is not so in terminals, he adds.

When attending a holiday gathering with multiple households, it is a very good idea for everyone attending to take a COVID 19 home test. “It is not perfect but better than nothing,” says Fine.

“Those who have not been vaccinated yet, you still have time to do so before attending those holiday gatherings,” says Fine

Fine believes that people who haven’t yet been vaccinated can take comfort from the last two years and our now extensive experience with the vaccine. “We have two years of experience with the vaccine with billions being vaccinated.  We haven’t seen any substantial programs. It’s now the best tested vaccine in history,” notes Fine. 

CDC: Rhode Island Hit with Widespread Flu

Published in the Woonsocket Call on January 6, 2018

The U.S. Centers for Disease Control (CDC) says it’s a no brainer as to what issue I should cover this week. Being homebound for three or four days, with the flu, and my submittal deadline looming, I pen my commentary on widespread flu activity now being reported in Rhode Island.

CDC’s Influenza surveillance (ending Week 52) reported widespread influenza “flu” activity in 24 states including Rhode Island. This CDC warning recently triggered a requirement by the Rhode Island Department of Health (RIDOH} to require unvaccinated healthcare workers in a variety of health care settings to wear masks when entering a person’s room, serving food, or participating with patients in group activities.

The masking requirement helps protect healthcare workers from catching the flu, and helps protects patients who are often dealing with other serious health issues,” said Director of Health Nicole Alexander-Scott, MD, MPH., in a statement released on January 2. “For people who have not been vaccinated yet, it is not too late. Flu vaccine is the single best way to keep yourself and the people you love safe from the flu. Getting vaccinated today will provide you with months of protection,” she says.

According to the RIDOH, typical flu symptoms include having a fever, coughing, a sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people also may have vomiting and diarrhea. People may be infected with the flu, and have respiratory symptoms without a fever.

There are many types of illnesses or injuries even less severe cases of the flu do not require a visit to the emergency room, says RIDOH, noting that less severe cases of the flu will be treated more promptly by a primary care provider or in urgent care facilities. The department notes that going to an emergency room can oftentimes result in long waits because emergency room providers prioritize more serious injuries and medical conditions.

But, when do you seek out treatment for a nasty case of the flu? RIDOH says that difficulty in breathing or shortness in health, pain or pressure in the chest and having flu-like symptoms that improve and return with a fever and worse cough are clear warning signs to go immediately to an emergency room.

CDC expects that increased flu activity in the coming weeks, noting that the average duration of a flu season for the last five seasons has been 16 weeks, with a range of 11 weeks to 20 weeks. With significant flu still to come this season, CDC continues to recommend that anyone who has not yet gotten a flu vaccine this season should get vaccinated now. It takes approximately two weeks for the protection provided by vaccination to begin.

Although 480,000 Rhode Islanders were vaccinated last year, RIDOH, says that the flu sent 1,390 Rhode Islanders to the hospital and resulted in 60 deaths (compared to 1,216 hospitalizations and 33 deaths the previous year. The state saw more flu activity during the 2017-2018 flu season than during any flu season since the 2019-2010 season, when the state experienced the state experienced the H1N1 flu pandemic.

It’s Not too Late to Get Vaccination

In kicking off Rhode Island’s annual flu vaccination campaign last October, RIDOH Director Nicole Alexander-Scott, MD, MPH, said, “A flu shot is the single best way to protect yourself and the ones you love against the flu. When you get a flu shot you are not only protecting yourself, you are also protecting the people in your life by limiting the spread of the flu.”

So, if you have not been vaccinated, consider doing so. RIDOH recommends that children older than 6 months of age should be vaccinated against the flu. Others should, too., including health care workers, pregnant women, people over age 50, nursing facility residents and persons with chronic conditions (specifically heart, lung, or kidney disease, diabetes, asthma, anemia, blood disorders, or weakened immune systems).

It’s easily to quickly get a flu shot because of its availability at doctors’ offices and pharmacies throughout Rhode Island.

In addition to getting a flu shot, here are a few simple tips that can help prevent you from getting the flu.

Wash your hands thoroughly throughout the day, using warm water and soap. If you do not have soap and water, use an alcohol-based hand gel.

According to the CDC, the flu can spread to others up to about 6 feet away, by droplets made when a person cough, sneezes or talks. So, reduce spreading the flu, just by coughing or sneezing into your elbow or into a tissue.

Avoid touching your eyes, nose, or month because germs spread this way.

Get a good night’s sleep, be physically active and look for ways to manage your stress. Also, drink plenty of fluids, and eat nutritious food.

Keep surfaces wiped down, especially bedside tables, surfaces in the bathroom, and toys for children, by wiping them down with a household disinfectant.