High Anxiety

Sometimes in life, we can get very anxious about things. I try not to worry about things that have not happened yet, but how do we do this when every day on the news we are hearing of a potentially fatal virus?! I have no idea of how this whole COVID-19 (aka Coronavirus) will go. I have no idea who will get sick or how sick they will get. What I do know is I have to breathe and do the best I can to take good care of myself and my family. In my practice I speak often about trait vs. state anxiety. Trait anxiety is when it is in the background all the time. State anxiety as in what is  going on with this whole COVID-19 business.

Surprisingly no one is talking about it

Oddly, not many of my patients are talking about it. It was the same thing with 911. My patients seemed to continue to focus on their lives. It got me thinking about being in therapy helps when there is something big going on in the world or even locally. Is there something protective about  already being in psychotherapy? Therapy helps you to feel cared for in so many ways. Just knowing that someone shows up for you week after week is comforting. There is so much more to being in therapy than solving problems. It truly is about the relationship. Many years ago I gave a talk about psychotherapy to a large group of mental health professionals. I described the various types and how they differed. At then end of my talk I said that the most important thing was the relationship with the therapist and not so much the type of therapy being done in the office. Much to my surprise I received an evaluation that said I was reckless and basically a crappy Psychiatrist because everyone knew that this one type of therapy (I will leave nameless) was the best blah, blah blah. The person also said I was irresponsible because there were students in the audience and how could I teach such garbage?! I still to this day believe what I said many years ago at that presentation. The bottom line is the relationship between therapist and patient. So many of my patients felt uncared for growing up. I do care about them and their lives. How could I not?

Preparing for distance therapy

Another issue that may arise is I may have to see my patients via Tele-Psychiatry. I have done it before, like during snowstorms and it works just about the same as face to face. So I am here and I know my patients feel a sense of relief knowing we have a plan in place if it should move to that. My hope is that if it  should come to this that there is no disruption in our work. We will get through this. My other hope is it passes quickly and we can all resume worrying about other things in life like whether Tom Brady is coming back to to New England!

Wash your hands and don’t touch your face!

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