Anxiety and Stress

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      How Caregivers for Dementia Patients Manage Mood and Personality Changes

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      Shifts in behavior can be challenging to manage. Experts have five strategies that can help.Susan Hirsch was visiting her father in the hospital where he was recuperating after a fall and was shocked to find him — long devoted to her mother — flirting with a nurse as if he were “17 and in the Navy again,” she said.Ms. Hirsch, a 67-year-old memory care educator from Palmyra, Pa., scolded her father. But the admonishment only enraged the 93-year-old man; she recalled him saying, “in not nice words,” to get out of his room as she scuttled away.More than 11 million adults in the United States are caring for people diagnosed with Alzheimer’s and other forms of dementia. In addition to memory loss, most people with dementia will experience mood and behavior changes including aggression, apathy, disorientation, depression, wandering, impulsivity and delusions.Many caregivers describe mood and personality changes as the most upsetting symptoms. While antipsychotic and sedative medications are often used to manage dementia-related mood issues, they have limited efficacy.To get on top of — and feel less toppled by — mood changes, it’s helpful for caregivers to remember that those shifts are caused by changes in the brain, said Dr. Nathaniel Chin, a geriatrician and associate professor in the department of medicine at the University of Wisconsin-Madison.“They’re no one’s fault,” he said, and recognizing this can help you “feel less upset at your loved one.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Why Do Mental Health Conditions Lead to More Severe Covid?

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      People with psychiatric conditions are more likely to be hospitalized or die of the virus. Scientists have ideas about why that might be the case.It’s been clear since the early days of the pandemic: People with mental illness are more likely to have severe outcomes from Covid. Compared to the general population, they’re at higher risk of being hospitalized, developing long Covid or dying from an infection.That fact puts mental illness on the same list as better-known Covid risk factors like cardiovascular issues, chronic kidney disease and asthma.When it comes to Covid risk, mental illness “shouldn’t be treated differently than you treat diabetes or heart disease or cancer,” said Dr. Ziyad Al-Aly, the chief of research and development at the Veterans Affairs St. Louis Healthcare System.Scientists now have a better understanding of who is vulnerable. While research has linked a wide range of mental illnesses to worse Covid outcomes, experts generally believe that the risk is greatest for people with severe or unmanaged mental health conditions — suggesting that someone with schizophrenia, for example, is more likely to get sicker from Covid than someone receiving treatment for anxiety. They also have several hypotheses about why mental illness might make people more susceptible.The Strain of StressMany mental health conditions can lead to chronically high stress levels. And stress sabotages the immune system, flooding the body with hormones like cortisol and adrenaline. Those hormones make it harder to produce certain immune cells that are crucial for fighting off illnesses.“The whole system is not designed to be constantly activated,” said Andrea Lynne Roberts, a researcher at Harvard University who has studied the effects of mental health conditions on Covid outcomes. That’s why people with mental illness may be more vulnerable to viral infections in general, from the common cold to Covid.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Scared of the Dentist? Here’s How to Cope.

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      Don’t skip appointments and risk your oral health. Try these strategies instead.For Hope Alcocer, the diagnosis was grim: 11 cavities. Inflamed gums. A tooth in need of a root canal.As the list of problems grew, so did her feelings of shame and fear. Shame that she had waited more than a decade to seek care. And fear because she could no longer avoid the dentist.Her anxiety stemmed from an experience as a teenager, when her dentist brushed aside her concerns that she wasn’t numb enough before filling a cavity.The pain made her want to jump out of the chair. “My pain was an 11 out of 10,” she said. “That’s how much it hurt.”Dental anxiety is a common problem. Studies of U.S. adults generally find that around 20 percent of respondents have moderate to high fear of dental care. The severity ranges from mild uneasiness to severe phobia and can be rooted in earlier negative experiences or traumas.The more fearful someone is, the more they postpone care, and the more likely they are to develop painful problems that require expensive or complex treatment, experts say.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Does Your School Use Suicide Prevention Software? We Want to Hear From You.

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      Concerned about anxiety and depression among students, some schools are monitoring what children type into their devices to detect suicidal thinking or self-harm.In response to the youth mental health crisis, many school districts are investing in software that monitors what students type on their school devices, alerting counselors if a child appears to be contemplating suicide or self-harm.Such tools — produced by companies like Gaggle, GoGuardian Beacon, Bark and Securly — can pick up what a child types into a Google search, or a school essay, or an email or text message to a friend. Some of these alerts may be false alarms, set off by innocuous research projects or offhand comments, but the most serious alerts may prompt calls to parents or even home visits by school staff members or law enforcement.I write about mental health for The New York Times, including the effects of social media use on children’s brains and algorithms that predict who is at risk for suicide. I’m interested in knowing more about how these monitoring tools are working in real life.If you are a student, parent, teacher or school administrator, I’d like to hear about your experiences. Do you think these tools have saved lives? Do they help students who are anxious or depressed get the care they need? Are you concerned about students’ privacy? Is there any cost to false positives?I will read each submission and may use your contact information to follow up with you. I will not publish any details you share without contacting you and verifying your information.If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources.Share Your Experiences with Suicide Prevention Software More

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      Do You Have Healthy Brain Habits? Take This Quiz to Find Out.

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      What can I do to take good care of my brain and lower my risk for a neurological disease? That’s the No. 1 question neurologist Dr. Jonathan Rosand hears from his patients (and their family members) at the Massachusetts General Hospital McCance Center for Brain Health. To help answer it, he and his colleagues, with […] More

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      Can Stress Really Give You A Round ‘Cortisol Face’?

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      Online influencers claim the hormone can change the shape of your face. But experts say that misconstrues how cortisol works.“You’re not ugly. You just have cortisol face,” Mandana Zarghami told viewers at the start of a recent TikTok video, one of many on the social platform blaming a rounded, puffy face on high levels of the hormone.Hundreds of lifestyle and beauty influencers have claimed online that they’ve transformed their appearance by tackling stress. Many are sharing before and after photos that contrast their once fuller faces with new, lean jawlines, attributing the difference to lower levels of cortisol, the hormone produced in response to physical and mental stress. Some are even selling products and programs they claim will reduce cortisol and lead to a slimmed-down appearance.Ms. Zarghami, 28, said in an interview that her aim on TikTok was to educate people about the effects of high cortisol, though she does have a wellness business, through which she sells a “hormone-balance tea.”When she began experiencing visible swelling of her face and abdomen in 2020, Ms. Zarghami consulted a doctor, who suggested stress might be to blame. She felt frustrated by the response: “How can I control my stress if you’re not giving me tools?” she wondered.Ms. Zarghami made lifestyle changes that she believed had reduced both her cortisol level and her persistent facial swelling. These included drinking diluted apple cider vinegar after waking, and then green tea throughout the day. She also stopped weight lifting and instead started doing low-impact exercise and walking.Ms. Zarghami later shared those tips online, claiming that “cortisol face” could be tackled without drugs or expensive products. “I did a lot of research on how to fix this naturally,” she said.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      How to Exercise to Improve Your Mood

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      Physical activity can brighten your outlook and calm your nerves — if you do it strategically.We’ve all encountered that person who comes back from the gym or a run seemingly high on life. In fact, scientists say that even a single bout of exercise can alter your neurochemistry in ways that create feelings of hope, calm, connection and a generally better mood.But for others, a workout just leaves them feeling worn out.“It’s normal not to find exercise rewarding,” said Daniel Lieberman, an evolutionary biologist at Harvard University. “There’s nothing wrong with you.”While some people are simply more genetically or psychologically inclined to enjoy exercise, recent discoveries have helped experts understand why it can be such a high. And, they say, by making a few changes to your workout, you can train your body and mind to find exercise more pleasurable.It’s not just about endorphins.Scientists once thought the rush people felt from exercise came exclusively from endorphins, which act like natural opioids in the brain by relieving pain. But in recent decades, researchers have discovered a more complex cocktail of other key “feel-good” chemicals produced during movement.Each ingredient plays a distinct but complementary role, said Julia Basso, an assistant professor at Virginia Tech who runs a lab studying the effects of exercise on the brain. “These neurochemicals are really working in tandem,” she said.The most potent players appear to be endocannabinoids, which share similar molecular structure with THC, and bind to the same receptors in the brain — giving you that buzzy feeling that all is right in the world.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      What to Do About Erectile Dysfunction

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      Sooner or later, most men will experience a problem achieving or maintaining an erection. But today, there are more treatments than ever.Erectile dysfunction is more common than one might think. More than half of men over 40 will experience some kind of erectile problem, and the prevalence increases with age (though men in their 20s and 30s can be affected, too).The experience can have a devastating effect on a man’s well-being. Yet a shocking number of men don’t seek help. One industry survey suggests that just 51 percent of men with erectile dysfunction had discussed the issue with their doctor, and even fewer had spoken to their own partners about it.There is “not a medical condition that I’m aware of that affects more men’s lives,” said Dr. Mohit Khera, a urologist and the president of the Sexual Medicine Society of North America.But there are effective treatments, he added, beyond well-known medications like Viagra. These can include vacuum pumps, injections, implants, lifestyle modifications, testosterone-replacement therapy and sex therapy. Some combination of these options, experts said, almost always improve erections, even in the most severe cases.However, before men go anywhere near a pill or pump (or the “natural” male supplements commonly sold at gas stations), they should get a health exam to understand the causes of the dysfunction, which might point to a more serious health issue.“The penis can be seen as a barometer for the whole health of the person,” said Dr. Rachel Rubin, a urologist and sex medicine specialist in Maryland.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More