According to the Centers for Disease Control and Prevention (CDC), 1 in 13 people have asthma so about 25 million Americans have asthma.  Asthma is a chronic lung disease that causes airway congestion and tightness. Symptoms can include cough, shortness of breath or chest tightness.    It is important to know when your asthma is not controlled, what your triggers are and the two basic types of medications used to treat asthma. 
 
Do you know the “Rule of Two’s”?
Do you have asthma symptoms or use your quick relief inhaler more than two times a week? 
Do you wake up at night with asthma symptoms more than two times a month? 
Do you fill a canister of your quick relief medication more than two times per year?
If you are answered yes to any of these or if you are unsure, it is time to involve your doctor to discuss asthma control. 

Do you know your triggers or how to manage them?
Many asthmatics can be allergic to weeds, trees, grass, mold, dust, dog or cat allergens.   If you have never been tested, speak to your doctor about getting tested for allergies so that you can better understand your triggers.  Allergies are typically treated with Medications, Modification of the environment and Modification of your immune system with immunotherapy or ‘allergy shots’.    
Now during the peak pollen season, if you feel triggered, take the medications that your doctor has recommended. If you are allergic to pollen, wear a mask when outdoors, and shower or wash your face after coming indoors.  
​
Indoor allergens such as dust mites can be reduced by stepping up cleaning, and by keeping humidity indoors to less 55%.  You can do this with a dehumidifier.  

Know the differences between 
your medications.
There are two basic types of medications that can be helpful for people who have asthma.  The first is a rescue inhaler such as albuterol. The rescue inhaler can help to open the airways and can be used for cough, shortness of breath and wheezing.    The second medication is a controller medication, and this one should be used daily even if you are feeling well.   

Since the Covid-19 pandemic has coincided with the peak pollen season, it is important to control your allergy and asthma symptoms to avoid confusion over Covid-19 since some symptoms overlap. Take your medications as instructed by your doctor.  Follow your Asthma Action Plan. If you do not have a plan, now is the time to speak to your doctor.   Keeping your asthma under control can help you to be your best self, and lead to a healthier and more active lifestyle. 

by Diana Brummer
​Owner, Good Mental Health, LLC

As we enter the 3 phase transition plan for reopening our society following the COVID-19 pandemic, many of us are excitedly anticipating a return to “normal life.” With a safe reopening weeks away, once it does arrive, it will be a totally new normal we are returning to. Going forward, we will refer to this experience as “before and after." COVID-19 has challenged us and changed us, creating disruption in our routines, and uncertainty about the future.

Letting Go with Compassion
During this time of lockdown and social distancing, vital experiences have been missed. Students have spent their fourth quarter of the school year away from their campus, teachers, friends, and activities. Seniors have missed important events and opportunities such as prom, grad bash, and spring sports. It remains to be seen whether postponed graduation ceremonies will be able to safely proceed as the summer unfolds.
Non-essential businesses shut their doors and risked their financial solvency to keep the community safe. Essential workers continued to report to work, risking their personal health so that their neighbors could access the vital services they provide. We have begun wearing masks.
We have all been asked to give up pieces of ourselves during the COVID-19 pandemic. Whether you were a greeter at church, a school volunteer, a little league coach, or the social organizer for your friend group, we have all experienced the loss of the roles we once held before life changed.

And with loss comes grief

Processing Grief
Grief expresses itself in many ways. It can feel like anxiety, depression, fatigue, and stress. It can display as sadness, anger, ambivalence, or a combination of these.  Behaviorally, we may withdraw from, or lash out at, those close to us. We may be drinking too much, exercising too little, sleeping too much or not enough. It may be difficult to stick to a daily routine or find joy in the activities that are available to us right now. It may be hard to connect to the people we need most.
We may compare our situation to others, and decide we don't have it as bad as those in other parts of the world. We begin to deny the validity of our difficult emotions and feel shame or guilt for having them at all. By denying that our grief exists, we deny ourselves the opportunity to grieve what's been lost and to ultimately heal.

The New Normal
Human beings are resilient creatures. We can bounce back from extraordinarily difficult things. But in order to do that, we have to allow ourselves space and grace to process our difficult emotions. We do that by acknowledging they exist, allowing ourselves to feel them, and speaking them out loud to a trusted friend, support person, or to ourselves in the safe pages of a journal or in our own minds while we reflect.

Let's allow ourselves to grieve what was, then imagine what our new normal might be. We can harvest the good from this difficult experience-increased time with our families, learning we are capable of (and maybe enjoy!) working and learning remotely, witnessing the solidarity of the human race as we truly are all in this together but separately. Let’s perhaps recalibrate our priorities based on a new appreciation of the fragility of life and design a vision for our future that is not only different but better than before.

If you are struggling emotionally during this difficult time, please visit our website at www.GoodMentalHealthLLC.com for access to relevant blog posts, local resources, or to schedule an appointment. For the safety of our community, all upcoming appointments will take place by phone or online via video chat.