Social Anxiety Disorder

Social anxiety disorder (SAD) is a medical condition that causes fear and anxiety when you are around people in social situations and causes an intense fear of being judged or watched by others. It typically begins in the early to mid-teens, though it can sometimes start in younger children or adults.

Like many other mental health conditions, social anxiety disorder likely arises from a complex interaction of biological and environmental factors, which may include:

  • Inherited traits
  • Brain structure
  • Environment

Several factors increase the risk of developing social anxiety disorder, including:

  • Family history
  • Negative experiences
  • Temperament
  • New social or work demands
  • Having an appearance or condition that draws attention to them

There are many signs and symptoms of social anxiety disorder, including:

  • Emotional and behavioral symptoms
    • Fear of situations in which you may be judged negatively
    • Worry about embarrassing or humiliating yourself
    • Intense fear of interacting or talking with strangers
    • Fear that others will notice that you look anxious
    • Fear of physical symptoms that may cause you embarrassment, such as blushing, sweating, trembling, or having a shaky voice
    • Avoidance of doing things or speaking to people out of fear of embarrassment
    • Avoidance of situations where you might be the center of attention
    • Intense fear or anxiety during social situations
    • Analysis of your performance and identification of flaws in your interactions after a social situation
    • Expectation of the worst possible consequences from a negative experience during a social situation
  • Physical and physiological symptoms
    • Blushing
    • Fast heartbeat
    • Trembling
    • Sweating
    • Upset stomach or nausea
    • Trouble catching your breath
    • Dizziness or lightheadedness
    • Feeling that your mind has gone blank
    • Muscle tension

People living with social anxiety may avoid social situations such as:

  • Interacting with unfamiliar people or strangers
  • Dating, attending parties, or social gatherings
  • Going to work or school
  • Starting conversations or making eye contact
  • Eating or performing in front of others
  • Using a public restroom
  • Taking or making phone calls

The symptoms of social anxiety disorder can change over time. They may flare up if you’re facing many changes, stresses, or demands in your life.

Although avoiding situations that produce anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if you don’t get treatment. Therefore, you should speak to your doctor about the symptoms you are experiencing. Your healthcare provider will want to determine whether other conditions may be causing your anxiety or if you have a social anxiety disorder along with another physical or mental health disorder. They may determine a diagnosis based on the following:

  • A physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety
  • A discussion of your symptoms, how often they occur, and in what situations
  • A review of a list of situations to see if they make you anxious
  • Self-report questionnaires about symptoms of social anxiety
  • Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association

Treatment depends on how much social anxiety disorder affects your ability to function in daily life. Treatments can include:

  • Psychotherapy (the most common treatment) or cognitive behavioral therapy (CBT) is the most effective type of psychotherapy for anxiety
  • Medications, such as antidepressants, anti-anxiety medications, or beta-blockers

If you or a loved one has social anxiety disorder, you can find out more about Flushing Hospital Medical Center’s mental health services or schedule a virtual appointment by calling (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

ALS

Amyotrophic lateral sclerosis, commonly referred to as ALS, is a neurological disorder that affects nerve cells in the brain and spinal cord. ALS causes ataxia, a loss of muscle control.

ALS is often called Lou Gehrig’s disease after the baseball player who was diagnosed with it. The exact cause of the disease is unknown. However, a small number of cases, about 10%, are inherited. For the other cases, there isn’t a known cause.

The symptoms of ALS can vary from person to person. Symptoms depend on which nerve cells are affected. ALS typically begins with muscle weakness that gradually worsens over time. Symptoms might include:

  • Trouble walking or doing usual daily activities
  • Tripping and falling
  • Weakness in the legs, feet, or ankles
  • Hand weakness or clumsiness
  • Weakness associated with muscle cramps and twitching in the arms, shoulders, and tongue
  • Untimely crying, laughing, or yawning
  • Thinking or behavioral changes

ALS often starts in the hands, feet, arms, or legs, with muscle twitching and weakness in an arm or leg. It then spreads to other parts of the body, causing muscles to get weaker as more nerve cells die. The disease eventually affects control of the muscles needed to move, speak, chew, eat, swallow, and breathe. Unfortunately, there is no cure for this fatal disease.

There is generally no pain in the early stages of ALS. Pain is also not common in the later stages. ALS usually doesn’t affect bladder control. It also doesn’t affect the senses, including the ability to taste, smell, touch, and hear.

There are several risk factors for ALS, including:

  • Genetics
  • Age
  • Sex

Several environmental factors have been associated with an increased risk of ALS. They include:

  • Smoking
  • Environmental toxin exposure
  • Military service

ALS can cause several complications as the disease progresses, including:

  • Breathing problems
  • Speaking problems
  • Eating problems
  • Dementia

ALS can be hard to diagnose early because it can have similar symptoms to other diseases. Tests that can rule out other conditions or help diagnose the disease can include:

  • Electromyogram (EMG)
  • Nerve conduction study
  • MRI
  • Blood and urine tests
  • Spinal tap
  • Muscle biopsy
  • Nerve biopsy

Treatments for ALS can’t reverse the damage, but they can slow down the progression of symptoms. They can also prevent complications and make you more comfortable and independent.

You may need a team of healthcare providers and doctors trained in many areas to provide your care. This team will work together to prolong your survival and improve your quality of life. They will work to select the right treatment options for you. The Food and Drug Administration (FDA) has approved certain medications for treating ALS.

In addition to medication, there are many forms of therapy and forms of support available, including:

  • Breathing care
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Nutritional support
  • Psychological and social support

If you or a loved one is experiencing symptoms associated with ALS, you can receive treatment from a neurologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Postpartum Depression and Psychosis

Young adult mother sitting in chair at home, holding her three month old baby son, feeling tired, sleepy or having a headache. Postpartum refers to the time after childbirth. Postpartum mothers may experience mental health changes or challenges after giving birth, including mood disorders such as postpartum depression and postpartum psychosis. 

Postpartum depression is a type of depression that occurs after having a baby. It affects up to 15% of women, causing experiences of emotional highs and lows, frequent crying, fatigue, guilt, and anxiety. A postpartum mother may have trouble caring for their baby or themselves. 

Postpartum psychosis (PPP) is a mental health emergency that affects a postpartum mother’s sense of reality, causing hallucinations, delusions, paranoia, or other behavior changes. In severe cases, postpartum mothers with PPP may attempt to harm themselves or their newborn. 

Postpartum depression is common. A mother who has just given birth may experience baby blues, which affects between 50% and 75% of women after delivery. Postpartum psychosis is rare, as experts estimate that it affects between 0.089 and 2.6 out of every 1,000 births. In the United States, that means it happens in 320 to 9,400 births each year. 

A mother can experience postpartum depression for up to one year after their baby is born. However, this doesn’t mean that they will feel cured in one year. 

Symptoms of postpartum depression can include: 

  • Feeling sad, worthless, hopeless, or guilty 
  • Worrying excessively or feeling on edge 
  • Loss of interest in hobbies or things you once enjoyed 
  • Changes in appetite or not eating 
  • Loss of energy and motivation 
  • Trouble sleeping or wanting to sleep all the time 
  • Crying for no reason or excessively 
  • Difficulty thinking or focusing 
  • Thoughts of suicide or wishing you were dead 
  • Lack of interest in your baby or feeling anxious around your baby 
  • Thoughts of hurting your baby or feeling like you don’t want your baby 

It is believed that hormonal changes are linked to postpartum depression; however, more research is needed to determine the link between the rapid drop in hormones after delivery and depression. The levels of estrogen and progesterone increase tenfold during pregnancy but drop sharply after delivery. When a mother is three days postpartum, levels of these hormones drop back to pre-pregnancy levels. 

In addition to these chemical changes, the social and psychological changes associated with having a baby increase the risk of postpartum depression. 

Experts don’t know why postpartum psychosis happens, but suspect it involves a combination of factors, including: 

  • History of mental health conditions 
  • Number of pregnancies 
  • Family history of mental health conditions, especially PPP 
  • Sleep deprivation 
  • Hormone changes 
  • Other medical conditions 

Hallucinations and delusions are the two main symptoms of postpartum psychosis. However, there are several other common symptoms, including: 

  • Mood changes, such as mania and hypomania or depression 
  • Depersonalization 
  • Disorganized thinking or behavior 
  • Insomnia 
  • Irritability of agitation 
  • Thoughts of self-harm or harming others, especially their newborn 

Researchers have organized the symptoms of PPP into three types: depressive, manic, and atypical/mixed. 

The depressive subtype of PPP is the most common, making up about 41% of cases. It is also the most dangerous. Research shows that depressive symptoms and psychosis are almost always a factor in cases that involve self-harm or harm to a child, especially hallucinations or delusions that command a person to harm their child or themselves. The rate of harm to a child is about 4.5% with this subtype, about four or five times greater than with the other subtypes. The rate of dying by suicide is about 5%. Symptoms that are most likely experienced with this type include: 

  • Anxiety or panic 
  • Delusions and hallucinations 
  • Depression 
  • Feelings of guilt 
  • Loss of appetite 
  • Loss of enjoyment related to things they usually enjoy 
  • Thoughts of self-harm, suicide, or harming their child 

The manic subtype is the next most common, affecting about 34% of cases. The risk of self-harm or harm to children is lower but still possible, happening in about 1% of cases. Symptoms can include: 

  • Agitation or irritability 
  • Disruptive or aggressive behavior 
  • Talking more or faster than usual, or both 
  • Needing less sleep 
  • Delusions of greatness or importance, such as believing your child to be a holy or religious figure 

The atypical/mixed subtype makes up to 25% of cases. This can mix the symptoms of manic and depressive subtypes. It can also involve symptoms in which a person seems much less aware, or completely unaware, of the world around them. Symptoms can include: 

  • Disorganized speaking or behavior 
  • Disorientation or confusion 
  • Disturbance of consciousness 
  • Hallucinations or delusions 
  • Inappropriate comments, behaviors, or emotional displays 
  • Catatonia or mutism 

There isn’t a specific test that diagnoses postpartum depression. A healthcare provider will evaluate you at your postpartum visit, which may include discussing your health history, how you have felt since delivery, a physical exam, a pelvic exam, and lab tests. They may also perform a postpartum depression screening or ask a series of questions to assess if you have postpartum depression. 

Postpartum psychosis can be diagnosed by a mental health provider, who can determine, either by observation or by what you describe, whether you have the condition or not. They may also perform physical and neurological exams and order blood, urine, or imaging tests. 

Treatment for postpartum depression depends on the type and severity of symptoms. Treatment options include anti-anxiety or antidepressant medications, psychotherapy or cognitive behavioral therapy, and support group participation. 

Treatment for postpartum psychosis may include medications to treat depression, anxiety, and psychosis. You may also be admitted to a treatment center for several days until you’re stable.  

To learn more about Flushing Hospital Medical Center’s mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Foods That Can Support Brain Health

The brain is the body’s command center. It processes information and sends messages that control everything your body does, from thoughts and emotions to memory and motor skills. 

As we age, the brain experiences physiological changes that affect memory, focus, and word recall. Fortunately, we can combat some of these changes with our diet, which plays a major role in keeping our minds sharp and maintaining our mental function. 

Brain foods are foods that can benefit brain health. They contain various nutrients that keep the brain functioning well. They include: 

  • Omega-3 fatty acids 
  • B vitamins 
  • Vitamin E 
  • Vitamin C 
  • Vitamin K 
  • Selenium 
  • Iron 
  • Choline 

Eating a diet rich in these nutrients can help fight off common brain-related conditions and symptoms often associated with age. These nutrients may help with: 

  • Brain development 
  • Proper signaling of neurotransmitters 
  • Processing and understanding new information 
  • Memory 
  • Protein balance 
  • Reducing the risk of brain-related conditions linked to inflammation, such as depression and dementia 

There are several nutrient-rich foods to add to your diet, including: 

  • Eggs 
  • Fatty fish 
  • Berries such as blueberries, raspberries, and strawberries 
  • Broccoli 
  • Mushrooms 
  • Walnuts 
  • Turmeric 
  • Coffee 
  • Leafy greens 
  • Green tea 
  • Dark chocolate 
  • Fermented dairy 
  • Avocados 
  • Certain fruit juices such as pomegranate, grape, and cherry juice 
  • Whole grains 

It is important to remember that no food on its own will magically transform your brain. However, eating these brain foods regularly can keep it sharp and help maintain your cognitive ability as you age. Maintaining an overall healthy eating pattern is important to receive the health benefits of these nutrient-rich foods. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Wellness Wednesday Tip: Improving Your Physical Health

Physical health and wellness are key to our overall well-being. Physical health is the condition of your body and how well it functions, from the strength of your heart and lungs to your ability to fight infection and move without pain.

Physical wellness is a proactive approach that emphasizes lifestyle choices that sustain energy, resilience, and functional capacity over a lifetime.

The tenets of physical health and wellness are important for keeping your body functioning properly. They include:

  • Watching what you put into your body
  • How much physical activity you get
  • Maintaining a healthy weight

These tenets are positive health habits that can help you decrease your stress, lower your risk of disease, and increase your energy.

Here are some strategies to help you improve your physical health:

  • Increase your physical activity
    • Set specific goals for your physical activity
    • Take the stairs instead of the elevator
    • Take a walk on your lunch break
    • Set an alarm to go off every hour as a reminder to move around for a minute or two
    • Keep moving while watching TV
    • Take an online exercise class
  • Eat a healthy and nutritious diet
    • Eat a variety of foods, such as fruits, vegetables, whole grains, beans, seeds, lean meat, seafood, eggs, milk, yogurt, and cheese
    • Limit foods that are low in vitamins and minerals
    • Cut down on sugar by choosing foods with little or no added sugar
    • Get more fiber
    • Replace saturated fats in your diet with unsaturated fats, such as olive, canola, or other vegetable oils instead of butter, meat fats, or shortening
    • Avoid foods high in salt, such as canned, smoked, or processed foods. Choose fresh poultry, fish, and lean meat instead
    • Choose more complex carbs such as starches and fiber, which can be found in whole-grain breads, cereals, starchy vegetables, and legumes
  • Reach your weight loss goals and maintain a healthy weight
    • Weigh yourself
    • Calculate how many calories you need for your healthy goals
    • Record your daily food intake and physical activity
    • Set specific goals
    • Choose healthy meals and physical activities you enjoy
    • Plan activities with friends or family
    • Be patient
  • Build healthy habits
    • Plan and identify unhealthy patterns, and set realistic goals
    • Change your surroundings and find ways to make healthier choices by removing temptations
    • Ask for support by finding family, friends, co-workers, neighbors, or support groups
    • Speak with a mental health professional if you are experiencing severe depression, anxiety, or burnout
  • Build muscle safely
    • Start slowly, especially if you haven’t been active for a while
    • Pay attention to your body when you experience exhaustion, sore joints, or muscle pains, which is a sign you are overdoing it
    • Use small amounts of weight to start and add more weight slowly over time, while focusing on your form
    • Use smooth, steady movements to lift weights into position, and don’t jerk or thrust weights
    • Avoid locking your arm and leg joints in a straight position
    • Don’t hold your breath during strength exercises
    • Ask for help by looking for a group class at a local gym, recreation center, or find a trainer
  • Combat age-related changes
    • Commit to a healthy diet
    • Drink plenty of fluids
    • Move more
    • Get plenty of sleep
    • Limit alcohol use
    • Avoid tobacco products
    • Visit the doctor regularly

If you would like to improve your physical health, or experience medical problems while doing so, you can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

World Alzheimer’s Month

September is World Alzheimer’s Month, a month that raises global awareness of Alzheimer’s disease and encourages education, advocacy, and support for those affected.  

Alzheimer’s disease is a degenerative disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. Age is the biggest risk factor for the disease, followed by sex and family history. 

Dementia is not a specific disease, but an overall term that describes a group of symptoms like memory loss and the loss of other mental abilities severe enough to interfere with daily life, caused by physical changes in the brain. 

Alzheimer’s disease and dementia can present many signs and symptoms, including: 

  • Memory loss that disrupts daily life 
  • Challenges in planning or solving problems 
  • Difficulty completing familiar tasks 
  • Confusion with time and place 
  • Trouble understanding visual images and spatial relationships 
  • New problems with words in speaking or writing 
  • Misplacing things and losing the ability to retrace steps 
  • Decreased or poor judgment 
  • Withdrawal from work or social activities 
  • Changes in mood and personality 

Even though there isn’t a cure for Alzheimer’s disease and many other types of dementia, there are preventative measures you can take to take care of your brain, including: 

  • Engaging in regular cardiovascular exercise that elevates your heart rate and increases blood flow to the brain and body 
  • Eating a healthy, balanced diet lower in fat and higher in fruit and vegetables, such as the Mediterranean and Mediterranean-DASH diets 
  • Getting quality sleep 
  • Taking care of your mental health and managing stress 
  • Stimulating your brain by engaging in challenging activities, such as playing a strategy game, learning a new language or how to play an instrument, or completing a jigsaw puzzle 
  • Staying connected socially with family and friends 

If you or a loved one is experiencing symptoms associated with Alzheimer’s, you can receive treatment from a neurologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718)-670-5486. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Chronic Pain and Mental Health

Chronic pain is persistent pain that lasts more than three months; in some instances, it can last for years. This type of pain can interfere with daily life, affecting not only your physical health but also your mental health.

Many different conditions can cause chronic pain, including multiple sclerosis, fibromyalgia, arthritis, spinal stenosis, chronic migraine, lupus, myofascial pain syndrome, Crohn’s disease and endometriosis.

Living with daily and constant pain can be emotionally stressful, and those living with chronic pain are at an increased risk of developing mental health problems, such as:

  • Depression
  • Anxiety
  • Suicidal thoughts
  • Adjustment disorder
  • Obsessive-compulsive disorder

Mental health conditions may also make chronic pain feel worse, as they can increase the brain’s sensitivity to pain and reduce a person’s ability to cope with symptoms.

Because chronic pain and mental health can be bidirectional- where pain can worsen mental health and mental health can worsen pain- the most effective treatment approach is treating both the pain and the mental health impact together.

Treatment may involve medications, cognitive behavioral therapy, mind-body techniques such as meditation, integrative health therapies such as acupuncture, and pain rehabilitation programs.

If you are experiencing chronic pain or the mental health challenges associated with it,  please schedule an appointment at Flushing Hospital Medical Center by calling 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Back to School Health and Wellness Tips

The new school year is around the corner, and parents and guardians are getting their children ready to go back to school. As they prepare for a new school year, it is essential to make sure they return to school healthy. 

Here are some health and wellness tips to make sure your child is healthy before they go back to school: 

  • Make sure your child is up to date on their vaccinations. Vaccinations are essential to protect children and others from various diseases. 
  • Make sure your child gets their flu and COVID-19 shots. Every child six months or older should get their yearly flu shots, as flu season typically starts in the fall and peaks between December and February. 
  • Make sure your child receives vision and hearing tests. Children should have their hearing and vision tested with their doctor from infancy through high school. Watch for signs of hearing or vision loss and talk to your child’s healthcare provider if you notice any changes. 
  • Help your child make healthy food choices, even at school. Encourage them to eat plenty of fruits and vegetables. When eating bread or pasta, choose 100% whole-grain products. Encourage them to choose water, not juice or soda. 
  • Make sure to take care of your child’s mental health. Managing school stress, relationships, and friendships can be overwhelming. Encourage them to talk about their emotional health. 
  • Make sure to limit your child’s screen time. Children under the age of two years old should have no screen time. Limit screen time to one to two hours a day for children two years old and over. Parents are encouraged to delay access to smartphones until they are at least 14 years old. 
  • Be sure to monitor your child’s social media use. Social media use starting during childhood can play a significant role in the relationships and experiences that impact children’s and teens’ growth, development, and mental health. Parents are encouraged to set aside time to discuss social media use, including setting privacy limits on who can see and interact with them. 
  • Make sure your child gets a good night’s sleep. Adequate sleep helps kids focus each day at school and is important for their health. Children between the ages of three and five should sleep 10 to 13 hours (including naps). Children six to 12 years of age should sleep nine to 12 hours a night. Teenagers 13 to 18 years of age should sleep eight to 10 hours a night. 

These back-to-school health and wellness tips will help ensure your child returns to the classroom safely and healthy. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Wellness Wednesday Tip: Staying Physicall Active

Life can move fast, and we may not have enough time to exercise as much as we would like to. Most people spend half of their day sedentary. The more you sit, the more your large muscles aren’t using glucose, the body’s main source of energy. Sitting for long periods of time can cause blood sugar levels to rise, triggering the body to release insulin.  

Over time, sedentary habits cause the body to become less sensitive to insulin, resulting in insulin resistance. 

Regular physical activity is one of the most important things you can do for your health. What’s more, any kind of exercise can reduce fatigue and improve sleep, decrease anxiety and depression, improve weight management, and promote brain health. It can also help prevent and reduce the risk of long-term health problems, such as heart disease, type 2 diabetes, high blood pressure, and obesity.  

Additionally, regularly moving your body lowers your risk for some types of cancers, fatty liver disease, chronic pain, arthritis, and even dementia.  

According to the Centers for Disease Control and Prevention (CDC), adults need at least 150 minutes of moderate-intensity physical activity each week. Moderate-intensity physical activity can be any activity that gets you to breathe harder and your heart beating faster, such as: 

  • Brisk walking  
  • Dancing  
  • Swimming 
  • Roller skating 
  • Jogging 
  • Riding a bike 
  • Playing a sport  

Moving your body doesn’t always have to involve working out in a gym. You can also climb the stairs, garden, or play with your children or pets.  

Whether you are just starting or haven’t been physically active for a while, there are ways to get started. Here are some tips to help you add more physical activity to your daily life: 

  • Look for ways to make physical activity a part of your daily routine, such as walking the dog or walking in place during commercial breaks while watching TV 
  • Start with activities, locations, and times you enjoy 
  • Find a place near your home or work to be physically active 
  • Try activities with friends or family that you enjoy together 

If you lack the time, space, energy, skill, or if something else is preventing you from being more physically active, such as a fear of injuring yourself, here are ways to overcome these obstacles: 

  • Add physical activity to your daily routine, such as parking farther away from your destination or taking the stairs instead of the elevator 
  • Schedule physical activity for times in the day or week when you will feel more energetic 
  • Invite a friend or family member to exercise with you regularly 
  • Choose activities you can do safely, and increase the amount you do gradually as your confidence and abilities grow 
  • Be sure to warm up and cool down before walking to avoid injury 

Regular physical activity is one of the most important things you can do for your health. Everyone can experience the health benefits of physical activity, as it gets your body moving and your heart beating faster.  

It is recommended that you consult your doctor before starting or adding new exercises to your routine. You can schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Emotional Fatigue

When stress from negative or challenging life events occurs repeatedly without adequate recovery, you may find yourself feeling emotionally worn out and drained. This is known as emotional fatigue or exhaustion. Although emotional fatigue is most associated with workplace burnout, it can happen outside occupational contexts in: 

  • Anyone whose emotional labor consistently exceeds their capacity to restore 
  • Caregivers supporting ill or dependent family members 
  • Individuals processing prolonged grief, trauma, or stress 
  • People in chronic, conflict-heavy relationships 
  • Parents of young children or children with complex needs 

Emotional fatigue falls between ordinary stress, which most people can bounce back from quickly, and clinical disorders such as major depression or anxiety disorders. If it is left unaddressed, it frequently progresses toward both.   

Emotional fatigue can present itself as emotional, physical, and performance signs and symptoms. 

Emotional symptoms include: 

  • Depression  
  • Anxiety 
  • Apathy 
  • Irritability 
  • Difficulty making decisions 
  • Feeling hopeless 
  • Feeling powerless or trapped 
  • Lack of focus or forgetfulness 
  • Lack of motivation 
  • Negative thinking 
  • Tearfulness 
  • Nervousness  

Physical symptoms include: 

  • Persistent headaches or migraines  
  • Heart palpitations or chest tightness 
  • Fatigue 
  • Poor sleep 
  • An elevated susceptibility to illness 
  • Nausea or upset stomach 
  • Lack of appetite 
  • Sore muscles or muscle tension 

Performance symptoms include: 

  • Performing work duties more slowly 
  • Difficulty completing daily tasks for responsibilities 
  • Failing to meet deadlines 
  • Isolation or avoidance 
  • Increased absences 
  • Lower workplace commitment 

You can address emotional fatigue by identifying the stressors you can reduce or prevent. When you are unable to change a stressor because it is out of your control, it is important to focus on the here and now. Try to focus on the various neutral and positive events that are happening. Focusing on these types of events can give you a better perspective about what is happening around you, allowing you to shift your focus away from the stressors. 

Your body can often interpret stress as a threat to your survival. When this occurs, your brain releases stress hormones throughout your body, which can contribute to your emotional fatigue. As you focus on neutral or positive events in your life, your brain learns that the threat is not as bleak as it may seem. The amount of stress hormones released decreases, causing you to feel more emotionally balanced.  

Some other strategies that can help reduce emotional fatigue include: 

  • Practicing mindfulness to engage in the present moment 
  • Eliminating or minimizing the stressor when possible 
  • Identifying and challenging unhelpful thoughts and replacing them with balanced thoughts 
  • Eating a healthy, balanced diet 
  • Exercising 
  • Getting adequate sleep 

When emotional fatigue is addressed early, it often clears considerably with the proper rest and load reduction.  

If you are experiencing emotional fatigue, you can discuss your signs and symptoms with a mental health professional. They can help you sort through the causes and symptoms you’re experiencing to determine a plan that will help you regain a sense of well-being. 

To learn more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.