Some tips there from doctor i may have caught on pricing self care during this time a kind of virus ever pandemic has plunged the entire world into a state of uncertainty that is taking a toll on people with existing Mental Health conditions as many and a sickness i say Financial Hardship and information overload it is like each other crisis i feel me ok and today on the string we will assess the impact of acquiring a virus i am Mental Health you can send your questions your comments your concerns 5 each month for expert panel. People who are experiencing zaidi depression forms of trauma may notice that theres an. Increase in especially because there is more social isolation routines are being disrupted and maybe there isnt as much more patient to take care of oneself were engaged in basic help here there are so many downstream effects that were seeing right now because of the cove and 19 pandemic and from a psychiatrist said point i think about the fact that on inpatient units we cant have Group Therapy for our patients because of social distancing and keeping them safe while there are then that limits the effect of ness of the therapeutic milieu to long periods of a solution and i cant have that strong impact on mental causing emotional disease like cancer deep depression. Or. Short years sourcing terms of dramatic stress disorder but at the same time to situation can give the chance to rethink our own we are relationship with time and we specialise and with the strong values. Some valuable insights from 3 Mental HealthExperts Joining us now on the program we have talked to jose luis are you sumi tell us he is the director of the World Health OrganizationsCollaborative Center for Mental HealthServices Research and training at the university. Of madrid hes also the chairman of the department of psychiatry at like princess a University Hospital in madrid in london andreas compass is a social psychologist and a neuroscientist hes also a lecturer at City University of london and in mumbai make it a day size a clinical psychologist and coauthor of the book the coronavirus what you need to know about the Global Pandemic thank you for being here as we tackle such an important issue you may hear. The moments that i told our audience what we were going to be talking about just some just saying watch the show in a few minutes time this is the kind of reaction that i got so mad dean says here on twitter everything is disorientating right now including something simple like the passage of time its hard to know what to feel or what one should feel and then one more just just a reaction to us talking about this today steve and steve is in the u. K. Is i think were all going to be different after this the longer it goes on if you know what i mean. Do you know what steve means. Absolutely our family thanks for having me on the show to begin with i think you know warren has never seen a crisis like this before the wires is still unknown in many released or the files and rivets covering more devoted by the impact its having on the spread is calling for caustic measures across the world and a lot of places including in india were under lockdown and people know that from one side to the other of this things are going to be different and its up to us how we come together not physically but socially to fight. Over yes its not the same all 3 of you are not down situations that we go to and dress and dress what are the kind of stories that youre seeing where people are exhibiting stresses in terms of their Mental Health just give us one example well i think today its up a student and shares an International Student and shes wondering whether she should go on and to see her parents or coach in your studies shes afraid that if she goes to sit for 2 days and counting so thats very unpleasant but if she stays and lumber that she does not if her parents get sick can should reach them and time can she help them support and so i think theyre very you very unusual to see that we dont really have a Clear Strategy what we should do or should not do based on our our spirits i think you face uncertainly if its really a lot of difficult situations the decisions that moment what do you do about that in your professional. Approach to. How people are feeling mentally because this is something that youve trained for many years for he done the research for at and now this is a whole new situation has i guess what he did. I mean i mean didnt i mean that you know with the mended there with the friend wife that we have before all is some of the challenges that it means for amanda health. This and. My major concern now how can we organize. Still provided mendenhall to our basins to all the people we normally it and on an outpatient basis way way or as was mentioned before as a group stand up and now you have to remember these lockdown also all nonessential movements within the city town 3 and. Also affects the ability to see your provider see your psych at least psychologist to attend a hospital or even to go to the emory didnt see a room that you know hospitals are. Going to care of based on may about how theyve grown up so we need to completely. Change the way we provide care but at the same time. Make these care vital piece so thats why we can invent 3 and seek ways and we are now in 10 days we have to sit all our activities for which were bays and mainly all people the press and on time human contact we. Have providers and he has the move on to telemedicine in the phone conversations social Media Contacts because we we need to do is to be in contact with the patient at the same time we have to make sure they restrict i smite to small to both when they go out even to see there. Something just very charming to. You ok i mean we are very decided now was right next to say you make you make a really you make some some multiple excellent points there and i also want to bring in chief audience because they are feeling anxious to say the least and we have m. Seller on each aimed at m. 76. 00 explaining to do in the 1st 2 weeks of quarantine i found it difficult to concentrate to read a book or do anything i could only for the news and i was very distracted is this know what i want to start doing at a string therapy session but here if you want to take that want to on festival and then and you can jump in after whats going to happen here absolutely it is anomaly let me be honest im a Health Care Professional if they one of the locked down you know we have 20 more days to go and if you ask me and i feel full yes i am and i record yes i am so for any person who is voted out there its absolutely understandable situation its a new situation altogether the question is how do we go to this i think thats 3 levels one is to get our nerves undercurrent cool we need to get we need to be responding to the acting how am i here im just going to ask you how because its easy to say it not easy to control it. Absolutely so where does mean cycle and the fear come from when we need it its a lack of knowledge i think everyones what it and why i cant acquire practice how is this going to change my life and the few to if we are aware how to keep ourselves safe i think that knowledge in the south of body im following additionally breathing exercises in india. Can be very head and this big thing like someone had said earlier that this spent thinking us supreme time and the amount of the meeting you get can be key in the process. If i can just jump in i totally agree i think and one thing we can and off forget a lot of that most of us probably will be fine i think were in a situation or a concept that you knew its a weird situation everything is new our pasta haverstock really work anymore we have to find ways but if you look at the research that earthquakes 911 at any other catastrophe a catastrophic event in the past most of the people will be fine so i think i dont want to downplay any kind of use that all there is will be for some people who talk especially if you have some kind of preexisting conditions of vulnerabilities and i think we have to figure out how we can take care of the speaker and how we can reach them but just if you have not a history of it and its like a mental disorder you will probably be fine you will experience a face of change if any self and certainly an exam but you will get up to that and i think we shouldnt kind of forgot that the majority of us will be fine and if i just look at the researcher for look at the people here around me and salam and theyre remarkably calm and just going on both their business and my students most of them are doing very fine too so i think of course theres 4 people who are some very pretty its inquisitions this could be very worsen the situation and most of us then i think will be filing thats task thats a real shine and let me just bring invest that because you. People preexisting conditions this whole situation must be quite triggering for many of them looking here for m b c news were talking about this is a im going to as im going to put this to you coronavirus is a personal nightmare for people with o. C. D. And Anxiety Disorders the idea of having to wash your hands dont touch this dont take your shoes off take this off change your clothes or if that that sounds like weve all got o. C. D. All of a sudden lot about if youve already got an existing condition where are you going to go to for help. For all we know we know that india is and is so because fastest is that people are more vulnerable. To some and else some problems are the ones that are. Already out one. On but we do have some business are not. Ready you mentioned it. Basically dont superimpose 2 disorders the whole effort of the therapy is try it has been trying to control the behavior. And now. Measure these new better so he. Is increasing your hands as much as possible d i mean if they get that something it is the times then it is clear but. 2 i mean the main main issue for me here is that i was trying to for one of these one call it that most of the people live recover it is true we are in pain and in a new situation in terms of the specific of the. Day i mean humanity has been the cause under a lot of stress loops it with taxes and we know of others that recycling of. All i see so most of them were bought people we will never be ditties and we say to take care of them in these times of rising to these it was they getting back playgroups said think for just. One more thing i think yeah i think there are people with low level of the state i think the other group of people im kind of concerned about is people who are basically at the front line who work. In the u. K. Or working for the National House that they have that are from ponced research i dont think i think you know who and i just can i just honestly say absent directly whats coming on on you tube as you are saying im concerned about the funny line this is coming out on you tube absolutely not you can just on. From Lauren Lauren says any suggestions on how to manage your Mental Health when you are a Frontline Worker you cannot escape the pandemic when it is literally your job to be surrounded and deal with it every day you are absolutely going there said go ahead answer lawrence question. Ok so what i actually want to set is that i think thats a group of people who should be prince because the fun is that almost us will be fun but i think if you look at the kind of research and tracking how the people that were at the frontline fighting sarson south korea are down there were 20 to 25 percent who had you know they are so posttraumatic stress. Heightens id and depression so i think just as all the things we do for people who have some certain vulnerability i think we need to kind of realize that these are people of that under immense stress in a very difficult situation they might even be much more isolated from their families because they conquer all because there they have to isolate their work so i think its really difficult situation you have to kind of think about how we as a society or as a government or a health care provide a special especially how well let me mapmakers out it. I mean we are are we are that is that baby is here now i mean we did a show about it did people do from line i mean do they nurses that doctor is all they all to stop working in the units and they are under a lot of stress a lot some of it is stressful think that this is this matt. Night though it was an occasion wasnt working we d face it with it going to be just and then and i know that is that is ever deceased so on and situations pain well percent of all the fact that in spain our Health Care Workers thats a huge number is a huge percent and thats of course one of the. Main east of concerns on of course is based on what situation because you some cases see very very pretty fast. Also dont you. If if if im if i may i hate to interrupt you because you have beautiful calming voices and beautiful covering suggestions as well but i want to just push ahead and talk about coping strategies the Stream Digital team want to see how Much Technology maybe like tele apps and games might be able to help us keep connected while were forced to stay apart and this is what we found havelok. Track apps like sam velo are now Offering Premium Services for free this is a direct response to eases mentions of coverage 19 and coronavirus spiking 500 percent since mid january video game fans now playing online is a sure way of connecting socially with mates from a distance theyre sharing their current must play lists 2. And weve seen signs that game is a living that best quarantining life on the high. Youre finally vindicated game as you can see right now is online no ones going to tell you of all right so we are asked online audience are you using apps to cope with stress in the exam from the corona Virus Outbreak got some interesting responses so for me as an r. C. Youve been a great at for me since the outbreak and lockdown in my country it brought my thoughts together feeling calm and relaxed at this time of a world deadly pandemic and this is what you pull looks like your Emotional Health assistant one more from online t. J. Says talk life app is one Global Community that is one the needed healthy dont judge a disk of support and compare to other Mental Health absent then this is there youre not alone lets talk here im just wondering if the idea of traditional start youre sitting there one or one is that now been superseded by what people can after out reach in and doing in other ways because you cant sit next to anybody right now in isolation yes. Yes im going to start with a 1000 of us that we had a 1st and then you can pick up after me in a guide. Yes it absolutely is because look in your back in india as well i am working out of home now and so all my Counseling Services is wired the internet not just that i feel thats a great big distinction with we are seeing is a so much of Wellness Programs and that is more a preventive measure which helps for all getting into a Mental Health graph on the other hand work we are seeing and is gaining a lot of success are online chat in india especially there is a lot of stigma regarding Mental Health concerns and anonymously people are being able to access this over the past few years we have been seeing these resources and our usage go and now i feel that this pandemic with them on supply being so different its going to completely take a while in fact Artificial Intelligence is also being brought in we have apps like weiser because the human or the number of Healthcare Providers will not be able to figure out of the supply that is the demonic that is out there show this up like on to meet it so oppositional intelligence i think its your state and its been used are not just to innovate and find solutions with treatment but also to help people with them until death is just just one warning had if i go back to has a tabloid here on twitter says many tech tools will pop up now to capitalize on the largest collective meltdown in Human History his time not mine check privacy and data use time salary dont fall for the exorbitant claims no app can replace a trained human watch out for the Mental Health equivalent of trash so this is a warning here to say your thoughts. Well i mean i used to trim i knew that social distances is a physical distance but of course we still encourage those that down in this difficult situation for someone when possible dont someone to trust unfound on any fight be not hospital yes to solve this 24 hour relying or go. Staff hell staff that are under stress that they can pop one anonymously within an hour weve done our to our men over the phone and these is extraordinary useful and i think thats one of the that we have highlight this saying that there are and its similar stressful situation right i mean abscam be a help but i think that we can where you can talk to someone you can you can have a human voice on the other side will be more of god it i didnt have to imagine how to strategy from if you and i think if i can share this with you just refrain briefly of a double what how can i ssion giving people advice for all sorts of details about the calling a virus but theyre also telling you to be safe be smart and this is really interesting because in support of the they know that Mental Health is going to be very important on drugs if you want to leave out points or so that was they how for that would help them cope he