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| Meta Title | How to Deal With Stress and Anxiety During Challenging Times | Mount Sinai Today |
| Meta Description | If you're feeling anxious or stressed out by recent developments in your life, Jonathan DePierro, PhD from Mount Sinai shares pointers on how to feel better. |
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| Boilerpipe Text | Donât avoid doing things
Sometimes, when people get really stressed, they stop doing the things that make them feel less stressed because they donât have the energy and donât feel like it anymore, says Dr. DePierro.
âThat is not great, because it cuts off that source of stress relief,â he notes. If you have routines to destress, like yoga, exercise, spiritual practices, hobbies, or hanging out with friends, it is even more important to do those things when youâre feeling demotivated.
âIf you catch yourself not wanting to do them, do them anyway,â he says.
Not all relief has to involve big gesturesâsome can be quick and accessible, such as breathing exercises. A simple thing to try is âbox breathing,â which involves taking a deep breath for four seconds, holding it in for four seconds, exhaling for four seconds, and then pausing for another four.
âThe idea is that this can function as a reset button to our fight-or-flight response,â says Dr. DePierro. âThis reminds your body that in this moment, you are safe. You might not know what will happen in the next week or 10 years from now, but right at this moment, you can remind yourself through changing your physiology that you are safe.â
Helping your friends helps yourself
Putting calendar reminders or alarms to do joyful things can be helpful, but so is telling a friend about your action plan.
âYou might tell a friend, âHey, Iâm going to get on the bike at 2 pm, can I call you while Iâm on the bike? Or can we do it together, either next to each other or virtually?â and that can be really meaningful,â says Dr. DePierro. If both individuals are struggling, having each other for accountability helps pick both of you up.
You can start that by checking in on your friends, especially if you feel they might be going through similar stressors.
âIt could be an unhappy face or waving hand emoji, and that initiates a conversation,â says Dr. DePierro. âIt doesnât have to be something elaborate.â
It requires a little bit of bravery and vulnerability to tell somebody you trust that you are suffering and not doing well, but if you do, they can try to understand whatâs going on with you and support you, he adds.
Checking in on your friends is good for your friends, but itâs also good for you. Acting altruistically and offering support activates the positive emotion centers of our brain, notes Dr. DePierro. Sometimes, when people go through difficult times, they lose their sense of meaning and purpose, but itâs really important to recommit to oneâs core values, and to align daily actions, even in very tiny ways, to those core values.
Use tools to place limits
It is very easy to âdoomscrollâ and be caught in a loop of negative news through social media and the internet.
There arenât a lot of guardrails on some of these platforms, and strong emotions, misinformation, and conflicting information can come through unfiltered and unmoderated. âThese can trigger a fight-or-flight response, enough to make the heart race and incite feelings of nausea or being tense,â says Dr. DePierro. These are not helpful states to be in, especially right before bed.
If you have to check the news or social media, donât do it right before sleeping, and especially not while in bed, he points out. These can impact your quality of sleep.
Setting screen time limits can help tooâjust as a parent might set them for kids, adults can benefit from them, and nowadays there are built-in tools and applications that can help.
Part of why doomscrolling is bad is that the act is without intention and becomes a negative feedback loop, where the bad thing reinforces the bad. âItâs easy to keep scrolling and only see nothing good,â says Dr. DePierro. âIn those instances, I might suggest a âpalate cleanserâ instead on those platforms. Is there something you can watch that makes you feel good? Videos of puppies, perhaps? Or something inspiring.â
Being intentional about finding content that gives a sense of joy helps break the cycle of doomscrolling. Flagging, bookmarking, and favoriting those uplifting pieces of content so you can always return to them is helpful. âThink of it as a virtual shoebox of things that make you feel good, which you can use,â he adds.
Learn when to seek professional help
If the feelings of unease and anxiety persist for weeks or even months, or especially if they disrupt your daily life, it might be time to seek professional help. This could include a primary care provider or a therapist.
Itâs important to note that a singular feeling, while distressing, does not necessarily indicate a psychiatric disorder. âJust feeling sad alone does not make a depressive episode, or having a bad memory does not make post-traumatic stress disorder,â says Dr. DePierro. It usually has to be a cluster of symptoms occurring over weeks to months for it to be considered a mental health disorder, and this is where professional help can make that determination, he says. |
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# How to Deal With Stress and Anxiety During Challenging Times
Updated on Nov 7, 2024 \| [Psychiatry](https://health.mountsinai.org/blog/category/psychiatry/), [Your Health](https://health.mountsinai.org/blog/category/your-health/)

Life can get messy, and itâs natural to feel stressed out and anxious. Thankfully, there are many things you can do to alleviate those unsettling feelings.
âYou might feel a sense of anxiety, dread, uncertainty, disillusionment, or a little bit of fearâall of those things make sense in times of stress, and all of those feelings are within the range of normal emotions,â says [Jonathan DePierro](https://profiles.mountsinai.org/jonathan-m-depierro), PhD, Associate Director of the [Center for Stress, Resilience, and Personal Growth](https://icahn.mssm.edu/research/center-stress-resilience-personal-growth) at Mount Sinai, which provides services that support the resilience and mental health of health care workers, first responders, and the general public.
Actions that help you feel better do not have to be big undertakingsâyou can begin with something as simple as a breathing exercise, says Dr. DePierro, who is also Associate Professor of Psychiatry at the Icahn School of Medicine at Mount Sinai.
For those who might feel overwhelmed when the going gets tough, Dr. DePierro shares some pointers on getting past those hurdles and being resilient.
#### First things first: Have self-compassion
Sometimes people kick themselves or blame themselves for having certain reactions, but those reactions make sense, and it is OK to be in those states.
âFor example, today I am not feeling my best, and I may not feel my best tomorrow. I may not even feel my best next week,â says Dr. DePierro, âbut cutting yourself a break and not expecting the best out of yourself or out of the people around you during trying times is a good way to start.â
It is important to take time to acknowledge and engage your feelings. Avoiding them isnât going to make you feel better, he adds.

Jonathan Depierro, PhD, Associate Director of the Center for Stress, Resilience and Personal Growth, and Associate Professor of Psychiatry at the Icahn School of Medicine at Mount Sinai.
#### Donât avoid doing things
Sometimes, when people get really stressed, they stop doing the things that make them feel less stressed because they donât have the energy and donât feel like it anymore, says Dr. DePierro.
âThat is not great, because it cuts off that source of stress relief,â he notes. If you have routines to destress, like yoga, exercise, spiritual practices, hobbies, or hanging out with friends, it is even more important to do those things when youâre feeling demotivated.
âIf you catch yourself not wanting to do them, do them anyway,â he says.
Not all relief has to involve big gesturesâsome can be quick and accessible, such as breathing exercises. A simple thing to try is âbox breathing,â which involves taking a deep breath for four seconds, holding it in for four seconds, exhaling for four seconds, and then pausing for another four.
âThe idea is that this can function as a reset button to our fight-or-flight response,â says Dr. DePierro. âThis reminds your body that in this moment, you are safe. You might not know what will happen in the next week or 10 years from now, but right at this moment, you can remind yourself through changing your physiology that you are safe.â
#### Helping your friends helps yourself
Putting calendar reminders or alarms to do joyful things can be helpful, but so is telling a friend about your action plan.
âYou might tell a friend, âHey, Iâm going to get on the bike at 2 pm, can I call you while Iâm on the bike? Or can we do it together, either next to each other or virtually?â and that can be really meaningful,â says Dr. DePierro. If both individuals are struggling, having each other for accountability helps pick both of you up.
You can start that by checking in on your friends, especially if you feel they might be going through similar stressors.
âIt could be an unhappy face or waving hand emoji, and that initiates a conversation,â says Dr. DePierro. âIt doesnât have to be something elaborate.â
It requires a little bit of bravery and vulnerability to tell somebody you trust that you are suffering and not doing well, but if you do, they can try to understand whatâs going on with you and support you, he adds.
Checking in on your friends is good for your friends, but itâs also good for you. Acting altruistically and offering support activates the positive emotion centers of our brain, notes Dr. DePierro. Sometimes, when people go through difficult times, they lose their sense of meaning and purpose, but itâs really important to recommit to oneâs core values, and to align daily actions, even in very tiny ways, to those core values.
#### Use tools to place limits
It is very easy to âdoomscrollâ and be caught in a loop of negative news through social media and the internet.
There arenât a lot of guardrails on some of these platforms, and strong emotions, misinformation, and conflicting information can come through unfiltered and unmoderated. âThese can trigger a fight-or-flight response, enough to make the heart race and incite feelings of nausea or being tense,â says Dr. DePierro. These are not helpful states to be in, especially right before bed.
If you have to check the news or social media, donât do it right before sleeping, and especially not while in bed, he points out. These can impact your quality of sleep.
Setting screen time limits can help tooâjust as a parent might set them for kids, adults can benefit from them, and nowadays there are built-in tools and applications that can help.
Part of why doomscrolling is bad is that the act is without intention and becomes a negative feedback loop, where the bad thing reinforces the bad. âItâs easy to keep scrolling and only see nothing good,â says Dr. DePierro. âIn those instances, I might suggest a âpalate cleanserâ instead on those platforms. Is there something you can watch that makes you feel good? Videos of puppies, perhaps? Or something inspiring.â
Being intentional about finding content that gives a sense of joy helps break the cycle of doomscrolling. Flagging, bookmarking, and favoriting those uplifting pieces of content so you can always return to them is helpful. âThink of it as a virtual shoebox of things that make you feel good, which you can use,â he adds.
#### Learn when to seek professional help
If the feelings of unease and anxiety persist for weeks or even months, or especially if they disrupt your daily life, it might be time to seek professional help. This could include a primary care provider or a therapist.
Itâs important to note that a singular feeling, while distressing, does not necessarily indicate a psychiatric disorder. âJust feeling sad alone does not make a depressive episode, or having a bad memory does not make post-traumatic stress disorder,â says Dr. DePierro. It usually has to be a cluster of symptoms occurring over weeks to months for it to be considered a mental health disorder, and this is where professional help can make that determination, he says.
[Learn more about Mount Sinai Doctors - Behavioral Health](https://www.mountsinai.org/care/psychiatry/locations/behavioral-health)
#### Related Posts
- [How Can I Manage Social Anxiety? Three Tips From a Mount Sinai Psychologist](https://health.mountsinai.org/blog/how-can-i-manage-social-anxiety-three-tips-from-a-mount-sinai-psychologist/)
- [How Can I Create Healthier Phone Habits? Three Tips From a Mount Sinai Psychologist](https://health.mountsinai.org/blog/how-can-i-create-healthier-phone-habits-three-tips-from-a-mount-sinai-psychologist/)
- [Five Ways to Help Reduce Everyday Stress](https://health.mountsinai.org/blog/five-ways-to-help-reduce-every-day-stress/)
- [Tips for Coping With Child Anxieties: For Back-to-School and Beyond](https://health.mountsinai.org/blog/tips-for-coping-with-child-anxieties/)
- [Can Exercise Improve My Mental Health?](https://health.mountsinai.org/blog/can-exercise-improve-my-mental-health/)
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| Readable Markdown | #### Donât avoid doing things
Sometimes, when people get really stressed, they stop doing the things that make them feel less stressed because they donât have the energy and donât feel like it anymore, says Dr. DePierro.
âThat is not great, because it cuts off that source of stress relief,â he notes. If you have routines to destress, like yoga, exercise, spiritual practices, hobbies, or hanging out with friends, it is even more important to do those things when youâre feeling demotivated.
âIf you catch yourself not wanting to do them, do them anyway,â he says.
Not all relief has to involve big gesturesâsome can be quick and accessible, such as breathing exercises. A simple thing to try is âbox breathing,â which involves taking a deep breath for four seconds, holding it in for four seconds, exhaling for four seconds, and then pausing for another four.
âThe idea is that this can function as a reset button to our fight-or-flight response,â says Dr. DePierro. âThis reminds your body that in this moment, you are safe. You might not know what will happen in the next week or 10 years from now, but right at this moment, you can remind yourself through changing your physiology that you are safe.â
#### Helping your friends helps yourself
Putting calendar reminders or alarms to do joyful things can be helpful, but so is telling a friend about your action plan.
âYou might tell a friend, âHey, Iâm going to get on the bike at 2 pm, can I call you while Iâm on the bike? Or can we do it together, either next to each other or virtually?â and that can be really meaningful,â says Dr. DePierro. If both individuals are struggling, having each other for accountability helps pick both of you up.
You can start that by checking in on your friends, especially if you feel they might be going through similar stressors.
âIt could be an unhappy face or waving hand emoji, and that initiates a conversation,â says Dr. DePierro. âIt doesnât have to be something elaborate.â
It requires a little bit of bravery and vulnerability to tell somebody you trust that you are suffering and not doing well, but if you do, they can try to understand whatâs going on with you and support you, he adds.
Checking in on your friends is good for your friends, but itâs also good for you. Acting altruistically and offering support activates the positive emotion centers of our brain, notes Dr. DePierro. Sometimes, when people go through difficult times, they lose their sense of meaning and purpose, but itâs really important to recommit to oneâs core values, and to align daily actions, even in very tiny ways, to those core values.
#### Use tools to place limits
It is very easy to âdoomscrollâ and be caught in a loop of negative news through social media and the internet.
There arenât a lot of guardrails on some of these platforms, and strong emotions, misinformation, and conflicting information can come through unfiltered and unmoderated. âThese can trigger a fight-or-flight response, enough to make the heart race and incite feelings of nausea or being tense,â says Dr. DePierro. These are not helpful states to be in, especially right before bed.
If you have to check the news or social media, donât do it right before sleeping, and especially not while in bed, he points out. These can impact your quality of sleep.
Setting screen time limits can help tooâjust as a parent might set them for kids, adults can benefit from them, and nowadays there are built-in tools and applications that can help.
Part of why doomscrolling is bad is that the act is without intention and becomes a negative feedback loop, where the bad thing reinforces the bad. âItâs easy to keep scrolling and only see nothing good,â says Dr. DePierro. âIn those instances, I might suggest a âpalate cleanserâ instead on those platforms. Is there something you can watch that makes you feel good? Videos of puppies, perhaps? Or something inspiring.â
Being intentional about finding content that gives a sense of joy helps break the cycle of doomscrolling. Flagging, bookmarking, and favoriting those uplifting pieces of content so you can always return to them is helpful. âThink of it as a virtual shoebox of things that make you feel good, which you can use,â he adds.
#### Learn when to seek professional help
If the feelings of unease and anxiety persist for weeks or even months, or especially if they disrupt your daily life, it might be time to seek professional help. This could include a primary care provider or a therapist.
Itâs important to note that a singular feeling, while distressing, does not necessarily indicate a psychiatric disorder. âJust feeling sad alone does not make a depressive episode, or having a bad memory does not make post-traumatic stress disorder,â says Dr. DePierro. It usually has to be a cluster of symptoms occurring over weeks to months for it to be considered a mental health disorder, and this is where professional help can make that determination, he says. |
| Shard | 142 (laksa) |
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