How to Use This Guide

  • Within this section of the guide, you will find resources for specific mental health conditions
  • Each resource also notes practical recommendations or strategies to help
  • This guide is a "living document" and may be continually updated over time. The date of last update is 3/27/20.

Specific Mental Health Conditions Summary

The stress associated with the evolving social disruptions and health-related threats caused by the coronavirus (COVID-19) pandemic can be particularly challenging for individuals with pre-existing mental health conditions. For example, uncertainty and the threat of infection can exacerbate pre-existing anxiety and worry; the need to minimize disease transmission can amplify contamination fears among those with OCD; and the potential disruption of social connections may contribute to loneliness and isolation that can compound the challenges for those struggling with depression.

The resources below provide a range of expert-recommended strategies that may be useful for individuals who are dealing with, or at risk for, mental health conditions. In addition to the general self-care/coping strategies described in the prior section, these include specific tips for individuals with existing mental health conditions, including recognizing increased risk, maintaining clinical contact where possible, ensuring adequate medication supply, adapting skills learned in treatment (e.g., exposure) for unique circumstances, and reaching out for professional help as needed.


In this guide:


Resources

General

Resource: COVID-19 Information & Resources
From: National Alliance on Mental Illness (NAMI)

Key points:

  • Helpline numbers for accessing support for coronavirus-related distress
    • NAMI helpline: 800-950-NAMI (6264) - Monday-Friday 10 am-6 pm EST
    • SAMHSA crisis/disaster helpline: (800) 985-5990 - 24/7 all year
  • Answers and tips for specific mental health concerns, e.g., anxiety, quarantine, health care access, business assistance, grief/loss, homelessness, loved ones who are incarcerated, etc.
  • Links to virtual communities for emotional and mental health support

Resource: Helping Patients Concerned about Coronavirus: A Guide for Psychiatrists
From: Center for the Study of Traumatic Stress

Highlights:

  • Individual differences may be observed among patients with prior mental health conditions—some may remain stable while others may experience heightened distress during an outbreak. Higher-risk patients include those with delusions, obsessive-compulsive thoughts/behaviors or a history of trauma
  • Recommendations for psychiatrists working with these patients include:
    1. Acknowledging concerns and uncertainty
    2. Sharing timely and accurate medical knowledge
    3. Working with patients on a plan to reduce stress and maintain healthy behaviors and
    4. Sustaining clinical contact where possible and ensuring adequate medication supply

Anxiety

Resource: Coronavirus Anxiety - Helpful Expert Tips and Resources
From: Anxiety & Depression Association of America

Key points:


Resource: COVID-19 and OCD
From: International OCD Foundation

Highlights:

  • Recommendations for individuals with OCD include:
    1. Acknowledging feelings
    2. Staying informed but setting a defined time limit for media without needing to learn everything
    3. Following public health guidelines for hygiene and disinfection without going beyond, e.g., excessive hand-washing
    4. Engaging in healthy lifestyle habits
    5. Talking to your OCD treatment team, or reaching out for treatment if needed and
    6. Staying socially connected

If you have comments or would like to suggest an addition to the guide, contact: Karmel Choi, PhD and Jordan W. Smoller, MD, ScD.