How I’m getting through the COVID-19 crisis…

COVID

Who could have anticipated that our lives would look like this two months ago? Even as a physician, the empty streets as I drive to the clinic, the closed stores and restaurants, and most of all, closed schools, seem incomprehensible. How could this virus bring the entire world to a halt? It is a baffling, stressful, and for some, life-threatening time. While some people have found new meaning in staying home, protecting people they love, others who have lost livelihoods and family members have had reasonably increased anxiety and depression.

I feel fortunate in this crisis, as I’ve been lucky enough to have a profession that I can still practice during this time, and help support our family. I’m still in the hospital, as some part of my job has to be practiced in person- doing Transcranial Magnetic Stimulation (TMS)- but a fair amount can be done via telemedicine. Who thought telemedicine would be practiced on such a vast scale in just a month or two? However, even having safe employment doesn’t make me immune to stress and worry about the health of my family. How do we safely get essentials? Should I wear a cloth mask in public, despite some studies to the contrary? What happens if someone gets sick- how do we safely quarantine them in our house while protecting everyone else? How will this affect the feelings of safety and security of the smallest members of our household, when they have lost their classrooms, beloved teachers, and can’t go outside to play with their friends?

Routine and familiarity are so important for us all. So we have really worked to keep a routine for our family, and I’ve have leaned into my own routine. Routines in general are great ways to build productivity and wellness into our lives.

When I use a paper planner, I have a laminated bookmark with my daily, weekly, and monthly routines and tasks that keeps me on track. When electronic planning, I’ve added recurring tasks to Todoist (and Things 3-I’m trying out both to see which I like better). I have one for the morning, with subtasks:

  1. Drink water (I’m terrible at this normally)
  2. Meditate. I’m using the Daily Calm from the Calm app right now.
  3. Five minute journal- I use the template from Day One everyday, in it’s own dedicated “productivity journal.”
  4. Exercise- Hmm…not as good at this one yet.
  5. Review tasks and appointments for the day (Todoist/Things3 and Fantastical/Google Calendar).

I have an evening routine, which consists of something similar:

  1. Straighten up.
  2. Five minute PM journal and regular journal, again through Day One.
  3. Stretch or meditate.
  4. Read for 30 minutes.

If something really significant has occurred that day, personally or in the world, which frankly, these days, is more often then not, I use this short-cut on my iPhone to attach that day’s New York Times front page to my journal entry in Day One. I have this thought that some day, I will want to read back in this momentous time. My spouse’s family member’s account of taking care of patients in the Spanish Flu epidemic is still read today, and maybe this will be valuable for my descendants, too.

For our family, we have set up a home schooling area, and the kids have a specific schedule, with lots of fun time built in, too (playing in the yard, run-walking with me when I have time, impromptu brownie baking). They do school lessons in short bursts in the morning when they are most energetic and focused. We cleared a lot of clutter so there is not much distraction for them and we have dedicated spaces for their supplies. Also, I am working hard for us to be forgiving and kind to each other. This is a really baffling time for adults, and even more so for children. Fighting and tantrums are more common, and for the kids, too. 🙂 It’s hard to manage stress during this time, and I think extra care is needed to give partners and family members the benefit of the doubt.

We also keep up with friends and family far away, regularly, on a variety of apps, including Houseparty and Marco Polo. A regular coffee date with a friend online can really help your sense of isolation, and recognize, we really are all in this together.

What are you doing to soothe and stay calm during this time? Let me know below!

Take a deep breath: 5 meditation apps reviewed

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Meditation and mindfulness seems like the new buzzword: mindfulness for toddlers, mindfulness in 8 weeks, 3 days to mindful, etc! But mindfulness is actually a really old practice, and I first encountered it more than twenty years ago in the books of Thich Nhat Hanh. Also called Thay by his students, he was nominated for the Nobel Peace Prize by Martin Luther King, Jr in the 1960’s. He teaches that mindfulness is a practice that you bring everywhere- while you’re walking, doing the dishes, etc, and not only sitting cross-legged on a mat. Relatively new, however, is learning and practicing meditation from an app.

Why learn meditation? I recommend a meditation practice to many of my patients, along with talk therapy and sometimes medication if needed. A nice run-down of the research can be found on the American Psychological Association’s website (below), but studies have found that patients have less anxiety, improved stress, get upset less often, and feel more compassionate and empathetic towards others (which, not surprisingly, translates to better relationships). There are also benefits to memory and focus, whch may be why meditation has also been found in studies recently to be helpful for Attention Deficit Hyperactivity Disorder (ADHD). Another interesting fact: I’m reading Tools of Titans by Tim Ferris right now, where he boils down the wisdom of billionaires, Olympians, etc, and 80% of the people he interviewed have some kind of mindfulness practice!

Let me make it clear that NEARLY every app I looked at says it is the “Number one meditation app!” and “found in the pages of…” Using the app store, I looked for the top grossing and downloaded apps. I reviewed five based on this, downloading them onto my iPhone, and practicing with them. Of the apps below, Headspace, Calm, and Omvana have apple Watch support.

  1. Headspace (www.headspace.com): app is free, subscription costs about $12.99 per month, but less if you sign up for a year or more. You get 10 free initial sessions with the app. This app had my favorite narrator, Andy Puddicombe, who had a relaxing, approachable voice. Appears to be the app most often used in research studies on using an app for meditation. Has a foundation course with three levels, then series for health,, performance, relationships etc. Cute interface, with mini-monsters.
  2. Calm: meditation to relax and focus (www.calm.com): free app, subscription based at $12.99 per month, $59.99 per year. Programs and individual sessions for all skill levels.  Lovely, simple interface with nature photos; a daily meditation that changes each day (on Christmas Eve, this was “festivity”), has guided and unguided meditation with nature sounds. You choose your nature sound behind the meditation, and then the meditation occurs over the top of the sound. Could be annoying for some. Friendly sounding narrator- is she smiling while she talks? Unique to this app were sleep stories- basically low key bedtime stories read to you. There are also meditations for kids. Just eight meditations are available with free app without subscription.
  3. Meditation studio (www.meditationstudioapp.com): $3.99, 5 star rating on iTunes, ability to schedule your sessions, clean attractive interface. 200 different meditations. No subscription required. Examples: meditation for beginners, happiness, helping your change habits. Multiple different teachers, from different walks of life- meditation teachers, monks, yoga teachers,  (Rodney and Colleen Yee, Beryl Bender Birch). Nice: meditations for mom, kids, veterans, first responders. Can superimpose meditation over nature sounds.
  4. Stop, Breathe and Think (www.stopbreaththink.org): Free app, but subscription based. $4.99 per month, 10% of revenue goes to a non profit, Tools for Peace to help at risk youth learn mindfulness and meditation. Basic meditations are free. I’ve used this one for a long time, and really like it- it has K.D. Lang music on some of the apps! However, it used to be a free app that you purchased a limited number of meditations available, but has recently switched to the subscription model. Even with the meditations I purchased in the past, there are less than in the Meditation Studio app.
  5. Omvana: (www.omvana.com): app free, meditations are charged per series or class. Store is iTunes like, with a wide variety of options for different classes available for purchase, around $3.99 to $5.99 or so, or a $7.99 per month subscription. If you sign up, you get 25 free meditations. I wasn’t impressed with the store on my Macbook air, which had several broken links and loaded samples indefinitely- the iphone version worked better. This seems to be a common theme as the iTunes reviews are either ecstatic or angry because the app and store were buggy. It crashed on my iPhone after limited use (twice). Some of the courses are kind of cheesy: “The Art of Sexual Invitation”, etc. 4.5 star rating. Integrates with the health kit.

My choice: I kept the Meditation Studio app on my phone. If I subscribed to a service, I would probably choose Calm, unless the Omvana store and app become less buggy in the future. Tell me what you think in the comments below! Have you tried any of these apps? Or do you use a different app?

(http://www.apa.org/monitor/2012/07-08/ce-corner.aspx)