Maintaining Mental Health After a Crisis

Author

Lee Health

Posted on

Jun 21, 2021

Book/Edition

Florida - Southwest

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For more information on the author Lee Health, CLICK HERE.
Remember the old days when we never went anywhere without our cell phones? Now, we wouldn't dare leave the house without face masks and hand sanitizers, too.
COVID-19 has changed our lives. The pandemic, like most significant life events, is stressing us out. And the stress it's causing us doesn't seem to be going anywhere, anytime soon.
We asked two psychologists with Lee Physician Group Jacqueline Hidalgo, Psy.D., and Rose Anne Illes, Ph.D. for some answers about how to handle the ongoing stress of living with COVID-19:
Q: Is it normal for me to keep feeling stressed after a crisis has ended, or at least appears to be ending or diminishing in threat, like with COVID-19?
A:Well, lets define stress first. The National Institutes of Health define it as a physical and emotional reaction we experience when encountering changes in life. Stress is a normal feeling.
In most typical life events, such as getting married or starting a new job, the stress associated with these changes tends to be situational. After the incident ends, like after we get married, or becomes normalized, like after were in the new job awhile, the stress lessens or goes away, eventually. Keep in mind that different people respond differently to stress.
Outbreaks like COVID-19 may be stressful for people, absolutely. This stress may linger after the threat from the outbreak lessens. There may be different reasons why this happens such as uncertainty of the future, threat to sense of security from the virus (e.g. losing employment, recovering financially, health concerns, family discordance etc.).
Fear and anxiety about a disease can be overwhelming and cause strong emotions in adults and children. How you respond to the outbreak can depend on your background, the things that make you different from other people, and the community you live in.
Q: What can I do to maintain a positive attitude and move past a stressful event?
A:If you practice being in the present and growing awareness, your thoughts will become more positive. Treat them like a new health habit by purposefully changing negative to positive thoughts and you will help ensure a better mind-set.
There are many things that can be done to keep positive. What works for one person may not work for the next but there are some things that can help everyone. Practicing gratitude can also lift your spirits.
What is going right in your life, at this moment? Are your kids healthy, for example? Are you thankful for a roof over your family's head? Do you have running hot and cold water in your home? Do you have access to food? Being grateful for simple and basic things can change a person.
Also, be kind to yourself. We can be awfully hard on ourselves. If your'e having a bad day, give yourself a break. Practicing self-compassion can get rid of negative feelings.
Try to eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, too. And avoid alcohol and drugs. We hear these messages all the time but if our bodies feel good so will our emotions.
One way to eliminate negative feelings is to identify what is stressing you out. Stress can educate us and help us with getting things done. Maybe it is a challenge you have not dealt with and the time has come to work on it.
Q: When should I consider seeing a mental health professional about my stress?
A:The decision to see a mental health provider differs for each person. Is your current stress level affecting your health? Is it diminishing your ability to handle your daily activities of living?
Stress that doesn't go away (chronic, or long-term, stress) may contribute to or worsen health problems such as digestive disorders, headaches, sleep disorders, and other symptoms. It can also make a persons asthma worse and has been linked to depression, anxiety, and other mental illnesses.
Its important that you share with others. Talk with people you trust about your concerns and how you are feeling.
If your'e experiencing any of the above symptoms, click on the link above.

Jacqueline Hidalgo, Psy.D., is a psychologist in Family Medicine with Lee Physician Group. Her clinical interests include integrating behavioral and primary care; behavioral medicine for underserved populations; and providing behavioral interventions to patients with chronic illnesses. She speaks English and Spanish.
Rose Anne Illes, Ph.D., is a psychologist in Family Medicine with Lee Physician Group. Her clinical interests include lifestyle medicine, maternal mental health, and behavioral interventions to patients with chronic illnesses. She speaks English and Spanish.

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Living with a chronic illness can be challenging in many ways. Beyond managing symptoms and making lifestyle adjustments, individuals with long-term medical conditions often face the ongoing responsibility of navigating a complicated healthcare system. From scheduling appointments and coordinating with specialists to understanding treatment options and managing medications, keeping up with healthcare needs can quickly become overwhelming.Conditions such as diabetes, lupus, heart disease, multiple sclerosis, arthritis, and other chronic illnesses often require continuous medical attention. Patients may work with several healthcare providers, undergo routine testing, manage multiple prescriptions, and make important decisions about their treatment and long-term health.While managing a chronic illness can sometimes feel like a full-time job, understanding how to navigate the healthcare system can make the process easier. 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They can help monitor your overall health, coordinate referrals, review medications, and communicate with specialists involved in your treatment.Even if you see several specialists, maintaining regular appointments with your primary care physician helps ensure that your overall health is not overlooked.A primary care physician can also help identify changes in your condition and determine whether additional testing or specialized care may be necessary.Patients should feel comfortable discussing their symptoms, concerns, and treatment goals with their physician. 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How to Organize After the Holidays

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How to Choose an Executor in Pennsylvania

Choosing an executor can look like one of the simplest parts of creating an estate plan. Many people name a spouse, adult child, sibling, or close friend because that person is trustworthy and knows the family well.Trust matters, but it is only part of the decision.Serving as an executor can become a substantial administrative job at a time when that person is also grieving. The executor may need to locate and protect assets, manage property, communicate with beneficiaries, address bills and creditor claims, handle tax filings, maintain detailed records, and eventually distribute estate property according to the will and Pennsylvania law.That is why the better question is not simply, "Who do I trust?" It is, "Who is prepared to handle this responsibility?"For Pennsylvania families, the answer can become even more important when the person you want to name lives in another state. 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Claims may need to be reviewed, estate assets may need to be preserved for higher-priority obligations, and the executor needs to understand what can appropriately be paid and when.Distributing estate assets too early can create problems if taxes, valid debts, expenses, or other obligations remain unresolved.This is one of several reasons estate administration often requires patience. An executor may have family members asking when they will receive an inheritance while the executor is legally responsible for making sure necessary administration occurs first.Executors May Have Significant Tax ResponsibilitiesTaxes are another part of the role that people may not consider when selecting an executor.Pennsylvania imposes an inheritance tax on certain transfers following death. Rates and exemptions depend on factors including the beneficiary's relationship to the deceased person. The Pennsylvania Department of Revenue explains that inheritance tax payments become delinquent nine months after death and provides a discount for certain payments made within three months. Pennsylvania inheritance tax guidance The state's current instructions for the Pennsylvania Inheritance Tax Return also identify the personal representative as the person generally responsible for filing the return and disclosing property of the deceased person that comes to the representative's knowledge.Depending on the estate, there may also be income tax returns for the deceased person or the estate and, in a smaller number of cases, federal estate tax requirements.The Internal Revenue Service describes the general responsibilities of an estate administrator as collecting the deceased person's assets, paying creditors, and distributing the remaining assets to heirs or beneficiaries. Internal Revenue Service guidance for decedents and estate administrators The executor does not have to personally prepare every tax return. Accountants, attorneys, appraisers, financial professionals, and other advisers may assist. The executor still needs enough judgment and organization to coordinate the work and make sure responsibilities are addressed.Why Executor Selection Is About Skill Set, Not Birth OrderMany estate plans follow an unwritten family rule:"The oldest child will be executor."Sometimes that is an excellent choice. Sometimes it is not.Birth order does not tell you whether someone is organized, financially responsible, comfortable with paperwork, available to communicate with professionals, or able to remain calm when beneficiaries disagree.Imagine a parent with three adult children.One child lives nearby and loves the family deeply, but already has significant work and caregiving demands. Another lives several hours away but is meticulous with finances and deadlines. The third gets along with everyone but avoids difficult conversations.There is no automatic answer about who should serve. The decision depends on the family, assets, relationships, geography, and complexity of the plan.A useful executor often has several qualities: Reliability and follow-through Strong organization and recordkeeping habits Comfort working with financial and legal information The ability to communicate clearly with beneficiaries Enough time to participate in the process Sound judgment during emotional situations Willingness to ask for professional guidance when needed You do not need to choose the person with the most financial knowledge. Professional advisers can help with technical matters. 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Pennsylvania guidance on estate and trust fiduciary tax duties The practical lesson is not that families should be afraid of serving. It is that the person accepting the role should understand that estate administration needs to be handled carefully.When a loved one has already passed away, Entrusted Legacy Law's trust and estate administration services are designed to help executors, trustees, and families work through these responsibilities.What If Your Executor Lives Outside Pennsylvania?Many Pennsylvania parents eventually face this issue.Their adult children may live in Florida, New Jersey, New York, Ohio, Texas, or somewhere else entirely. That does not automatically mean an out-of-state person cannot serve as executor.Pennsylvania's bond rules, however, deserve attention.Under Pennsylvania law, personal representatives generally must provide a bond unless a statutory exception applies. For an individual named as executor in a will, the law provides several circumstances in which bond is not required, including when the person is aPennsylvania resident, when the will expressly excuses bond, or, under certain conditions, when a nonresident serves with a qualifying Pennsylvania co-personal representative. A court can still order a bond in appropriate circumstances. Pennsylvania Probate Code Section 3174 on when a personal representative's bond is not required The situation can be different when someone dies without a will.A nonresident person seeking appointment as administrator is not included in the same statutory exemption that applies to certain resident administrators. As a result, a nonresident administrator may be required to post a bond before letters are granted, depending on the circumstances.This distinction is worth considering while you still have the ability to plan.If the person you want to manage your estate lives outside Pennsylvania, an estate planning attorney can evaluate whether the language of your will, the selection of additional representatives, your asset structure, or another planning strategy should be considered.Should You Name More Than One Executor?Some people consider naming two children together because it feels fair.Fair does not always mean practical.Co-executors may work well when both people communicate effectively, live reasonably close to one another, and have complementary strengths. They can also create additional administrative work when signatures, decisions, bank transactions, property issues, or disagreements require coordination.Before naming co-executors, consider how those two people actually make decisions together.If siblings routinely disagree, live on opposite sides of the country, or have very different approaches to money, requiring them to jointly administer an estate may introduce tension that did not need to exist.Naming one executor and one or more successors may sometimes provide a cleaner structure. The right arrangement depends on the family's circumstances and the estate plan.Ask the Person Before Naming ThemAn executor nomination should not have to come as a surprise after death.A conversation now gives the person an opportunity to understand the role and tell you whether they are willing to serve.You do not need to walk them through every account balance or disclose information you would prefer to keep private. They should at least know that you are considering naming them, where important estate planning documents can be found, who your advisers are, and how to locate the information needed to begin.Someone who does not want the responsibility can say so while you still have time to select someone else.That conversation can prevent a family from discovering after a death that the first-choice executor is unwilling or unable to serve.Your Estate Plan Can Make the Executor's Job EasierChoosing a capable executor is important, but the quality and organization of the estate plan matter too.An organized plan can reduce the number of unanswered questions the executor must resolve.For example, it can help when: Estate planning documents are current and accessible Beneficiary designations have been reviewed Asset ownership has been coordinated with the plan Important financial information can be located Successor fiduciaries are identified Family circumstances have been considered Instructions are legally documented rather than left only in conversation A will by itself does not necessarily keep an estate out of probate. How assets are owned and how the broader estate plan is structured can affect what happens after death. Families who are still planning can review Entrusted Legacy Law's Pennsylvania estate planning services to learn how the pieces of a comprehensive plan can work together.The goal is not to eliminate every task for the executor. Some responsibilities will remain. Good planning can give that person a clearer roadmap instead of leaving them to reconstruct your financial life while grieving.Review Your Executor Choice as Life ChangesThe person who made sense as executor ten years ago may no longer be the right choice.Children move. Relationships change. People develop health concerns. Careers become more demanding. A trusted sibling may get older. Someone who once lived nearby may now live across the country.Your own estate may also become more complicated.A business may have grown. You may have purchased additional real estate. Your investment accounts may be substantially larger. Your family may now include grandchildren, a blended family, or a beneficiary who needs additional planning.Executor selection is therefore worth revisiting when you review the rest of your estate plan.You are not judging someone's worth as a family member when you choose someone else. You are matching a job with the person best positioned to carry it out.Make the Choice With the Job in MindAn executor may be asked to step into a legal, financial, and administrative role during a difficult moment for your family. Choosing carefully now can provide much-needed structure later.Consider the person's time, temperament, organizational abilities, location, willingness to serve, and ability to work with advisers. If your preferred executor lives outside Pennsylvania, it is also worth discussing how Pennsylvania's bonding rules could apply to your specific plan.Entrusted Legacy Law helps families throughout Pennsylvania create estate plans that reflect not only who should inherit, but also who will be responsible for carrying out the plan. If you would like to review your executor choice or create a plan for the first time, you can schedule an introductory consultation with Entrusted Legacy Law.This article is for educational purposes only and is not legal advice. The application of Pennsylvania law depends on the facts of each estate.Choosing an executor in Pennsylvania means selecting someone who is trustworthy, organized, available, and capable of handling legal and financial responsibilities. An executor may manage assets, debts, taxes, records, and distributions. Out-of-state representatives can serve in many cases, but Pennsylvania bonding requirements may apply depending on the will and appointment circumstances.

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Lee Health - Cardiac Care

Cardiac Care , Fort Myers, Florida,

Lee Health is a leading healthcare provider in Southwest Florida, offering award-winning care and comprehensive services to meet the diverse needs of our community. Our mission is to provide quality service with personal attention, ensuring that every patient receives the best possible care.At Lee Health, we understand that finding the right care can be overwhelming. That's why we offer a range of services, from in-person care to virtual visits, urgent care, and emergency care, to ensure that you can access the care you need, when you need it. Our team of experienced physicians and specialists are dedicated to providing compassionate, personalized care to each and every patient.In addition to our clinical services, Lee Health is committed to providing resources and support to our community. Through our learning center, blog, and webinars, we strive to educate and empower individuals to take control of their health and wellness.As part of our commitment to excellence, Lee Health is currently conducting an evaluation of our business structure to ensure that we are meeting the highest standards of quality and efficiency. We invite you to explore our website to learn more about our services, find a doctor, and discover how Lee Health can help you and your family live healthier lives.

Lee Health - Cancer Care

Cancer Care , Fort Myers, Florida,

Lee Health is a leading healthcare provider in Southwest Florida, offering award-winning care and comprehensive services to meet the diverse needs of our community. Our mission is to provide quality service with personal attention, ensuring that every patient receives the best possible care.At Lee Health, we understand that finding the right care can be overwhelming. That's why we offer a range of services, from in-person care to virtual visits, urgent care, and emergency care, to ensure that you can access the care you need, when you need it. Our team of experienced physicians and specialists are dedicated to providing compassionate, personalized care to each and every patient.In addition to our clinical services, Lee Health is committed to providing resources and support to our community. Through our learning center, blog, and webinars, we strive to educate and empower individuals to take control of their health and wellness.As part of our commitment to excellence, Lee Health is currently conducting an evaluation of our business structure to ensure that we are meeting the highest standards of quality and efficiency. We invite you to explore our website to learn more about our services, find a doctor, and discover how Lee Health can help you and your family live healthier lives.

Lee Health - Rehabilitation Services

Rehabilitation Services , Fort Myers, Florida,

Lee Health is a leading healthcare provider in Southwest Florida, offering award-winning care and comprehensive services to meet the diverse needs of our community. Our mission is to provide quality service with personal attention, ensuring that every patient receives the best possible care.At Lee Health, we understand that finding the right care can be overwhelming. That's why we offer a range of services, from in-person care to virtual visits, urgent care, and emergency care, to ensure that you can access the care you need, when you need it. Our team of experienced physicians and specialists are dedicated to providing compassionate, personalized care to each and every patient.In addition to our clinical services, Lee Health is committed to providing resources and support to our community. Through our learning center, blog, and webinars, we strive to educate and empower individuals to take control of their health and wellness.As part of our commitment to excellence, Lee Health is currently conducting an evaluation of our business structure to ensure that we are meeting the highest standards of quality and efficiency. We invite you to explore our website to learn more about our services, find a doctor, and discover how Lee Health can help you and your family live healthier lives.