Anxiety About COVID-19: How to Support Your Loved Ones

        Crises can increase fears, panic, and anxiety for older adults. David Smith, MD, CMD, a Texas-based geriatrician, talks about how you can help.
        The COVID-19 pandemic can be anxiety provoking. If your loved one seems obsessed with news about COVID-19, gets upset or agitated when talking about it, is losing sleep over it or having bad dreams, or has stopped eating (or is binge eating), he or she may need your help to ease these fears and anxieties.
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        Model calm: Put on a positive face and do your best to be comforting.
        Your loved ones may need help with their anxiety if they find it difficult to control their worry and if they feel three or more of the following consistently over time:
        • Restlessness or feeling keyed up or on edge
        • Being easily fatigued
        • Difficulty concentrating or mind going blank
        • Irritability
        • Muscle tension
        • Sleep disturbance
        Anxiety does more than just make a person feel unhappy, distracted, and worried. It can cause or lead to depression, a pounding heart, headaches, irritability, breathing problems, an increase in blood pressure, muscle aches/pains, an upset stomach, loss of libido, and/or extreme fatigue.
        The first-line treatment for treating anxiety is cognitive behavioral therapy (CBT). This is aimed at helping reduce anxiety and worrisome thoughts, cope with stress and panic, and calm the nervous system. The second-line treatment is acceptance and commitment therapy (ACT), where patients learn to accept their thoughts without trying to change or reduce them.
        Guided imagery, where one focuses on a calming and positive memory from the past when one feels anxious, can be a helpful. Another variation of this is to create activities or conversations that take anxious people back to a time in the past when they were happy, powerful, and productive. Belleruth Naparstek, ACSW, BCD, is the author of popular guided imagery programs that may be useful (
        If your loved one has dementia or another form of cognitive impairment, therapy may not be possible or productive. Medications may be helpful. Non-drug treatments, such as physical activity, may be helpful as well.
        Helping to reduce your loved ones’ fears and anxiety is important during these difficult times. They will be looking to you, and you can be a valuable source of comfort and calm. You also can help make sure they get any care or treatments they need from their practitioner. At the same time, don’t forget to care for yourself and seek help if you need it. You are not alone; let your caring practitioner help.

        Questions to Ask Your Practitioner

        • What is the difference between having an isolated case of anxiety (such as crying over a scary news story or having a bad day) and generalized anxiety disorder that requires treatment? When should I seek help to address my loved one’s anxiety?
        • How do I know what to do or say to help my loved one?

        What You Can Do

        • Provide your loved ones with food, music, photos, movies, and other things that will bring them comfort.
        • Look for environmental issues you can manage, such as limiting loud noises, keeping TVs and radios off of news channels, and making sure your loved one has a soft blanket or stuffed animal for comfort.
        • Use positive language, and avoid words such as “disaster,” “hopeless,” “chaos,” “terrifying,” and “crazy.” Model calm.
        • Practice self-care for your own stress and fears.

        For More Information

        • Anxiety and Depression Association of America. “Seniors Coping With Anxiety and Depression,”