The COVID-19 Pandemic & Your Teen's Mental Health

April 13, 2021

Even in normal times, a teenager often feels emotional, vulnerable, insecure and confused. 

But when a global pandemic turns their world upside down, many teens feel completely overwhelmed. They are challenged with social distancing, remote learning and the cancellation of important events and activities, like school sports, homecoming, prom and graduation. They also may be worried about the health of loved ones.

How to Tell if It's Anxiety or Depression

Aurif Abedi, M.D., a child and adolescent psychiatrist with Henry Ford Allegiance Health, advises parents to look for changes in your teen’s behavior. Don't ignore signs of anxiety and depression, such as:

► Experiencing mood swings, agitation, frequent irritability or outbursts of intense anger.

► Being uninterested in connecting with friends or family – avoiding interactions and not texting, gaming or video chatting with friends.

► Losing interest in things they normally enjoy, like music, drawing or other hobbies.

► Having difficulty sleeping or sleeping more than usual.

► Losing their appetite or eating more frequently, often resulting in weight fluctuations.

► Not showering regularly, and not making an effort with how they look.

► Struggling with school: having attendance problems, not finishing assignments, or seeing a drop in grades.

► Engaging in risky behavior, including drug or alcohol use.

How to Help Your Anxious or Depressed Teen

Gently tell your child you’ve noticed a change in their behavior and give examples. Help them feel safe to tell you how they feel. Let them know you want to help and encourage them to ask questions.

Contact your teen’s doctor about your concerns. The doctor can complete an assessment and make recommendations, including letting you know if counseling seems appropriate.

If There is a Risk of Suicide

Thoughts of suicide, desperation or hopelessness should always be taken seriously. Make sure your home is safe for your child by locking up medications and weapons and getting help for your teen.

Contact your child’s doctor, call the National Suicide Prevention Lifeline at 1-800-273-8255, text TALK to the Crisis Line at 741741, or take your child to the nearest emergency department for an assessment. If your teen is in immediate danger of serious self-harm, call 9-1-1 immediately.

Learn about the wide range of behavioral health treatment options available at Henry Ford Health System.

Dr. Aurif Abedi, is a physician who is board-certified in psychiatry as well as child and adolescent psychiatry, and sees patients at Henry Ford Allegiance Health in Jackson.

6 Tips for the Best Cold-Weather Workout

December 6, 2022

With temperatures getting colder, it may be tempting to get back to the gym.

Henry Ford Health logoBut it’s still possible to get your exercise outdoors if you prepare properly to counter the chillier conditions that accompany living in Michigan this time of year.

Winter Weather Workout Tips

While cold air can make it challenging to breathe, our bodies adjust to reduced temperatures over time. The key thing to watch for is hypothermia (dangerously low body heat).

"Viruses are more likely to attack our bodies if we're in a cold state," says Ramsey Shehab, M.D., a sports medicine specialist at Henry Ford Health. "If your internal body temperature drops significantly, it can suppress your immune system and make you more vulnerable to infection."

The good news: Adopting these six strategies can help ensure your outdoor workouts are safe and effective.

Check the forecast. Know what the outdoor weather is and plan accordingly. Pay attention to the temperature, wind and moisture level. If temps dip below zero, the wind chill is extreme, or it's raining or snowing, exercising outside can be risky.

Dress in layers. Dressing too warmly can increase your risk of overheating (even in frigid air). Instead, dress in layers so you can remove layers as you warm up. "The innermost layer should be made of moisture-wicking material," Dr. Shehab says. "The middle layer should have thermal protection like wool or fleece, and the outermost layer should be waterproof and breathable to protect you from wind, rain and sleet." If you get wet and moisture soaks through your clothing, you may not be able to keep your core body temperature up.

Pay attention to your hands, feet and head. When you're engaged in a heart-pumping workout, blood flows to your core, leaving your fingers, toes and head vulnerable to the cold. Wear a hat, gloves and warm socks. If it's especially chilly, consider wearing a scarf.

Take time to warm up (and cool down). Instead of leaving your cozy house and launching straight into a sprint, take time to warm up your major muscle groups. "Your joints may be stiffer when it's cold, so warming up and stretching out is especially important during the winter months," Dr. Shehab says.

Stay hydrated. People tend to think more about dehydration during the summer months, but you can get dehydrated in the winter, too. "Proper hydration before, during and after exercise is very important, not just to maintain health and well-being, but also to stave off infection," Dr. Shehab says.

Take a vitamin D supplement. Even though you're exercising outdoors, sunlight is in low supply in Michigan during the winter. To keep your immune system humming, consider taking a vitamin D supplement. "Making sure you have sufficient vitamin D can enhance your bone health, boost your immune system and keep your hormones in balance," Dr. Shehab says.

Get Savvy About Outdoor Workouts

Frigid temperatures can create obstacles for even the most enthusiastic exercisers. While it's tempting to table exercise until warmer weather returns, there are things you can do to make outdoor — and indoor — workouts more enjoyable.

You don't have to stick to the same routine of running, walking and circuit training. Take advantage of the winter chill to participate in activities like ice skating, sledding, hiking, skiing and cross-country skiing. You can even take interval workouts outdoors. Climb stairs, hike up hills or just play with a kettlebell in the snow.

"Exercise is medicine," Dr. Shehab says. "It can sometimes replace medication for people who have diabetes, hypertension and other chronic conditions. It's good for the mind and the body, and it can help stave off infections, including COVID-19."

The caveat: Working out, outdoors or indoors, is not recommended for people who are currently battling the coronavirus. Instead, it's important to preserve your energy. Once your symptoms begin to improve, you can gradually increase your exercise level.

To find a doctor or athletic trainer at Henry Ford, visit henryford.com or call 1-800-HENRYFORD (436-7936).

Dr. Ramsey Shehab is the deputy chief of Sports Medicine at Henry Ford Health. He sees patients at the Henry Ford Center for Athletic Medicine and Henry Ford Medical Center - Bloomfield Township.