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in Health &middot August 14, 2020

Mental Health And COVID-19: How I’ve Been Managing Mine

We are 6 months into COVID-19 being a big deal in America, or at least yesterday, August 13th, was 6 months into me putting myself in lockdown. As I have a very suppressed immune system, I have to take COVID-19 extremely seriously, and in March, my rheumatologist told me that I had to do everything I possibly could to keep myself safe. Between living through the COVID-19 era and having generalized anxiety disorder, my mental health has been something that I have to actively work on. The CDC describes mental health as “our emotional, psychological, and social well-being” (x). In this post, I’m going to share what I’ve been doing for my mental health and COVID-19 in the world.

I am not a mental health provider, or a medical provider of any kind.

Times are hard for everyone right now, for a variety of reasons. In this post, I'm talking about mental health and COVID-19, but specifically about life during the pandemic and not about your mental health if you have COVID-19 (I can't speak to that experience). I'm an immunosuppressed person with generalized anxiety disorder, so the pandemic is extra stressful.

Mental Health and COVID-19: What This Means

What does “mental health” mean?

The thing I see occasionally online is people who think mental health equals mental illness. But mental health is like physical health in that it is a thing that everyone has, even though it wasn’t talked about a lot publicly until recent years. Or at least, it wasn’t a term used until recent years.

The CDC agrees that it is separate from mental illness and says, “Although the terms are often used interchangeably, poor mental health and mental illness are not the same things. A person can experience poor mental health and not be diagnosed with a mental illness. Likewise, a person diagnosed with a mental illness can experience periods of physical, mental, and social well-being” (x).

So you can have no mental illnesses but go through a really tough time that makes for not-awesome mental health.

For example, no one has a great time during their college finals season. It’s super stressful. If you live in the dorms, you’re also moving out either for winter vacation or for the summer. You’re also saying goodbye to your friends for a little while and you might be heading home. So pretty much everyone feels awful mentally – aka their mental health is bad at that time – without having a mental illness.

Free printable to prepare you for chronic pain medical appointments

But how can COVID-19 affect mental health?

Gosh I feel like the bigger question is how couldn’t COVID-19 affect mental health?

We are in a world-wide pandemic, the likes of which haven’t been seen in at least a century.

In the US, at least, we’re still in lockdown.

There are people who basically refused to be in lockdown, which is making this last even longer.

There are people who refuse to wear masks, and many more who aren’t wearing them correctly.

(And in the US, many states and areas reopened way too early. )

There are still people who don’t believe COVID-19 is a real issue.

You get the picture.

And that’s just COVID-specific info!

The CDC says, “During and after a disaster, it is natural to experience different and strong emotions. Coping with these feelings and getting help when you need it will help you, your family, and your community recover from a disaster. Connect with family, friends, and others in your community. Take care of yourself and each other, and know when and how to seek help” (x). I don’t know about you, but a world-wide pandemic like COVID-19 definitely counts as a disaster to me.

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How I’ve Been Managing My Mental Health During COVID

Staying on top of my mental health has been doable, but it definitely has to be intentional. I have generalized anxiety disorder, which I’ve talked about in the past, but my mental health is more than my anxiety disorder. I’m going to talk about how I’m managing my mental health and COVID-19, which is sometimes anxiety-disorder related and sometimes general-life-in-COVID-19-world.

Here’s what I’m doing!

Try to stick to my normal routine as much as possible – This is a little bit tricky, but not too much for me because I’m already a lot of a homebody. So I get up at around the same time I did pre-COVID-19; I do my same morning routine; I’m going to bed a little later than usual, as I don’t have to get up early to take the T to work so I feel okay watching 1 more episode of whatever TV show I’m watching; I try to do the same nighttime routine; you get the picture. Routine is so key for me to manage my anxiety, so I’ve been trying to stick to mine as much as possible.

Force myself to get out of the house to go for walks – I am very fortunate to have been home in Maine since March, and we’re in a very rural town, so I can leave the house to go for walks very safely (with mask in pocket, of course, as although I’ve literally never been close enough to someone when out walking here that would require a mask, I am on immunosuppressants). Doing this has been so beneficial for me as it’s good to get out of the house that you’ve basically been in constantly for 5.5 months, in addition to being in my favorite place in the whole world. I was doing this in Boston in March before coming up here, and it was even more beneficial there for me because I was in an apartment.

Try to do yoga a few days a week – While going for walks is great for the mental benefit of getting out of the house, doing yoga or strength-training exercises is also ideal for me for actual exercise. I’ve worked hard to build muscle over the last year and to get used to regularly exercising for my POTS. Doing yoga several times a week helps me stop the constant monologue in my head that is my anxiety disorder during a global pandemic, so it’s beneficial to my mental health that way, but also the fact that I’m doing something physical helps me feel like I’m not losing all the progress of my POTS exercise protocol.

POTS exercise protocol diaries

Keeping therapy appointments (virtually) – In general, it helps so much to be able to talk to a professional about everything. The biggest help to me has been having a place where I can talk about all the things that I know are ridiculous for me to be anxious about. But that was pre-COVID; it is extremely rational be anxious about COVID-19, so I’m dealing with that plus my normal anxiety levels. There are different types of therapy, and it’s probably best for the therapists to decide what type you should do. Additionally, you might need to meet with several different people before you find someone who is best for you, so if you’re having a hard time clicking with someone, move on.

Reducing Twitter use – I love Twitter, but in recent months it is invading my life too much when I’m not on the app. To help with that, I turned off my Twitter push notifications, and I try to log off of Twitter a couple nights a week. That is helping me sleep because I hadn’t realized how frequently I try to wind down my night and then find myself opening Twitter. Both of these things have helped a lot!

Focusing on work – I will fully admit that this isn’t the healthiest, but I’ve been focusing a lot on work so that I don’t have time to feel sad about all the people who don’t seem to care about masks or all of the people who have had, currently have, or will have COVID-19. Between my day job and this blog, I’ve had plenty of work to do. Especially because we’re in the middle of my day job’s busiest time of the year!

How has COVID-19 affected your mental health?

Like this post? Check out:

Chronic Illness and Mental Health, 10 Simple Self Care Methods That Will Improve Your Life, The Art of Managing Anxiety

Kate Mitchell

Kate Mitchell is a blogger, chronic illness patient, and advocate who helps people understand chronic illness and helps chronic illness patients live their best lives.

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Dos and don'ts for when someone in your life is di Dos and don'ts for when someone in your life is diagnosed with autoimmune arthritis! What are some that you would add?⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: "So someone you know was diagnosed with Autoimmune Arthritis". Under the Do column (indicated with a green checkmark) is:⁣
"As how they feel about it⁣
Offer specific ways to help⁣
Treat them normally⁣
Ask follow-up questions⁣
Wear a mask around them when sick."⁣
Under the don't don't column (indicated with an x in a red circle) is:⁣
"Say “At least it’s not xyz!”⁣
Say that and not follow through⁣
Assume nothing about their lives has changed⁣
Conflate autoimmune arthritis with osteoarthritis⁣
Pass your cold to an immunosuppressed person".⁣
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#AutoimmuneDisease #RheumatoidArthritis #PsoriaticArthritis #AnkylosingSpondylitis #JuvenileArthritis
Weekj 26 of 2026 Weekly Scenes of a summer week Weekj 26 of 2026 Weekly 

Scenes of a summer week in Maine! So glad I work from home, which means I can work from my real home (Maine, if that wasn’t clear)

1️⃣ Lots of Harley time
2️⃣ Working from home means saving my PTO for fun things!
3️⃣ Lots of duck families (📸 my dad)
4️⃣ What a lot of my days look like - Harley and my current project (needlepoint). And, yes, I’m still in a cast.
5️⃣ Learned how to play Mahjong, which my parents love
6️⃣ Lake views on the 4th

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs:
1️⃣ Harley the golden retriever on a deck as seen through some plants
2️⃣ Kate takes a selfie
3️⃣ A duck with little ducklings following on a lake
4️⃣ Harley coming up to Kate. Her legs are out on an ottoman, 1 foot in a walking cast, and an in-progress needlepoint project
5️⃣ Looking down at a Mahjong table with the game set up
6️⃣ A kayak on the shore of a lake 

#MaineTheWay #MaineSummer #Needlepoint #MaineLife
Living with chronic pain is really hard. You’re wi Living with chronic pain is really hard. You’re winning every day you’re still here.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: The background image is a lake at sunset. Text reads what's above the first square and also "katethealmostgreat".⁣
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#ChronicIllness #ChronicPain #RheumatoidArthritis #Fibromyalgia #Endometriosis
I've been spending a fair amount of time at my foo I've been spending a fair amount of time at my foot surgeon's office this year, and boy has it been messing with my head. ⁣
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I spent a lot of time from 2001-2010 dealing with my left foot. Long story short, it took until this foot surgeon saw me in 2010 after fixing this foot for me to be diagnosed with rheumatoid arthritis. But I spent those 9 years going from doctor to doctor, having surgery after surgery, trying to figure out what was causing my pain and to fix it. ⁣
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Was it the tarsal coalition? Did I have another chronic health issue? Etc. ⁣
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I spent from age 10 to 19 unsure what exactly was wrong with me and in huge amounts of pain. We thought we figured it out, and then something else happened. ⁣
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We know exactly what is wrong with this foot this time around: in 2024, I got 3 stress fractures, and no one put me in a boot. They almost fully healed before breaking in 2025, and then the same thing happened in 2026. ⁣
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This is a different part of the foot than I used to deal with, but any problems with my feet and especially my left foot messes with me. While this doctor eventually fixed the problems and even got me diagnosed with RA, every time I go back to his office, I have to fight not to become 17 again. ⁣
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PTSD is a bitch.⁣
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(PS - if you want to know why I'm going back to this guy when it messes with me, it's because I don't trust anyone else to fix my foot.)⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Kate takes a selfie in a doctor's office. ⁣
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#PTSDAwareness #ChronicallyIll #TarsalCoalition #RheumatoidArthritis #Osteoporosis
Week 25 of #2026Weekly Happy to be in Maine for Week 25 of #2026Weekly 

Happy to be in Maine for a few weeks! I didn’t get up to a lot, so another week of very few pictures

1️⃣ IVIG 
2️⃣ Lots of beautiful birds have been coming to my mom’s bird feeder!

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs: 
1️⃣ Looking at Kate’s lap. Tubes are coming out from under her shirt and there’s a Kindle
2️⃣ Birds arriving at a bird feeder as seen through a window

#ChronicallyIll #InvisibleIllness #ChronicPain #IVIG
What do you have to do every day for your chronic What do you have to do every day for your chronic illnesses? ⁣
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For context, I have rheumatoid arthritis, fibromyalgia, endometriosis, POTS, heart disease, osteoporosis, and more. ⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: ⁣
Things I Do Every Day for My Chronic Illnesses⁣
Take pills at least 4 times a day⁣
Don’t eat gluten, dairy, corn, soy, or eggs⁣
Sleep 7+ hours a night⁣
Consume 80-100 grams of protein, 120 mg of calcium, 5-10 grams of sodium⁣
Wear a mask whenever I leave the house⁣
Do pilates 4+ days a week⁣
Work from home⁣
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#ChronicallyIll #InvisibleIllness #RheumatoidArthritis #Fibromyalgia
Filmed this back in April (hence the sweater) but Filmed this back in April (hence the sweater) but it applies to whenever I have appointments! 

Video: Kate talks to the camera while holding a purse. She holds up individual items mentioned in the video before putting them in the bag. There are captions. 

#ChronicallyIll #RheumatoidArthritis #Osteoporosis #ChronicPain
There are a lot of medical advancements that I'm g There are a lot of medical advancements that I'm grateful for, but one of them is the ability to do IVIG at home. ⁣
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I'm on IVIG - or, in my case, subcutaneous immunoglobulin replacement therapy - because I have to kill the better part of my immune system. There are, in fact, some parts of my immune system that don't attack me, which is why we add them back in. This helps reduce my chance of serious infection and also made my rheumatologist feel comfortable enough to increase my Rituxan dose. ⁣
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This is a weekly treatment that I do, but it's so much better that I can do it at home than going into the hospital. It takes around 2.5 hours from taking my pre-meds to tossing my needles into a Sharps container. While it's another thing that I have to do, because I do it at home, I don't have to risk exposure to infections at the hospital or deal with Boston traffic, which would add another hour to the process. ⁣
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I can finish my treatment and then go about my day, which I'm very grateful for.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: A Kindle on Kate's legs. There are tubes for an infusion coming out of her shirt.⁣
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#IVIG #ChronicallyIll #RheumatoidArthritis #Autoimmune #AutoimmuneDisease
Weeks 23 and 24 of 2026 Weekly! The last two wee Weeks 23 and 24 of 2026 Weekly! 

The last two weeks were prepping for my infusion, having/recovering from my infusion, and getting caught up after. This meant things were very busy but also I don’t have a lot to show for them. 

1️⃣ New glasses! I really like having multiple pairs so I can switch them as I want.
2️⃣ One of my current projects. I got this standing hoop for my birthday and I’m working on an alphabet (uppercase and lower, although I’m still working on the lower) with extra floss.
3️⃣ Infusion time! I got my higher dose so hopefully my symptoms improve a lot in the upcoming weeks🤞🏻

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣

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IDs: 
1️⃣ Kate takes a selfie. Her new glasses are thin silver circles
2️⃣ An in-progress cross-stitched alphabet in a special hoop stand that Kate is sitting on.
3️⃣ Kate takes a selfie in an infusion chair.

#ChronicallyIll #RheumatoidArthritis #AutoimmuneDisease #CrossStitcher
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