Published: March 18, 2021 By

an illustration by Brian Stauffer showing a virus cell above a city skyline with two people looking out their windows.

CU psychology professors share tools to improve mental health amid COVID-19.

As the world plunged into the COVID-19 pandemic in early 2020, Sona Dimidjian knew a parallel and more silent crisis was brewing in mental health.

Dimidjian, a ²ŹĆń±¦µä psychology professor, immediately saw a trifecta of trouble: COVID-19 disrupted our basic daily routines, upended socializing and delivered a flood of uncertainty.

ā€œPeople were challenged to navigate each of those issues right from the get-go, and we know theyā€™ve led to more depression, anxiety, substance abuse, domestic violence ... a whole host of problems,ā€ said Dimidjian, also the director of the ReneĢe Crown Wellness Institute, which focuses on research and programs to develop healthy young adults.

The statistics back her up. A September 2020 found 53% of Coloradans reported anxiety, loneliness or stress related to COVID-19.

Dimidjian and her CU colleagues say there are simple, research-based strategies that can offer relief.Ā 

ā€œGood science is our guide, and my team has been doing research on how to treat and prevent these issues for the last 20 years,ā€ Dimidjian said. ā€œThe good news is that the lessons learned are very relevant to the challenges we face today.ā€

Behavioral ActivationĀ 

The first coping strategy, called behavioral activation (BA), is based on the idea that you can change how you feel by changing what you do. Studies have shown it can sometimes quell depression just as well as medication. Thatā€™s why Dimidjian also calls BA ā€œbehavioral antidepressants.ā€

ā€œWe know that being involved in activities that give us a sense of accomplishment, enjoyment and control is critical to a positive mood,ā€ she said.

BA invites people to research the connection between their daily habits and moods: Which activities are draining? Which ones add pleasure, enjoyment or a sense of mastery? BA participants then add at least one pleasurable and one mastery activity to their schedule every day to make them a normal part of their lives.

Dimidjian is seeing BA work ā€” even without the aid of mental health professionals ā€” in research at the Crown Institute, where new and expectant women suffering from perinatal depression help each other apply BA skills.

Erin Wood, research participant and mother of two from Franktown, Colorado, said she found BA helpful not only during and after pregnancy, but also as the pandemic unfolded.

ā€œEven though I didnā€™t have to take a shower or get dressed, it was important to feel like I was accomplishing something,ā€ Wood said.Ā 

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The second coping tool is to acknowledge how the pandemic is disrupting your life.

ā€œItā€™s normal to grieve for lost experiences, to feel uncertain about the future and to be angry about the state of the world,ā€ said Roselinde Kaiser, assistant professor in CUā€™s Department of Psychology and Neuroscience. ā€œThese emotions donā€™t make us weak, flawed or powerless. Understand that stress ā€” even coronavirus-related stress ā€” can be an opportunity for new growth.ā€

June Gruber, director of CUā€™s Positive Emotion and Psychopathology Lab, said negative emotions ā€” fear, anger or sadness ā€” are normal.

ā€œInstead of suppressing or criticizing yourself for those emotions, accepting them as being valid may stave off spiraling into more clinically significant symptoms of depression or anxiety,ā€ Gruber said.

Kaiser suggests that after acknowledging your emotions, you can reflect on and list the issues affecting your emotions and thoughts.

Then, inventory your best coping strategies and responses to stress: ā€œThink about whatā€™s worked well for you in the past and why it was successful,ā€ Kaiser said.

Next, brainstorm how you might adjust your coping strategies to the pandemic. If exercise helps but your gym is closed, see if you can find a workout online.

Finally, approach it like an experiment. ā€œYouā€™re testing new ways of building wellness,ā€ Kaiser said. ā€œSome will work better than others.ā€

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Dimidjian said a third tool, mindfulness, is a way to stay grounded in the present moment. ā€œMindfulness helps us become aware of our thinking patterns and reorients us toward the present,ā€ she said. ā€œAnd that frees us from that sense of dread about the future.ā€

To become more mindful, Dimidjian suggests taking a few minutes each day to notice your breath, sensations in your body and any anxious or upsetting thoughts. Learning to pay attention to what youā€™re doing ā€” whether itā€™s eating, walking or listening to music ā€” and noticing when your attention wanes is what makes a mindful life, she said.

Kaiser added that even though the pandemic has led to ā€œa profound disruptionā€ to daily life and routines, humans can learn to cope.

ā€œYou may find that you discover new resilience-boosting skills that serve you not only during the pandemic but for years to come,ā€ she said.


If you or someone you know is having thoughts of suicide, help is available. Call the National Suicide Prevention Lifeline at 1-800-273-8255, chat with a representative at suicidepreventionlifeline. org/chat, call 911 or go to your nearest emergency room.Ā 


Illustration by Brian Stauffer

Updated on April 21,Ā 2021. A previous version of this story reported that 77% of Coloradans reported anxiety, loneliness or stress related to COVID-19.