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It’s a Great Time to Consider a Career in Behavioral Health

Challenges and obstacles create opportunities. Even since before the start of the pandemic, the provider community has dealt with workforce development challenges, especially in the field of behavioral health. As the demand for mental health and substance use disorder services have increased, so have the opportunities for a career in behavioral health for individuals at all experience levels.

Throughout the nation, healthcare workers are experiencing significant levels of burnout due to the pandemic. This once in a lifetime event has impacted the mental health of clinicians and has overly extended the existing provider workforce that was already experiencing a critical shortage. Although this is a widespread problem, rural areas and minority communities are more greatly affected. Many individuals living in these areas don’t have easy access to local primary care or mental health providers.

In Pennsylvania, there are currently a variety of job opportunities available, ranging from clinical, technical, and administrative roles of all experience levels. These roles in behavioral healthcare all provide the opportunity to make a positive impact in the lives of children, adolescence, and adults.

Watch this video created by Magellan Behavioral Health of Pennsylvania to learn more about the benefits of working in the behavioral health field.

 




Doc Talk: Discussing Depression in the Black Community with Dr. Beall-Wilkins

Discussions about mental health in the Black community shouldn’t be limited to Black History Month in February and BIPOC Mental Health Awareness Month in July. The conversations and action steps geared toward providing education, support, and resources require a year-round effort.

A recent article published by the Kaiser Family Foundation, shares that although Black people have made great contributions and achievements in the United States, “they continue to face many health disparities that adversely impact their overall health and well-being,” which have been “exacerbated by impacts of the COVID-pandemic, ongoing racism and discrimination, and police violence against and killings of Black people.”

What impact do these factors have on the mental health of individuals in the BIPOC community? Magellan’s medical director Rakel Beall-Wilkins, M.D., MPH shares her perspectives on depression and suggestions on ways to be supportive.

What is depression and what are some signs or symptoms?

Dr. Beall-Wilkins: Depression is a clinical illness characterized by:

  • Prolonged periods of low or sad mood.
  • Loss of interest or pleasure in activities.
  • Changes in appetite, sleep or energy levels.
  • Feelings of worthlessness or hopelessness.
  • Thoughts of death or suicide.

Depression can be caused by medical illness, substance abuse, and stressful social, academic, or occupational situations, but it can also develop more readily in individuals who have a family history of depression or other mental health conditions.

Other signs of depression may include:

  • Withdrawing from social activities, relationships, or hobbies.
  • Escalating drug or alcohol use.
  • Declining self-care in the form of poor personal hygiene and grooming.
  • Expressing feelings of hopelessness, worthlessness, and/or helplessness.
  • Neglecting to attend to chronic medical conditions or maintain follow-up with healthcare providers.

How does depression impact individuals in the Black community?

Dr. Beall-Wilkins: As of 2020, the National Survey on Drug Use and Health found that 6% of Black American adults and 12.9% of Black American adolescents experienced a major depressive episode within the last year. Despite increasing levels of depression within the Black community, studies also show that Black Americans are less likely than their White counterparts to receive psychotherapy or medications for their depressive symptoms. This disparity is largely attributed to limited access to healthcare coverage and culturally competent behavioral health providers, as well as pervasive cultural stigma.

Is it possible for someone to experience depression that is triggered by external factors and societal issues, such as violence, police brutality, political unrest, and racism? If so, how?

Dr. Beall-Wilkins: Yes, it is possible for depression to develop as a result of exposure to sociopolitical strife. In fact, during the week following the highly publicized death of George Floyd in May 2020, rates of depression and anxiety spiked from 36 to 41% among Black American respondents to the Census Bureau’s 2020 Household Pulse Survey.

Likewise, a 2018 study published in The Lancet found that police killings of unarmed Black Americans resulted in an increase in poor mental health days among Black American respondents. Though they may not know the victims of these circumstances personally, it is very common for Black Americans to collectively internalize the trauma of these events and feel despair over the possibility that a similar fate could befall them or their close family members and friends. Moreover, the repeated nature of these events can elicit sadness, hopelessness, and fear that things will never change.

What are tips for an individual that recognizes they are showing signs of depression?

Dr. Beall-Wilkins:

  • Visit your doctor and seek treatment: Regularly follow up with a primary care provider to ensure there are no untreated or undertreated medical conditions that may contribute to the development or worsening of depressive symptoms.
  • Stay connected: Stay connected to close friends, family, and spiritual community for support.
  • Diet and exercise play a role: Eat a balanced diet and engage in physical activity for at least 30 minutes a day, three times per week.

Resources:




Spotlight Magellan Health: Social Worker Month

Throughout March we’re celebrating National Social Worker Month by recognizing the over 600,000 social workers throughout the country who work tirelessly to solve social issues and improve the lives of individuals. Social workers spend every day improving the quality of someone’s life and continuing to advocate for their patients, which can be emotionally draining work that can often lead to burnout. We’re spotlighting three of Magellan Health’s social workers who each explain why they became social workers, and what is the most rewarding and challenging aspects of working in this field:

  • Tara Karbiner, director of clinical services, has been with Magellan for 23 years.

  • Margarita Dewalt, LSW, Community HealthChoices care manager, started at Magellan late last year.

  • Trisha Dryzga, manager, clinical services, joined Magellan in 2016; has been in current role since 2020.

Continue reading to learn more from Tara, Margarita, and Trisha on their experiences as social workers:

Why did you become a social worker and what is the most rewarding aspect of working in this field? 

Tara: I always wanted to assist people when they were most at need and vulnerable.  I have always enjoyed helping people identify what their needs are and then trying to connect them to the right supports and services to meet those needs.  Making a difference in someone’s life can range from helping provide concrete services to just establishing a supportive relationship with them.    The most rewarding aspect is supporting a person in reaching one of their goals and seeing the impact that has on their life.

Margarita: I became a social worker because I wanted to make a difference or a change in someone’s life for the better. I wanted to be a resource or helping hands for those in need. The most rewarding aspect of being a social worker is seeing the impact that you have, big or small. I also enjoy helping others overcome their mental health and social needs by providing them with coping skills or ability to problem solve to live better lives.

Trisha: I grew up interested in behavioral health. In college I majored in Psychology and minored in Sociology. I had a sociology professor who was an LCSW and had an interesting career path. He talked to me about the possibilities in the social work field which piqued my interest. I went straight to graduate school and obtained my MSW in 2004. I find the work to be challenging and rewarding at the same time. The occasional success stories on both the individual and systems levels make the work rewarding. For my current role I find the teamwork aspect to be very rewarding. I am lucky to work with very caring, compassionate people who believe in their work and who take time to support one another.

What are some challenges you face being a social worker and how do you overcome them? 

Tara: The biggest challenges are the gaps within the system of care to best support people- there are deficiencies across all systems and many people go without the basic supports to reach their potential.  I try to brainstorm, and problem solve multiple solutions to the same issue so that we can pursue many ways to get the needs met.  As a social worker you need to never give up but keep pushing the system and advocating for your members to ensure they have what they need to be successful.

Margarita: A challenges I face being a social worker is often the lack of resources for vulnerable people in need. I hope that we can change this by raising awareness and finding opportunities and resources for providers to be able to provide those additional services, supports or programs.

Trisha: There are many challenges in social work, including having enough resources to meet the needs of the individuals we serve, often hearing and seeing some very difficult cases and constantly advocating for additional resources for those in need. In terms of overcoming these challenges I maintain hope that we can build a better mental health system, with increased flow to allow for everyone to access the right level of care at the right time. On days when it’s hard to hold on to that hope – I practice some extra self-care – go for a walk, read, or spend time with family.

Is there anything you’d like to highlight about working in this field? 

Tara: Social workers are compassionate, creative, persistent, and problem solvers.  At times social workers must take on the burdens of the members they support to allow the member some relief from the daily pressures.

Margarita: Working in the social work field has always challenged me to think outside the box and seek opportunities that could really change an outcome for the better.

Trisha: I think the work we do is very important to our society overall; social workers have an array of roles throughout our communities that assist with treatment and accessing resources.

What does National Social Worker Month mean to you? 

Tara: It is validating to have a month that recognizes many of the unsung heroes working daily to support members.

Margarita: National Social Worker month means that I can be a part of something greater than myself and that itself is so rewarding.

Trisha: It means recognizing the hard work and challenges social workers face every day. It brings awareness to the profession and shows that it is valued in our society.




From autism awareness to acceptance

Autism spectrum disorder (ASD) is a group of neurological conditions that affect brain development and can lead to challenges with social skills, language and communication, learning and behavior. In the United States, 1 in 44 children is diagnosed with ASD, and two percent of adults are estimated to have ASD.

Autism Awareness Month

Autism Awareness Month, observed annually in April, evolved from the Autism Society of America’s first National Autistic Children’s Week in 1972 and the United Nation’s official observance of World Autism Awareness Day on April 2, which highlight the need to improve the quality of life of those with ASD so they can lead full and meaningful lives and be an integral part of society.

How does autism awareness help individuals with ASD?

Autism awareness is knowing an individual has ASD and recognizing the signs and symptoms, such as social communication challenges, restricted interests and repetitive behaviors. Awareness can lead to acceptance and help with:

  • Improved inclusion for people with autism
  • Decreased bullying and exclusion
  • Greater support in schools, at home, etc.
  • A better understanding of ASD in communities
  • Better integration of people with ASD into communities, jobs, etc.

Autism Acceptance Month

Today, Autism Awareness Month has evolved into Autism Acceptance Month. Organized by Paula C. Durbin-Westby, an autistic disability rights activist, Autism Acceptance Day was first observed on April 1, 2011 as a way to counteract negative images of autism prevalent in many autism “awareness” media pieces. Autism Acceptance Day and Autism Acceptance Month quickly became popular in the autistic community. In 2021, the Autism Society formally adopted the name Autism Acceptance Month to foster acceptance and ignite positive change in the lives of those with autism and their families.

How does autism acceptance help individuals with ASD?

Autism acceptance means moving past surface impressions; including individuals with ASD in your activities; and helping them to develop and thrive in the community, and connect with others.
With acceptance from others, individuals with ASD have an easier time navigating life’s everyday challenges without the stress of being judged and ridiculed. Autism acceptance can provide individuals who have ASD:

  • Adequate validation of their condition and emotions
  • Improved self-acceptance, confidence, and mental health
  • Better relationships with peers
  • Increased quality of everyday life

This increased sense of self-acceptance and compassion will give individuals with autism more confidence to interact openly with peers, take part in group activities and try new things.

How can I practice autism acceptance and inclusion?

We can all take actionable steps that encourage acceptance and inclusion of individuals with ASD in our communities.

  • Diversify your child’s bookshelf. Select books with characters of varying abilities, such as ASD. Reading is an excellent way to engage your child in conversations about acceptance and inclusion of differences from a very young age. Three books that focus specifically on ASD are:
    • A Friend for Henry by Jenn Bailey–This heartfelt story from the perspective of a boy on the autism spectrum who is on the lookout for a friend who shares, listens, and maybe even likes things to stay the same and all in order, as he does, celebrates the everyday magic of friendship with insight and warmth.
    • A Friend Like Simon by Kate Gaynor–This story is about an autistic child who joins a “typical” classroom and faces many challenges. Young readers will learn how to be mindful of and patient with their autistic peers, while also learning about the many ways an autistic child can contribute to a friendship and community.
    • All My Stripes: A Story for Children with Autism by Shaina Rudolph and Danielle Royer–Zane the zebra has autism, and he is worried that his friends and classmates will make fun of his stripes, which make him different. As Zane learns having autism is one of the many things that actually makes him special, your child will relate to Zane and realize they, too, have plenty to be proud of.
  • Expand your circle. Expanding your family’s network of friendships and activities to include individuals with different abilities, such as ASD, can provide opportunities for all to connect with and learn from others.
  • Focus on strengths, not just challenges. Many individuals with ASD exhibit highly focused interests, such as technology or animals. Inviting them to participate in activities or groups that involve their interests creates pathways for individuals with ASD to form friendships. Focusing on the unique abilities of individuals with ASD strengthens their sense of self and achievement.

How can I learn more about ASD?

You can find free resources that increase awareness, celebrate differences and support inclusion on our Autism Awareness website, including a recording of the Magellan Healthcare and Kyo webinar, “What is Applied Behavior Analysis (ABA) and how can it help my family?”

SOURCES:




Spotlight Magellan Health: Healthcare HR Professionals

The third week in March is designated to recognize the Healthcare Human Resources (HR) Professionals and their important role in the continuum of care. This week celebrates the hard work HR professionals do who work in hospitals, health systems, clinics, and other healthcare organizations. Today’s healthcare landscape creates more complex issues for HR professionals who navigate challenges like talent shortages, compensation and benefits, employee wellness, and government regulations. We’re spotlighting three of Magellan Health’s Healthcare HR Professionals who each explain why they chose a career in Healthcare HR, and what is the most rewarding and challenging aspects of working in this field:

  • Tammy Curry, lead payroll specialist, has been with Magellan for three and a half years.

  • Karen Cronan, principal compensation consultant, has been with Magellan for five years.

  • Beth Moore, human resources business consultant, Magellan Federal, has been with Magellan Federal for eight years.

Continue reading to learn more from Tammy, Beth, and Karen on their experiences as Healthcare HR Professionals:

Why did you want to pursue Healthcare HR and what is the most rewarding aspect of working in this field?

Tammy: I love working with numbers, so payroll is natural for me and exciting. From my understanding, across the board at all companies I’ve ever worked for, payroll is the most important and vital department in the company. The most rewarding aspect of working in this field is knowing that the company’s biggest asset, our employees, are paid correctly and on time. That makes both me and the employees happy!

Karen: I have always been interested in medicine, physiology, health, fitness, and wellbeing. That combined with my love for mathematics and compensation attracted me to HR and compensation roles in healthcare.

Beth: Magellan Federal HR is a third career for me and a great fit following directing federal behavioral health contracts and an Air Force clinical social work career. I most enjoy providing HR consultation to leaders across the employee experience from organizational design informing staffing solutioning of new business to complex employee relations and retention areas.

What are some challenges you face in this profession and how do you overcome them?

Tammy: Working in payroll can be challenging at times but can also be immensely rewarding. The biggest challenge that I face in my profession is having to chase after employees to submit their timecards for pay processing.

Karen: In recent years with the pandemic and rapidly changing economic environment, it has been challenging to keep up with the market with respect to the ability to attract and retain talent.  The pandemic induced early retirement of so many baby boomers, which greatly affected the talent pool.  That, combined with the much smaller cohorts of younger generations, has really strained recruiting efforts, and driven up salary demands.

Beth: Post-COVID, many behavioral health professional workplace location options have moved to a tele-work environment. While this expands the options for the job seeker, it can be challenging for staffing site locations. In my role, I work closely with operational leaders and talent acquisition to develop plans to mitigate these challenges and look for innovative solutions to meet the staffing requirements.

Is there anything you’d like to highlight about working in Healthcare HR?

Tammy: Healthcare HR provides a range of opportunities to progress, which includes payroll, benefits, compensation, recruiting, and human resources. I love knowing that if I’m not challenged in my current position, there is always room for growth.

Karen: I find working in Healthcare HR rewarding because in healthcare, we provide very important care and services to fellow human beings which makes a positive impact in the world.

Beth: I particularly enjoy my role in Federal’s Health Services Division and Strategy and Growth consulting on organizational design, human capital labor category solutioning, and workforce planning.  It’s the collaboration with the team that’s exciting with the goal of aligning business objectives with Magellan’s strategic goals.

What does National HR Healthcare Professionals week mean to you?

Tammy: HR professionals are learners who seek new ways to solve old problems, enablers who make others better, and value creators who help all stakeholders win. National Healthcare HR Professionals week means that HR professionals in healthcare organizations throughout the nation are recognized for their vital role across the continuum of care.

Karen: It gives those of us who work for healthcare companies an opportunity to highlight and celebrate our participation in serving those in need.

Beth: It’s recognition of one of the many areas HR professionals may focus. Healthcare is a dynamic and challenging field for HR professionals and it’s great to see the specialization recognition.




Spotlight Magellan Health: Chris Squillaro

As a Medical Director for Magellan Behavioral Health of Pennsylvania, Chris Squillaro, DO, manages many different responsibilities. As a supervisor of the Pennsylvania medical staff, he performs reviews, attends complaint and grievance hearings, and leads various rounds with our care managers. Dr. Squillaro also provides the executive leadership with input on strategy and focusing on prioritizing what’s important to our county customers. Whenever a medical opinion or perspective is needed, Dr. Squillaro, who has been with Magellan since 2021, always provides that medical input into the initiatives and intervention being done in Pennsylvania. Continue reading to learn more about what innovative behavioral health projects and initiatives Dr. Squillaro is currently working on in Pennsylvania:

What sort of innovative projects are you currently working on?

There’s an enterprise-wide movement to develop a common suicide pathway to decrease suicidality. Pennsylvania is heavily involved with that project although it involves more than just Pennsylvania. I’ve been working on this with the corporate and Pennsylvania leadership.

We are also doing a project in Pennsylvania called Project Red, which aims to decrease readmission rates and standardize the discharge process. This is a project that’s being led by two researchers out of Massachusetts who had developed Project Red originally for the medical side, and they want to convert it to the behavioral side.

I’m also involved in a trauma informed care summit because of a Pennsylvania Commonwealth initiative. The goal is to transition all the Commonwealth residential treatment facilities to tiered trauma designations that demonstrate competency in trauma care for children and adolescents in that level of care. Included in this would be consistent trauma screening and treatment, decreasing physical and chemical restraints, having a trauma informed lens as patients move through care and awareness of experiences in the milieu that may be triggering.

We also have a medication adherence project where I clinically supervise the pharmacist who is working on improving medication adherence for some of our more severe patients through direct member education and training.

Why is Magellan Behavioral Health of Pennsylvania the best place to do these projects?

I think we have a holistic view of the healthcare delivery system, not just within individual units across the country but enterprise wide. We have our eyes on national issues through touchpoints with the corporate team. We understand what Pennsylvania’s priorities are, what their initiatives are, and what issues are important to them. We can get even more granular at a county level. Each county is in tune with what are its’ constituents wants and needs. Pennsylvania is very diverse, there are swings in socioeconomic status between regions and resources. We get this population health view at a national level, that then is informed all the way down to the county level so we can see it not only for what’s important from a national perspective, but then in each Pennsylvania community. With that information, we can come up with the best way to approach problems.

I think there’s also a lot of willingness and eagerness to use technology at Magellan. It helps us to sort and track outcomes. Magellan is really getting involved with technology, this is something that’ll be hugely helpful for what we can do in the future.

What are your thoughts on the culture at Magellan Health? How has that culture impacted the projects you’re working on?

Before I worked at Magellan, I was a provider. Magellan has always been willing to try new things. If providers had a good way of solving common problems, in my experience, Magellan was certainly willing to entertain it and develop programming around it. I think that willingness to adapt, change, and try new things is what makes projects successful. The culture of being able to move around problems and to adapt is one of the things I saw since before working at Magellan and has only been reaffirmed since I’ve joined this team.

What direction do you see healthcare going in? Have you noticed any exciting trends in the healthcare industry? What lessons are there to learn in other industries that can be applied to healthcare?

I feel we are learning from the way that care is delivered on the medical side. Using outcomes and data to make decisions is one of the things that’s exciting in behavioral health. Some screening tools that have been developed have become more reliable and it’s starting to create a common language that we can have with our medical counterparts. This then creates opportunities to coordinate at key levels of care. There’s also a lot more collaboration between medical and behavioral health. It’s not new information that behavioral health has a significant impact on medical costs overall and medical quality. I see medicine becoming more integrative. On the behavioral health side, we’re catching up on the importance of data-driven decision-making outcomes and managing from a population health perspective.

Another trend is in customer care. We are learning from industries where customer satisfaction is critical to ease of access, utilization, adherence, and adoption of a plan. We’re doing a lot of customer surveys and making sure people are happy with the service that they’re getting.

Lastly, we’re adopting the standardization and checklist mentality that I most associate with the airline industry. This is a public safety concern that has been effectively managed by airlines to assure safety and limit mistakes. We are utilizing and promoting standardized tools and checklists to consistently diagnosis issues. We are then using algorithms to standardize treatment pathways. This assures consistencies across providers and assures that the most appropriate evidence-based interventions are being utilized to treat people.




Your Body: More Than an Image in the Mirror

The body is an amazing instrument. Major organs work together to allow you to breathe, convert food into nutrients, move in space, reproduce, protect yourself or heal from illness, and perceive and make sense of the world around you. While the body is capable of so much, why do many individuals dislike their bodies? The answer to this question is more complicated than it may appear.

What is Body Image?

Body image is a term that describes thoughts, feelings, beliefs, attitudes, and perceptions about one’s body (Hosseini & Padhy, 2022).

Specifically, body image is defined as:

  • How you see your body, including your height, shape, and weight, and individual body parts,
  • What you think and believe about your body,
  • How you feel about your body, and
  • What you do to address your feelings, beliefs, attitudes, and perceptions about your body.

Body image is an important component of overall wellbeing and influences how people function on a day-to-day basis. Body image exists along a negative/positive continuum and may change at any time. When realistic expectations, acceptance of and/or satisfaction with the body occur, a positive body image is experienced. Conversely, when thoughts, feelings and beliefs about the body are inconsistent with an ideal image one forms in their mind, a negative body image occurs (Office of Women’s Health, 2021; National Eating Disorders Association [NEDA], 2021).

How is Body Image formed?

The development of body image is a complex process. It begins in early childhood and evolves over time. The process consists of interactions between external and internal factors (Hosseini & Padhy, 2022; NEDA, 2021).

  • External Factors: Cultural/Environmental/Social—Messages from parents, siblings, peers, teachers, and the media influence beliefs and assumptions about the body. Comparisons to others coupled with a culture that focuses on beauty, perfection, and anti-aging may contribute to shaping opinions about the self. This is often seen on social media as it often perpetuates that beauty and perfection are the ultimate goals, with filters and editing tools creating a distorted reality. The constant bombardment of images promoting youthfulness can make individuals feel inadequate and self-conscious about their appearance. Traumatic experiences (accidents, sexual/physical assault, emotional neglect) may impact body image. Developmental milestones such as transitioning from child to adulthood, starting a family, dealing with adult children leaving home, and aging/retiring from work may increase the probability of fluctuating body images.
  • Internal Factors: Personality/Emotional/Psychological—Anxiety and depression, and personality characteristics such as perfectionism, rigid thinking, and high expectations of self may influence or reinforce body image.

Tips on Achieving and Maintaining a Positive Body Image

Your wellbeing is in part, dependent on your body image. Therefore, working towards and maintaining a positive body image benefits your physical and psychological health, as well as your relationships with others. These recommendations may help you in your journey (NEDA, 2021) toward an optimal body image.

  • Remember your body is merely the shell in which your emotional, physical, and spiritual person resides. Your body does not define you.
  • Take care of your body. To function properly, your body needs a consistent dose of nourishment, including food, physical activity, and social relationships.
  • When thoughts about your appearance start to overwhelm you, remind yourself of all the things your body can do. Your body allows you to move through space, view the world around you, problem-solve, experience different emotions, and connect with others.
  • Limit negative media influences: Unfollow sites that equate extreme body types (for example, very thin or very muscular) with happiness. This includes unfollowing people and influencers on social media that put a focus on unrealistic body images. Receive information on healthy dieting from your doctor, not the media. Observe the contents of advertisements with critical eyes and ears before making impulsive decisions to adopt the message or purchase the item.
  • Surround yourself with positive people and messages. Being with people you trust and receiving messages that inspire you help to prevent an unrealistic body image.

Be mindful of signs that may signal a path toward a negative body image. It is normal to engage in some of these behaviors every now and then. However, if you find that these activities are starting to interfere with or prevent you from accomplishing routine daily activities, it may be time to discuss these issues with your doctor. Avoid these behaviors:

  • Looking in the mirror multiple times a day.
  • Believing that happiness is equated to physical attractiveness.
  • Comparing your appearance to others.
  • Avoiding social situations because you are not attractive enough.
  • Wearing loose or bulky clothes to hide your body shape.
  • Engaging in extreme diets.
  • Declining invitations where eating is involved.
  • Refusing to be part of a photograph or editing photographs of yourself before sharing them.
  • Approaching hygiene needs or shopping for clothes with dread.
  • Feeling depressed or anxious, or having trouble concentrating after you eat.
  • Asking friends and family about their opinions regarding your appearance.

An ideal body is not measured by how you look. An ideal body is one that functions optimally and allows you to embrace what life has to offer. Slowly shifting your thoughts from self-criticism to ones of appreciation and respect may improve your overall wellbeing.


References




Doomscrolling: When staying up to date becomes harmful

Introduction

When disasters or tragedies occur, people seek information from traditional news sources and social media. Staying up to date is part of being an informed citizen, and while consuming media can be beneficial in moderation, “doomscrolling” — exposing yourself to a never-ending stream of distressing information — could be negatively impacting your overall wellbeing.

If you find yourself overwhelmed by the constant flow of negative information but can’t bring yourself to turn away from Twitter, you are not alone. For 50 years, Magellan Federal has helped more than three million civilian employees and their families enhance their emotional wellness and reduce stress. The following information and tips can help you to avoid doomscrolling if your social media usage is getting in the way of your wellness.

DoomscrollingDoomscrolling Defined

Doomscrolling (also known as doomsurfing) is the term used for persistent and excessive reading of negative news online. It was popularized by Quartz reporter Karen Ho in 2020 during the lockdown at the height of the COVID pandemic. Like many of us,  Ho struggled with compulsively reading upsetting news about the ongoing pandemic. She would send nightly tweets (pictured right) to her followers encouraging them to take a break from doomscrolling bad news and to get a good night’s sleep (8).

Doomscrolling Characteristics — What to Look Out For

Doomscrolling differs from regular social media usage and has four main characteristics that makes it a distinct activity.

  • This is a persistent activity that becomes habitual.
  • It is caused by environmental factors.
  • The sessions are multiple hours, and the user often loses track of time.
  • The content viewed is negative, distressing, and timely.

While typical social media usage may have one or more of the above-mentioned factors, all factors are present for doomscrolling. Further, a study used to create a doomscrolling scale found the activity was highly associated with “online vigilance, problematic internet/social media use, and FOMO” (fear of missing out) (13).

Reasons for Doomscrolling

Fear of the unknown is the primary motivator driving people to engage in doomscrolling, however, multiple factors may contribute to and perpetuate their fear.

Biological Imperative

During times of crisis or tragedy, people gather information to reduce uncertainty, create a plan, and attempt to exert some measure of control over the situation (17). This behavior is rooted in survival instincts related to paying more attention to negative information than positive and scanning the environment for danger to protect one’s family (14).

Fear of Missing Out (FOMO)

While FOMO typically refers to anxiety experienced as a result of seeing an exciting or interesting event happening elsewhere, FOMO also applies to doomscrolling. With no end to social media posts, there is always one more piece of information that could be read.

Perpetuating the Cycle

With doomscrolling, the information collected on tragedies and disasters that was meant to reduce uncertainty and allay feelings of anxiety instead increases these feelings, particularly when the events are beyond one’s control. As we scroll, we’re flooded with information that for the most part, we can do nothing about, except to keep scrolling and sharing, perpetuating the cycle. As a result, we feed the paralyzing loop of information that can lead to feelings of helplessness and despair (11).

Algorithms

It’s no secret that the goal of social media titans like Facebook and Twitter is to have users interact with their products for as long as possible. To that end, these platforms create algorithms to learn their customers’ habits and then customize the online experience to them (15). The more a user interacts with the platform, the more the algorithm “learns” what content to provide, without concern for possible user harm (8). As a result, the curated content displayed for each user plays on their emotions to keep them engaged—even negative ones. Naturally, repeated exposure to distressing content can have a negative impact on mental health.

Risk Factors

Current research findings show that certain individuals are more likely to engage in doomscrolling than others.

  • Men and younger adults regardless of ideological beliefs (13)
  • Those with anxiety or depressive disorders
  • People who score high in neuroticism
  • Those who are addicted to social media (12)
  • Individuals with previous childhood maltreatment experiences

Effects of Doomscrolling

Since the start of the pandemic, there have been multiple studies on the mental health effects of doomscrolling. Recent research findings suggest doomscrolling is associated with:

  • Increased anxiety and psychological distress
  • Lower mental well-being
  • Increased depression
  • Increased phone use
  • Post-Traumatic Stress Disorder (PTSD) symptoms
  • Decline in sleep quality

Prevention & Coping Techniques

As with most harmful habits, the best time to address them is before they start. Many of the techniques and tips provided below can be used to both prevent doomscrolling (or any excessive social media use) and also to help reduce doomscrolling once it has become a habit.

Technology Tips

  • See no evil: Provide feedback on social media posts with negative content by using the “hide post” or “block/mute” features. This will provide information to the platform algorithm to provide less of this type of content (9).
  • Set a time: Reduce the amount of time online by using screen timers and stick to no more than 30 minutes as any more has been connected to increased levels of anxiety (3, 17).
  • Scroll with purpose: Picking a specific subject to get information on will not only help meet the new scrolling time limits, but it will also create a sense of accomplishment when the information is obtained (17).
  • Subdue screen colors: As all casinos know, the more flashy and colorful something is, the easier it is to keep someone’s attention. Changing social media settings to “grayscale” will make the screens more monotone/less visually appealing and can make it easier to stop scrolling (3).
  • Search for the happy: Known as “hopescrolling,” this can lead to more positive thoughts and can help “reset” social media algorithms to show you more positive content.

Beyond Online

  • Connect with others: Share the burden with loved ones and others within your social networks to reduce anxiety (17).
  • Connect with yourself: Perform regular self-check ins by listening to your body and paying attention to how you are feeling to understand when it is time to take a break (16, 17).
  • Connect with the outdoors: Engage in hobbies that involve the outdoors including exercise and fresh air while leaving technology, and feelings of anxiety behind (17).

Clinical Support

  • Nonmedical counseling: Qualified counselors can help create a plan to address the problem. Non-medical counseling is short-term and addresses general conditions of living, life skills, improving relationships, and stress management.
  • For Clinicians: Since clients also consume social media for entertainment as well as coping measures, it may be helpful to work with them to identify alternative hobbies or activities they will enjoy that will not involve social media or other digital technology (10).

Summary

In a global society with a 24-hour news cycle and social media that offers infinite scrolling, there is always more news to consume. People can fall victim to doomscrolling when distressing events occur, leading to increased anxiety and stress, creating a self-feeding cycle that can be difficult to break.

For those wanting to stop doomscrolling, it is important to first acknowledge the behavior, be honest with how it may be affecting your mental health, and be proactive in your approach to modify your actions. No matter what your relationship is with the news, this technique will help maintain a healthy relationship with social media and overall digital wellness.