There are reasons we use prisons as punishment and solitary confinement is considered especially harsh. Most humans are social creatures and isolation is bad for us. However, we’re faced with a pandemic that requires us to at least do some social distancing, and that for some people means as much isolation as possible in the hopes of survival. Isolation is bad for mental health, and depression also kills so there is a lot to consider here.
I’ve had a lot of firsthand experience of isolation impacting on my mental health. Living with a few other people does not reliably offset it, and it puts a lot of pressure on those people to provide emotional support. They might not be well enough resourced to do that. Isolation can feed anxiety and depression because there’s not enough to counteract it. There’s not enough positive reinforcement, counter-narrative to the distress, or distraction from it. If you have mental health problems already, being isolated with your own thoughts is hell.
If you start out mentally well and are isolated, you may be ok at first. However, you can still end up feeling unable to leave the house after a while. Boredom can slide you into depression. Apathy can take over, with loss of motivation, loss of joy in life, you do less, you feel worse, you cycle into depression.
Our minds and bodies are not separate systems. Poor mental health is poor health. It can often lead to choices that further undermine health. The things we do for short term comfort may only make our situations worse. The process is likely to be slow and it may not be obvious what’s happening if you haven’t dealt with it before.
Here are some suggestions. Having a voice and a face to communicate with helps – use online tools, use your phone, get the emotional intimacy of talking directly. If you don’t feel able to ask for help with being isolated, contact someone else and ask how they are doing. Rescuing each other often works best. If there’s no one you can talk to, I find the radio helpful – it’s immediate, and feels more personal than television.
Think about who might be unable to communicate. Consider older relatives who aren’t tech savy. Make sure you know who of your friends is vulnerable. Who is old enough to be at extra risk? Who has underlying health conditions and may need to totally isolate? Who already suffers from anxiety? Don’t wait for them to ask for help. The nature of a mental health crisis usually makes it very hard indeed to ask for help. After all, people are dying out there, how can you approach your friends and family – who no doubt have their own problems – and ask them to give you some time because you are overwhelmingly sad? Mental health conditions are good at persuading sufferers that they are making a fuss and/or don’t deserve help anyway. Make the first move.