Drug Consumption Rose During COVID-19

By: Priya Desai

Coronavirus is a hard time for everyone and there has been a lot of adjusting to do. Many people turned to drugs and alcohol to deal with the stress, anxiety and depression that they were feeling. Due to this, there was an apparent increase in both quantity and how often people were using drugs during the pandemic. These coping mechanisms are only temporary and cannot fix the problems that people are actually facing.

Months after the pandemic started, there was a survey done in Florida to see how often drugs and alcohol are being used. Almost 80 percent of the participants reported using alcohol in the past month, over 35 percent reported using marijuana, and 10 percent of participants were using stimulant drugs. Along with this, overdoses have spiked since the pandemic began. The increase usage of drugs during the pandemic has occurred primarily among young adults. A few of the reasons for this are economic stress, boredom, general anxiety about the pandemic, fear of acquiring the virus, and loneliness.  With school being online and the stay-at-home act being in order, students had free time which resulted in them abusing substances. Instead of using drugs, people can find a hobby, whether it be painting, exercising, or baking. In addition, with classes being held virtual and jobs being lost due to the pandemic, young adults were worried and stressed. This resulted in an increased use of drug and alcohol in attempt to cope with the stress.

If you or someone you know is struggling with drug abuse caused by the pandemic please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Citations: https://www.psychologytoday.com/us/blog/social-instincts/202012/drugs-choice-in-the-era-covid-19

https://www.apa.org/monitor/2021/03/substance-use-pandemic

Image Citation: https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.therecoveryvillage.com%2Fmental-health%2Fstress%2Fsubstance-abuse%2F&psig=AOvVaw1hOPaFHRj0X49E6hcvbtEC&ust=1631200310612000&source=images&cd=vfe&ved=0CAsQjRxqFwoTCJC80e3U7_ICFQAAAAAdAAAAABAD

OCD: Life During a Pandemic

By Charlotte Arehart

It seems logical to assume that those struggling with OCD are having a harder time during the COVID-19 pandemic. However, this is not necessarily true. While some people who suffer from OCD are having more troubles, not every person who has OCD is seeing a difference in their symptoms. For example, someone who’s OCD focuses on other infectious agents that are not COVID-19 will probably not see a lot of change in their symptoms. A study done in November of 2020 found that OCD symptoms increased in frequency significantly more in “washers,” or people who are afraid of contamination, than in non-washers with OCD.

Many individuals with OCD are expressing how the pandemic has made other people realize what it is like to obsess over contamination. For some people with OCD, this has been the way they have felt for their entire lives. For many of us, obsessively cleaning and sanitizing things has only become part of our habits because of the pandemic.

One benefit that doctors have been seeing during the pandemic, specifically for OCD treatment, is the fact that online therapy sessions allow the patient to have their session in any setting. Many people who are being treated for OCD use exposure therapy with their therapists to help reduce their symptoms. This involves patients exposing themselves to stimuli that may induce their symptoms in an attempt to reduce their anxiety about these symptoms. With sessions being held on telehealth, patients can move about their environment and even do their therapy in unusual locations that allow them to expose themselves, with professional direction, to their stressors. This would not always be possible in an office setting.

The bottom line is that one cannot assume that an individual with OCD is experiencing worse symptoms due to the pandemic. While this is true some people who are suffering from OCD, not every individual’s stressors include the virus. It is important that someone who is experiencing OCD seeks treatment as soon as possible, before symptoms worsen. OCD can be debilitating if it is extreme. Therapy is an excellent form of treatment for OCD.

If you or someone you know is struggling with OCD, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.columbiapsychiatry.org/news/covid-q-obsessive-compulsive-disorder-ocd

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644184/

Image Source: https://www.npr.org/sections/health-shots/2020/06/13/872466613/obsession-or-just-good-hygiene-keeping-the-coronavirus-and-ocd-at-bay

Body Image: The Negative Effects of Zoom

By: Lauren Zoneraich

Due to the transfer of meetings, classes, and other events from in-person to Zoom, people are experiencing an increase in self-consciousness from looking at their faces on a screen. In normal interactions, we do not need to confront our own image, but on Zoom we constantly face it. During Zoom meetings, it may be difficult to avoid focusing on how we look when we listen, talk, and emote. Continually staring at our own image can bring our insecurities to the forefront of our minds. In fact, our perception of our image may become distorted the longer we look at ourselves.

Zoom meetings may be especially difficult for people who already struggle with body dissatisfaction, or its more severe form, body dysmorphia. Body dysmorphic disorder is a preoccupation with one’s appearance, especially minor aspects of appearance which one perceives as a defect or flaw. People with body dysmorphia may have low self-esteem and believe that the perceived defect in their appearance makes them ugly or deformed. The preoccupation with the perceived flaw may cause anxiety in social situations. People with body dysmorphia may frequently check their image or groom themselves as a means to “fix” their perceived flaws. Features on technology, such as the “selfie camera” on the iPhone, serve as mirrors that enable people to repetitively perform these checking behaviors. The selfie camera also promotes preoccupation with one’s appearance. The Zoom screen is a permanent, overstimulating mirror.

A survey of a class at Cornell University revealed that the main reason students do not keep their cameras on during Zoom classes is due to insecurities about how they look. Zoom has implemented some features to combat these body image issues. Users can choose to “Hide Self View” so that they cannot see their own image on the Zoom call. Still, although they cannot see themselves, people may still worry about how others see them. If one is constantly staring at oneself or worrying about how one looks, one may not be able to focus on the content of the meeting.  Mind-wandering may decrease the level of happiness one feels while participating in a certain activity. Thus, eliminating distractions may make classes and meetings more enjoyable for participants.

If you or someone you know is struggling with body image or body dysmorphia, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://cornellsun.com/2021/05/03/zoom-classes-heighten-self-consciousness-introducing-new-classroom-distraction/

https://www.vogue.com/article/body-dysmorphia-zoom-face

https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/symptoms-causes/syc-20353938#:~:text=Body%20dysmorphic%20disorder%20is%20a,may%20avoid%20many%20social%20situations.

https://greatergood.berkeley.edu/article/item/does_mind_wandering_make_you_unhappy

Image Source:

https://www.pcmag.com/how-to/how-to-prevent-zoom-bombing

Increased Drug and Alcohol Use during the Stay at Home Order

By Eleanor Kim

The Coronavirus pandemic has left the whole world isolated with very little to do aside from school or work. As the stay at home orders continue, individuals have been forced to find other means of coping or simply passing the time. Some individuals have found coping mechanisms that have ignited newfound purpose during such bleak times; however, others have embarked on less than beneficial pastimes, turning to drugs and alcohol as a means of “getting through” the pandemic. Cases of substance use disorder, or SUD, have skyrocketed since the official declaration of the COVID-19 pandemic with cases of patients who have experienced overdoses and other complications related to substance abuse increasing as well. In a recent survey conducted by the Center for Disease Control and Prevention, 13.3% of respondents stated that they have either started or increased substance use in order to cope with the stress and emotions caused by COVID-19 and the subsequent national emergency. With the world in such an unstable and worrisome state, it is not surprising to see individuals seek comfort in any way that they can, especially as those individuals face new and or preexisting stressors and anxieties through isolation.

As the pandemic continues, the surging mental health and substance abuse epidemics have shown to go hand in hand with one another. In fact, throughout the pandemic, there has been a 62% increase in worry, a 51% increase in sadness, a 51% increase in fear, and a 42% increase in loneliness. It was also revealed that within the past year, there has been a 32% increase for non-prescribed fentanyl, a 20% increase for methamphetamine, a 12.5% increase for heroine, a 10% increase for cocaine, as well as an 18% increase in suspected drug overdoses. These increases have not gone unnoticed. Those that already struggled with substance abuse or other mental health disorders have found stay at home orders increasingly difficult given the limited access to their usual treatment and support groups. Those who wish to begin receiving professional help with their substance use have had harder times finding adequate care given the decrease in in- and out-patient support and treatment over the past year. These limitations have fed into the increases in mental health struggles and SUD cases, leaving those who have been affected feeling desperate and out of control.

Substance abuse is not the answer to these difficult and isolating times. There is still hope for those who wish to seek other, more benevolent means of coping with the pandemic and for those who wish to begin treatment for their substance use disorder. Telehealth is one way that individuals with SUD, or other destructive coping mechanisms, can begin receiving professional help and therapy. Counselors and therapists are available to talk with you or anyone you know who may be dealing with substance use disorders during this time.

If you or someone you know is struggling with substance abuse, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/.

Resources:

https://www.drugabuse.gov/about-nida/noras-blog/2020/09/addressing-unique-challenges-covid-19-people-in-recovery

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219362/

https://www.ehstoday.com/covid19/article/21139889/drug-abuse-on-the-rise-because-of-the-coronavirus

https://www.cdc.gov/mmwr/volumes/69/wr/mm6932a1.htm

Image Source:

https://www.nbcnews.com/feature/nbc-out/covid-crisis-exacerbating-lgbtq-alcohol-abuse-studies-find-n1257008

Physician Burnout during a Global Pandemic

By Eleanor Kim

Physicians and nurses around the world have been at the front lines fighting the coronavirus and saving the lives of those infected. Now more than ever, citizens are coming to realize the importance of those within the medical field and the bravery that comes with entering medicine. That being said, there has been an immense amount of pressure placed upon healthcare workers, often causing stress, anxiety, and depression. At the end of the day, doctors, nurses, and other healthcare workers are humans and can feel the effects of burnout during such a heightened and high stakes moment in medical history.

Burnout is when someone becomes overwhelmed by the demands of their daily life, becoming emotionally and physically exhausted and creating a sense of depersonalization and weakened personal accomplishments. Burnout is a common occurrence among physicians and nurses given the great amount of pressure that comes with saving lives. That being said, these feelings of burnout have skyrocketed given the additionally taxing nature of current frontline medical work such as the stress of isolating from friends and family, the extended hours of work, the tragic lack of medical supplies, and the fear of contracting or spreading the virus, to name a few. Physicians are also left to deal with the other struggles and anxieties that the past year has brought upon the general population regarding economic, political, racial, and other personal effects of the pandemic.

During these elongated periods where healthcare workers are left sleep deprived, improperly fed, and overall anxious about the current status of the pandemic, they are exposed to both mentally and physically long lasting effects. In 2020, there have been a record number of physicians who have reported feelings of burnout and other mental health concerns since the start of the pandemic. Should these issues go untreated, there is an increased risk for depression, self-medication, substance abuse, and suicidal thoughts or attempts. Burnout is more than just stress; it is a mental health crisis and should be treated as such.

If you or someone you know is feeling the effects of physician and healthcare worker burnout, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/.

Resources:

https://www.forbes.com/sites/lipiroy/2020/05/17/doctor-heal-thyself-physician-burnout-in-the-wake-of-covid-19/

Image Source:

https://blog.frontiersin.org/2020/04/14/more-than-a-third-of-medical-staff-suffered-insomnia-during-the-covid-19-epidemic-in-china/

Loneliness During Covid-19

By Eleanor Kim

As we round out one year of stay at home orders and self-quarantine measures due to the novel coronavirus, many are reflecting on their time at home and their mental health during this period. While every individual’s experience over this past year has been unique, one experience seems to be universal-loneliness. Folks around the world were left to deal with their own fears and anxieties regarding the virus and general health and safety of loved ones without the usual group of support from family and friends. This experience was exacerbated for those that were left to face the effects of COVID-19 on their own as unforeseen circumstances forced individuals into isolation.

A recent study found that 65% of participants felt increased feelings of loneliness since the official declaration of the pandemic. In that same study, 76% reported feelings of anxiety, 58% reported a loss of feelings of connectedness, and 78% reported feelings of depression. These feelings of loneliness have far reaching effects as another study found a link between loneliness and heart problems, diabetes, stroke, memory complaints, drug abuse risk, and elevated blood pressure. Other issues include trouble sleeping, negative relationships with food, and an increased reliance on maladaptive coping skills such as drinking and gambling. Loneliness is not a new condition; however, the magnitude in which it is presenting itself is alarming and deserving of a closer watch, especially among younger and older generations.

Now more than ever, it is crucial that individuals strengthen the relationship that they have with themselves. Each emotion that has presented itself during this past year is valid and expected during such a trying and unknown time. It is recommended that individuals welcome these feelings and try their best not to avoid or deny such states of mind. The effects of coronavirus and the impact it has had on the physical and mental wellbeing of people around the world unfortunately will continue to be felt as we trek towards the “new normal” and sense of global stability. It is essential that individuals remind themselves that they are not alone during these times of loneliness and that there are resources available to help cope with any feelings of unrest or isolation.

Online services such as Zoom or Cisco Webex offer opportunities for groups to interact in a virtual setting that will help simulate a sense of community and togetherness. Socially-distanced gatherings may be an option for those who are able to meet in an outdoor or well ventilated area, weather permitting. Experts recommend limiting time spent on social media as excessive time spent on these apps and websites could instill feelings of frustration, anxiety, and comparison with others. Should these feelings of loneliness and isolation persist, telehealth is available for those who may wish to speak to mental health professionals throughout these difficult times.

If you or someone you know is feeling lonely or isolated, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

References:

https://www.sharp.com/health-news/managing-loneliness-during-covid-19.cfm

https://www.medicalnewstoday.com/articles/alarming-covid-19-study-shows-80-of-respondents-report-significant-symptoms-of-depression#Making-things-better

Image Source:

https://lifesupportscounselling.com.au/wp-content/uploads/2020/05/loneliness-in-lockdown.jpg

What Parents Can Do to Help Their Special Needs Children during Virtual Learning

By Eleanor Kim

With the abrupt transition to online learning last March, teachers, students, and parents alike were left to quickly adjust and find new ways of making virtual learning feel “normal”. While this transition may have come more naturally to some, there are still many families who are struggling to ensure that their children are getting a quality education in their homes. One demographic of online learners who are finding it exceptionally difficult are those who have special needs and learning disabilities. It is hard to spend hours focusing on a Zoom session, especially when special needs learners no longer have direct access to the specialized teachers and aids that help them learn in a normal school setting. Unfortunately, this additional stress during an already unprecedented time has taken a toll on special needs parents and it is important that parents are self-compassionate to themselves as they journey through this uncharted online learning experience. That being said, there are still many new strategies that parents can try to implement to assist their child’s distanced learning.

  • Ask teachers to offer “asynchronous” work in conjunction with any Zoom activities to allow your child more hands-on learning opportunities or request more one-on-one learning through break out rooms or personal Zoom meetings
  • If you are unable to remain with your child during their school hours, reach out to your child’s teachers and aids for an update on how they are doing and how you can help after school hours
  • Offer your child “fidget toys” during Zoom calls to help them remain focused on class material
  • If your child has a hard time staying seated during Zoom meetings, offer Bluetooth earbuds or headphones to allow your child the ability to move around while still remaining attentive and participatory during class
  • Incorporate time within your child’s schedule to stretch and relieve any additional stress or energy by going outside or having a dance break!
  • Make sure to schedule check-in meetings with your child’s school team (teachers, aids, counselor, etc.) to help your child express any frustrations or emotions they are experiencing during this difficult time.

Let your child know that it is okay to be having a hard time right now and that you are there to help them through it. Also make sure that you, the parent, are receiving the support you need while helping your special needs child with online learning in addition to any other struggles you may be facing during these unusual and overwhelming times. We here at Arista Counseling have many therapists and support options available for you.

If you or someone you know is looking for support, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources:

https://greatergood.berkeley.edu/article/item/how_parents_can_support_children_with_special_needs_during_distance_learning

Image Source:

https://dynaimage.cdn.cnn.com/cnn/c_fill,g_auto,w_1200,h_675,ar_16:9/https%3A%2F%2Fcdn.cnn.com%2Fcnnnext%2Fdam%2Fassets%2F200810224242-20200810-online-learning-main.jpg

Depression: Living with Major Depressive Disorder

Depression: Living with Major Depressive Disorder

By: Zoe Alekel

Have you been experiencing persistent sadness, anxiety, or feelings of emptiness? Even hopelessness, irritability, guilt, worthlessness, loss of interest or pleasure in activities or hobbies—these are all symptoms of Major Depressive Disorder (MDD). More commonly, MDD is known as depression. Dealing with this diagnosis is not easy because of how long these symptoms can last and how invasive they feel.

The Mayo Clinic defines MDD as “A mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living” (Mayo Clinic). It is important to consider contacting a doctor or a therapist to discuss these symptoms, as they can become more severe and invasive with time.

Some ways you can reach help are:

  • Call a local counseling or psychological center.
  • Call a psychiatrist in your area that can help provide medication if needed.
  • Reach out to a close friend or loved one for support.

The National Institute of Mental Health suggests that the earlier the treatment begins with a therapist or a psychiatrist, the more effective it can be. Depression can be treated with psychotherapy, medication, or a combination. Additionally, meditation and mindfulness can help develop coping skills for those experiencing depression. If you are experiencing depression, it is important to remember that there is hope and there is a way out of the darkness you are experiencing.

If you or someone you know needs support with depression, please contact our psychotherapy office in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively at (201) 368-3700 or (212) 722 – 1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:
https://www.mayoclinic.org/diseases-conditions/depression/symptoms-causes/syc-20356007
https://www.nimh.nih.gov/health/topics/depression/index.shtml

Image Source:
http://metamedianews.com/2018/06/mdd-major-depressive-disorder/

Anxiety, Depression, Eating Disorders, ADHD, Et al: How to Support a Friend with Mental Illness

By: Sarah Cohen

When helping a friend with a mental illness, the first step should be assessment of their symptoms. Sometimes they just might be going through a difficult time, but if certain common symptoms associated with mental health issues persist it is imperative to respond sensitively. Majority of the time, friends will just want to know they have your support and that you care about them. A good way to show your support is by talking to them. If you provide a non-judgmental space for them to speak about their issues it will help encourage them to be open with their problems. Let them lead the conversation and don’t pressure them to reveal information. It can be incredibly difficult and painful to speak about these issues and they might not be ready to share everything. If you aren’t their therapist do not diagnose them or make assumptions about how they are feeling, just listen and show you understand. If someone doesn’t want to speak with you, don’t take it personally, just continue to show them you care about their wellbeing and want to help as much as possible. Just knowing they have support can give them the strength they need to contact someone who can help them.

If a friend is having a crisis, such as a panic attack or suicidal thoughts, you must stay calm. Try not to overwhelm them by asking a lot of questions and confronting them in a public setting. Ask them gently what would be helpful to them right now or reassure them. If they hurt themselves, get first aid as soon as possible. If someone is suicidal, contact the suicide hotline at 800-237-8255 immediately.

The best way to help someone is by connecting them to professional help. By expressing your concern and support you can show them that they can get help and their mental health problems can be treated.

If you or someone you know needs support with their mental illness, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

https://www.mentalhealth.org.uk/publications/supporting-someone-mental-health-problem

https://www.mentalhealth.gov/talk/friends-family-members

Marriage During Covid-19

By: Sarah Cohen

During Coronavirus, a lot of extra strain and anxiety have been placed on marriages. While research has shown that disasters uncover strengths in relationships it can also reveal issues. Even in the best relationships, we still always need a little bit of space from each other. 

Since Coronavirus has begun, applications for divorce have risen greatly in the Chinese city of Xi’an. While divorce rates do increase during times of stress, this is unprecedented. There aren’t just changes in routine and close contact without breaks, there are many other factors influencing marital stress during these times. An increased amount of new anxiety about health and keeping safe from Covid-19, unemployment and therefore financial insecurity, caring for elderly relatives with reduced strength immune systems, lacking social connection outside of the spouse, dealing with childcare and school issues, or simply managing chores and uncertainty about what will be in the future are just a few of the issues that could be causing marital stress. In addition, couples may be using different coping mechanisms during stressful times which clash with the other spouse. One might be active and attempt to be cheerful while the other might be hopeless and passive.

There are many ways to fight against this marital strain, here are a couple ways to combat it. By picking your battles you can limit the amount of arguments and issues you create in the home. Even further, you can put a time limit on your arguments in order for them not to affect every moment of the day, when the time limit is up you can put it all behind you. Create some alone time, when you make boundaries stick to them. Another way to get some alone time and be active is to exercise, even just by taking a walk. Speaking to other people over the phone or video chat so your spouse isn’t the only person you talk to is another good way to make sure you can have a little break. Lastly, focus on survival during these difficult times not creating issues and rifts between you and your partner.

If you or someone you know needs support with their marriage, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

https://www.psychologytoday.com/us/blog/the-discomfort-zone/202004/will-coronavirus-infect-your-marriage

https://time.com/5811146/coronavirus-married-relationship/