May 10, 2021

Simply Business researches Covid-19 effects on mental health

healthcare
digitalhealthcare
COVID19
Simplybusiness
Tom Swallow
3 min
Healthcare Global takes a look at some research carried out by, Simply Business on the effects of Covid-19 on SME owner’s mental health
Healthcare Global takes a look at research carried out by Simply Business on the effects Covid-19 has had on SME owners' mental health

The year that will be known for the Covid-19 pandemic has brought significant unrest to small business owners. With around six million small to medium enterprises (SME) in the UK which account for 33% of employment and 21% of economic turnover, small businesses are vital to the much needed ‘bounce back’ of the UK economy.

Simply Business, an insurance provider with over 800,000 customers, has carried out a study on small business owners and their mental health as a result of the Covid-19 pandemic. The statistics provided are based on 765 SME owners from across the UK, released to mark the UK's Mental Health Awareness Week.

  • Four in five small business owners said Covid-19 had a negative impact on their mental health, of which a quarter say their mental health is in a ‘bad’ place.
  • Over the last 12 months, 62% of respondents have been impacted by stress, 55% have felt anxious, and 30% of respondents experienced depression.
  • Small business owners are taking up gardening, exercise and spending more time in nature to support their wellbeing.
  • 39% of SME owners are optimistic for the future of their business.

Causes of Poor Mental Health

As mental health is becoming more prominent in healthcare discussions, there is still a significant number of people who are reluctant to discuss the subject. For the self-employed, and small business owners, this can directly affect their work and willingness to maintain their business. 

21% of self-employed people continued to work during Covid-19 while the rest were restricted to working from home or not working at all. The study by Simply Business shows that 33% of small businesses had to close at some point within the past 12 months, and 44% worked at a reduced capacity.

As a small business owner, this can impose significant levels of financial worry, and we can assume this was even more stressful for those who did not qualify for government support during the pandemic. The study shows that two in three respondents found that financial concerns negatively affected their mental health. 

In an effort to better manage mental health issues, Simply Business is providing support tailored toward self-employed workers. Alan Thomas, UK CEO,  explains: “financial worries, dealing with stress, anxiety, and lack of sleep are just some of the challenges small business owners have faced. That’s why – in addition to shining a light on the emerging wellbeing crisis among the small business community – we’ve partnered with a range of experts to offer free wellbeing tips and resources tailored to the self-employed.”

Loneliness was also noticeable among SME owners. Although this is not exclusive to the pandemic, managing mental wellbeing has been more difficult for many who rely on human interaction. Many small businesses thrive on their relationships with customers and with many non-essential shops closed, almost a third said they felt demotivated to continue managing their business and around 18% have fallen out of love with their business or the industry all together.

Improve Mental Wellbeing

Now more than ever, individuals are doing more to maintain a better lifestyle, resulting in better mental health. The report says: “Two in three (67%) people are spending more time outside and in nature where possible, while a further 64% are exercising more frequently and dedicating more time to connecting with friends and family (also 64%).”

“At Simply Business, we feel compelled to highlight this issue and provide practical support where we can. Insuring over 800,000 small business owners and landlords helps us understand the specific challenges being faced by the self-employed, and the reasons behind this concerning data,” Thomas said.

More information on how you can support your workforce, colleagues, family and friends can be found at Mind

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Jun 14, 2021

Long haul Covid, the brain and digital therapies

#longcovid
#digitaltherapy
#neuroplasticity
#covid19
4 min
Neuroplasticity expert Ashok Gupta tells us about the symptoms of long Covid, how it affects the brain, and digital therapies

It is estimated that around 10% of people who get Covid-19 develop long haul Covid, a debilitating condition that can last many months and cause breathlessness, exhaustion and pain. 

Research is underway to find out who is more likely to get it and how to treat it. Here neuroplasticity expert and owner of Harley Street Solutions in London Ashok Gupta tells us how the condition affects the brain. 

What is long Covid exactly? 

Long Covid is when patients who have experienced Covid-19 go on to have continuing symptoms for weeks and months afterwards. These symptoms can include breathlessness, exhaustion, brain fog, gastric issues, pain, and post-exertional malaise. It is estimated that around 10% of Covid-19 infections may result in developing long haul symptoms, and in the USA, this may be affecting over 3 million people.

How does it affect the brain?
Here at our clinic, we hypothesise that it is due to a malfunction in the unconscious brain, creating a conditioned response that keeps the body in a hyper-aroused state of defensiveness. At the core of this hypothesis is the idea that we are here because our nervous system and immune system have evolved to survive. We are survival machines!

When we encounter something such as Covid-19, the brain perceives it as life threatening, and rightly so. And in the era of the pandemic, with more stress, anxiety and social isolation, our immunity may be compromised, and therefore it may take longer for the immune system to fight off the virus and recover. 

If the brain makes the decision that this is potentially life threatening and we get to the stage where we’re overcoming the virus, a legacy is left in the brain; it keeps over-responding to anything that reminds us of the virus. Even if we’ve fought off the virus, the brain will react in a precautionary way to stimuli reminiscent of the virus. 

The brain may get stuck in that overprotective response, and keeps stimulating our nervous system and our immune system, just in case the virus may still be present.

What symptoms does this cause? 

These signals cause a cascade of symptoms including breathlessness, extreme fatigue, brain fog, loss of taste or smell, headaches, and many others. And these are caused by our own immunes system.

In the case of long-haul Covid, symptoms in the body get detected by a hypersensitive brain which thinks we’re still in danger. The brain then chronically stimulates the immune and nervous systems, and then we have a continuation of a chronic set of symptoms.

This isn’t unique to long-haul Covid. Many patients develop chronic fatigue syndrome, sometimes known as “ME”, for example, after the flu, a stomach bug, or respiratory illness. Covid-19 may be a severe trigger of a form of chronic fatigue syndrome or ME.

How does long-haul Covid affect mental health? 
Anxiety is a very common symptom in long haulers. It can be frightening to wonder about what may be happening in your body, and what the prognosis is going to be for one’s long term health. Reaching out for support for mental health is crucial for long-haulers.

How does neuroplasticity treatment work for long-haul COVID patients?
We have been working with patients for two decades with a brain retraining programme using neuroplasticity or “limbic retraining.” 

We believe that through neural rewiring, the brain can be “persuaded” that we are no longer in danger and to come back to homeostasis. But to be very clear, we are not saying it is psychological in any way, but we believe there are novel ways of accessing the unconscious brain. 

We recently worked successfully with a 56-year-old male with long-haul Covid, who prior to contracting Covid-19 in March of 2020 was running half-marathons and cycling, but afterwards he struggled to get off the sofa for months. Within 3 months he’s now back to 100% and  running half marathons again.

At our clinic, we train the patient to be able to recognise those subtle unconscious danger signals on the periphery of consciousness. This, coupled with supportive techniques and the natural hallmarks of good health such as sleep and diet help prepare the patient to respond to perceived threats that might trigger the response. 

The natural state of our brain is to default to protection. The brain prioritises survival and passing on our genes to the next generation, over any other impulse. It cares more about that than you feeling healthy and well. Protective responses are evolutionary, and are the right thing for the brain to do – it’s survival. 

What digital therapies or apps are proving effective at treating long-haul Covid? 
It seems that long haul patients are availing themselves of many online therapies and services, including meditation apps and wellness websites. We have an online neuroplasticity “brain retraining” video course called the “Gupta Program” which hosts 15 interactive videos and many audio exercises. This is proving very popular with long haul patients, and we are currently conducting a trial to test the effectiveness of this therapy. 

What is the danger of leaving long-haul Covid untreated?
The longer it goes untreated, we hypothesise that it may become more entrenched in the brain, and  become chronic in the longer term. Therefore we advise all patients to get help and advice as soon as possible.

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