BacktoCampusCare: What to Know Before You Go

Between cookie baking, busy shopping trips and being with family, the holiday season can pass by in a blur. Through all the hustle and bustle, Wellstar health experts warn it can be all too easy to put off your wellness.

“During this hectic time of year, health may be the last thing on your mind. However, the best present you can give yourself is prioritizing your well-being,” said Dr. Umme Nur, internal medicine physician with Wellstar.

“Seeing your provider now can help you stay on track this season,” Dr. Nur explained. “It can also help you jumpstart your health goals in January and already have a care plan tailored to your needs.”

Start healthy habits

It’s easy to let your normal routines slip during this time of year. However, you can take small steps to stay on track every day.

• Eat right. It’s okay to indulge in holiday treats, but try to keep your main meals balanced with fruits and veggies.
• Don’t forget about fitness. Create a routine and stick to your exercise goals, even if it’s just a 30-minute stroll.
• Catch some Z’s. Maintain an adequate sleep regimen to help your body rest, feel refreshed and ready for the day.

Check in on your well-being

Remember, the perfect gift isn’t something wrapped with a bow—it’s putting your health first. That means partnering with a Wellstar primary care provider (PCP) and scheduling a wellness exam.

Your provider will help you take charge of your health and create a personalized plan just for you. Because your PCP is a pro at preventative care, they’ll help keep you ahead of potential medical problems.

After your annual check-up, you’ll know your stats for:

• Blood pressure. Taken with a simple arm cuff, a blood pressure test helps diagnose hypertension (high blood pressure), hypotension (low blood pressure), heart disease and other conditions.
• Blood glucose level. The amount of glucose (sugar) in your blood can indicate the onset of diabetes and an increased risk for heart disease, heart attack or stroke.
• Blood cholesterol. Low-density lipoprotein (LDL), often called “bad” cholesterol, can indicate clogged arteries, which may lead to heart disease, heart attack or stroke.
• Body mass index (BMI). The BMI estimates human body fat, which may indicate an increased risk for heart disease, hypertension (high blood pressure) and diabetes.

At your exam, be sure to bring up any health goals, such as weight loss or managing a chronic condition. Your provider will work with you to create a custom treatment plan for your unique needs.

Know your family history & take action

Depending on your gender, age and family history, your provider may also recommend other preventative tests to screen for diseases before they start, such as a mammogram or colonoscopy.

Your provider can also help you understand your potential health risks with:

• Know Your Heart screenings. Preventative heart screenings help determine your risk of heart disease, stroke and other serious conditions.
• Genetic risk assessment. Genetic testing is a tool to help people determine their hereditary risk of cancer and heart problems. This program also helps couples and expecting mothers with prenatal or preconception concerns.

Learn more about how having an established primary care provider can keep you well.

The holidays can be challenging, especially for those struggling with mental health. Familial factors, unrealistic expectations, past trauma, and grief/loss can all play a role in why sometimes the holidays can be more stressful than joyful.

Physical and behavioral health outcomes are intertwined and provide a holistic view of our health. Physicians refer to assessing depression as “a vital sign” -- like checking blood pressure and heart rate. Considering the assessment of depression is essential for a person’s overall health status.

With nearly one in five Georgians struggling with mental illness yearly, treating mental health conditions and assessing suicide risk is a group effort between health professionals and state, local, and community partners. Wellstar’s director of adult & pediatric primary care behavioral health integration, Dr. Janna Williams-Pitts, helps us to understand why the holidays can be so stressful.

“When the stress response becomes activated due to something we are excited or concerned about, it can have a physiological and psychological impact. This occurs for those with and without a diagnosed mental health condition. The stress response, and more specifically chronic stress, can play a role in the onset of a depressive episode or the recurrence of heightened anxiety symptoms.”

Women are about twice as likely as men to be diagnosed with an anxiety disorder. In speaking with Dr. Williams-Pitts, we wanted to understand how specific risk factors like age and gender can make facing these holiday stressors more challenging.

“Research suggests that there are gender differences in the stress response due to biological factors, specifically hormonal differences. Women appear to be more likely to experience depression due to chronic stress, whereas men may be more likely to develop substance use disorders due to chronic stress. The APA completed a survey to assess for Stress in America in 2022. The results of this survey indicate that inflation, concerns about violence, and the racial climate in America are a few of the factors that contribute to differing experiences with stress for participants. Age differences emerged as well. Forty-six percent of adults under 35 reported feeling so stressed that it impacted their functioning whereas 42% of adults aged 35-44, 16% 45-64, and 4% of adults 65+ reported the same.”

People respond to stress in a variety of ways. Often, individuals can hide their symptoms from those closest to them. But we learned there are signs to look for in loved ones who might be experiencing stress blues during the holidays. Social withdrawal, increased substance use, change in hygiene/self-care, shifts in sleep, and experiencing feeling anxious, overwhelmed, and poor concentration can all be signs that chronic stress is starting to have an impact.

It's common for people to notice increased fatigue and feeling down due to less exposure to sunlight during the winter months. So, it’s only natural to wonder if environmental changes during winter months play a role in the onset of depression.

“Some people experience debilitating depressive episodes during the fall and winter months with significant improvement in the spring and summer months. When depressive episodes occur in a seasonal pattern, this is consistent with the diagnosis of Seasonal Affective Disorder.”

Dr. Williams-Pitts added that it is “important to identify a range of meaningful, enjoyable activities to engage in during the winter months to help reduce the likelihood of worsening depressive symptoms.”

Rescheduling appointments with your behavioral health clinician before the holidays can be tempting. Still, keeping that appointment is helpful for those who experience stress during this season. It serves as an opportunity to review your stress management plan and identify meaningful coping mechanisms, which may help the holiday season go more smoothly.

If you are wondering where to turn if you need help during the holidays but don’t have a behavioral health clinician, scheduling an appointment with your primary care provider can be a great way to connect with a behavioral health clinician.

According to the American Hospital Association, “Shortages of health care workers in all roles will persist well beyond the pandemic given today’s highly competitive labor market.” To help meet this need, the Cobb County School District and Wellstar Health System are introducing high school students to healthcare careers through the healthcare pathway at the Cobb Innovation Technology Academy (CITA). CITA is an innovative Career, Technical, and Agricultural Education (CTAE) program inside the Cobb County School District (CCSD).

Wellstar Health System and Wellstar Foundation recently awarded Cobb Schools Foundation a $2 million grant to expand the Cobb Innovation and Technical Academy (CITA) over the next five years. The CITA program is a beacon of opportunity for students seeking hands-on learning experiences and career prospects in healthcare through district, post-secondary and industry partnerships.

"This program seeks to inspire, educate, and nurture the next generation of healthcare professionals,” said David Jones, Executive Vice President and Chief Human Resources Officer for Wellstar. “We’re thrilled with the opportunity to help enhance the education of our community’s students and offer them rewarding career pathways."

Cobb students will have direct access to healthcare professionals from Wellstar who will make their classroom experience more practical and prepare them for their real-world jobs. All CCSD students can apply for the opportunity to enroll in CITA, which serves as one of the District’s seven magnet programs. Once enrolled, the Cobb students will be able to:

• Participate in the new Wellstar Healthcare Pathway Program
• Access cutting-edge equipment and technology
• Engage with Wellstar clinical team members and professionals before they graduate from high school
• Apply for two $2,500 college scholarships funded by Wellstar

"The Wellstar Healthcare Pathways Program will offer students exposure to training and potential job opportunities,” said Tiffany Barney, Director, CITA. “The Cobb Schools Foundation appreciates this investment in students who will go on to have careers in healthcare. It will further enhance the quality of education we provide our students in Cobb.