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Stress is an everyday occurrence for many people all over the world. Stress requires the use of resources and coping skills to overcome certain demands and threats to your well-being. In the blog posts linked below, written by Haley Slaughter '23 and Lydia Podowski '23 you can find information on how stress can cause negative body image which can contribute to eating disorders and resources to reach out to for help. 

Part 1

Part 2


As a society, we typically reserve the term grief for those who have lost a loved one. However, you may be surprised to know that you may be experiencing varying stages of grief at this time. The loss of a normal world or normal life suddenly disappearing has created numerous challenges. It may be uncomfortable to accept that we are grieving, however, David Kessler, an expert on grief, explained that “change is actually grief and grief is usually a change we didn’t want.”1

Five Six Stages of Grief

The classic five stages of grief by Elisabeth Kübler-Ross include denial, anger, bargaining, depression and acceptance.2 David Kessler recently created a sixth stage of grief after experiencing significant loss - meaning.1 These stages are tools that help identify what we may be feeling, but they are not completed in a linear timeline. Not everyone shares the same experience or progress in the same order.

  1. Denial. Denial is the first stage of grief. It is a common defense mechanism to give one time to process the loss. Denial and shock help us to cope and make survival possible. It is your body’s way of letting you only deal with what you can handle. As you accept the reality of the situation, you become stronger and the denial begins to fade.2
  2. Anger. According to David Kessler, anger is a necessary step of the healing process. Allow yourself to feel your anger, even if it may seem endless. The more you are willing to feel anger, the more it begins to dissipate allowing for more healing. Your anger may extend to friends, your family, yourself and even to God. Underneath anger is pain. Pain of feeling deserted and abandoned. If someone lashes out towards you, keep in mind that they may be going through this stage of grief.2
  3. Bargaining. During intense emotions of vulnerability and helplessness, it is common to try to find ways to regain control. In the bargaining stage of grief, you may find yourself creating a lot of “what if” and “if only” statements. We want life returned to what it was.2
  4. Depression. After bargaining, our attention moves squarely into the present. You may be able to embrace and work through your emotions or you may choose to isolate yourself from others in order to fully cope with loss. Depression may feel overwhelming. You may feel foggy, heavy, and confused. It may feel as though it will last forever. This type of depression is not a sign of mental illness. It is the appropriate response to a great loss. If grief is a process of healing, then depression is one of the many necessary steps along the way.2
It is important to state that the clinical depression is different from complicated grief. Symptoms of complicated grief include:
  • a powerful pain when you think of your lost loved one
  • heightened focus on reminders of your lost loved one
  • an overall feeling of numbness
  • a feeling of bitterness when you think about your loss
  • a loss of purpose or motivation
  • a loss of trust in friends, family, and acquaintances
  • an inability to enjoy life.3
Symptoms of clinical depression can be similar, however clinical depression can cause other unique symptoms, such as:
  • Constant sadness, anxiety, or feelings of emptiness
  • feelings of guilt or helplessness
  • loss of interest in hobbies
  • insomnia or oversleeping
  • physical aches that don’t go away with treatment
  • suicidal thoughts or suicide attempts.3

You can have symptoms of both grief and clinical depression at the same time. However, grief and clinical depression must be treated differently. Contact your primary care provider (PCP) if you believe you may be experiencing clinical depression. People with preexisting mental health conditions should continue their treatment and be aware of new or worsening symptoms. If you think someone is at immediate risk of self-harm or hurting another person, call 911. If you think someone is considering suicide, get help from a crisis or suicide prevention hotline such as the National Suicide Prevention Lifeline at 1-800-273-8255.

  1. Acceptance. Acceptance does not mean that one is “all right” or “OK” with what has happened. It doesn’t mean you have moved past the grief or loss. It does however mean that this new reality is the permanent reality. We will never like this reality, but eventually we accept it. Finding acceptance may be just having more good days than bad ones. Instead of denying our feelings, we listen to our needs; we move, we change, we grow, we evolve.2
  2. Meaning. David Kessler noted from his personal experience of grieving that finding meaning beyond the stages of grief can transform grief into a more peaceful and hopeful experience. Finding ways to honor the memory of a lost loved one or achieving a personal goal during this pandemic can bring healing.2

What You Can Do

Sadly, many people are losing their lives due to this pandemic. Your life may be touched by such a loss. The grief process is never easy to handle, but is very important in the maintenance of mental health. Should you lose a loved one, allow yourself to grieve. Here are just a few suggestions:

  • Give yourself the opportunity to talk to others about your loved one and your sadness.
  • Take time out of each day to feel your sadness. Cry, sit with your memories of the things you will miss.
  • Do something to honor your loved one.
  1. Draw a picture.
  2. Write a letter.
  3. Write a poem.
  4. Write a eulogy.
  5. Sing a song.
  6. Make a setlist and record it.

The Takeaway

The key to understanding grief is realizing that no one experiences the same thing. What we are experiencing is loss and are feeling the sadness. If we name it, we are allowing ourselves to feel the sadness.4 Suppressing the emotions is not healthy or healing. If grief is left unrecognized and shoved away, it can negatively affect “every aspect of our being – physically, cognitively, emotionally, spiritually.”5 Grief is very personal and does not come with a time limit. Life has changed dramatically in the last few weeks, of course this brings up many feelings including grief. Let yourself feel it, and then keep going.  

By: Sudin Thomas, MSN, FNP-BC



References (2020). COVID-19. (2020). The five stages of grief.

3Jewell, T. (2017). Complicated grief vs. Depression.

4 O’Neill, S. (2020, March 27). Coronavirus has upended our world. It’s OK to grieve. Kaiser Health News.

5Holland, K. (2018, September 25). What you should know about the stages of grief.

managing anxiety


Dear Stevenson family,

2020 has turned out to be much different than most (if not all) would have expected. As more information about Coronavirus unfolds, a wide range of thoughts, feelings, and reactions may appear. Below are some information and resources that we hope will be helpful.

Common Reactions

Everyone reacts differently to stressful situations. How you respond to the outbreak can depend on your background, the things that make you different form other people, and the community you live in.

· Fear and worry about your own health and the health of your loved ones

· Stress about leaving the house for essential reasons

· Changes in sleep or eating patterns

· Difficulty sleeping or concentrating

· Worsening of chronic health problems

· Increased use of alcohol, tobacco, or other drug1

Ways to Support Yourself

Taking care of yourself, your friends, and your family can help you cope with stress.

· Stay informed with accurate information from a reputable source by checking the dedicated CDC website.

· Take breaks from watching, reading, or listening to news stories, including social media. Hearing about the pandemic repeatedly can be upsetting.1

· Stay healthy. Adopt healthy hygienic habits such as washing your hands with soap and water or an alcohol-based hand sanitizer, frequently, and certainly after sneezing or before/after touching your face or a sick person.2 Remember that social distancing is not just for those who have an underlying medical condition or seniors.

· Take care of your body. Take deep breaths, stretch, or meditate. Eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol and drugs.1

· Practice mindful thankfulness. Daily journaling has been shown to improve your mental well-being.3 The Mayo Clinic Health System has created a four-week virtual program to discover gratitude that begins on March 30 to May 1st. Click here for the link.

· Connect with others. Talk with people you trust about your concerns and how you are feeling.1

· Call your healthcare provider if stress gets in the way of your daily activities for several days in a row.

· People with preexisting mental health conditions should continue with their treatment and be aware of new or worsening symptoms.

· Be mindful of your assumptions about others. Someone with a cough or a fever does not necessarily have coronavirus. Self-awareness is important in not stigmatizing others in our community.2

· Keep your expectations low and be kind to yourself. Not every day will be a good day. For example, if it is raining, dark and gloomy outside, your mood may be affected. If you find that you’re feeling down multiple days in a row regardless of the weather outside, then refer to your healthcare provider.

Click here for more self-care suggestions!

Stay Positive!


By: Sudin Thomas, MSN, FNP-BC



1 Center for Disease Control and Prevention. (2020). Stress and coping. Retrieved from

2 University Health Services Tang Center. (2020). Managing fears and anxiety around Coronavirus. Retrieved from

3 Mayo Clinic Health System. (2020). Discover gratitude. Retrieved from

flu season

Flu season is upon us again. According to the CDC and the Maryland Department of Health and Hygiene, there is widespread flu around the country and the state. Influenza is a respiratory illness with sudden symptoms that can include high fever, body aches, headache and cough.

We expect that this will be a busy flu season. This news is no cause for alarm, but it does give us the opportunity to practice effective prevention techniques for this type of illness.

Be a healthy Mustang and get a flu shot; it is not too late! Giant Pharmacy will be in the Wellness Center on Friday, January 31 from 11am-3pm to administer flu shots! Stop on in and get protected!

FLu Shots

The Center for Disease Control and Prevention (CDC) is also closely monitoring the outbreak of a new coronavirus in China. These viruses usually cause mild to moderate upper respiratory tract illness like the common cold and are different than the influenza virus. The Wellness Center continues to monitor the CDC as well as the Maryland Department of Health and Mental Hygiene regarding the spread of this new virus. Please follow the link for information about coronaviruses:

To keep yourself healthy this semester you should:

  • Wash your hands frequently and use the hand sanitizing stations that are located around campus.
  • Avoid those who are ill, if possible.
  • Clean high touch surfaces in your room and/or office with anti-bacterial cleaner (bleach wipes are very effective).
  • Cough into your sleeve or a tissue, not directly into your hands, and wash your hands immediately.
  • Avoid touching your face when you are ill and when healthy; this spreads germs!
  • Avoid sharing food, utensils, cups and water bottles.

The treatment for influenza for otherwise healthy people is “supportive” – meaning that our recommendations will often be that you rest, drink plenty of fluids and take fever-reducing medicine if you are diagnosed with the flu. Anti-viral medications (Tamiflu® and Relenza®) are generally not recommended for healthy people with the flu. In addition, most people who are infected with these illnesses will not require medical care. This means:

  • If you are sick, stay home and in bed. Avoid crowded places like the dining hall, classrooms, and restaurants to prevent spreading your illness to others. You should continue to do this until you have not had a fever for 24 hours.
  • If your home is within reasonable driving distance, we recommend that you go home to recover.
  • Recruit a friend (your “Flu Buddy”) to help care for you and bring you food when you are sick.
  • Take fever reducers like acetaminophen (Tylenol), ibuprofen (Advil) or naproxen (Aleve) if you have a fever. If your fever persists for more than three days in spite of fever reducers, please seek medical care.
  • Drink plenty of fluids. Avoid Emergency Rooms and Urgent Care Centers unless you are truly sick, as these locations will be crowded with many sick people with influenza. This may put you at risk of getting the flu.
  • Contact the Wellness Center at 443-352-4200 if you need medical advice or are unsure of what to do after reading this message.

For students who have chronic medical problems (ex. asthma, diabetes, obesity), it is important to visit the Wellness Center within 48 hours of developing flu-like symptoms.

For more information, visit this site:

Stay well and have a wonderful spring semester! The Wellness Center is here to answer any questions you may have.

In Health,


Julie Sanz, MSN, CRNP
Stevenson University Wellness Center



The recent vaping-related lung injury and deaths are alarming and the providers at the Wellness Center felt that it was necessary to address this topic. You may not be surprised to know that there are many students on campus who use electronic cigarettes (e-cigarettes) or vape. Granted, the vape store planted directly across campus does not help. This blog will give you a quick background on e-cigarettes and vaping products, why these devices are unhealthy, and give you an update on the outbreak of lung injury/deaths.

Vaping is the popular shorthand for using e-cigarettes to “vaporize” nicotine.1 These devices were marketed as a “safer” way to inhale nicotine as it removed the risks associated with burning tobacco or cigarettes. These devices rapidly evolved into products with hundreds of flavor combinations and chemical compounds, including THC, the psychoactive ingredient in marijuana, and other marijuana extracts.1 The components of the liquid substance in e-cigarettes vary among brands. Many of these chemicals can cause toxic effects on the body, not due to the nicotine, but rather from the number and concentration of chemicals used to flavor the liquid.2,3 The base liquid of e-cigarettes is a blend of water, vegetable glycerine, and propylene glycol.2 When propylene glycol and glycerol (commercial name for glycerine) is heated in e-cigarettes, it creates compounds that release formaldehyde.2,4 Formaldehyde is a Group 1 carcinogen which means that it has the potential to cause cancer.2

"This risk for cancer is 5 to 15 times as high as the risk associated with long-term smoking."4

When inhaled, most of the formaldehyde quickly breaks down in the cells lining your respiratory tract and is breathed out.5 Even with low concentrations of formaldehyde, rapid onset of nose and throat irritation, cough, chest pain, shortness of breath, and wheezing can occur.5 “Higher exposures can cause significant inflammation of the lower respiratory tract, resulting in swelling of the throat, inflammation of the windpipe and bronchi, narrowing of the bronchi, inflammation of the lungs and accumulation of fluid in the lungs.”5 Also, high levels of formaldehyde will cause it to enter your blood. Once in your body, formaldehyde is rapidly broken down into other chemicals, most of which leave your body in the urine.5 A recent study with adolescents showed that although vaping may be less hazardous than tobacco smoke, those who used e-cigarettes had higher quantities of toxic chemicals in their urine compared to the control group (non-tobacco users).6

As of October 29, 2019, there have been 1,888 confirmed cases of lung injury associated with the use of e-cigarettes or vaping products, a rise from 1,604 cases reported the week prior.7 37 deaths have been confirmed with their age ranging from 17 to 75 years old.7 THC is present in most of the samples tested by the Food Drug Administration (FDA).7 At this time, the FDA and Centers of Disease Control and Prevention (CDC) have not identified the cause(s) of the lung injury with the only commonality among all cases being the use of e-cigarette or vaping products.7 The products containing THC, particularly those purchased from the street or informal sources such as friends, family members, illicit deals, are linked to most of the lung injury cases.7 Due this data and the continued ambiguity of the cause of lung injury, the CDC recommends that you DO NOT use e-cigarettes, vape, or use products that contain THC.

Also, for those who may not have heard, beginning October 1, 2019, the legal age to buy ANY tobacco product including e-cigarettes is now 21 in Maryland unless you are active duty military personnel.

If you are interested in information on vaping or smoking cessation, please contact the Wellness Center at (443)352-4200. You can also call the Maryland Tobacco Quitline, 1-800-QUIT-NOW, a FREE evidence-based counseling program available 24/7. Visit for more information.


By: Sudin Thomas, MSN, FNP-BC



1Rowan, H. (2019). Vaping by the numbers. Kaiser Health News. Retrieved from

2Johnson, J. (2019). Does vaping without nicotine have any side effects? Medical News Today. Retrieved

3Bahl, V., Lin, S., Xu, N., Davis, B., Wang-Y., & Talbot, P. (2012). Comparison of electronic cigarette refill fluid cytotoxicity using embryonic and adult models. Reproductive Toxicology, 34(4), 529-537. Retrieved from

4Jenson, R.P., Luo, W., Pankow, J.F., Strongin, R.M., & Peyton, D.H. Hidden formaldehyde in e-cigarette aerosols. (2015). New England Journal of Medicine, 372, 392-394. Retrieved from

5Agency for Toxic Substances & Disease Registry (ATSDR). (2008). Toxic substances portal – Formaldehyde. Retrieved from

6Rubinstein, M.L., Delucchi, K., Benowitz, N.L., & Ramo, D.E. (2018). Adolescent exposure to toxic volatile organic chemicals from e-cigarettes. Pediatrics, 141(4). Retrieved from

7Center for Disease Control and Prevention (CDC). 2019). Outbreak of lung injury associated with the use of e-cigarette, or vaping, products. Retrieved from

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